Company vs company · Hamilton County, FL · 2027 plan year

Humana vs Florida Blue Medicare Advantage plans

Medicare.gov compares Medicare Advantage plans with each other. This page also shows Original Medicare, so you can see the full trade-off: premiums, copays, the yearly limit, extra benefits, and the rules about doctors and approvals.

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In most states, including Florida, you cannot count on getting Medigap later

You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, a Medigap company in Florida can ask about your health. It can say no, or it can charge you more. So if you join a Medicare Advantage plan now, you may not be able to get Medigap later.

One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 12 months. Then you can buy a Medigap plan with no health questions.

Read about Medigap rights on Medicare.gov

Your yearly cost, side by side

Move the controls to match your year. Totals include premiums, the Part B premium, copays, and drug costs.

How much care do you expect?

Ongoing specialist care

Medigap plan with Original Medicare

Plan G pays almost everything after the $292 yearly Part B deductible.

Want to check your exact drugs? Medicare.gov lets you enter each drug and shows what each plan charges for it. Enter your drugs on Medicare.gov

Florida Office of Insurance Regulation, CHOICES Medicare Supplement rate search lists $201 to $329 a month for a 65-year-old woman who does not use tobacco. We start at the lowest price. Health questions can raise the price after your first 6 months with Part B.

Original Medicare

With Medigap Plan G at $201 a month and Wellcare Value Script (PDP)

$7,452 a year

Premiums
$4,985
Medical costs
$292
Drugs
$2,175

Most you can pay in a bad year, before drugs: $5,277.

HumanaChoice R5826-074 (Regional PPO)

Regional PPO from Humana

$5,361 a year

Premiums
$2,934
Medical costs
$2,427
Drugs
$0

Most you can pay in a bad year, before drugs: $10,484.

BlueMedicare Select (PPO)

PPO from Florida Blue

$8,053 a year

Premiums
$3,708
Medical costs
$2,524
Drugs
$1,821

Most you can pay in a bad year, before drugs: $10,858.

With these settings, HumanaChoice R5826-074 (Regional PPO) costs about $2,091 less a year than Original Medicare.

Tipping point for HumanaChoice R5826-074 (Regional PPO): with this drug use, if your medical copays and coinsurance in this plan pass $4,518 in a year, Original Medicare with Plan G costs less. The plan caps those costs at $7,550.

Tipping point for BlueMedicare Select (PPO): with this drug use, if your medical copays and coinsurance in this plan pass $1,923 in a year, Original Medicare with Plan G costs less. The plan caps those costs at $7,150.

These are estimates, not quotes. Check every number with Medicare (Medicare.gov or 1-800-MEDICARE) and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Drug costs use typical prices for generic and brand-name drugs. Original Medicare amounts are 2027 projections from the 2026 Medicare Trustees Report. CMS sets the final amounts in November.

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What you pay each time you get care

In-network costs for one visit or one stay. The Original Medicare amounts follow your Medigap choice above: Plan G.

Primary doctor visit

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $0

  • Humana USAA Honor Giveback (PPO)

    $0

  • BlueMedicare Select (PPO)

    $0

  • BlueMedicare Patriot (PPO)

    $0

Specialist visit

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $35

    Prior authorization
  • Humana USAA Honor Giveback (PPO)

    $50

    Prior authorization
  • BlueMedicare Select (PPO)

    $55

  • BlueMedicare Patriot (PPO)

    $55

Lab tests

  • Original Medicare + Medigap Plan G

    $0

    most Medicare-covered tests

  • HumanaChoice Florida H7284-009 (PPO)

    $0

    Prior authorization
  • Humana USAA Honor Giveback (PPO)

    $0

    Prior authorization
  • BlueMedicare Select (PPO)

    $0-$40

    Prior authorization
  • BlueMedicare Patriot (PPO)

    $0-$40

    Prior authorization

MRI or CT scan

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $0-$335

    Prior authorization
  • Humana USAA Honor Giveback (PPO)

    $0-$335

    Prior authorization
  • BlueMedicare Select (PPO)

    $0-$250

    Prior authorization
  • BlueMedicare Patriot (PPO)

    $0-$250

    Prior authorization

Emergency room

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $130

  • Humana USAA Honor Giveback (PPO)

    $130

  • BlueMedicare Select (PPO)

    $130

  • BlueMedicare Patriot (PPO)

    $115

Urgent care

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $15

  • Humana USAA Honor Giveback (PPO)

    $15

  • BlueMedicare Select (PPO)

    $50

  • BlueMedicare Patriot (PPO)

