HealthSun MediSun Full Dual Extra (HMO D-SNP)

HealthSun MediSun Full Dual Extra (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2026 to people living in Miami-Dade, Broward. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that HealthSun MediSun Full Dual Extra (HMO D-SNP) is a Medicare Advantage (MA) Plan with drug coverage. That means that this plan covers both medical services and prescription drugs.

Key Plan Facts

Below are a few key facts and commonly-asked questions about HealthSun MediSun Full Dual Extra (HMO D-SNP).

Plan Costs:

The cost of a Medicare Advantage Plan is made up of four main parts.

• First, the monthly premium — the amount you pay every month.
• Second, the deductible — the amount you pay out of pocket for covered services before the plan starts paying.
• Third, the copayments and coinsurance — the amounts you pay out of pocket for covered services, usually after meeting the deductible (if applicable). Copays are fixed dollar amounts; coinsurance is a percentage of the cost.
• Fourth, the Out-of-Pocket Maximum — the maximum amount you could have to pay out of pocket in a year. This may be different for in-network and out-of-network services.

You can see below for the coinsurance and specific copayments for in the Additional Benefits section below, or refer to our Plan Details page for more details.

Common Services:

Drug Coverage

The HealthSun MediSun Full Dual Extra (HMO D-SNP) prescription drug plan features a $0 drug deductible, ensuring your coverage begins immediately. Under this plan, you will pay no copay for Tier 1 preferred generic and Tier 2 generic drugs for up to a three-month supply at standard pharmacies or through standard mail order. Additionally, Tier 6 supplemental drugs are available with no copay for a one-month supply. For other medication tiers, standard pharmacy and standard mail-order options offer a low $5.00 copay for a one-month supply of Tier 3 preferred brand drugs. Tier 4 non-preferred drugs require a $50.00 copay, while Tier 5 specialty drugs incur a 33% coinsurance for a one-month supply. This structure provides a clear and predictable pathway for managing your prescription medication costs.

Additional Benefits

The HealthSun MediSun Full Dual Extra (HMO D-SNP) offers comprehensive medical coverage with no copays and no coinsurance for most covered services. This includes full coverage for inpatient and outpatient hospital stays, emergency care, primary and specialist visits, and diagnostic testing. Essential medical services like home health, dialysis, and skilled nursing facility stays are also covered with no out-of-pocket costs. In addition to core medical care, the plan provides valuable supplemental benefits with no copays, such as up to $5,000 annually for dental services and $400 yearly for vision eyewear. Members also benefit from a $2,000 annual prescription hearing aid allowance, unlimited transportation to plan-approved locations, and a $125 monthly allowance for over-the-counter items. While some services require prior authorizations or referrals, this plan minimizes healthcare costs for its members.