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Compare The Best Medicare Advantage Plans in Florida

Medicare Advantage plans in Florida provide an alternative option for Medicare beneficiaries in the Sunshine State to enjoy their Medicare benefits. If you’re a Medicare beneficiary, you may want to try shopping around for Medicare Advantage plans in Florida so that you can choose the best, most affordable and most comprehensive plan.

Overview of The Best Medicare Advantage Plans in Florida

If you are enrolled in Medicare Part A and Part B or if you’re going to be enrolling and paying the Part B premium soon, you might be hoping to find a coverage option and insurance company that you can count on. Medicare Advantage is one excellent option for Medicare beneficiaries in Florida to consider.

If you decide to sign up for a Medicare Advantage plan, you will rely on the insurance company that you sign up with for your original Medicare benefits for Medicare Part A and Part B. In addition to the Medicare Part A and Part B benefits, your insurance company will probably provide you with extra benefits, such as coverage for coinsurance, copayments and deductibles. Many Medicare Advantage plans in Florida offer additional benefits, too.

Options and pricing vary a lot from county to county. Those who live in bigger counties usually have more options to choose from. It’s possible to find a great plan and affordable monthly premium in any county, though, and we can help you compare your options.

Some of the Medicare Advantage plans in Florida have a $0 premium. Whether you’re looking for a $0 premium option or if you’re able to pay a monthly premium for your Medicare Advantage plan in Florida, it pays to shop around to enjoy the most benefits in addition to the Medicare Part A and Part B benefits.

Best Time to Enroll in Medicare Advantage Plans in Florida

You can only sign up for a Medicare Advantage plan in Florida during certain times. These are the enrollment periods for your Medicare Advantage plan in Florida.

  • Initial Coverage Election Period (ICEP) – When you first sign up for original Medicare, you will have the option to purchase a Medicare Advantage plan. This period lasts for seven months, starting three months before the month that you are first entitled to sign up for Medicare.
  • Annual Election Period (AEP) – Beneficiaries have a chance to sign up for or change their Medicare Advantage or Medicare Part D coverage during the Annual Election Period. This period runs October 15 to December 7 each year.
  • Special Election Periods (SEP) – Outside of the Initial Coverage Election Period and the Annual Election Period, there are occasional Special Election Periods that are triggered based off of different events. If you lose your coverage through your employer or move out of your coverage area, you might enter an SEP. An SEP is also triggered if your insurance company does not sign its contract renewal with Medicare.

You can also go back to Medicare Part A and Medicare Part B — if you no longer want a Medicare Advantage plan — during the Medicare Advantage Disenrollment Period that runs from January 1 to February 14.

Most Popular Types of Medicare Advantage Plans in Florida

1. PPO – Preferred Provider Organization (PPO) plans

Preferred Provider Organization PPO plans are MA plans that do have preferred networks for healthcare. If you are a beneficiary of one of these plans you can see out-of-network providers, but you will receive a discount for seeing in-network providers.

2. HMO – Health Maintenance Organization (HMO) plans

Health Maintenance Organization HMO plans do require you to see in-network doctors or go to in-network hospitals. If your healthcare provider is not a part of your network, then you will not be covered. You do need referrals from your primary care doctor (PCP) to see specialists with these plans.

3. Private Fee-for-Service (PFFS) plans

Private Fee-for-Service PFFS options do not have network restrictions. With these plans, the health insurance company decides what it will pay your doctors and other healthcare providers and what amount you will have to pay yourself.

4. Special Needs Plans (SNPs)

Special Needs Plans SNPs are Medicare Advantage plans that are designed specifically for people with serious chronic health conditions or institutional conditions, such as End Stage Renal Disease ESRD.

Also, some low-income Medicare beneficiaries in Florida are Dual-Eligible. You can actually have both Medicaid and Medicare Advantage if you are Dual-Eligible.

Medicare Advantage Plans in Florida: Enrollment Statistics

You’ll probably have the most Medicare Advantage plans to choose from in these five top counties in Florida:

  • 1. Palm Beach County
  • 2. Brevard County
  • 3. Collier County
  • 4. Pinellas County
  • 5. Broward County

A few stats about Medicare beneficiaries in Florida:

  • There were more than 2.5 million people signed up for Medicare in Florida in 2018.
  • There were more than 1.9 million people signed up for Medicare Part C plans in Florida in 2018.

How Does A Medicare Advantage Plan in Florida Cover Prescription Drugs?

Original Medicare does not cover prescription drug costs for those who are enrolled in Medicare Part A and Part B. However, many Medicare Advantage plans include prescription drug coverage as a part of their rates. Rates are often a little higher for these Medicare Part C plans in Florida, but many people find it’s best to look for Medicare Part C plans in Florida that include drug coverage.

When looking for the best Medicare Advantage plans in Florida, make sure that you look for those with Medicare Advantage prescription drug plans. There should be a formulary that explains Prescription Drug tiers and coverage that come with your Medicare Advantage plan.

Network Restrictions on a Medicare Advantage plan in Florida?

Original Medicare does not have network restrictions. When you choose Medicare Part C instead of just Original Medicare through Medicare Part A and Part B, then you do occasionally have to worry about network restrictions. This depends on the Medicare Part C option you choose.

With a Private Fee-for-Service PFFS plan, you don’t have network restrictions. With a PPO, you can see doctors or go to the hospital without staying in your network, but you may pay higher prices.

If you sign up for an HMO Medicare Part C plan, you will be restricted to a network. When shopping for the best Medicare Advantage Plans in Florida, make sure that you consider this. It may be best to avoid an HMO if you travel a lot. Otherwise, an HMO might be best because of lower premiums.

Any Additional Benefits to a Medicare Advantage Plan in Florida

The best Medicare Advantage Plans in Florida come with extra benefits that don’t come with Medicare Part A and Part B. Compare Medicare plans to look for the best perks like these:

  • Routine vision and dental coverage
  • Hearing coverage
  • Wellness programs
  • Gym memberships

Best Florida Medicare Resources

In addition to talking to one of our insurance agents about plan options, provider networks, Medicare prescription drug plans and more, check out these helpful resources: