HomeMedicare Advantage Plans Florida

Medicare Advantage Plans in Florida 2026

Florida has 20–40+ Medicare Advantage plans available in most counties. Compare HMO and PPO options from Humana, Aetna, UHC, Florida Blue, and more — based on your doctors, prescriptions, and budget.

20–40+
Plans Available (typical FL county)
$0/mo
Common Plan Premium
$9,350
OOP Maximum (2026)
$202.90/mo
Part B Still Required

HMO vs PPO Medicare Advantage Plans

The two most common Medicare Advantage plan types in Florida are HMO and PPO. Understanding the difference is critical before you enroll.

HMO Plans

  • Must use in-network providers
  • Requires primary care physician (PCP)
  • Referrals needed for specialists
  • Lower premiums and copays
  • Emergency care covered anywhere
  • Out-of-network: not covered (except emergencies)

Best for: Seniors who want lower costs and are comfortable staying in-network.

PPO Plans

  • Can see out-of-network providers (higher cost)
  • No referrals required for specialists
  • More flexibility in provider choice
  • Higher premiums than HMO
  • Out-of-network covered at higher cost-sharing
  • Good for snowbirds or frequent travelers

Best for: Seniors who want flexibility to see specialists without referrals.

Top Medicare Advantage Carriers in Florida

These carriers offer Medicare Advantage plans across most Florida counties. Availability and plan details vary by ZIP code.

Humana

HMO, PPO, MAPD

Large network, strong dental benefits, SilverSneakers

UnitedHealthcare (AARP)

HMO, PPO, MAPD

Nationwide network, Renew Active fitness, strong PPO options

Aetna

HMO, PPO, MAPD

Competitive premiums, SilverSneakers, strong Part D formularies

Florida Blue

HMO, PPO, MAPD

Strong Florida network, local presence, Blue365 discounts

Cigna

HMO, PPO, MAPD

Competitive rates, Healthy Today card, strong dental

Devoted Health

HMO, MAPD

High star ratings, concierge-style service, strong in Florida

Plan availability varies by ZIP code. William Gray compares all carriers available in your area.

5 Things to Compare Before Choosing a Plan

1

Verify your doctors are in-network

Before enrolling in any HMO plan, confirm your primary care physician, specialists, and preferred hospitals are in the plan's network. Use the plan's online provider directory or call William to verify.

2

Check your prescriptions are on the formulary

Each plan has a formulary (list of covered drugs). Your medications may be on different tiers — affecting your copays. Compare formularies based on your specific prescriptions, not just the plan's star rating.

3

Calculate total annual costs

Don't just compare premiums. Calculate total annual costs: premium + deductible + estimated copays for your typical healthcare usage. A $0 premium plan with high copays may cost more than a $50/month plan with low copays.

4

Evaluate extra benefits you'll actually use

Dental, vision, hearing, fitness memberships, and over-the-counter allowances vary widely. Only count benefits you'll realistically use — don't choose a plan for benefits you won't access.

5

Check the plan's star rating

Medicare rates Advantage plans on a 1–5 star scale based on quality and member satisfaction. Plans with 4+ stars generally provide better care coordination and member experience. Avoid plans with 2 stars or below.

Medicare Advantage vs Medicare Supplement: Which Is Better?

This is the most important Medicare decision you'll make. There's no universal answer — it depends on your health, finances, and priorities.

Medicare Advantage is often better if:

  • You're generally healthy
  • You want $0 or low premiums
  • You want dental/vision/hearing included
  • You're comfortable with network restrictions
  • You don't travel frequently outside Florida

Medigap is often better if:

  • You have chronic conditions
  • You want access to any Medicare provider
  • You travel frequently or split time between states
  • You want predictable, fixed costs
  • You see specialists at major medical centers

