Quick answers
- Who do I call with a Medicare question in Florida?
- 1-800-MEDICARE (1-800-633-4227, TTY 1-877-486-2048), in English or Spanish. For enrollment, Part B premiums or IRMAA, call Social Security at 1-800-772-1213 (TTY 1-800-325-0778).
- Who handles Florida Medicaid and Medicare Savings Programs?
- DCF decides eligibility: apply online through ACCESS Florida (MyACCESS) or call (850) 300-4323. AHCA runs Florida Medicaid itself; its Medicaid Helpline, 1-877-254-1055, takes complaints and fair-hearing requests.
- Who reviews a hospital discharge appeal in Florida?
- Acentra Health, the Medicare quality improvement organization (BFCC-QIO) that serves Florida, at 1-888-317-0751 (TTY 711).
- Who regulates insurance agents and Medigap in Florida?
- The Department of Financial Services (DFS) licenses agents and takes complaints, 1-877-MY-FL-CFO (1-877-693-5236). The Office of Insurance Regulation (OIR) approves Medigap policy forms and rates. Medicare Advantage and Part D plans are regulated by CMS.
- Where do I report Medicare fraud in Florida?
- 1-800-MEDICARE, the HHS Office of Inspector General at 1-800-HHS-TIPS (1-800-447-8477), or the national Senior Medicare Patrol line, 1-877-808-2468. Medicaid provider fraud goes to the Attorney General's Medicaid Fraud Control Unit, 1-866-966-7226.
Every number on this page belongs to a government agency or a program it runs, funds or contracts with, except the last section. This is a non-government website, so check an agency's own site for current hours. Medicare, Social Security and fraud lines are national; the rest serve Florida. Florida is one of the largest Medicare states, with 5,344,538 people with Medicare in July 2026 (CMS).
Medicare, Social Security and appeals
| Agency | Use it for | How to reach it |
|---|---|---|
| Medicare (federal) | Coverage, claims, Medicare plans, enrollment periods, replacement cards, plan complaints, help in Spanish | 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048; Medicare.gov (Spanish: es.medicare.gov) |
| Social Security (federal) | Signing up for Parts A and B, Part B premiums, IRMAA, Extra Help, address changes, representative payees | 1-800-772-1213, TTY 1-800-325-0778; find a Florida office with the office locator |
| Acentra Health, BFCC-QIO serving Florida (Medicare contractor) | Fast appeals when a hospital, skilled nursing, home health or hospice stay is ending; complaints about the quality of care | 1-888-317-0751, TTY 711; acentraqio.com |
See Medicare appeals in Florida and how to appeal a hospital discharge.
Florida Medicaid and help paying Medicare costs
Two state agencies share this work. DCF decides who is eligible for Medicaid and the Medicare Savings Programs (QMB, SLMB and QI-1). AHCA runs Florida Medicaid and its Statewide Medicaid Managed Care (SMMC) plans.
| Agency | Use it for | How to reach it |
|---|---|---|
| DCF, ACCESS Florida (state) | Applying for Medicaid and the Medicare Savings Programs, renewals, eligibility notices | Customer Call Center (850) 300-4323, Florida Relay 711 or TTY 1-800-955-8771; apply online at MyACCESS |
| AHCA Medicaid Helpline (state) | Problems getting Medicaid services, complaints about a Medicaid plan, asking for a Medicaid fair hearing | 1-877-254-1055, TDD 1-866-467-4970, Monday to Friday 8 a.m. to 5 p.m.; online complaint form |
| SMMC choice counseling (AHCA) | Picking or changing a Medicaid plan, including a Long-Term Care plan | 1-877-711-3662 |
If you're in a Medicaid plan, AHCA says you must finish the plan's own appeal before a fair hearing. See Florida Medicaid and Medicare, Medicare Savings Programs in Florida and Extra Help.
Insurance agents, Medigap and insurers
| Agency | Use it for | How to reach it |
|---|---|---|
| Department of Financial Services (DFS), Division of Consumer Services (state) | Complaints about insurance companies, agents and agencies, including Medigap insurers and sales misrepresentation | 1-877-MY-FL-CFO (1-877-693-5236), insurance help weekdays 9 a.m. to 3 p.m.; online through the Consumer Assistance Portal |
| DFS Licensee Search | Checking that an agent holds an active Florida license, by name, license number or NPN | licenseesearch.fldfs.com; disciplinary orders: Florida Administrative Information Online |
| DFS Division of Investigative and Forensic Services | Insurance fraud by an agent, a company or anyone else (a crime) | Fraud tip line 1-800-378-0445; report online |
| Office of Insurance Regulation (OIR, state) | Licensing insurers and approving Medigap policy forms and rates; sample Medigap rates in its CHOICES tool | (850) 413-3140; CHOICES rate comparison |
DFS says CMS, not the state, has jurisdiction over Medicare Advantage plans, so plan problems go to 1-800-MEDICARE. See how to file a complaint against a Medicare agent, how to check an agent's license and Medigap in Florida.
Nursing homes, long-term care and elder abuse
| Contact | Use it for | How to reach it |
|---|---|---|
| AHCA health facility complaints (state) | Quality of care in a hospital, nursing home, assisted living facility or group home | 1-888-419-3456, Florida Relay TDD 1-800-955-8771; online licensed facility complaint form on AHCA's complaints page |
| Long-Term Care Ombudsman Program (Department of Elder Affairs) | Problems and residents' rights in nursing homes, assisted living and adult family care homes, including a notice to move out | 1-888-831-0404; ombudsman.elderaffairs.org |
| Florida Abuse Hotline (DCF) | Abuse, neglect or exploitation of an older or vulnerable adult | 1-800-96-ABUSE (1-800-962-2873), 24 hours a day |
A nursing home resident who gets a notice of transfer or discharge has the right to a fair hearing with DCF's Office of Appeal Hearings; asking within 10 days of the notice lets the resident stay until the hearing decision (Fla. Stat. 400.0255). See Florida Medicaid long-term care and helping a parent with Medicare.
