Medicare Insurance in Florida

Riley Webb Insurance provides Medicare insurance solutions to residents across Florida and other states.

Medicare Insurance Florida

What is Medicare insurance?

Medicare insurance is a federal health insurance program primarily designed for individuals aged 65 and older, although certain younger individuals with disabilities or specific medical conditions may also qualify. Medicare provides essential healthcare coverage, including hospital care, outpatient services, and prescription drugs.

Get a Quote for Medicare Insurance in Florida

What are the different parts of Medicare insurance?

Medicare consists of four parts:

  • Part A: Covers hospital stays, skilled nursing care, and some home health services.
  • Part B: Covers outpatient care, preventive services, and doctor visits.
  • Part C (Medicare Advantage): Offered by private insurers, this plan bundles Parts A, B, and often Part D, with additional benefits.
  • Part D: Covers prescription drugs.

Each part serves different needs, and understanding which combination of benefits works best for you is essential for getting the most out of your Medicare insurance in Florida.

Medicare Insurance Florida

Get a Quote

Share your details with us, and we’ll craft a personalized quote tailored to your unique needs.

Medicare Insurance Florida

Who qualifies for Medicare insurance in Florida?

Residents of Florida qualify for Medicare insurance if they meet one of the following criteria:

  • Aged 65 or older: Individuals who are U.S. citizens or permanent legal residents for at least five years may enroll in Medicare at age 65.
  • Under 65 with disabilities: Individuals who have been receiving Social Security Disability Insurance (SSDI) for 24 months are eligible.
  • Specific health conditions: Those with end-stage renal disease (ESRD) or amyotrophic lateral sclerosis (ALS) qualify for Medicare regardless of age.

Enrollment periods for Medicare are specific, so it’s important to understand when to apply to avoid late enrollment penalties.

How do I enroll in Medicare insurance?

Enrolling in Medicare insurance in Florida is typically straightforward, and there are three main enrollment periods:

  1. Initial Enrollment Period (IEP): This is a seven-month window that begins three months before you turn 65 and ends three months after the month you turn 65. You may sign up for Parts A and B during this period.
  2. General Enrollment Period (GEP): If you missed the IEP, you may sign up for Medicare between January 1 and March 31 each year. However, a late enrollment penalty may apply.
  3. Special Enrollment Period (SEP): If you’re still working at age 65 and covered by an employer’s health plan, you may qualify for a SEP once your employment or group coverage ends.

When you have employer-sponsored health insurance and become eligible for Medicare, the two may work together, depending on the size of your employer. If your employer has 20 or more employees, your employer-sponsored plan will generally be the primary insurance, and Medicare will act as secondary insurance, covering costs not paid by your group health plan. However, if your employer has fewer than 20 employees, Medicare typically becomes the primary payer, and your employer-sponsored plan pays second. In such cases, it’s important to enroll in Medicare Part B to avoid potential late penalties and ensure that you’re adequately covered.

No, Medicare does not generally cover long-term care or stays in nursing homes if the care is primarily custodial, meaning it helps with daily activities like bathing, dressing, or eating. Medicare does cover short-term stays in skilled nursing facilities after a hospital stay of at least three days, but this coverage is limited to up to 100 days per benefit period. For extended or ongoing long-term care, individuals may need to explore other insurance options to help with these expenses.

Original Medicare does not cover routine dental, vision, or hearing services, which include exams, cleanings, glasses, or hearing aids. However, many Medicare Advantage (Part C) plans offer additional benefits that include coverage for dental, vision, and hearing services. It’s important to review specific Medicare Advantage plan options to find one that offers the additional coverage you may need for these services. For those on Original Medicare, stand alone dental and vision insurance plans are also available.

The Medicare Special Enrollment Period (SEP) is a specific time frame in which you may sign up for Medicare or make changes to your plan outside of regular enrollment periods. SEPs are typically triggered by qualifying life events, such as losing employer-sponsored coverage, moving to a new area, or other significant changes in circumstances. 

The cost of Medicare insurance in Florida varies based on the parts you enroll in and your specific needs. Here’s a breakdown:

  • Part A: Most people do not pay a premium for Part A if they or their spouse have paid Medicare taxes for at least 10 years. However, deductibles and coinsurance apply for hospital stays.
  • Part B: There is a monthly premium for Part B, which is based on your income. For 2024, the standard premium is around $174.70. Additionally, you’ll have to meet an annual deductible and pay 20% of the cost of most covered services.
  • Part C (Medicare Advantage): Premiums vary depending on the plan you choose. These plans may include additional benefits, such as dental or vision care, with costs depending on the insurer.
  • Part D: Premiums for prescription drug plans also vary depending on the plan and income. Higher-income earners may pay a surcharge.
Riley Webb Insurance

How can Florida residents obtain Medicare insurance? 

Reach out to the independent agents at Riley Webb Insurance for a fast quote on Medicare insurance in Florida. Our experienced team is dedicated to helping you navigate the complexities of Medicare coverage and finding the right plan that fits your needs. Whether you’re looking for comprehensive coverage or specific benefits, we’re here to provide personalized guidance.

Riley Webb Insurance

Get in Touch

Feel free to contact our independent insurance agents with any questions or concerns you may have.

Request a Quote!