Medicare Coverage Overview for Florida
The federal Medicare program provides health indemnity coverage to eligible United States citizens and permanent legal residents who are old age 65 or older, or under 65 with certain medical disabilities or illnesses, including those in Florida .
According to the Centers for Medicare & Medicaid Services ( CMS ), there were 3,968,885 full beneficiaries enrolled in the Medicare program in Florida in 2015. Of this entire, there were 1,601,277 residents enrolled in a Medicare Advantage plan, through which they are guaranteed the lapp coverage as provided through Original Medicare, Part A and Part B ( except hospice care, which is silent covered under Part A ). besides in 2015, 1,401,435 Florida residents received their Medicare prescription drug coverage through a stand-alone Medicare Part D Prescription Drug Plan ( PDP ), while 1,518,812 received coverage for both their medications and Original Medicare benefits through a Medicare Advantage Prescription Drug design ( MAPD ) .
The government-sponsored platform known as Original Medicare refers to Medicare Part A ( hospital indemnity ) and Medicare Part B ( aesculapian insurance ) .
There are many Medicare design options in Florida, listed in the mesa below. Each plan type comes with different out-of-pocket costs, coverage of health services, and extra benefits. Medicare beneficiaries in Florida may want to compare all available plans in their county with their health and prescription drug needs in heed.
here are some Medicare design options that may be available in your separate of Florida.
|Medicare Insurance Plan Type||Description|
|Medicare Advantage plan||Offered by private insurance companies that contract with Medicare, Medicare Advantage plans provide Medicare Part A and Part B benefits (except for hospice care, which Part A still covers). Medicare Advantage plans often include additional benefits, such as routine vision or hearing care. Many plans include prescription drug coverage; these are sometimes referred to as Medicare Advantage Prescription Drug plans.|
|Medicare Prescription Drug Plan||Under Medicare Part D, private health insurance companies that contract with Medicare offer stand-alone Medicare Prescription Drug Plans. These plans are designed to work alongside your Original Medicare coverage. Each plan maintains its own formulary (list of covered medications). The formulary may change at any time. You will receive notice from your plan when necessary.|
Another choice you may have if you ’ re enrolled in Original Medicare is a Medicare Supplement design. besides known as Medigap, these plans are besides offered by private insurance companies and can help you pay your out-of-pocket costs for services covered under Original Medicare.
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Medicare dual-eligible beneficiaries in Florida
Florida residents who are enrolled in both the Medicare and Medicaid programs are besides known as “ dual-eligible, ” and may be qualified to participate in programs that assist with out-of-pocket Medicare costs .
The Medicare “ Extra Help, ” or “ Low Income Subsidy ” ( LIS ) program, is one platform you might qualify for if you ’ re a dual-eligible benefactive role. Qualifying individuals may receive assistant with prescription drug costs and even Medicare Prescription Drug Plan premiums if their income falls under a certain brink. If you ’ ra interested in finding out whether you qualify to receive aid with your Medicare out-of-pocket costs, contact Florida ’ s State Health Insurance Assistance ( SHIP ) means, called FloridaShine .
You can start comparing plans at your appliance ; equitable enter your zip up code in the corner on this page .