Fraud, scams and sales calls
| Contact | Use it for | How to reach it |
|---|---|---|
| Senior Medicare Patrol, national line (federally funded) | Help deciding whether a charge or call is fraud, and reporting it | 1-877-808-2468; smpresource.org |
| HHS Office of Inspector General (federal) | Any Medicare fraud | 1-800-HHS-TIPS (1-800-447-8477); oig.hhs.gov |
| I-MEDIC (Medicare contractor) | Fraud involving a Medicare Advantage or Part D plan | 1-877-7SAFERX (1-877-772-3379) |
| Attorney General, Medicaid Fraud Control Unit (state) | Fraud by Medicaid providers, and abuse of patients in facilities | 1-866-966-7226; myfloridalegal.com |
| AHCA Medicaid fraud and abuse hotline (state) | Medicaid billing fraud by a provider | 1-888-419-3456 |
| Florida Do Not Call list (Department of Agriculture and Consumer Services) | Adding your number and reporting unwanted sales calls | fdacs.gov |
| National Do Not Call Registry (FTC) | Adding your number to the federal list | 1-888-382-1222, TTY 1-866-290-4236 |
See Medicare fraud in Florida and why you get so many Medicare calls.
State retirees, military and veterans
If you retired from Florida state government, the State Group Insurance Program decides how your retiree coverage works with Medicare; check with it through People First before you join or drop any Medicare plan. See Florida state retirees and Medicare. For TRICARE For Life and VA care, see military, veterans and TRICARE in Florida; for hurricanes, see hurricanes and Medicare.
Talk with a licensed insurance agent
This is not a government contact. Benefits Life, the publisher of this site, works with licensed insurance agents who can explain Medicare Advantage, Medigap and Part D plans from the companies they work with, at no cost to you. You can request a call from a licensed insurance agent, or find an independent licensed insurance agent in Florida.
Sources
- Medicare.gov
- Social Security — How to reach Social Security
- Acentra Health BFCC-QIO
- CMS — Beneficiary and Family Centered Care QIOs
- Florida DCF — Public assistance (ACCESS Florida)
- AHCA — Florida Medicaid complaints
- AHCA — Medicaid fair hearings
- AHCA — Other types of complaints
- AHCA — Pick a Long-Term Care plan (choice counseling)
- Florida Department of Financial Services — Get insurance help
- Florida Department of Financial Services — Licensee Search FAQ
- Florida Department of Financial Services — Investigative and Forensic Services
- Florida Office of Insurance Regulation — CHOICES rate comparison
- Florida Long-Term Care Ombudsman Program
- Fla. Stat. 400.0255 — Nursing home transfer or discharge hearings
- Florida Attorney General — Medicaid Fraud Control Unit
- SMP National Resource Center
- HHS Office of Inspector General — Report fraud
- Florida Department of Agriculture and Consumer Services — Florida Do Not Call
- FTC — National Do Not Call Registry FAQs
Every question in this guide
- How can I help my parent with Medicare in Florida as a caregiver?
- How do I check if a Medicare insurance agent is licensed in Florida?
- How do I file a complaint against a Medicare insurance agent in Florida?
- How do I appeal a hospital discharge in Florida if I'm not ready to go home?
- How do I appeal a Medicare denial in Florida?
- Why do I get so many calls to change my Medicare plan?
Frequently asked questions
Who regulates Medicare plans and agents in Florida?
CMS, the federal agency, regulates Medicare Advantage and Part D plans, and DFS says it has no jurisdiction over them. In Florida, DFS licenses insurance agents and handles complaints about them, and OIR licenses insurers and must approve Medigap rates before they are used.
Can I get Medicare help by phone in Spanish?
Yes. 1-800-MEDICARE has Spanish-speaking representatives, Medicare's website is at es.medicare.gov, and Social Security serves callers in Spanish at 1-800-772-1213. AHCA's Medicaid pages can be read in Spanish and Haitian Creole.
How do I file a complaint about a Florida nursing home?
Call AHCA at 1-888-419-3456 or use its online licensed facility complaint form for quality of care in a hospital, nursing home or assisted living facility. The Long-Term Care Ombudsman Program, 1-888-831-0404, helps residents with problems and rights. Report abuse, neglect or exploitation to the Florida Abuse Hotline, 1-800-962-2873.
Where can I get unbiased Medicare help in Florida?
Medicare.gov and 1-800-MEDICARE give information on all of your options, and Social Security handles enrollment. A licensed insurance agent who works with Benefits Life, the publisher of this site, can compare plans from the companies they work with, at no cost to you.
How do I get a replacement Medicare card?
Log into your Medicare.gov account to print an official copy, or call 1-800-MEDICARE to have one mailed. Medicare won't call you out of the blue to sell you anything, so treat a caller offering a new card as a scam.
Medicare in your Florida county
Plans, local agents and help, county by county: Miami-Dade · Broward · Palm Beach · Hillsborough · Orange · Duval · Pinellas · Lee · Polk · Pasco · Brevard · Volusia · Seminole · Sarasota · Osceola · Manatee · Lake · Marion · Collier · St. Lucie · All 67 counties →
