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Medicare Supplement Plans in Florida 2022

What is Medicare Supplement Insurance?

Medicare Supplement plans in Florida are also known as Medigap plans. These plans are supplemental private insurance that is designed to fill in the gaps in the basic benefits paid for by Original Medicare and are sold by private health insurance companies. Unlike Medicare Advantage plans, Medicare Supplement plans in Florida do not replace Original Medicare but instead provide additional coverage to help Medicare beneficiaries pay for a portion of the following types of out-of-pocket costs and medical expenses:

  • Coinsurance
  • Copayments
  • Deductibles

Depending on the specific Medigap insurance plans in Florida that beneficiaries might choose, some plans offer additional coverage options that are unavailable through Original Medicare. For example, certain Medigap plans in Florida provide coverage when you travel abroad and experience a foreign travel emergency. If you have Medicare Parts A and B and choose to purchase a Medicare Supplement insurance plan in Florida, your Original Medicare coverage will pay for the portion of your health care expenses as outlined by the federal Medicare program for covered costs such as your Part A deductible and others. Your Medicare Supplement insurance plan in Florida will then pay its portion before you have to worry about paying additional expenses for coinsurance, copayments, or deductibles.

For eligibility for Florida Medicare Supplement insurance plans, you are required to have both Medicare Part A and Part B. Before you can purchase a Medigap insurance policy, you must also pay your Part B premiums in addition to your premiums for your Medigap plan. While Medicare Advantage plans replace your Medicare coverage, Florida Medicare Supplement insurance plans supplement but do not replace your Original Medicare benefits. Even though Medicare Supplement plans in Florida are offered by private insurance companies, your plan will only cover you. If you are married, and your spouse also wants to buy an insurance policy, he or she will need to purchase a separate policy.

There are 10 standardized Medigap plans in Florida. If you have a standardized Medicare Supplement plan, your renewal will be guaranteed even if you suffer from a health condition. This means that a Florida Medicare insurance company cannot cancel your policy for pre-existing conditions as long as you continue to pay your premiums.

Finally, Medicare Supplement policies do not include prescription drug coverage. If you need this type of coverage, you should enroll in a Medicare Part D plan for prescription drug coverage. Finally, you cannot carry both a Medigap plan and a Medicare Advantage plan simultaneously.

What are the top 5 Medicare supplement plans in Florida for 2022?

1. Best for full coverage: Plan F

Medicare Plan F offers the most robust benefits. However, you cannot enroll in Medicare Plan F unless you began receiving Medicare benefits before Jan. 1, 2020. Some of the benefits offered through Plan F for eligible beneficiaries include the following:

  • Part A coinsurance/hospital costs
  • Part B coinsurance
  • Part B excess charges
  • Part A hospice care copayment/coinsurance
  • Coinsurance for skilled nursing facility stays
  • Medicare Part A and Medicare Part B deductibles
  • Foreign travel emergency exchange up to 80% to policy limits
  • No out-of-pocket annual limit

2. Best comprehensive coverage: Plan G

If your Medicare eligibility date occurred after Jan. 1, 2020, the most comprehensive coverage available to you is through Medicare Plan G. This plan offers most of the same benefits as Medicare Plan F with the exception of coverage for Part B deductibles. If you have the option of choosing either Plan F or G, a great benefit of choosing Medicare Plan G is that you can enjoy substantial cost savings vs. Plan F.

3. Best value: Plan N

Medicare Plan N is a great choice if you want comprehensive coverage but are willing to exchange certain benefits for lower monthly premiums. If you choose Medicare Plan N, you will pay up to $20 in copays for office visits and up to $50 for emergency department visits. However, the ER copay will be waived if you are admitted to the hospital.

4. Best deductible plan: High Deductible Plan F

The high-deductible Plan F offers the same comprehensive benefits as the original Plan F. However, it carries an annual deductible of $2,370 that you must meet before your coverage will start paying. The premiums for a high-deductible Plan F are significantly cheaper than the premiums for an original Plan F policy.

5. Best for lowest premiums: High Deductible Plan G

If you are looking for a Florida Medicare Supplement plan with the lowest premiums, high-deductible Plan G might be a good choice. You will be responsible for an annual deductible of $2,370 before your coverage will kick in, but you will enjoy substantially lower premiums than what you would pay for original Plan G.

What is the best Medicare Supplement plan in Florida for 2022?

In Florida, the most popular Medigap policies are Medicare Supplement Plan G policies. This is because it offers the most comprehensive coverage at affordable rates.

Best for comprehensive coverage: Plan G

Medigap Plan G does not limit you to a service area and allows you to choose any doctor in the U.S. who accepts Medicare. This plan also allows you to change doctors at any time and does not require you to get a referral to see a specialist. You will not be limited to a network and can go to any facility or hospital that accepts Original Medicare.

Is there a Medicare Supplement that covers everything?

Plan F offers the most extensive coverage, but it is only available to people whose Medicare start dates occurred prior to Jan. 1, 2020. Among Florida Medicare beneficiaries, Plan G is quickly becoming the most popular as measured by new purchases.

Which plan has the best benefits?

Medicare Supplement Plan F has the most plan options but is only available for people who were already on Medicare before Jan. 1, 2020. For new enrollees in Medicare after Jan. 1, 2020, Plan G is now the most comprehensive option. Like other Medigap policies, you will still need to purchase a separate Part D prescription drug plan, however.

