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Medicare in Florida

Key Takeaways

  • Medicare in Florida is not free, but you may have options to help with costs like copays A copayment is the fixed amount you pay directly to your provider for medical services or prescription drugs covered in your plan. For example: If your plan includes a copayment of $20 for office visits, you’ll pay $20 to your doctor whenever you have an appointment. and prescription costs.
  • While Medicare AdvantageMedicare Advantage (Medicare Part C) is health insurance for Americans aged 65 and older that blends Medicare benefits with private health insurance. This typically includes a bundle of Original Medicare (Parts A and B) and Medicare Prescription Drug Plan (Part D). plans in Florida may have a provider network for preventive servicesPreventive care is medical care that aims to prevent serious diseases and injuries. These include immunizations, physicals, screenings, and more. , these plans are required to cover emergency and urgent care anywhere in the U.S.
  • Original MedicareOriginal Medicare is a fee-for-service health insurance program available to Americans aged 65 and older and some individuals with disabilities. Original Medicare is provided by the federal government and is made up of two parts: Part A (hospital insurance) and Part B (medical insurance). (Part A and Part B) is a public insurance plan offered by the government. If you have Part A and Part B, you can choose to enroll in Medicare Advantage. It is another way to get Part AMedicare Part A is hospital insurance, which covers the care you receive while admitted to a hospital, skilled nursing facility, or other inpatient facility. Medicare Part A is part of Original Medicare. and Part BMedicare Part B is medical insurance that covers Medicare-approved services — such as medically necessary treatment and preventive services — and certain other costs, like durable medical equipment. Medicare Part B is part of Original Medicare. through a private insurance carrier.

 

Staying active is proven to help older adults stay physically and mentally healthy. Whether you choose to swim year-round, golf, or hike at Big Cypress National Park, you’ll want a health partner as active as you.

GoHealth insurance agents are licensed for Medicare in Florida, and they can help you find a Medicare plan to cover your lifestyle while providing helpful advice along the way.

Is There Medicare in Florida?

Medicare in Florida is available to all legal U.S. citizens ages 65 and older. Some younger adults living with disabilities, ESRD, or Lou Gehrig’s disease may be eligible for Medicare before 65. Medicare Advantage plans are available in Florida but vary by carrier and location. When the time comes to compare Medicare in Florida, your Medicare costs and coverage options may depend on your location. A licensed insurance agent can help make comparing plans simple.

What Medicare coverage is right for my specific situation?

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Is Medicare Free in Florida?

If you’re age 65 and have contributed Medicare and Social Security payroll taxes for at least 10 years, your Part A plan has a no-cost premium. All Medicare Part B plans require the beneficiaries to pay a monthly premium. Some people with low income may qualify for both Medicare and Medicaid programs that help pay for some or all of their Medicare premium.

How Much Does Medicare Cost in Florida?

The cost of Medicare in Florida begins with your Part B premium. Your Part B premium is based on income. Other factors like additional coverage, your plan, or whether you paid Medicare and Social Security payroll taxes can increase your monthly premiums due each month.

Plan for Medicare Costs in Florida

When you plan long term for Medicare costs, consider that premiums can increase (or decrease) from year to year. Here’s an example of low to high premiums over a three-year period (2022 to 2024). The Centers for Medicare and Medicaid Services (CMS) publishes updated premium costs each year.

Standard Part B Premium by Year

  • 2025: $185
  • 2024: $174.70 
  • 2023: $164.90 

How Do I Apply for Medicare in Florida?

You can apply for Medicare in Florida online, by phone, or in person at a Social Security office. A GoHealth licensed insurance agent can help you compare Medicare Advantage plans and enroll in FL.

  • Get in touch with GoHealth
  • Apply for Medicare in FL online with Social Security Administration
  • Apply for Medicare in Florida over the phone by calling Social Security at 1-800-772-1213 (TTY: 1-800-325-0778)
  • Find a local Social Security office and apply in person

When Do I Get Started?


If you are enrolled in Social Security and receiving benefits at 65, you will automatically be enrolled in Part A and Part B. You will receive your Medicare ID card in the mail before your 65 birthday.

If you need to enroll in Medicare for the first time, you have an initial enrollment period that lasts seven months and begins three months before your 65 birthday.

Find the Medicare Plan that works for you.

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What Are the Best Medicare Advantage Plans in Florida?

To find the best Medicare Advantage plan in FL, consider your health needs and find a plan that meets your needs. You may begin by researching five star rated Medicare Advantage plans, but a five star rating is not a guarantee that the plan is the best for your needs. Comparing benefits can be tricky, so can finding the “best” plan. Let a licensed GoHealth insurance agent help you compare all the Medicare Advantage plans near you in FL to find a plan that best matches your needs.

