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There are a large number of insurance companies offering Medicare Advantage plans in Florida. It is important to know all the facts and plan  benefits to choose the correct plan to suit your individual needs. This website is designed site to provide you with basic information specific to Medicare Advantage in the State of Florida. For information regarding other types of Medicare insurance Nationwide please visit ChoicesForMedicare.Com
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A Brief Summary Of Medicare Advantage Plans

Florida Medicare Advantage plans are one way to receive your Medicare benefits.  These plans are coordinated care offered by private insurance companies with a contract from the Federal Government. These policies are offered in many different forms including  HMO, PPO, PFFS, Medical Savings accounts and Cost Plans. Medicare Advantage works differently than  a Medicare Supplement (also referred to as a Medigap policy).

If you choose this method to receive your Medicare benefits, all of your benefits will be administered by the insurance company that you choose. This can be convenient and less confusing since you use one insurance card to receive all of your benefits. Many Advantage plans are "all inclusive" and offer both  health and  prescription drug coverage (Part D).


Florida Medicare Advantage plans may offer additional benefits which are not offered through Original Medicare or a Medigap policy. These benefits  may include dental, vision, chiropractic or a health club membership. Some companies may offer different value added services or benefits. In most cases these additional benefits will be limited or basic while many plans will offer more comprehensive coverage for an additional monthly premium.


As mentioned above, you can receive your benefits in a variety of ways. Listed below are a few of your options. These are basic descriptions. Yo can click on each heading for a more in-depth description as needed.


Medicare HMO

An HMO plan is designed so that you receive your benefits from a pre-determined "Network" of Doctors, Hospitals, and health care providers. The insurance companies have negotiated discounted rates with these health care professionals. When choosing to enroll in an HMO plan you should first make sure that all of your providers are in the network. If your providers are not in the network you will need to choose on that is. If you use an "Out of Network" provider the plan will not pay except in an emergency.

Medicare PPO

A PPO  is the abbreviation for "Preferred Provider Organization" and is similar to an HMO with a few differences. With a PPO there is a "Network" of preferred providers to choose from just like an  HMO, however, a member can use out of network providers as well. There is usually a higher co-pay involved when using Non-Network providers.. These plans offer the member a greater freedom of choice.

Medicare  PFFS

A PFFS plan does not have a designated network. You can use this plan at any Doctor or provider that agrees to accept the terms and conditions of the plan. The provider can bill the insurance company directly, on a case by case basis.  PFFS plans are not the same as Original Medicare or a Medicare Supplement. These policies can be offered with or without Part D coverage and are currently offered in select counties only. You can download the official CMS booklet with detailed descriptions.
 
Medicare PFFS Handbook


Medical Savings Accounts
Medicare MSA Plans (offered by private companies) are one of the newest Medicare Advantage Plan options available for getting your Medicare health care benefits. These plans give you some control of your own health care  dollars. Medicare MSA Plans are similar to Health Savings Account plans available outside of Medicare. If you choose a Medicare MSA Plan, you are still in the Medicare Program and are entitled to all Medicare benefits. If you are not familiar with MSA plans you should discuss your options with a licensed insurance agent or broker.

Guide To Medicare Medical Savings Accounts


Medicare Cost Plans
A Medicare Cost Plan is a type of HMO that is available in certain areas of the country. You can join even if you only have Part B. If you go to a non-network provider, the services are covered under Original Medicare. You can either get your Medicare prescription drug coverage from the plan (if offered), or you can buy a stand-alone Medicare Prescription Drug Plan to add prescription drug coverage.

This type of Medicare advantage plan  is not available in most Florida Counties
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