    $40

Outpatient surgery

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $0-$215

    Prior authorization
  • Humana USAA Honor Giveback (PPO)

    $0-$250

    Prior authorization
  • BlueMedicare Select (PPO)

    $0-$275

    Prior authorization
  • BlueMedicare Patriot (PPO)

    $300

    Prior authorization

Ground ambulance

  • Original Medicare + Medigap Plan G

    $0

    after the $292 yearly Part B deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $120-$240

    Prior authorization
  • Humana USAA Honor Giveback (PPO)

    $120-$325

    Prior authorization
  • BlueMedicare Select (PPO)

    $0-$285

    Prior authorization
  • BlueMedicare Patriot (PPO)

    $0-$275

    Prior authorization

Hospital stay, 5 days

  • Original Medicare + Medigap Plan G

    $0

    Plan G pays the $1,788 Part A deductible

  • HumanaChoice Florida H7284-009 (PPO)

    $1,775

    for a 5-day stay

    Prior authorization
  • Humana USAA Honor Giveback (PPO)

    $1,750

    for a 5-day stay

    Prior authorization
  • BlueMedicare Select (PPO)

    $1,925

    for a 5-day stay

    Prior authorization
  • BlueMedicare Patriot (PPO)

    $1,925

    for a 5-day stay

    Prior authorization
See every cost in one table
What you pay in networkOriginal Medicare + Medigap Plan GHumanaChoice Florida H7284-009 (PPO)Humana USAA Honor Giveback (PPO)BlueMedicare Select (PPO)BlueMedicare Patriot (PPO)
Monthly premiumPart B $209.50 + Medigap Plan G $201 + drug plan $5.30$38.90 + Part B $209.50$0 (pays back $60 a month of your Part B premium) + Part B $209.50$99.50 + Part B $209.50$0 (pays back $75 a month of your Part B premium) + Part B $209.50
Yearly limit on what you payYou pay the $292 Part B deductible. Plan G pays the rest.$6,750 in network; $8,900 in and out of network$6,000 in network; $9,000 in and out of network$7,150 in network; $10,100 in and out of network$9,850 in network; $14,800 in and out of network
Medical deductible$292 Part B. Plan G pays the $1,788 Part A deductible.$0$0$1,500$0
Primary doctor visit$0, after the $292 yearly Part B deductible$0 copay$0 copay$0 copay$0 copay
Specialist visit$0, after the $292 yearly Part B deductible$35 copayPrior authorization$50 copayPrior authorization$55 copay$55 copay
Lab tests$0, most Medicare-covered tests$0 copayPrior authorization$0 copayPrior authorization$0-$40 copayPrior authorization$0-$40 copayPrior authorization
MRI or CT scan$0, after the $292 yearly Part B deductible$0-$335 copayPrior authorization$0-$335 copayPrior authorization$0-$250 copayPrior authorization$0-$250 copayPrior authorization
X-rays$0, after the $292 yearly Part B deductible$0-$125 copayPrior authorization$0-$50 copay, 20% coinsurancePrior authorization$50-$150 copayPrior authorization$15-$150 copayPrior authorization
Emergency room$0, after the $292 yearly Part B deductible$130 copay$130 copay$130 copay$115 copay
Urgent care$0, after the $292 yearly Part B deductible$15 copay$15 copay$50 copay$40 copay
Outpatient hospital$0, after the $292 yearly Part B deductible$0-$315 copayPrior authorization$0-$350 copayPrior authorization$0-$325 copayPrior authorization$350 copayPrior authorization
Surgery center$0, after the $292 yearly Part B deductible$0-$215 copayPrior authorization$0-$250 copayPrior authorization$0-$275 copayPrior authorization$300 copayPrior authorization
Ground ambulance$0, after the $292 yearly Part B deductible$120-$240 copayPrior authorization$120-$325 copayPrior authorization$0-$285 copayPrior authorization$0-$275 copayPrior authorization
Hospital stay$0, Plan G pays the $1,788 Part A deductible$355 per day for days 1-5; $0 per day for days 6-90Prior authorization$350 per day for days 1-6; $0 per day for days 7-90Prior authorization$385 per day for days 1-7; $0 per day for days 8-90Prior authorization$385 per day for days 1-7; $0 per day for days 8-90Prior authorization
Skilled nursing facility$0, Plan G pays days 21-100$0 per day for days 1-20; $160 per day for days 21-100Prior authorization$0 per day for days 1-20; $160 per day for days 21-100Prior authorization$0 per day for days 1-20; $221 per day for days 21-100Prior authorization$0 per day for days 1-20; $221 per day for days 21-100Prior authorization
Mental health visit$0, after the $292 yearly Part B deductible$30 copayPrior authorization$0 copayPrior authorization$40 copayPrior authorization$40 copayPrior authorization
Physical therapy$0, after the $292 yearly Part B deductible$10-$35 copayPrior authorization$35 copayPrior authorization$13-$40 copayPrior authorization$0-$40 copayPrior authorization
Home health care$0, Medicare-covered home health$0 copayPrior authorization$0 copayPrior authorization$0 copayPrior authorization$0 copayPrior authorization
Medical equipment$0, after the $292 yearly Part B deductible$0 copay, 20% coinsurancePrior authorization$0 copay, 20% coinsurancePrior authorization0%-20% coinsurancePrior authorization20% coinsurancePrior authorization
Part B drugs$0 after the $292 Part B deductible0%-20% coinsurancePrior authorization0%-20% coinsurancePrior authorization0%-20% coinsurancePrior authorization0%-20% coinsurancePrior authorization
Drug deductible (Part D)$700 with Wellcare Value Script (PDP)$700No drug coverage$700No drug coverage
Drug tiers (one month, retail)Generic: $0 copayPreferred Brand: 25% coinsuranceNon-Preferred Drug: 45% coinsuranceInjectable Drugs: 15% coinsuranceSpecialty Tier: 25% coinsuranceSelect Care Drugs: $11 copayPreferred Generic: $0 copayGeneric: $5 copayPreferred Brand: 17% coinsuranceNon-Preferred Drug: 50% coinsuranceSpecialty Tier: 25% coinsuranceNo drug coveragePreferred Generic: $0 copayGeneric: $0 copayPreferred Brand: 19% coinsuranceNon-Preferred Drug: 26% coinsuranceSpecialty Tier: 25% coinsuranceSelect Care Drugs: $0 copayNo drug coverage

