2027 alertHumana, Aetna Medicare, UnitedHealthcare and 9 other companies end some Medicare Advantage plans in Florida on December 31. (CMS data) 23 days left in Annual Enrollment (ends Dec. 7).Is your plan ending? →
Questions

Can I get a Medicare Supplement with pre-existing conditions in Florida?

Yes, if you apply in a protected window: your open enrollment at 65, Florida's under-65 window, the 2 months after group coverage ends, or a federal guaranteed-issue situation. Then a company can't deny you or charge more for your health. Outside those windows it can decline. Florida caps any pre-existing-condition waiting period at 6 months.

When your health can't be held against you

In these windows a Florida Medigap company must offer you a policy without conditioning it on your health or charging more because of it:

  • Open enrollment: 6 months from the first month you are 65 and in Part B (Fla. Stat. 627.6741(1)(a)1).
  • Under 65: 6 months from the first month you have Medicare because of a disability or end-stage renal disease and Part B (same section).
  • After group coverage ends: 2 months, if you're in Part B and live in Florida (s. 627.6741(1)(a)2).
  • Federal guaranteed issue: for example, your Medicare Advantage plan ends or leaves your area (rule 69O-156.0095). In these cases the company also can't impose a waiting period.

Outside these windows, the company can use medical underwriting: it may ask health questions, place you in a higher rate class or turn you down.

Waiting periods and how to avoid them

Even in open enrollment, a policy may make you wait to cover a pre-existing condition. Florida limits this:

  • The wait can't exceed 6 months (s. 627.6741(2)(b)).
  • Only conditions treated, or for which a doctor gave advice, in the 6 months before coverage starts can count.
  • With at least 6 months of continuous creditable coverage (such as employer coverage or Medicare itself) before you apply, there's no exclusion in Florida's open enrollment and group-coverage windows (s. 627.6741(1); rule 69O-156.009). Federal guidance treats a break of more than 63 days as ending creditable coverage.
  • If you're replacing another policy or creditable coverage, the new company must credit that time (s. 627.6741(2)(c)).

If your Medicare Advantage plan is ending

Some Medicare Advantage plans are ending in Florida for 2027, affecting at least 302,773 people in regular plans. If yours sent a non-renewal letter and you return to Original Medicare, you have a guaranteed right to Medigap Plan A, B, D or G for 63 days after the plan ends, with no health questions and no waiting period. See My Medicare Advantage plan is ending in 2027.

What to do

  1. Find your window. Check whether any of the windows above applies now.
  2. Gather proof. Keep letters showing when other coverage ended, plus proof of prior coverage.
  3. Apply truthfully. Misstatements can lead to cancellation (s. 627.6741(2)(a)).
  4. Once issued, it stays. Florida policies are guaranteed renewable: no cancellation because your health changes.

If Medigap underwriting is a barrier, Medicare Advantage plans can't turn you down because of your health when you join during an enrollment period; compare on Medigap vs. Medicare Advantage in Florida. You can also request a call from a licensed insurance agent.

Can I switch Medigap plans in Florida?

Switching and credit for time served.

Sources

More questions in this guide

Part of the guide: Medigap (Medicare Supplement) in Florida · All questions

Frequently asked questions

What counts as a pre-existing condition for Medigap in Florida?

Florida law lets a policy count only a condition for which a physician gave medical advice or recommended or provided treatment within the 6 months before coverage starts (Fla. Stat. 627.6741(2)(b)).

Will Medicare still cover my condition during a waiting period?

Yes. Original Medicare still pays its share for Medicare-covered services. During a Medigap waiting period you pay the deductibles and coinsurance the policy would otherwise cover for that condition.

Can a Medigap company use genetic test results?

Florida's rule 69O-156.020 prohibits Medigap companies from using genetic information and from requesting genetic testing.

Licensed insurance agents for Florida

These independent insurance agents are licensed in Florida 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.

John Fidelo

John Fidelo

Accepting new clients

Independent licensed insurance agent in Florida

Phoenix, AZ · English

Floribel Merced Lopez

Floribel Merced Lopez

Accepting new clients

Independent licensed insurance agent in Florida

Colorado Springs, CO · English, Spanish

Chiara Lewis

Chiara Lewis

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

Accepting new clients

Independent licensed insurance agent in Florida

Littleton, CO · English

Bernadette Cox

Bernadette Cox

Accepting new clients

Independent licensed insurance agent in Florida

Larkspur, CO · English

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