Eligibility for Medicare in Florida


Who is eligible for Medicare in Florida? Typically speaking, most patients over the age of 65 should qualify for Medicare, because that is a benefit they have paid into their whole lives, just like Social Security. There are other exceptions made toward Medicare eligibility for younger people who have End-Stage Renal Disease or another kind of disability that prevents them from working. Medicare benefits eligibility can either be for Medicare Part A or Medicare Part B, which are the main types of Medicare. Hospital insurance is associated with Medicare Part A and medical insurance is associated with Medicare Part B. To learn more about the specifics of how to qualify for Medicare Part A or Medicare Part B, review the following topics:

  • Medicare for Patients Under 65 in Florida
  • Medicare for Patients Over 65 in Florida
  • Other Requirements for Medicare in Florida

Medicare for Those Under 65 in Florida

To qualify for Medicare in Florida, patients can be under 65 – with exception. Medicare qualifications state that younger patients who are disabled and who are receiving Social Security Disability Insurance payments will have Medicare eligibility in Florida. Most patients will have eligibility for Medicare if they have been receiving these payments for over 24 months. This particular period of time is the two-year waiting period that patients must go through before automatic enrollment in Medicare. In other words, Medicare eligibility will automatically be granted on the 25th month that they have received an SSDI payment. However, anyone suffering from Amyotrophic Lateral Sclerosis does not have to wait 24 months. Instead, these patients will have Medicare eligibility and start receiving benefits on the first month they get an SSDI payment. The Social Security Administration (SSA) office determines who is qualified for the SSDI payments. Only those who have worked long enough and paid enough taxes into Social Security can get these healthcare benefits. Review more information about SSA Medicare qualifications by downloading our free guide.

Medicare for Patients Over 65 in Florida

To qualify for Medicare as a patient over 65 is likely in Florida. To figure out who can apply for Medicare under this age group, the following two situations must be true. First, to qualify for Medicare, patients must be eligible for or be receiving Social Security benefits from the federal government. Next, Medicare eligibility requires patients to be permanent residents of the United States who have lived in the country continuously for a minimum of five years. Patients will qualify for Medicare in Florida if both of the above stipulations are met.

The Medicare eligibility enrollment process for 65-year-olds will depend on whether or not they are currently receiving Social Security benefits. Any Railroad Retirement benefits can also factor into enrollment. The amount paid toward a monthly Medicare premium will depend on how much money has been paid in Medicare taxes throughout a patient’s working life. To qualify for Medicare, the more taxes that have been paid, the smaller the premium amount will be. However, this only applies to Medicare Part B, which is for medical insurance. The majority of people with Medicare eligibility will choose Medicare Part A for hospital insurance, because it does not require a monthly premium to be paid. Download our free guide to read more about tax contributions in lieu of Medicare enrollment in Florida.

Other Requirements for Medicare in Florida

Additional patients have eligibility for Medicare in Florida beyond age requirements in Florida. Children will have Medicare benefits eligibility in Florida if they are younger than 20 years of age and suffer from End-Stage Renal Disease. In addition, to qualify for Medicare, the parents of these patients must also be eligible for or be receiving Social Security benefits. Anyone under 20 years of age who does not qualify for Medicare should apply to the Florida Children’s Health Insurance Program, or CHIP, to get health coverage.

Someone who is not a United States citizen can still qualify for Medicare if he or she is receiving Social Security benefits. Oftentimes, immigrants or qualified aliens will work and pay taxes in the United States over the course of many years. If they pay enough taxes into Social Security and Medicare, then they have eligibility for Medicare benefits, just like any United States citizen would. Immigrants also have to pay monthly premiums on Medicare Part B, just as citizens do.

Those who have Medicare benefits eligibility for Medicare Part B are subjected to monthly premiums based on their income levels. If patients make under $85,000 per year, the monthly premium is $134. If patients make between $85,000 and $107,000 then the monthly premium is $187.50. If patients earn between $107,000 and $160,000 then the premium is $267.90. If patients earn between $160,000 and $214,000 then the premium is $348.30. To read more about Medicare income level qualifications, download our free guide.

What Assistance Benefits Does the Department of Children and Families Provide?

Various assistance benefits are available to residents of Florida through the Department of Children and Families (DCF). Families can receive benefits that allow them to buy nutritious groceries, save money on school lunch for their children and obtain temporary financial assistance. Additionally, petitioners who qualify for one assistance program are also typically eligible for other benefits in Florida. Find out how to qualify for benefits through Florida’s DCF and how to apply for them by downloading our comprehensive guide.

Who Can Receive Assistance Benefits in Florida?

Each assistance program offered through Florida’s Department of Children and Families has various eligibility qualifications that petitioners must meet in order to enroll. Household size and income are only a few factors that are typically taken into account. For more details on eligibility for Florida DCF assistance programs, download our guide.