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A higher drug plan premium is not, by itself, a reason to switch

With Original Medicare, you buy a separate drug plan. In Florida, 11 drug plans are for sale for 2027, from $5.30 to $326 a month. Half of them cost $126 a month or less.

  • Every 2027 drug plan limits what you pay for covered drugs to $2,400 a year. The drug coverage in Medicare Advantage plans has the same limit.
  • The premium is one part of your yearly cost. The calculator above adds premiums, medical costs, and drug costs, so you can see the whole year.
  • A Medicare Advantage plan can cost less in a light year. But you also take on its network and prior authorization rules, and you may not be able to get Medigap later.
  • If your income is limited, Extra Help can pay most of your drug plan premium and drug costs. Check Extra Help at SSA.gov

The two companies in Hamilton County

Humana

  • 7 plans for 2027 (not counting special needs plans)
  • 3 with a $0 premium; 2 pay back part of your Part B premium
  • Yearly limits from $6,000 to $7,550
  • Star ratings 3.5 to 4

Florida Blue

  • 2 plans for 2027 (not counting special needs plans)
  • 1 with a $0 premium; 1 pay back part of your Part B premium
  • Yearly limits from $7,150 to $9,850
  • Star ratings 3 to 3

Doctors, referrals, and prior authorization

Cost is one side. The other side is how you get care. These rules come from the CMS plan files. Prior authorization means the plan must approve a service before you get it.

Original Medicare

  • Any doctor or hospital in the U.S. that takes Medicare
  • No referrals
  • Prior authorization only for a short list of services

HumanaChoice Florida H7284-009 (PPO)

PPO

  • The plan has a network. You can go outside it, but you pay more.
  • No referral needed to see a specialist.

Prior authorization for 24 services

Specialist visits, Diagnostic tests, MRI or CT, Radiation therapy, Outpatient hospital, Observation stay, Surgery center, Ambulance, Mental health visits, Psychiatrist visits, Physical therapy, Occupational therapy, Home health, Partial hospitalization, Cardiac rehab, Pulmonary rehab, Medical equipment, Prosthetics, Diabetic supplies, Dialysis, Substance use care, Hospital stay, Skilled nursing, Part B drugs

Humana USAA Honor Giveback (PPO)

PPO

  • The plan has a network. You can go outside it, but you pay more.
  • No referral needed to see a specialist.

