How Much Does Medicare Cost in Florida? (2026 Guide)

Part A and Part B Costs

Most people don’t pay a Part A premium because they or a spouse paid Medicare taxes for at least 10 years while working. Part B, which covers doctor visits and outpatient care, has a standard monthly premium of $202.90 in 2026, with a $283 annual deductible. If your income is above certain thresholds, you may pay more for Part B and Part D through an income-related adjustment (IRMAA) based on your tax return from two years prior.

Medicare Advantage Costs

Medicare Advantage plans set their own premiums, and many are available for $0 per month beyond your Part B premium. What you actually spend depends on how much care you use, copays for doctor visits, coinsurance for procedures, and drug costs, all capped by an annual out-of-pocket maximum that varies by plan. Plan availability and pricing differ by county, so what’s available in Fort Myers may differ from Naples or Cape Coral.

Medicare Supplement (Medigap) Costs

Medigap plans charge a separate monthly premium on top of Part B, in exchange for covering most of the gaps Original Medicare leaves. Plan G, the most popular Medigap plan, is filed with the state for a non-tobacco 65-year-old in Southwest Florida at about $200 to $380 a month, and premiums vary with your age, ZIP code, gender, tobacco use and the carrier. Estimate your premium for your ZIP code. Because you still need drug coverage separately, most Medigap holders also pay for a standalone Part D plan.

Part D Drug Plan Costs

Part D premiums vary widely by plan and by which drugs you take, since each plan has its own formulary and pricing tiers. Every Medicare Part D plan caps what you pay out of pocket for covered drugs: $2,000 in 2025, $2,100 in 2026 and $2,400 in 2027 (CMS). That cap significantly limits worst-case prescription spending compared to prior years.

What Actually Drives Your Total Cost

The single biggest cost driver isn’t the plan you pick, it’s how much healthcare you use in a given year. A healthy year on a low-premium Medicare Advantage plan can cost very little. A year with a major hospitalization can look very different depending on whether you’re on Medicare Advantage (capped, but potentially near that cap), or Original Medicare with a Medigap plan (higher fixed monthly cost, but little to no additional cost during the hospitalization).

Common Mistakes People Make

• Comparing only the monthly premium without factoring in the plan’s deductibles, copays, and annual out-of-pocket maximum.
• Not checking if their income will trigger IRMAA surcharges on Part B and Part D.
• Assuming Medicare is free once you turn 65, without budgeting for Part B premiums and cost-sharing.
• Not comparing Medicare Advantage and Medigap total costs side by side before choosing.

Where to Get Help

We can walk through your specific numbers for Original Medicare with a Medicare Supplement, comparing plans from multiple carriers in your ZIP code, at no cost to you. We don’t sell Medicare Advantage or Part D plans. To compare and enroll in those, use Medicare.gov or call 1-800-MEDICARE.

Tell us what you’re looking for and the best time to reach you. We usually call back within one business day.

Prefer to talk now? Call (239) 633-4392.