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Medicare in Miami

If you are age 65 and over and a U.S. citizen, you are eligible for Medicare. The insurance is split into four parts that can make the benefit confusing. You can find resources online and offline in Miami to help you understand what Medicare covers and how you can enroll.

An Overview of Medicare

Part A is the hospital insurance that is free to senior that worked and paid into the Social Security tax for at least 40 quarters (10 years). It covers hospitalization, skilled nursing, home health, and hospice care. If you did not pay into the Social Security tax for that length of time, you will have to pay a monthly premium.

Part B is the medical insurance that covers doctor appointments, annual check-ups and preventative care, x-rays and lab tests, ambulance services, and durable medical equipment. There is a monthly premium charged.

Part C allows private insurances to provide services.

Part D is the outpatient prescription drug coverage.

Medicare Fast Facts

The number of Medicare beneficiaries in Florida in 2014 was 3.82 million.

The total Medicare cost in the state for 2014 was $24 billion.

In the Miami-Dade County area in 2014, there were 407,629 Medicare beneficiaries .

The total Medicare cost for the county was $2.27 billion in 2014.

72 is the average age of a Medicare beneficiary in Miami-Dade County.

34 percent of the county’s Medicare spending pays for inpatient care.

20 percent of the county’s Medicare spending goes towards home health care.

7 percent of the county’s Medicare spending is allotted to skilled nursing care.

The percentage of Miami-Dade County’s Medicare spending for hospice care: 5 percent.

The Miami Medicare/SSA Office Location and Services

You can conduct Medicare business at certain federal agencies like the Social Security Administration (SSA) office. The federal employees can help you with enrollment and claim forms, lost cards, and making changes to Medicare Parts A or B. The offices are open Monday through Friday until 4PM at most locations and close at noon on Wednesdays.

You can contact SSA through the toll-free phone number to find more offices in the Miami-Dade County area. Miami Social Security Office 1251 NW 36th Street, Ground Floor Miami, FL 33142 Toll-free phone number 1-800-772-1213

If you prefer to conduct business online, MyMedicare.gov is a one-stop site you can use to get answers, enroll in Medicare, change plans, update information, and more. You can also call 1-800-MEDICARE for more information and make limited changes.

Miami Medicare Providers

Since it is imperative that you use the services of a physician that accepts Medicare, the Physician Compare search tool was created. Simply enter your search criteria, like city or zip code, and choose the type of health care professional you need. The search results will show providers within a few miles of your desired area and whether or not they accept Medicare.

You can expand the search to all of Miami-Dade County or areas throughout Florida. The tool currently lists 108 family practice providers, within five miles of Miami as well as 12 geriatric medicine providers within five miles of the city.

Learn more about Financial Assistance for Miami Seniors here:

Medicaid in Miami

Miami Veterans Benefits

Social Security for Miami Seniors

Top Miami Senior Discounts

Miami Family Caregiver Benefits

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