Find 2019 Medicare Plans in Florida - FL Medicare Insurance Overview

Medicare Insurance in Florida

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Florida Medicare Insurance

Florida Medical Insurance Stats

Medicare in Florida

Medicare offers healthcare coverage to Florida residents age 65 or older, or to those Florida residents that suffer from certain medical disabilities. In 2016, 4,380,000 people are enrolled in Medicare in Florida, accounting for 21.6% of the population in Florida. In 2009 approximately $11,893 was spent per Medicare enrollee in Florida, about 14.74% higher than the national average of $10,365. Behind New Jersey, Florida spent the second highest amount per beneficiary in all 50 states and Washington, D.C. Between 2015 to 2030 the senior population in Florida is expected to increase by an estimated 87.94% according to calculations based off of the 2000 Census. Thus, the number of Medicare beneficiaries in Florida is also projected to increase.

Local Medicare Resources

Florida offers a free program called SHINE (Serving Health Insurance Needs of Elders) which provides Medicare enrollees or individuals eligible for Medicare free, confidential, and unbiased one-on-one counseling. SHINE is part of a national network of State Health Insurance and Assistance Programs (SHIP). Florida's Senior Medicare Patrol (SMP) is another program which aims to educate and also empower Medicare beneficiaries to identify, avoid, and report instances of Medicare waste, fraud and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you sign up for Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Florida 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Florida is $19.32, 69.08% less than the national average of $62.48. 74.97% of 2017 Medicare Part C insurance plans in Florida have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Florida the average annual drug deductible for Medicare Part C insurance plans with drug components is $148.86. 40.68% of 2017 Medicare Part C insurance plans with a drug component in Florida have a $0 annual drug deductible.
  • 100.0% of 2017 Medicare Part C insurance plans without a drug component in Connecticut have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Florida is $5,862.28. 14.54% of 2017 Medicare Advantage plans in Florida had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Florida was 3.7 stars in 2017.
  • Among Florida's 2017 Medicare Advantage plans with CMS star ratings:
    • 2.39% earned a score of 5 stars
    • 44.55% earned a score of 4 or 4.5 stars
    • 51.71% earned a score of 3 or 3.5 stars
    • 1.35% of plans are “Not enough data available” or “Too new to be measured”.

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

There are 31 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Florida. Of these, the companies that offer the largest variety of plans to choose from are Humana, UnitedHealthcare, and Blue Cross Blue Shield of Florida. In Florida,Humana has the largest selection of Medicare Advantage plans while Humana offers the most Medicare Part D plans. The following are all medicare insurance providers in Florida:

Humana

48 Plans

Devoted Health

10 Plans

Aetna

8 Plans

WellCare

3 Plans

MMM of Florida, Inc.

3 Plans

Cigna

3 Plans

allwell

2 Plans

UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY

2 Plans

OMAHA HEALTH INSURANCE COMPANY

2 Plans

Florida Blue Preferred HMO

2 Plans

BayCare Health Plans

2 Plans

AvMed

2 Plans

Solis Health Plans

1 Plans

Doctors HealthCare Plans, Inc.

1 Plans

HealthPocket is a free information source designed to help consumers find medical coverage. Whether you are looking for Medicare, Medicaid or an individual health insurance plan, we will help you find the right healthcare option and save on your out of pocket healthcare costs. We receive our data from government, non-profit and private sources, and you should confirm key provisions of your coverage with your selected health plan. If you select a plan presented on our site, you will be directed (via a click or a call) to one of our partners who can help you with your application. Our website is not a health insurance agency and not affiliated with and does not represent or endorse any health plan.