Original MedicareOriginal Medicare is a fee-for-service health insurance program available to Americans aged 65 and older and some individuals with disabilities. Original Medicare is provided by the federal government and is made up of two parts: Part A (hospital insurance) and Part B (medical insurance). covers 80% of covered hospital and medical services, and you’ll pay the remaining 20%.
Medigap plans can help fill in these gaps in coverage, lowering your healthcare costs.
There are 12 Medigap plans available in Florida, each with different cost and coverage options.
Medigap plan costs in Florida range from $61 to $2,052 depending on the type of plan, your health status, where you live and when you enroll.
Original Medicare in Florida offers basic hospital (Medicare Part A) and medical (Medicare Part B) coverage. But Original Medicare doesn’t offer 100% coverage. For most covered services, Medicare will pay 80% of the service, and you’ll pay the rest.
That’s where Medicare Supplement Plans, or Medigap plans, in Florida are helpful. Medigap plans will help you cover your out-of-pocket costs to fill in these gaps in coverage. There are 12 Medigap plans offered in Florida, and each offers different coverage options.
All Medigap plans cover:
- Medicare Part A coinsurance for hospital care
- Medicare Part A coinsurance for hospice care
- Medicare Part B coinsurance
- The first three pints of blood for a medical procedure
Medigap plans in Florida may also offer:
- Medicare Part A coinsurance for nursing facility care
- Medicare Part B deductible
- Coverage for foreign travel medical emergencies
You can see exactly what’s covered in each plan using this side-by-side comparison chart. Each plan offers different coverage options to suit your healthcare needs and budget.
Find a local Medicare plan that fits your needs
Medicare Supplement Plans in Florida do not cover prescription medications. For prescription drug coverage, you can enroll in a Medicare Part D plan. Just remember that a Medicare Supplement Plan will not cover any out-of-pocket costs for Medicare Part D.
Each type of Medicare Supplement Plan (like Plan A, Plan G, Plan N and more) will offer the same coverage. But costs can vary substantially based on the insurance provider. Private insurance companies can set their own costs, so make sure you compare plans and providers before purchasing a Medigap plan. There are three ways that insurance companies determine the cost of Medigap plans:
- Community-rated: These Medigap plans cost the same for everyone. When you purchase this plan, you will pay the same premiums as anyone else living in your area.
- Issue-age-rated: Some insurance providers determine costs based on your age when you buy the plan. Usually, younger adults will have lower premiums than older adults.
- Attained-age-rated: In this model, y our costs are based on your current age. Premiums go up every year as you get older, so even though the plan may be cheaper when you first enroll, the cost can go up significantly over time.
Medigap plans in Florida have a wide range of cost and coverage options. Plans with more benefits will often have higher premiums, while plans with fewer benefits will have lower monthly premiums. Monthly premiums for Medigap plans in Florida can cost anywhere from $61 to $2,052 in 2022 depending on which plan you choose, the company offering the plan and your health status.
Medigap Plan G Florida
Medicare Supplement Plan G is a popular Medigap plan in Florida, and it offers a number of benefits, including:
- Part A coinsurance and copayments
- Part B coinsurance and copayments
- Part A yearly deductible
- Part B excess charges
- 80% of foreign travel medical emergency costs
There are two types of Medigap Plan G coverage — Medigap Plan G and a high-deductible Medigap Plan G. Medigap Plan G premiums range from $220 to $1,767 a month in 2022. You will also need to pay your Medicare Part B monthly premium, which is $170.10 for most recipients, and the $233 Part B yearly deductible. High-deductible Medigap Plan G premiums range from $61 to $867. You will also need to pay the $170.10 Part B premium and the $233 Part B yearly deductible. You will also need to pay a $2,490 yearly deductible before your Plan G coverage starts.
Are you eligible for cost-saving Medicare subsidies?
You can enroll in a Medicare Supplement insurance plan in Florida if you have Original Medicare Part A and Part B. You’re eligible for Original Medicare if:
- You are a U.S citizen or a permanent resident of Florida
- You are 65 or older
- You are under 65 and you’re living with a chronic health condition such as amyotrophic lateral sclerosis (ALS) or end-stage renal disease (ESRD).
- You are under 65 and you’ve been receiving Social Security disability benefits for 24 months or more
The best time to enroll in a Medigap plan in Florida is during your Medigap Open Enrollment Period. This six-month period only happens once. Your Medigap Open Enrollment period starts on the first day your Medicare Part B coverage begins, and it ends six months later. During the Open Enrollment Period, Medigap plan providers are required to sell you a plan, regardless of your age or health status.
Once the Open Enrollment Period is over, plan providers can deny coverage. They may refuse to sell you a plan, or may increase the cost of the plan based on your healthcare needs.
Medigap plans help cover your costs in Original Medicare. On the other hand, a Medicare Advantage plan offers an alternative to Original Medicare. This plan will bundle all your benefits into one plan which includes all the same coverage as Original Medicare, as well as prescription drug coverage and other benefits.
Medigap plans do not work with Medicare Advantage plans, so if you enroll in a Medicare Advantage plan, you’ll need to drop your Medigap plan.
What extra benefits and savings do you qualify for?
If you’re not satisfied with your Medigap coverage, you can switch to a new plan during your Medigap Open Enrollment Period. You may also be able to change plans if you move or qualify under another special circumstance. However, if you’re not under guaranteed issue rights, plan providers may choose not sell you a plan, or they may offer coverage at a higher cost based on current and/or past medical diagnoses.
When you switch Medigap plans, you have 30 days to decide if the new plan is right for you, or if you’d rather return to your old plan. The 30 days starts when your new plan coverage starts. For this month you will need to pay plan premiums for both plans. At the end of the free look period, you can choose to cancel your old Medigap plan, or drop your new coverage and go back to your old plan.
Before 65 Guide
Understanding health insurance before age 65, especially when considering early retirement