What are the advantages and disadvantages of Medicare Advantage plans?

Medicare Advantage plans usually include Part D, offer extra Medicare benefits and lower out of pocket costs than Original Medicare. But specific provider networks can be a disadvantage if your provider is not included. If you need out of network care, your costs may be higher.

Overall, if you don’t receive medical care away from home and your provider is in your network, a Medicare Advantage plan may have many more advantages than disadvantages. Also, keep in mind that Medicare Advantage plans will cover emergency and urgent care anywhere in the U.S.

Options for Medicare Advantage Plans in Florida

There are many private insurance companies that sell Medicare Advantage plans. The availability of Medicare Advantage Plans in FL can vary county-by-county. Contact GoHealth for more information.

Medicare in FL by the numbers

Thousands of older adults enroll in Medicare every day across the United States. The latest CMS data shows that 4,516,954 people are enrolled in Medicare Part A and B in Florida. The total number of beneficiaries enrolled in Medicare Advantage increased from 2,204,318 to 2,374,804 year over year. Medicare Advantage participation in Florida went from 50.26% to 52.58% year over year. If you’d like to dive deeper into how Medicare in Florida breaks down across the state, we provide a glance at who is using Medicare and how.

Outline of the state of Florida in light blue, showcasing its distinctive peninsula shape.
Medicare
Florida

4,516,954 Beneficiaries with Part A & Part B

2,374,804 Medicare Advantage Beneficiaries

52.58% Medicare Advantage Participation Rate

54.58% Female

45.42% Male

81.45% Non-Hispanic White

6.94% African American

7.42% Hispanic

4.18% Other/Unknown

13.83% Eligible for Medicaid

1.09 Average HCC Score

$11,673.39 Actual Per Capita Costs

19.15% Hospital Readmission Rate

27.37% % of Beneficiaries with an Emergency Department Visit

2,204,318 Medicare Advantage Beneficiaries, Previous Year

Increased Medicare Advantage, Year over year

50.26% Medicare Advantage Participation Rate, Previous Year

Show More

Table reflects the latest Beneficiary Demographics Data: Medicare Geographic Variation – by National, State & County

Average HCC Score: The Hierarchical Condition Category score gauges a population’s overall health. The score is based on a value of 1.0. Populations with an HCC score of less than 1.0 are considered relatively healthy. The score can be used to estimate health costs.

Have questions about your Medicare coverage?

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Florida Medicare Resources & Contacts

1-877-MY-FL-CFO (1-877-693-5236)
Monday to Friday (8 a.m. to 5 p.m. EST)

www.myfloridacfo.com/division/consumers/

What Should I know about the Florida Department of Consumer Services?
File a complaint, ask questions and get needed info about your health insurance.
1-877-711-3662 or Text 357662
Monday to Thursday (8 a.m. to 8 p.m. EST) Friday (8 a.m. to 7 p.m. EST)
TDD: 1-866-467-4970

www.flmedicaidmanagedcare.com

What should I know about Medicaid in Florida?
State-backed health insurance for low-income adults, families, and children
1-850-245-4444 (general questions) or 24/7 COVID-19 Center 1-866-779-6121

https://www.floridahealth.gov

What should I know about the California Department of Health and Human Services?
CDHHS provides access to California’s public health, aging and health care resources
Largo, FL: 1-727-518-3202
Bay Pines, FL: 1-727-319-7440
Tallahassee, FL: 1-850-487-1533

www.floridavets.org

What should I know about FDVA?
Many veteran services, including information to get the most of your benefits

Nationwide Resources

If you have general questions about Medicare in Florida, or need help with current Medicare benefits.

Also, SSA.gov provides online resources for the following: Review information, apply for benefits, or manage your account online

1-800-722-1213
TTY 1-800-325-0778

Speak to SSA Representative, Monday – Friday, 8 AM – 7 PM ET

Medicare Learning Guides

Healthcare is personal. So is choosing insurance. If you are new to Medicare, a beneficiary researching options, or a caregiver, we have tailored Medicare Guides for you.

 

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Before 65 Guide

Understanding health insurance before age 65, especially when considering early retirement

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Medicare Plans Guide

Costs, coverage and enrollment details for each Medicare plan

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Medicare Beneficiary Guide

For those currently enrolled in Medicare

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Low Income and Medicare Guide

For individuals with a qualifying income status

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A Caregiver's Guide

For individuals with a qualifying income status