Medicare Advantage by County

Medicare Advantage by City

Related Medicare Guides

Frequently Asked Questions

What is Medicare Advantage?
Medicare Advantage (Part C) is an alternative to Original Medicare offered by private insurance companies approved by Medicare. Advantage plans must cover everything Original Medicare covers (Parts A and B) and usually include Part D drug coverage. Many plans also offer extra benefits like dental, vision, hearing, and fitness memberships. You still pay your Part B premium ($202.90/month in 2026) plus any plan premium.
How many Medicare Advantage plans are available in Florida?
Florida has one of the largest Medicare Advantage markets in the country. Depending on your county, you may have 20–40+ plan options from carriers including Humana, UnitedHealthcare, Aetna, Florida Blue, Cigna, Devoted Health, and others. The number of plans varies significantly by ZIP code.
What is the difference between HMO and PPO Medicare Advantage plans?
HMO (Health Maintenance Organization) plans require you to use in-network providers and usually require referrals to see specialists. They typically have lower premiums and copays. PPO (Preferred Provider Organization) plans allow you to see out-of-network providers at higher cost-sharing and don't require referrals. PPOs offer more flexibility but usually cost more.
Do Medicare Advantage plans cover dental and vision?
Most Medicare Advantage plans in Florida include some dental, vision, and hearing benefits — unlike Original Medicare. Coverage varies widely: some plans offer comprehensive dental (including crowns and dentures), while others only cover preventive care. Always verify the specific benefits before enrolling.
What is the Medicare Advantage out-of-pocket maximum?
Medicare Advantage plans are required to have an out-of-pocket maximum. In 2026, the maximum is $9,350 for in-network services. Some plans set lower maximums. Once you reach this limit, the plan pays 100% of covered services for the rest of the year. Original Medicare has no out-of-pocket maximum.
Can I keep my doctors with Medicare Advantage?
It depends on the plan. HMO plans require you to use in-network providers — if your doctor isn't in the network, you'll pay full cost or need to switch doctors. PPO plans allow out-of-network care at higher cost-sharing. Before enrolling, always verify your specific doctors and hospitals are in the plan's network.
What is prior authorization in Medicare Advantage?
Prior authorization means the plan must approve certain services, procedures, or medications before you receive them. Original Medicare generally doesn't require prior authorization. Medicare Advantage plans use prior authorization more frequently, which can delay care. This is one of the most common complaints about Medicare Advantage.
Can I switch from Medicare Advantage back to Original Medicare?
Yes. During the Annual Enrollment Period (Oct 15–Dec 7) or the Medicare Advantage Open Enrollment Period (Jan 1–Mar 31), you can switch back to Original Medicare. However, if you want to add a Medigap supplement, you may face medical underwriting unless you're in a guaranteed issue period.
What is a Special Needs Plan (SNP)?
Special Needs Plans are Medicare Advantage plans designed for people with specific conditions or circumstances. Dual Special Needs Plans (D-SNPs) serve people eligible for both Medicare and Medicaid. Chronic Condition SNPs (C-SNPs) serve people with specific chronic conditions like diabetes or heart disease. Institutional SNPs (I-SNPs) serve people in nursing facilities.
How do I compare Medicare Advantage plans in Florida?
Compare plans based on: (1) whether your doctors are in-network, (2) whether your prescriptions are on the formulary, (3) total out-of-pocket costs (premium + copays + deductibles), (4) extra benefits you'll actually use, and (5) the plan's star rating. An independent broker like William Gray can run a side-by-side comparison of all plans in your ZIP code.

Compare Every Medicare Advantage Plan in Your ZIP Code

William Gray compares all Medicare Advantage plans available in your ZIP code — verifying your doctors, hospitals, and prescriptions before recommending any plan. Free service, no obligation.

We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY: 1-877-486-2048) to get information on all of your options.

Not affiliated with or endorsed by the U.S. government or the federal Medicare program. This is an advertisement for insurance. William Gray and affiliated licensed agents are independent insurance agents, not government employees or representatives. Medicare has neither reviewed nor endorsed this information.

Not all plans or types of coverage may be available in your area. Plan availability, benefits, and premiums vary by county and ZIP code. Enrollment in any plan depends on contract renewal. Benefits, premiums, and cost-sharing may change on January 1 of each year.

Independent Agent & Compensation Disclosure. William Gray is an independent licensed insurance agent (FL License #W690237) and is not employed by or exclusively affiliated with any single insurance company. William is compensated by insurance carriers when you enroll in a plan. This compensation does not affect the premium you pay — your premium is the same whether you enroll through a broker or directly with the carrier. Affiliated agents are independent contractors solely responsible for their own conduct and representations.