Simply Integrated Platinum (HMO D-SNP)

Simply Integrated Platinum (HMO D-SNP) is a HMO D-SNP plan offered by Elevance Health, Inc. available for enrollment in 2026 to people living in Highlands, Indian River, Martin, St Lucie. 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 drug deductible of $615. Under this plan, you will pay no copay for Tier 1 preferred generic drugs and Tier 6 supplemental drugs filled at standard pharmacies or through standard mail order. This zero-cost coverage applies to one, two, and three-month supplies, helping you save on everyday medications. For Tier 2 generic and Tier 3 preferred brand drugs, you are responsible for a 25% coinsurance across all supply lengths. Tier 4 non-preferred drugs and Tier 5 specialty drugs also require a 25% coinsurance for a one-month supply through standard pharmacies or standard mail order. This straightforward structure makes it easy to understand your out-of-pocket costs for higher-tier medications.

Additional Benefits

The Simply Integrated Platinum (HMO D-SNP) plan offers comprehensive medical coverage with no copays and no coinsurance for almost all covered services, including inpatient hospital stays, emergency care, primary care, and specialist visits. Beneficiaries can access essential services like outpatient care, diagnostic tests, and home health services without worrying about out-of-pocket costs. Additionally, the plan covers emergency transport and unlimited one-way trips to plan-approved health locations at no cost to the member. This plan also features robust supplemental benefits, including routine dental, vision, and hearing services with no copays or coinsurance, subject to specific annual limits. Members receive up to $1,500 annually for dental care, $1,500 for hearing aids, and $400 for eyewear. To further support daily wellness, the plan provides a $125 monthly allowance for over-the-counter items and covers chronic illness meal benefits at no extra cost.