2027 alertHumana, Wellcare, Medical Mutual of Ohio and 6 other companies end some Medicare Advantage plans in Ohio on December 31. (CMS data) 23 days left in Annual Enrollment (ends Dec. 7).Is your plan ending? →
Questions

Does my Ohio Medicare work in Florida?

Original Medicare (Part A and Part B) works in Florida exactly as it does in Ohio: you can use any doctor or hospital in the U.S. that accepts Medicare. A Medicare Advantage plan from Ohio is different. Outside its service area it usually covers only emergency and urgent care, and it can't keep you after more than 6 months away.

It depends on your coverage

Your coverageIn Florida
Original Medicare (Part A and Part B)Works with any provider who accepts Medicare, the same as in Ohio
Medigap (Medicare Supplement)Pays its share wherever Medicare pays (SELECT policies have network rules)
Medicare Advantage HMOEmergencies, urgent care and temporary out-of-area dialysis; routine care generally not covered
Medicare Advantage PPOOut-of-network care with Medicare providers, usually at a higher cost
Standalone Part D planNetwork pharmacies in Florida if the plan has them, plus mail order

Medicare.gov says Original Medicare covers care at any doctor or hospital that takes Medicare anywhere in the U.S., including Puerto Rico and the territories. Your Part B costs are the same in both states: $202.90 a month and a $283 yearly deductible for most people in 2026, then usually 20% coinsurance.

If you have a Medicare Advantage plan

Medicare Advantage plans serve a specific area, and every Ohio plan's network is built around Ohio counties. In Florida:

  • Emergencies and urgent care are covered.
  • Routine care depends on the plan type. HMOs generally require network providers; PPOs usually cover out-of-network Medicare providers at a higher cost.
  • The 6-month rule: under 42 CFR 422.74(d)(4)(ii), if you're away from the service area for more than 6 months, the plan must disenroll you, unless it offers a visitor or traveler option that extends this to less than 12 months.

Before a long stay, call your plan and ask what it covers in Florida, whether it has a visitor or traveler option, and how to reach it if you need care.

Before you head south

  1. Bring your cards. Your red, white and blue Medicare card, plus any Medigap, Medicare Advantage or Part D card.
  2. Find Florida pharmacies in your Part D network, or set up mail order.
  3. Forward your mail. Plans can treat returned mail as a sign you're away.
  4. Plan for 2027. Open Enrollment ends December 7, 2026. If you spend long winters away, compare coverage that works in both states.

Full details are in our guide for Ohio snowbirds and the Ohio vs. Florida comparison. To compare plans from the companies they work with, you can request a call from a licensed insurance agent.

Sources

More questions in this guide

Part of the guide: Ohio snowbirds and Medicare: spending winters in Florida · All questions

Frequently asked questions

Is there a separate Medicare for Florida?

No. Medicare is a federal program, so your Medicare card, Part A and Part B work in every state. Only private plans, such as Medicare Advantage and Part D plans, are sold by state or region.

Will my Medigap policy pay in Florida?

Yes. A standard Medigap policy pays its share wherever Original Medicare pays. Medicare SELECT policies require network hospitals for full benefits outside emergencies, so check yours.

What if I'm in a Medicare Advantage HMO and need a doctor in Florida?

Emergencies and urgent care are covered anywhere in the U.S. For routine care, most HMOs require network providers, so you'd pay the full cost of a Florida doctor visit unless your plan has a visitor or traveler option.

Licensed insurance agents for Ohio

These independent insurance agents are licensed in Ohio and work with Benefits Life, the publisher of this site. When they enroll you in a plan, the agent and Benefits Life may be paid by the insurance company. Learn more.

Rachael Winter

Rachael Winter

Accepting new clients

Independent licensed insurance agent in Ohio

Columbus

Chiara Lewis

Chiara Lewis

5.0 out of 5 stars (4 reviews on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Ohio

Littleton, CO · English

Colin Lewis

Colin Lewis

5.0 out of 5 stars (1 review on MedicareAgents.com)

Accepting new clients

Independent licensed insurance agent in Ohio

Littleton, CO · English

Tori Morris

Tori Morris

Accepting new clients

Independent licensed insurance agent in Ohio

Colorado Springs, CO · English

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