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You may know that Medicare is a great lower-cost healthcare option for seniors. But do you know what it takes to get Medicare eligibility in Florida? It can be confusing, but we’re here with simple answers.

Who Has Medicare Eligibility in Florida?

4,515,510 Floridians took advantage of Medicare services in 2018. You can join them if you meet any one of the criteria below:

  1. You are 65 or older.
  2. You’re under 65, disabled, and receive disability benefits from Social Security or the Railroad Retirement Board.
  3. You have end-stage renal disease (ERSD).
  4. You have ALS (Amyotrophic Lateral Sclerosis), also known as Lou Gehrig’s disease.

Once you have Medicare eligibility, you can begin choosing a new health plan. 

Medicare Eligibility – Florida Medicare Choices

If you’re 65 and receive Social Security, you’ll be automatically enrolled in what’s known as “Original Medicare.” It’s divided into two parts: Part A, which covers hospital stays; and Part B, which covers doctor visits and outpatient services.

If you want coverage for your prescriptions, you must purchase a Medicare Part D drug plan separately from a private insurance company. You can also purchase a Medicare Supplement plan, which helps fill in the gaps that Original Medicare doesn’t pay for (such as deductibles and copays).

Medicare Advantage plans, offered by private insurance companies, are also available with Medicare eligibility in Florida. Generally, Medicare Advantage rolls Medicare Part A and Part B into one plan. Most plans also include Part D drug coverage. Vision, dental, and hearing coverage are also included in some plans. Over 1.9 million Floridians have chosen to enroll in Medicare Advantage.

How do you pick the right plan for you? Consult with a licensed insurance agent who can ask you the right questions and match you with the right choice for you. An agent can even see if you are one of the 837,382 Floridians who are eligible for LIS (or Extra Help), a program that lowers your prescription drug costs.

Ask Us About Florida Medicare Eligibility and Available Plans

HealthMarkets licensed agents are always on hand to provide personalized service for you at no extra charge. Call (800) 439-6916 to get started today.


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