Simply Integrated Platinum (HMO D-SNP)

Simply Integrated 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 Broward, Palm Beach. This plan received an overall rating of 4.5 out of 5 stars in 2026.

It's important to know that Simply Integrated 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 Integrated 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 Integrated Platinum (HMO D-SNP) Medicare prescription drug plan features an annual drug deductible of $615. Members enjoy no copay for Tier 1 preferred generic drugs and Tier 6 supplemental drugs for one, two, or three-month supplies through standard pharmacies or standard mail order. This makes accessing essential everyday medications highly affordable. For Tier 2 generic and Tier 3 preferred brand drugs, the plan requires a 25% coinsurance for all supply lengths up to three months. Tier 4 non-preferred drugs and Tier 5 specialty drugs also carry a 25% coinsurance, which applies to a one-month supply at standard pharmacy and standard mail order locations.

Additional Benefits

The Simply Integrated Platinum (HMO D-SNP) plan offers comprehensive medical coverage with no copays and no coinsurance for most essential healthcare services. This includes full coverage for inpatient and outpatient hospital stays, emergency care with worldwide coverage up to $100,000, primary and specialist doctor visits, and skilled nursing facility care. Additionally, members benefit from covered medical equipment, diagnostic services, and unlimited one-way transportation to plan-approved health locations with no out-of-pocket costs. This plan also features valuable supplemental benefits, including dental services up to a $1,500 annual limit and vision coverage with a $400 annual eyewear allowance. Members also receive prescription hearing aids covered up to $2,000 annually, alongside a $115 monthly over-the-counter allowance and chronic illness meal benefits, all with no copays or coinsurance. While many of these benefits require prior authorization or referrals, they offer substantial savings for eligible members.

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.