Prior authorization for 24 services

Specialist visits, Diagnostic tests, MRI or CT, Radiation therapy, Outpatient hospital, Observation stay, Surgery center, Ambulance, Mental health visits, Psychiatrist visits, Physical therapy, Occupational therapy, Home health, Partial hospitalization, Cardiac rehab, Pulmonary rehab, Medical equipment, Prosthetics, Diabetic supplies, Dialysis, Substance use care, Hospital stay, Skilled nursing, Part B drugs

BlueMedicare Select (PPO)

PPO

  • The plan has a network. You can go outside it, but you pay more.
  • No referral needed to see a specialist.

Prior authorization for 20 services

Diagnostic tests, MRI or CT, Radiation therapy, Outpatient hospital, Surgery center, Ambulance, Mental health visits, Psychiatrist visits, Physical therapy, Occupational therapy, Home health, Partial hospitalization, Cardiac rehab, Pulmonary rehab, Medical equipment, Prosthetics, Substance use care, Hospital stay, Skilled nursing, Part B drugs

BlueMedicare Patriot (PPO)

PPO

  • The plan has a network. You can go outside it, but you pay more.
  • No referral needed to see a specialist.

Prior authorization for 20 services

Diagnostic tests, MRI or CT, Radiation therapy, Outpatient hospital, Surgery center, Ambulance, Mental health visits, Psychiatrist visits, Physical therapy, Occupational therapy, Home health, Partial hospitalization, Cardiac rehab, Pulmonary rehab, Medical equipment, Prosthetics, Substance use care, Hospital stay, Skilled nursing, Part B drugs

Extra benefits

Extra benefitOriginal MedicareHumanaChoice Florida H7284-009 (PPO)Humana USAA Honor Giveback (PPO)BlueMedicare Select (PPO)BlueMedicare Patriot (PPO)
DentalNoComprehensive, up to $1,000 a yearComprehensive, up to $2,000 a yearComprehensiveComprehensive
Eye examNoYesYesYesYes
Glasses or contactsNoYes, $200 allowanceYes, $200 allowanceYes, $100 allowanceYes, $200 allowance
Hearing aidsNoYes, copays from $499Yes, copays from $499Yes, copays from $350Yes, copays from $350
Over-the-counter allowanceNoNo$200 a yearNoNo
Fitness benefitNoNoYesYesYes
Rides to careNoNoNoNoNo
Meals after a hospital stayNoNoYesNoNo
Emergency care abroadPlan G and Plan N pay 80% after a $250 deductibleYesYesYesYes
Part B premium givebackNoNo$60 a monthNo$75 a month

What changed for 2027

HumanaChoice Florida H7284-009 (PPO)

Renewal Plan with SAE · 2026 plan H7284-009-0

  • Monthly premium down from $39 to $39
  • Drug deductible up from $615 to $700

Humana USAA Honor Giveback (PPO)

Renewal Plan · 2026 plan H5216-257-0

  • Part B giveback down from $70 to $60
  • Diagnostic radiology (MRI, CT): $0-$325 copay to $0-$335 copay
  • Outpatient hospital: $0-$325 copay to $0-$350 copay
  • Ground ambulance: $120-$240 copay to $120-$325 copay
  • Yearly OTC allowance down from $400 to $200
  • Rides to care removed
  • Overall star rating up from 3.5 to 4

BlueMedicare Select (PPO)

Renewal Plan with SAR · 2026 plan H5434-045-0

  • Monthly premium up from $58 to $100
  • In-network out-of-pocket maximum up from $6,750 to $7,150
  • Drug deductible up from $615 to $700
  • Outpatient hospital: $0-$325 copay, 20% coinsurance to $0-$325 copay
  • Skilled nursing facility: $0 per day for days 1-20; $218 per day for days 21-100 to $0 per day for days 1-20; $221 per day for days 21-100
  • Eyewear added
  • Overall star rating down from 3.5 to 3

BlueMedicare Patriot (PPO)

Renewal Plan · 2026 plan H5434-046-0

  • In-network out-of-pocket maximum up from $6,750 to $9,850
  • Medical deductible down from $950 to $0
  • Emergency care: $130 copay to $115 copay
  • Urgent care: $50 copay to $40 copay
  • Skilled nursing facility: $0 per day for days 1-20; $218 per day for days 21-100 to $0 per day for days 1-20; $221 per day for days 21-100
  • OTC allowance removed
  • Overall star rating down from 3.5 to 3

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Sources and method

Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. We checked a sample of plans field by field against Medicare.gov. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. Medigap prices come from Florida Office of Insurance Regulation, CHOICES Medicare Supplement rate search, pulled 2026-10-13. They are for ZIP 32052. Totals use typical Medicare-allowed amounts for each service and typical drug prices.

These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.

Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.

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