Florida Blue Medicare Advantage plans are available in Florida only, and the provider’s star ratings from the Centers for Medicare & Medicaid Services (CMS) are slightly below average. Member experience ratings, however, are above the average for major providers.
Here’s what you should know about Florida Blue Medicare Advantage.
Florida Blue Medicare Advantage pros and cons
Florida Blue’s offerings have advantages and disadvantages.
Pros
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Members give high marks: Member experience ratings on metrics like customer service and getting needed care are above the average for major providers.
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Mix of plans: Florida Blue offers both HMO and PPO plans, giving members more options for care.
Cons
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Below-average star ratings: Florida Blue Medicare Advantage plans score slightly below the industry average star rating from CMS — 3.74 for 2024 plans versus 4.04 for the industry as a whole.
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Limited availability: Florida Blue offers Medicare Advantage plans in Florida only.
Florida Blue Medicare star ratings
Average star rating, weighted by enrollment: 3.74
The Centers for Medicare & Medicaid Services maintains star ratings for Medicare Advantage plans on a 5-point scale, ranking plans from best (5 stars) to worst (1 star). The agency bases these ratings on plans’ quality of care and measurements of customer satisfaction, and ratings may change from year to year.
Based on the most recent year of data and weighted by enrollment, Florida Blue’s 2024 Medicare Advantage plans get an average rating of 3.74 stars.
For comparison, the average star rating for plans from all providers is 4.04.
What does Florida Blue Medicare Advantage cost?
Costs for Medicare Advantage plans depend on your plan, your geographic location and your health needs.
Premiums
One of the costs to consider is the plan’s premium. In 2024, about two-thirds of Florida Blue Medicare Advantage plans (65%) that aren’t special needs plans (SNPs) have a $0 premium.
Even as a Medicare Advantage user, you’ll still be responsible for paying your Medicare Part B premium, which is $164.90 per month in 2023 ($174.70 in 2024)
, although some plans cover part or all of this cost. (Most people pay this standard amount, but if your income is above a certain threshold, you’ll pay more.)
Copays, coinsurance and deductibles
Requirements for copays, coinsurance and deductibles vary depending on your plan, location and the services you use. Other out-of-pocket costs to consider include:
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Whether the plan covers any part of your monthly Medicare Part B premium.
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The plan’s yearly deductibles and any other deductibles, such as a drug deductible.
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Copayments and/or coinsurance for each visit or service. For instance, there may be a $10 copay for seeing your primary doctor and a $45 copay for seeing a specialist.
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The plan’s in-network and out-of-network out-of-pocket maximums.
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Whether your medical providers are in-network or out-of-network, or how often you may go out of network for care.
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Whether you require extra benefits, and if the plan charges for them.
To get a sense of costs, use Medicare’s plan-finding tool to compare information among available plans in your area. You can select by insurance carrier to see only Florida Blue plans or compare across carriers. You can also shop directly from Florida Blue’s website by entering your ZIP code.
Available Medicare Advantage plans
There are a few kinds of Florida Blue Medicare Advantage plans, and they vary in terms of structure, costs and benefits. Florida Blue offers Medicare Advantage prescription drug plans (MAPDs) as well as Medicare Advantage plans without drug coverage. Florida Blue also offers Medicare Part D prescription drug plans.
Plan offerings include the following types:
Florida Blue Medicare Advantage service area
Florida Blue offers Medicare Advantage plans in Florida only and covers about 185,000 members.
Compare Medicare Advantage providers
Get more information below about some of the major Medicare Advantage providers. These insurers offer plans in most states. The plans you can choose from will depend on your ZIP code and county.
Find the right Medicare Advantage plan
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What are the plan’s costs? Do you understand what the plan’s premium, deductibles, copays and/or coinsurance will be? Can you afford them?
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Is your doctor in-network? If you have a preferred medical provider or providers, make sure they participate in the plan’s network.
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Are your prescriptions covered? If you’re on medication, it’s crucial to understand how the plan covers it. What tier are your prescription drugs on, and are there any coverage rules that apply to them?
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Is there dental coverage? Does the plan offer routine coverage for vision, dental and hearing needs?
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Are there extras? Does the plan offer any extra benefits, such as fitness memberships, transportation benefits or meal delivery?