Plans · Part C

Medicare Advantage plans in Florida

All-in-one plans, often with a $0 premium and extras like dental and vision — the way most Floridians get their Medicare, and the part of the market that moved most for 2026.

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A Medicare Advantage plan (also called Part C) is an all-in-one alternative to Original Medicare, offered by private insurers that Medicare approves and pays. You still have Medicare, but the plan administers your Part A and Part B coverage and almost always folds in Part D drug coverage too. Florida is the most Advantage-heavy large state in the country, and its menu is correspondingly deep — which is exactly why the 2026 changes landed so hard here.

What’s usually included

  • Hospital and medical coverage (your Part A and Part B benefits).
  • Prescription drug coverage in most plans — so you don’t buy a separate Part D plan.
  • Extras Original Medicare doesn’t cover, which can include dental, vision, hearing, fitness benefits, an over-the-counter allowance, and an annual out-of-pocket maximum that caps what you spend on covered care. Several Florida carriers trimmed those extras for 2026.

The trade-off: networks, county by county

Advantage plans use provider networks (HMO or PPO) and are sold by county. That is the single most important thing to check before you enroll: whether your doctors and your hospital are in the plan’s network, and whether your medications are on its drug list. Florida’s systems — Baptist Health South Florida, Jackson, UHealth, Memorial, Cleveland Clinic Florida, Tampa General, BayCare, AdventHealth, Orlando Health, Lee Health, Mayo Jacksonville, Sarasota Memorial — each contract with some plans and not others, and the academic centers (Mayo, Moffitt, UHealth, UF Health) contract selectively. We confirm your providers and prescriptions are covered before you sign anything.

What changed for 2026, and why it matters this fall. AvMed, a Florida carrier since the 1960s, left the Medicare market entirely. UnitedHealthcare reduced or withdrew plans across South Florida, Tampa Bay and the Gulf Coast. Nationally, the large carriers exited hundreds of counties and raised premiums on plans that charge one, and extras were cut almost everywhere. If you were moved into a new plan, or picked one in a hurry last fall, the Annual Election Period starting October 15 is the time to check it actually fits — and to check whether your doctor is still in it, because Florida also saw a wave of mid-year provider terminations.

If your plan was discontinued, or dropped your doctor

A non-renewal notice is not just bad news; it opens doors. You get a Special Enrollment Period that runs past the normal deadlines, and because the plan left you involuntarily, federal rules give most people a guaranteed-issue right to buy a Medigap policy without medical underwriting — even if you are well past your original six-month Medigap window. The right is time-limited (generally 63 days after your coverage ends), so do not let the notice sit. A doctor dropped mid-year is a harder case: it does not by itself open a Special Enrollment Period, though a significant network change sometimes does. Call us and we will check.

Who Medicare Advantage tends to suit

People who want predictable, lower upfront costs and value bundled extras, who are comfortable using a plan network, and who stay in Florida most of the year. If you split the year with the Northeast or Midwest, see specialists outside the network, or want to use any provider nationwide, compare it against a Medigap policy — our new-to-Florida and snowbird guide walks through the difference. Military retirees with TRICARE For Life have their own calculation; see Veterans.

There are also specialized Advantage plans for specific situations: Chronic Special Needs Plans (C-SNPs), Institutional SNPs (I-SNPs), and Dual Special Needs Plans for people with both Medicare and Florida Medicaid, which are a large part of the menu in South Florida and Central Florida.

Good to know

Frequently asked questions

Does Medicare Advantage replace Original Medicare?

Not exactly. You keep Medicare, but a private Advantage plan administers your benefits and adds extras. You generally use the plan’s network and its rules instead of Original Medicare’s.

Is there really a $0 premium?

Many Advantage plans have a $0 monthly plan premium, but you still pay your Part B premium ($202.90 in 2026), and you may have copays, coinsurance and a deductible. We show you the full picture, not just the premium.

My Florida Advantage plan was discontinued. Can I get a Medigap policy now?

In most cases, yes. Losing your plan through no fault of your own gives you a guaranteed-issue right to buy a Medigap policy without health questions, generally within 63 days of the coverage ending, plus a Special Enrollment Period to pick a new Advantage or Part D plan. Call before the deadline on your notice.

Can I switch later if it isn’t a fit?

Yes. You can change during the Annual Election Period (Oct 15–Dec 7), and the Medicare Advantage Open Enrollment Period (Jan 1–Mar 31) lets current Advantage members switch once or return to Original Medicare. Moving counties, a FEMA disaster declaration and other circumstances open other windows.

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