Compare every Medicare plan in your area

Florida Medicare Insurance

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 2015, 4,024,223 people are enrolled in Medicare in Florida, accounting for 20% 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

See More ▼Collapse ▲

Florida Medicare Insurance Companies

There are 25 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 Aetna. In Florida,. The following are all medicare insurance providers in Florida:

See More ▼Collapse ▲

2018 Best Medicare Plans in Florida

There are 128 medicare plans in Florida. The following are the 10 highest rated medicare plans in Florida based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0Optimum Healthcare - Optimum Gold Rewards Plan (HMO) - Orange County
Remove X
Details
from $0HealthSun Health Plans - HealthSun HealthAdvantage Plan (HMO) - Broward County
Remove X
Details
from $0Optimum Healthcare - Optimum Platinum Plan (HMO) - Citrus County
Remove X
Details
from $0HealthSun Health Plans - HealthSun SunPlus Advantage Plan (HMO) - Miami-Dade County
Remove X
Details
from $0Optimum Healthcare - Optimum Gold Plus Plan (HMO) - Hernando County
Remove X
Details
from $29HealthSun Health Plans - HealthSun MediMax (HMO) - Broward County
Remove X
Details
from $0UnitedHealthcare - AARP MedicareComplete Choice (PPO) - Brevard County
Remove X
Details
from $0CarePlus Heath Plans - CareOne (HMO) - Broward County
Remove X
Details
from $0Humana - Humana Gold Plus H1036-230 (HMO) - Hardee County
Remove X
Details
from $0Humana - Humana Gold Plus H1036-074 (HMO) - Manatee County
Remove X
Details
See all Medicare plans in Florida

Best Florida Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Florida based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $33Humana - HumanaChoice R5826-005 (Regional PPO)
Remove X
Details
from $0Ultimate Health Plans - Ultimate Premier Plus (HMO) - Citrus County
Remove X
Details
from $0Humana - HumanaChoice R5826-074 (Regional PPO)
Remove X
Details
from $0Ultimate Health Plans - Ultimate Elite (HMO) - Citrus County
Remove X
Details
from $0Ultimate Health Plans - Ultimate Premier (HMO) - Hernando County
Remove X
Details

Best Florida Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Florida based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $29HealthSun Health Plans - HealthSun MediMax (HMO) - Broward County
Remove X
Details
from $0HealthSun Health Plans - HealthSun SunPlus Advantage Plan (HMO) - Miami-Dade County
Remove X
Details
from $0HealthSun Health Plans - HealthSun HealthAdvantage Plan (HMO) - Broward County
Remove X
Details
from $0Leon Medical Centers, Cigna Healthspring - Cigna-HealthSpring Premier (HMO-POS) - Bay County
Remove X
Details
from $0Leon Medical Centers, Cigna Healthspring - Leon Medical Centers Health Plans - Leon Cares (HMO) - Miami-Dade County
Remove X
Details

Best Florida Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Florida based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $0UnitedHealthcare - AARP MedicareComplete Choice (PPO) - Brevard County
Remove X
Details
from $0Ultimate Health Plans - Ultimate Premier Plus (HMO) - Citrus County
Remove X
Details
from $0Ultimate Health Plans - Ultimate Elite (HMO) - Citrus County
Remove X
Details
from $0Ultimate Health Plans - Ultimate Premier (HMO) - Hernando County
Remove X
Details
from $0Florida Blue Preferred HMO - BlueMedicare Preferred (HMO) - Pinellas County
Remove X
Details

Best Florida Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Florida based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $33Humana - HumanaChoice R5826-005 (Regional PPO)
Remove X
Details
from $0Ultimate Health Plans - Ultimate Premier Plus (HMO) - Citrus County
Remove X
Details
from $0Humana - HumanaChoice R5826-074 (Regional PPO)
Remove X
Details
from $0Ultimate Health Plans - Ultimate Elite (HMO) - Citrus County
Remove X
Details
from $0Ultimate Health Plans - Ultimate Premier (HMO) - Hernando County
Remove X
Details

Most Popular Medicare Doctors in Florida

The following are the most popular medicare doctors in Florida based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
Internal MedicineLEESBURG, FL
Internal MedicineBRADENTON, FL
Internal MedicinePALATKA, FL
Internal MedicineTHE VILLAGES, FL
SurgeryPENSACOLA, FL
Internal MedicineTHE VILLAGES, FL
RadiologyCLEARWATER, FL
Internal MedicineBRADENTON, FL
Internal MedicineJACKSONVILLE, FL
Internal MedicineGAINESVILLE, FL
See all doctors accepting Medicare in Florida

Browse Medicare Plans by Cities

  1. Jacksonville, FL
  2. Miami, FL
  3. Tampa, FL
  4. St Petersburg, FL
  5. Orlando, FL
  6. Hialeah, FL
See all cities in Florida

Related Articles

Related Search

{"globalPhoneNumber":"8009316467","helpInfo":{"phone":"8009316467","analyticsInfo":{"pageType":"content","productLine":"medicare","phone":"8009316467"}}}