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Medicare Advantage Plans in Florida: The facts

Updated on November 13, 2013

So many options in the Medicare Insurance world

Medicare advantage plans, or Medicare Part C, are plans approved by Medicare but are offered by private insurance companies. All Medicare Advantage plans cover the everything under Part A and Part B (original Medicare plans), may sometimes include Part D, and offer extra coverage such as medical support for dental, visual, and hearing services. Unlike Parts A and B that are offered only by Medicare, the extra coverage and costs covered are different for each plan. Thus, there are more factors to consider when choosing a Medicare advantage plan that will suit your needs.

There are different types of Medicare Advantage plans. There are HMO (or Health Maintenance Organization, which is the best deal for your money but is only applicable for doctors on the plan's list) plans, PPO (or Preferred Provider Organization, which charges less for the doctors in the plan's list but allows you to consult other doctors) plans, PFFS (or Private Fee-for-Service, which can be used on all doctors, but is not approved by all doctors) plans, and SNP, or Special Needs Plans, for people who need specialized packages. MSA plans, or the Medical Savings Account plans, are less commonly seen than the previous four plans mentioned.

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Medicare Advantage, Medicare Supplements, and more are avaialable

Perhaps the most important factor in deciding which Medicare advantage plan to avail is if you can use it. If you already have doctors, ask them what plans they consider. Otherwise, find a plan that cover doctors and hospitals near your home in Florida. Most Medicare advantage plans can only be availed when consulting a doctor in its network. Also inquire what costs are covered when you get involved in an emergency without any in-network doctors available. Depending on the Medical Advantage plan, going to a doctor or facility not included in the plan’s network can result to higher costs.

Another important factor is the cost. However, you should factor other costs aside from premiums when choosing your Medicare Advantage plan. Also consider out-of-pocket costs such as co-payments, deductibles, and medical coverage. The expenses presented in these plans are often averages, so you would need to choose one that fits your needs.

Some plans also cover drugs, or is better known as the Medicare prescription drug coverage (or Medicare Part D). If this is the case and you already have a pre-existing condition, check to see if your drugs are included in the plan’s list.

Getting a Medicare Advantage plan can possibly void your retiree coverage. If you are nearing your retirement, consult your HR department to check if it will invalidate your retiree coverage.

There are many insurance companies offering Medical advantage plans in Florida, but not all of these plans are the same. Before signing up, you should compare plans that are available in Florida. Check to see if the company you seek is stable and can be trusted.

When you have already chosen a Medicare Advantage plan in Florida, note even though you did not choose the original Medicare plan, you are also covered by the rights and protection of Medicare. As such, you can also appeal to your insurance provider if something goes wrong.

If you are having trouble choosing your Medicare Advantage plan, you can research in the Internet about which companies are offering this plan in Florida.

Knowing the facts about Medicare coverage

Did you know there may be penalties for not enrolling? Did you know if you refuse Medicare you could have your social security benefits reduced?

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    • profile image

      julieannbrady 3 years ago

      Well, I'm not quite old enough to qualify for Medicare -- one day. Just trying to figure out the maize of health insurance options through Obamacare.

    • profile image

      Healthcorridor 4 years ago

      Through the Medicare plans and systems we get proper beneficial insurance plan that provides lots of benefits to the public, as we know healthcare systems are quite low in many developed country as due to Medicare and healthcare frauds.

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      anonymous 4 years ago

      I think a lot of seniors are confused about their retirement benefits, and it is great you are trying to help. Seniors should also know about things that Medicare does not cover, so maybe you could add that.

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      JoshK47 5 years ago

      Good information!

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      anonymous 5 years ago

      Thank you so much for sharing these fantastic facts about medicare advantage enrollment. I know that it can be really interesting learning about these things, but it can also be very confusing so that is why articles like these are great. Thanks for the post! Very easy read!

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      antoniow 5 years ago

      I enjoy reading this lens, well done! Squidlike

    • profile image

      BeInsuranceSavvy 5 years ago

      Great lense!

    • profile image

      DonoyanInsurance 5 years ago

      great article! I really love it.

    • profile image

      davejanroz 5 years ago

      cool!

    • Rural Farming profile image

      Rural Farming 5 years ago

      that was done very well, thanks for the info!