Medicare Advantage
Also known as Part C, this is an alternative to Original Part A & B plans offered by private insurers.
These plans include everything Original coverage has and often add benefits like dental, vision, hearing, fitness programs, and sometimes Part D drug coverage.
Most plans use HMO or PPO provider networks. An HMO plan usually requires you to stick with in-network providers and get referrals for specialists. A PPO plan gives you more freedom to go out-of-network, but often at a higher cost.
In 2025, Florida residents can choose from 613 Part C plans, an increase from 592 in 2024. Depending on the county you live in, there are anywhere from 10 to 60 plan options available.
Part D Prescription Drug Plans
If you choose to stick with a Part & B plan, you’ll need a separate Part D plan to cover prescriptions. These are also offered by private insurers. In 2025, the base national premium is projected at $34.70, though costs vary depending on the plan and your income.
About 73% of all beneficiaries are enrolled in a Part D plan, either as standalone coverage or through Part C coverage.
Medigap (Supplemental Insurance)
Medigap plans help pay for out-of-pocket expenses like deductibles, copays, and coinsurance. You must be enrolled in Original coverage to purchase Supplemental Coverage. These plans are standardized, but premiums vary by provider and state.
In Florida, a popular plan like Medigap Plan G can cost between $120 and $180 per month, depending on your age and medical history.
Who Decides What Plans Are Available?
Plan availability depends on where you live. Insurance companies contract with the federal government to offer Medicare Advantage and Part D plans, and what you’re offered depends on your ZIP code.
For example, South Florida counties like Broward and Palm Beach typically offer more Advantage plans than rural counties. That’s why reviewing your options each year is important. Insurers can change plan benefits, costs, or even pull out of your area.
When Can You Enroll?
Timing your enrollment is key. There are several important windows:
- Initial Enrollment Period (IEP): A 7-month period starting 3 months before you turn 65 and ending 3 months after your birthday month.
- General Enrollment Period: Runs from January 1 to March 31 each year if you missed your IEP.
- Annual Enrollment Period: From October 15 to December 7, this is when you can switch from Original Medicare to Advantage or change your drug or Medigap plans.
Missing your window can result in late enrollment penalties and gaps in coverage, so it’s best to plan ahead.
How Marketplace Insurance Advisors Can Help
Choosing the right Medicare plan doesn’t have to be confusing. We help you review your options, compare costs, and get the coverage that meets your needs without paying more than necessary.
Here’s what you get when you work with us:
- Unbiased comparisons of HMO, PPO, Part C, Medigap, and Part D plans
- Support understanding premiums, deductibles, and provider networks
- Step-by-step enrollment guidance at no cost to you
Annual reviews, so your plan keeps up with your needs