Our easy guide to Florida Medigap rules and regulations will prepare you to make smart Medicare insurance decisions. Basically, when it comes to Medigap, everything in the Sunshine State is standardized just like most other states except for one key exception. All Florida Medigap plans are issue-age rated when it comes to pricing. This means that the younger you are when you first enroll, the less you pay, forever! Stick with us and we’ll walk you through what you need to know about FL Medigap policies.
Florida Medigap policy basics
Here’s the skinny on Florida Medigap plans:
- 10 standardized plans for persons Medicare Part B eligible prior to January 1, 2020
- 8 standardized plans for persons Medicare Part B eligible as of 2020 (plans F and C are not available)
- Plans are standardized with benefits and networks the same to the majority of other states
- Florida is an issue-age state (explained below)
Florida’s Medigap Issue-Age rates explained
Medigap plans in most states are priced in one of three ways: 1) Age Attained, 2) Community Rated or 3) Issue Aged. In Florida, all Medigap plans are regulated to be priced as the issue aged. This means that the price is based on the age you enroll and cannot increase just because you are getting older.
Medigap plans can increase for inflation and other factors, but you will not see your plans price go up on your birthday like they do with age-attained plans. With issue-age plans, you want to purchase them when you are first eligible because they are usually less expensive for someone 65 than someone 70 or 75 years old. To see how much issue-aged plans cost in your area, click on the links below.
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8 FL Medigap plans compared
What happened to the 10 Medigap plans we mentioned above? New regulations! Due to a new federal law, only those who are Medicare Part B eligible before 2020 can enroll in Medigap Plan C and Plan F. Those who because medicare-eligible after Jan 1 2020 can select from the 8 plans below.
| Benefits | A | B | D | G* | K | L | M | N |
|---|---|---|---|---|---|---|---|---|
| Medicare Part A Deductible ($1,632) | 100% | 100% | 100% | 50% | 75% | 50% | 100% | |
| Part B Deductible ($240) | ||||||||
| Medicare Part A Hospital Coinsurance and 365 additional hospital days | 100% | 100% | 100% | 100% | 100% | 100% | 100% | 100% |
| Medicare Part B Coinsurance | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
| First 3 Pints of Blood for a Transfusion | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
| Medicare Part A Hospice Coinsurance or Copay | 100% | 100% | 100% | 100% | 50% | 75% | 100% | 100% |
| Skilled Nursing Facility Coinsurance | 100% | 100% | 50% | 75% | 100% | 100% | ||
| Medicare Part B Excess Charges | 100% | |||||||
| Foreign Emergency Healthcare | 80% | 80% | 80% | 80% | ||||
| Max Out-of-Pocket | $7,060 | $3,530 |
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*Medigap Plan G High deductible ($2,800) is also available.
Florida Medigap plans discounts
Like we discussed, Florida has some of the most expensive Medigap plans. So, taking advantage of discounts can keep some extra dough in your pocket. Here are some discounts available to Floridians:
Florida Medicare Excess Charges
Attention, savvy seniors! Excess Charges are a thing. Sometimes, they pop up on your medical bill. But guess what? Medigap plans, especially Plan G, have your back. Dive into our article ‘How To Avoid Medicare Excess Charges’ for the full scoop!
Switching Medigap Plans in Florida: Birthday Rule
Some states have a Medigap Birthday Rule state law that allows Medicare Supplement changes without medical underwriting. This law is fantastic for anyone on a high-cost plan with a pre-existing condition. Unfortunately, Florida is not among them.
Moreover, the AEP Open Enrollment from October 15 to December 7 doesn’t apply to Medigap plans in your state. In Florida, you can change Medigap plans anytime, but you’ll usually need medical underwriting for approval. The new Med Supp application includes about 20 questions about your health. Depending on your responses, you might be approved at the best rate or possibly at a higher one. Those with specific pre-existing conditions may not qualify for the new plan.
If you already have a policy and are thinking of changing it, contact Senior65.com for free advice, or read our detailed article: “Medicare Insurance Switching: Ultimate Guide“.
You can keep your Florida Medigap plan if you move
Most people move to Florida when they retire but should you leave the sunshine state you can keep your FL Medigap plan. Remember Medigap plans are 100% portable and you can access Medicare’s national network no matter where you live (Source). There is no need to reapply in most cases should you end up moving but your Medigap price may increase if you move.
What to do next for Florida Medigap
Even with all the important info that you now have on Florida Medigap policies, you still may have questions about selecting the right plan for you. This is where we come in. You can leave a comment/question below or just give one of our licensed agents a call at 800-930-7956.
We NEVER charge a fee for a quote or enrollment and no one can offer the same Medigap plan for less than we can.