What is the average cost for a Medicare Supplement plan in Florida?

The costs for Medigap plans in Florida vary by age, gender, and location. A 65-year-old female non-smoker living in Orange County, Florida might expect to pay the following monthly premiums:

  • Medicare Plan N – $125.03
  • Medicare Plan F – $184.76
  • Medicare Plan G – $166.31

Average cost: $158.70

When can I apply for a Florida Medicare Supplement Plan?

The Medigap Open Enrollment period begins the first month during which you turn age 65 and lasts for six months. Before you can purchase a policy, you must first enroll in Medicare Part A and Medicare Part B. If you do not enroll in a Medicare Supplement Plan in Florida during this period, your premiums could be affected by certain medical conditions, and you might have to undergo the underwriting process.

Some people will have guaranteed issue rights, which apply in certain situations and require insurance companies to sell you a Medigap policy in Florida regardless of pre-existing medical conditions. For example, if you lose your private health insurance benefits because your coverage stops providing coverage in your service area, you will have guaranteed issue rights when you purchase a Medigap policy.

If you are under age 65 and are receiving Social Security disability because of certain serious medical conditions, including end-stage renal disease, you might also be eligible for both Original Medicare and Medigap insurance. If you want prescription drug coverage, you will need to separately purchase a Medicare Part D plan.

Once you purchase a plan, its effective date will begin the first day of the following month. The annual election period does not apply to Medicare Supplement plans in Florida. Instead, it only applies to Medicare Part D and Medicare Advantage plans.

Common Medicare Supplement FAQ’s

Are Medicare supplement premiums based on income?

The cost of Medigap policies does not vary based on income. Instead, the premiums you might pay will depend on a variety of different factors, including your location, gender, smoking status, and age. Income is not one of the factors that private insurance companies consider when determining your monthly premiums.

Do Medicare Supplement plan premiums increase with age?

There are three ways private health insurance companies determine the pricing of monthly premiums, including the following:

  • Community-rated plans – Everyone in the same area pays the same premium regardless of age, but premiums can increase based on other factors or inflation.
  • Entry-age rated plans – The premiums are based on the age at which you first purchase the plan and are lower if you enter when you are younger or higher if you first purchase the policy when you are older.
  • Age-attained plans – The premiums are based on your attained age and can go up as you grow older.

A private insurance agent can help you compare plans and determine which might be the best option for you.

When can I change Medigap plans?

There are no rules that prevent people from switching Medigap plans, and you can do so whenever you want. However, if you switch plans when you are outside of the Medigap open enrollment period or do so when your situation does not qualify for a special enrollment period, the insurance company might require you to go through underwriting and ask questions about your health. You will not have guaranteed issue rights. The insurance company can offer you coverage, deny you, or charge you a higher premium based on your health conditions.

You have a free 30-day lookback period after you purchase a Medigap plan to decide whether you want to keep it. During this period, you will need to pay your premiums for both your old Medigap plan and your new one as well as your Part B premium before you cancel a Medigap plan.

In most cases, you don’t have the right to change Medigap plans. However, there are certain situations in which you can and will still have guaranteed issue rights. For example, you can switch plans if you are still within the six-month Medigap open enrollment period or when you have a specific situation that provides you with guaranteed issue rights. After you buy your first Medigap plan, you do not have to wait any specific amount of time before buying a different plan.

Can I be denied coverage?

If you purchase a Medigap policy during your Open Enrollment period for Medicare Supplements, a private insurance coverage company cannot deny you. During this period, insurers must sell you a plan at the best rates regardless of your health conditions. However, if you miss this window, you could be charged higher premiums or denied coverage.

If you delay purchasing a Medicare Supplement plan because you are still working and are covered through your employer’s health insurance, you have guaranteed issue rights when your private insurance terminates as long as you are at least 65. You will then have 63 days to purchase a Medicare Supplement with guaranteed issue rights.

What’s the difference between Medigap & Medicare Advantage?

Medicare Advantage plans are private health insurance HMOs or PPOs that replace your Medicare benefits under Parts A and B. Many of these plans also have prescription drug coverage built in. Medigap plans do not replace Original Medicare. Instead, they supplement the coverage provided by Original Medicare by paying for your Medicare Part A deductible, coinsurance, and copays and offer other benefits.

Do Medicare Supplements cover dental?

Medicare Supplements typically do not provide coverage for most dental procedures, supplies, or dental care, including fillings, cleanings, dentures, extractions, and dental devices. You can purchase a standalone dental policy to pay for dental care. Some Medicare Advantage plans do offer dental coverage, however. A licensed insurance agent can help you compare Medicare Supplements and Medicare Advantage to help you determine which might be the better choice for you.

Do Medicare Supplements cover chiropractic care?

Medicare will pay for a chiropractor to manually manipulate your spine if it is necessary to treat a subluxation but will generally not cover routine visits to the chiropractor. Medigap plans typically will not provide coverage that Medicare doesn’t cover. However, if you receive medically necessary chiropractic care that Medicare does cover, your Medicare Supplement will cover your copayments.

Do Medigap plans cover foreign travel?

Several, but not all, Medigap plans cover emergency health care you receive when you travel outside of the United States up to lifetime plan limits of $50,000. Emergency care during the first 60 days of your trip will be covered when Medicare does not pay for your services. It will pay 80% of the billed services after you pay a deductible of $250 for the year.