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 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 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) prescription drug plan features an annual drug deductible of $615. Enrollees benefit from having no copay for Tier 1 preferred generic drugs and Tier 6 supplemental drugs when filled at standard pharmacies or through standard mail order. For other medication categories, including generic, preferred brand, non-preferred, and specialty drugs, you will pay a 25% coinsurance. This 25% coinsurance applies to Tier 2 and Tier 3 drugs, as well as one-month supplies of Tier 4 and Tier 5 drugs through standard pharmacy and standard mail order channels.

Additional Benefits

The Simply Integrated Platinum (HMO D-SNP) offers comprehensive healthcare coverage with no copays, no coinsurance, and no deductibles for almost all covered services. Members can access inpatient and outpatient hospital stays, emergency care, primary and specialist visits, and medical equipment at no cost. However, please note that many of these medical services require prior authorization or referrals before you can receive care. In addition to medical care, this plan provides valuable supplemental benefits with no out-of-pocket costs up to specified limits. You will receive routine vision care with a $400 annual eyewear allowance, dental services up to a $1,500 yearly maximum, and hearing exams with a $1,500 annual limit for prescription hearing aids. The plan also covers unlimited transportation to plan-approved locations and provides a $128 monthly allowance for over-the-counter items.

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.