Simply Complete Platinum (HMO D-SNP)

Simply Complete Platinum (HMO D-SNP) is a HMO D-SNP plan offered by Simply Healthcare Plans, Inc. available for the 2026 plan year to people living in Orange, Osceola, Seminole, Volusia. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that Simply Complete Platinum (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 Platinum (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 Platinum (HMO D-SNP) prescription drug 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. This no-copay coverage applies to one-month, two-month, and three-month supplies filled at standard retail pharmacies or through standard mail order. For Tier 2 generic and Tier 3 preferred brand drugs, standard retail and mail-order pharmacies charge a 25% coinsurance across all supply lengths. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance, which applies to a one-month supply.

Additional Benefits

The Simply Complete Platinum (HMO D-SNP) plan offers comprehensive coverage with no copays and no coinsurance for most essential healthcare services. Members enjoy no copays for inpatient and outpatient hospital care, primary and specialist visits, emergency services, and preventive care. Additionally, key medical needs like home health, durable medical equipment, and skilled nursing facility stays are covered with no copay or coinsurance, though prior authorizations or referrals are required for many of these benefits. This plan also features valuable supplemental benefits, including dental, vision, and hearing coverage with no copays, alongside a monthly allowance of up to $122 for over-the-counter items. While most services feature no out-of-pocket costs, exceptions include dialysis and therapeutic radiological services, which require a 20% coinsurance. Unlimited transportation to plan-approved locations and worldwide emergency coverage up to $100,000 are also included to ensure peace of mind.

Plan Providers

Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, Health Care Service Corporation, HealthSpring^SM, HealthSun, Healthy Blue, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.