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 Charlotte, Lee, Manatee, Sarasota. 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) Medicare plan features an annual prescription drug deductible of $615. Under this plan, members pay no copay for Tier 1 preferred generic drugs and Tier 6 supplemental drugs. This cost savings 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, 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. These coinsurance rates apply to fills at standard pharmacies as well as standard mail-order services.

Additional Benefits

The Simply Complete Platinum (HMO D-SNP) Medicare plan offers comprehensive healthcare coverage with no copays and no coinsurance for the vast majority of medical services. Members pay nothing out-of-pocket for inpatient hospital stays, primary and specialist visits, emergency care, and outpatient services. While most diagnostic tests and medical equipment also feature no copays, certain specialized treatments like dialysis and therapeutic radiology require a twenty percent coinsurance. In addition to medical care, the plan provides robust supplemental benefits including up to fifteen hundred dollars annually for dental services and a four hundred dollar yearly allowance for glasses or contacts with no copays. Members also benefit from no-cost transportation to approved health locations, a fifteen hundred dollar annual hearing aid benefit, and a one hundred twenty-eight dollar monthly allowance for over-the-counter items. Many of these services require prior authorization or referrals to ensure proper coordination of your care.

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.