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 Lake, Marion, Sumter. 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 plan features an annual prescription drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic drugs and Tier 6 supplemental drugs. This $0 cost-sharing applies to one-month, two-month, and three-month supplies filled at standard pharmacies or through standard mail order. For Tier 2 generic and Tier 3 preferred brand drugs, members are responsible for a 25% coinsurance for one-month, two-month, and three-month supplies. Additionally, Tier 4 non-preferred drugs and Tier 5 specialty drugs require a 25% coinsurance for a one-month supply at standard retail or standard mail-order pharmacies.

Additional Benefits

The Simply Integrated Platinum (HMO D-SNP) offers comprehensive healthcare coverage with no copays and no coinsurance for almost all covered services, including inpatient hospital stays, primary care, specialist visits, and emergency care. Beneficiaries also receive full coverage with no out-of-pocket costs for essential services like dialysis, home health, diagnostic tests, and skilled nursing facility care. While most medical services require prior authorization or referrals, the plan ensures affordable access to critical care and worldwide emergency coverage up to $100,000. In addition to standard medical care, this plan provides valuable extra benefits with no copays, including up to $1,500 annually for dental care and $1,500 for prescription hearing aids. Members also benefit from a $400 annual eyewear allowance, unlimited one-way transportation to plan-approved locations, and a monthly allowance of $128 for over-the-counter health items. These additional allowances and zero-cost preventative services make it an attractive option for those seeking predictable healthcare expenses.

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.