How to Find the Best Florida Medicare Advantage Plans

You can figure out the best Medicare Advantage Plans in Florida by looking for a plan that offers the benefits and coverages that fit your needs. MoneyGeek ranked the top plans in Florida that offer broad benefits and widespread availability and found that the Aetna Medicare Premier Plus plan is the best PPO plan and CareFree is the best HMO plan.

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Last Updated: 9/23/2022
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MoneyGeek analyzed plans that are widely available in Florida and have high Centers for Medicare & Medicaid Services ratings to help you find the best Medicare Advantage Plans in Florida. We also broke down the best plans based on plan type, whether you need drug coverage and whether you want lower out-of-pocket costs.

Our recommendations are based on sample profiles, so it is important to shop around for a plan that best suits your particular needs and ensure that the hospitals and providers you prefer are in your plan’s network.

If you're not looking for a Medicare Advantage plan but want to cover out-of-pocket costs that your base Medicare plan doesn't cover, MoneyGeek also ranked the best Medicare Supplement Plans in Florida.

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Best Medicare Advantage Plans in Florida

Best Medicare Advantage Plan in Florida - Overall

Since coverage and benefit needs are unique, the best Medicare Advantage Plan for you will depend on your individual needs. For a sample shopper in Florida who wants a PPO plan with drug coverage, six core benefits and a high star rating from the Centers for Medicare & Medicaid Services (CMS), MoneyGeek discovered that the Aetna Medicare Premier Plus plan by Aetna Medicare is the best plan.

While PPO plans cost more than other plan types, they are good for flexibility since they have a wide network of providers. Plus, you do not need a referral to see a specialist.

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Aetna Medicare

MoneyGeek found that the Aetna Medicare Premier Plus plan is the best option if you are looking for a PPO plan. However, this can change depending on your needs.

The main features of the Aetna Medicare Premier Plus plan include:

  • $0 premium
  • Drug coverage with a $150 deductible
  • In-network maximum out-of-pocket limit of $4,900
  • Overall CMS rating of 4.5 (out of 5)

The Aetna Medicare Premier Plus is highly rated by the CMS and apart from drug coverage this plan also offers all the six common additional benefits, including vision, dental, hearing, fitness, telehealth and worldwide Emergency.

This plan is a good option for travelers since it has worldwide emergency benefits.

Best HMO Medicare Advantage Plan in Florida

If you are looking for the best HMO Medicare Advantage Plan in Florida, it is important to choose one based on your particular needs. If you want an HMO plan with drug coverage, six core benefits and a high star rating from the Centers for Medicare & Medicaid Services (CMS), MoneyGeek found that the CareFree HMO plan by CarePlus Health Plans, Inc. is the best option.

HMO plans are a good option if you are looking for low monthly premiums since they are typically more affordable compared to other plan types. However, you will need a referral to see a specialist on this type of plan. Additionally, you must stay within your provider network to have services covered, except in an emergency.

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CareFree

The CareFree plan is the best HMO plan in Florida, but this can vary depending on your specific needs.

The main features of this plan include:

  • $0 premium
  • Drug coverage with no deductible
  • In-network Max-Out-of-Pocket Payment limit of $2,750
  • Overall CMS rating of 5 out of 5

The CareFree HMO plan has a high CMS rating and offers all the six common additional benefits, including vision, dental, hearing, fitness, worldwide emergency and telehealth. It also offers Part D drug coverage.

Best Medicare Advantage Plan in Florida Without Drug Coverage

If you’re not someone who needs Part D prescription drug coverage, you may have more options when shopping for the best Medicare Advantage Plans in Florida.

If you are looking for a Medicare Advantage Plan with or without drug coverage that offers six core benefits and has a high star rating from the Centers for Medicare & Medicaid Services (CMS), MoneyGeek found that the CareFree HMO plan by CarePlus Health Plans Inc. is the best option. This plan is also the best HMO plan overall, whether or not you need drug coverage.

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MoneyGeek Top Pick
CareFree

MoneyGeek found that the CareFree HMO could be the best option in Florida if you need a plan with or without drug coverage.

This plan offers drug coverage and has the following key features:

  • No premium
  • In-network maximum out-of-pocket limit of $2,750
  • Overall CMS rating of 5 out of 5

The CareFree HMO plan has all the six common additional benefits, including vision, dental, hearing, fitness, worldwide emergency and telehealth. It also offers drug coverage and is highly rated by the CMS.

Best Medicare Advantage Plan in Florida for Low Max Out-of-Pocket Costs

Most Medicare Advantage Plans have low or no premiums, but your out-of-pocket costs can be high if you incur high medical costs in a given year.

MoneyGeek found that the Aetna Medicare Premier Plus PPO plan by Aetna Medicare is the best option in Florida if you are looking for a Medicare Advantage plan with a low in-network max out-of-pocket (MOOP), drug coverage, six core benefits and a high star rating from the Centers for Medicare & Medicaid Services (CMS).

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MoneyGeek Top Pick
Aetna Medicare

MoneyGeek found that the Aetna Medicare Premier Plus PPO plan is the best for those looking for a plan with or without drug coverage that has a low in-network max out-of-pocket (MOOP).

This plan offers drug coverage and has the following key features:

  • $0 premium
  • Drug coverage with a $150 deductible
  • In-network maximum out-of-pocket limit of $4,900
  • Overall CMS rating of 4.5 out of 5

Having a lower MOOP will protect you from high out-of-pocket expenses if you have a very expensive year for health payments. With the Aetna Medicare Premier Plus plan, after you reach the in-network MOOP of $4,900, you won’t pay any more for in-network coverage. However, for a PPO plan, you will have a different MOOP for out-of-network coverage, which is $10,000 for the Aetna Medicare Premier Plus plan.

Medicare Advantage Plan in Florida - Statistics

There are 28 healthcare organizations offering Medicare Advantage Plans in Florida. We compiled statistics on Medicare Advantage in Florida to help you figure out which plan components are rare versus common.

1

Florida Medicare Advantage Plans are a mix of HMO, PPO, PFFS and MSA plans, with 80.8% offering drug coverage

The Medicare Advantage Plans available in Florida are Health Maintenance Organization at 45.5%, Preferred Provider Organization at 46.2%, Private Fee-For-Service at 1.7% and Medical Savings Account at 6.6%. Most Medicare Advantage Plans in Florida offer drug coverage with up to 80.8% of plans providing this benefit.

2

84% of Medicare Advantage Plans in Florida have a $0 premium

84% of Medicare Advantage Plans in Florida have a $0 premium. The average premium for plans that do cost money is $66.30.

3

Hearing, worldwide emergency and telehealth benefits are common in Florida, with most plans offering them

Hearing, worldwide emergency and telehealth benefits are the most common in Florida, with almost all Medicare Advantage plans offering them. However, most plans in Florida do not offer in-home support, home safety devices & modification and emergency response device benefits.

Methodology

MoneyGeek collected data from the Centers for Medicare & Medicaid Services 2022 MA Landscape Source Files released in October 2021. Plans in Florida were filtered down to those that offer drug coverage (unless otherwise noted), offer six of the most common Medicare Advantage coverage benefits and are available to at least 50% of the population of Florida based on county availability.

About the Author


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Mark Fitzpatrick is a senior content manager with MoneyGeek specializing in insurance. Mark has years of experience analyzing the insurance market and creating original research and content. He graduated from Boston College with a Bachelor of Arts and Johns Hopkins University with a Master of Arts.