Simply Complete (HMO D-SNP)

Simply Complete (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2025 to people living in Broward. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that Simply Complete (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 Simply Complete (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 Simply Complete (HMO D-SNP) Medicare plan features an annual drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic drugs and Tier 6 supplemental drugs filled at standard pharmacies or through standard mail order. This cost-free coverage applies to one-month, two-month, and three-month supplies. For other medication categories, members are responsible for a 25% coinsurance rate at standard pharmacies and standard mail order services. This 25% coinsurance applies to Tier 2 generic and Tier 3 preferred brand drugs for up to a three-month supply, as well as Tier 4 non-preferred and Tier 5 specialty drugs for a one-month supply. This structure helps you easily project your out-of-pocket prescription costs throughout the year.

Additional Benefits

The Simply Complete (HMO D-SNP) plan offers comprehensive coverage with no copays, no coinsurance, and no deductibles for most covered medical services. Members can access inpatient and outpatient hospital care, primary care, specialist visits, and emergency services worldwide with zero out-of-pocket costs. Additionally, essential services like diagnostics, dialysis, medical equipment, and unlimited transportation to approved health locations are fully covered with no copay. This plan also features robust supplemental benefits, including dental care up to $1,500 annually, vision coverage with a $400 eyewear allowance, and hearing aids up to $2,000 per year, all with no copay. Other valuable perks include home health services, skilled nursing care, a chronic illness meal benefit, and a $55 monthly allowance for over-the-counter items. While many services require prior authorization or referrals, the plan ensures broad coverage without financial barriers for its members.