Medicare Coverage in Florida


Medicare coverage in Florida is available to all those who are considered eligible for healthcare assistance by the federal government. Those who apply for Medicare coverage can choose between the four different Medicare “parts” offered by the state. Recipients can also obtain Medicare insurance coverage through approved insurance companies that have Medicare savings programs and Medicare Advantage Plans available. What Medicare covers will not be the same everywhere throughout Florida. To further understand the benefits of FL Medicare coverage, the cost of Medicare covered services and local resources that Floridians can use to understand their coverage more thoroughly, review the below sections:

  • Medicare Coverage Benefits in Florida
  • Medicare Costs in Florida
  • Local Medicare Resources for Residents in Florida

Medicare Coverage Benefits in Florida

There are various Medicare covered services in Florida for which patients are eligible. The four main Medicare insurance coverage plans include Medicare A and B coverage, Medicare C coverage and Medicare D coverage. Medicare A and B coverage are usually mentioned together, because recipients tend to enroll in both Medicare coverage plans at the same time. These patients feel that hospital and medical insurance are both necessary for their well-being after they retire. Medicare Part C is slightly different, because it allows Medicare coverage to be provided by private health insurance companies. These FL Medicare insurance coverage plans are referred to as Medicare Advantage Plans, or PPOs and HMOs. They offer the same health care services as Medicare A and B coverage, except the Medicare Advantage Plans’ restrictions, costs and rules are different. Medicare Part D is the prescription drug insurance coverage, and private insurance companies also provide this option to beneficiaries.

A recipient must have Medicare Part A coverage and Medicare Part B coverage in Florida to receive Part C benefits. The Medicare premiums per month for Part C are usually $31.40, but fees are always subject to change. Depending on the plan, it could be anywhere from zero dollars to $200 per month. As for Part D coverage, these Medicare premiums per month can range from $10 to $100.

Those with Medicare coverage who need home or nursing care assistance may be entitled to qualify for Program of All-inclusive Care for the Elderly (PACE) services. PACE is a program that provides Medicare recipients with home care and services. PACE typically contracts services out to specialists in the community of the recipient. Sometimes, these services are even provided at a local PACE center. Download our free guide to review information on the qualifications for PACE in FL.

Medicare Costs in Florida

The Medicare premiums associated with Medicare A and B coverage in Florida can be paid together each month. Medicare Part A may be free to those who qualify – typically retirees who are over 65 years of age or disabled people under 65 who receive disability benefits. Those who purchase their own Medicare coverage for Part A should expect to pay anywhere from $227 to $413 per month. If a recipient does receive Railroad Retirement Board or Social Security retirement benefits, his or her Medicare premiums for Medicare Part B will automatically get deducted from the payment benefits each month. This is because the Social Security Administration is in charge of both Social Security and Medicare. Currently, the average Medicare premiums for Part B are $134 per month. Depending on the income level of the recipient, this amount could be higher.

Medicare savings programs can help Floridians pay for their Medicare premiums, Medicare co-pays, coinsurance and deductibles associated with hospital insurance (Medicare Part A) and medical insurance (Medicare Part B). The four main Florida Medicare savings programs are the Qualified Medicare Beneficiary Program, the Specified Low-Income Medicare Beneficiary Program, the Qualifying Individual Program and the Qualified Disabled and Working Individuals Program. Eligibility for these Medicare savings programs is determined by the countable resources of the recipient, such as bank account funds, stocks and bonds. Learn more about how to utilize Medicare savings programs in Florida by downloading our guide.

Local Medicare Resources for Residents in Florida

Florida patients can obtain assistance in covering their Medicare costs if their household incomes fall under a particular amount. As mentioned, there are Medicare savings programs which assist recipients by paying for Medicare co-pays, premiums and other costs that are out-of-pocket. There are also special programs available which provide extra Medicare insurance coverage toward prescription drug costs.

Another resource available to recipients is Florida SHINE, which is an acronym that stands for “Serving Health Insurance Needs of Elders.” Most other states call this SHIP, or the State Health Insurance Program. Many elderly beneficiaries often ask, “What does Medicare cover?” and need Medicare premiums explained to them so that they can understand their options better. Florida SHINE is a nonprofit organization that is funded with grant money paid by Medicare and Medicaid, and it is operated completely by volunteers. With the help of SHINE, those who are curious about government-sponsored healthcare programs can have their questions answered thoroughly.

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.