Welcome to the Fuller Insurance Answer Hub.

If you have more questions about Fuller Insurance, we have the answers!

Home Insurance FAQ

There’s no single number — a 30A homeowners premium depends on roof age, construction type, distance to the coast, your wind mitigation report, and your home’s replacement cost. Wind mitigation credits and roof age move the price the most. Fuller shops your specific home across multiple coastal carriers to find the most competitive rate it qualifies for among the carriers we represent.

No. An HO3 homeowners policy covers wind and hurricane damage (usually with a separate hurricane deductible) but not flood. Storm surge, dune-lake overflow, and heavy-rain flooding require a separate flood policy. Every 30A homeowner should carry both.

A wind mitigation inspection documents how your home resists hurricane wind — roof shape, roof-to-wall connections, sealed roof deck, and opening protection — on an OIR-B1-1802 form. Florida carriers must apply credits based on it. On a coastal home, these credits can substantially reduce the wind portion of your premium.

If your home is about 20 years or older (or has an older roof), most carriers require a 4-point inspection covering roof, electrical, plumbing, and HVAC. It confirms the major systems are sound. Roof age is the most common factor that determines which carriers will write your home.

Yes, but second homes and seasonal residences insure differently than primary homes due to occupancy. A home you rent out short-term needs a DP3 dwelling-fire policy, not a homeowners policy. Fuller writes both and will tell you which one your situation requires.

Citizens is Florida’s insurer of last resort and a legitimate option for coastal homes the private market won’t write. Eligibility depends on whether a private carrier offers comparable coverage, and Citizens policyholders can be moved to a private carrier through depopulation. Fuller checks the private market first and uses Citizens when it genuinely fits.

Short-Term Rental Insurance FAQ

Usually not. A standard HO3 homeowners policy is written for a home you live in, and most homeowners carriers treat paid hosting — Airbnb, VRBO, or direct bookings — as a business use. Once you take payment for guests, a homeowners carrier can deny a related claim, and in some cases void the policy entirely. To be covered while you rent, you need a DP3 dwelling-fire policy built for short-term rental use, which is what we place with the specialty carriers we represent.

It depends on the property, not a flat rate — location, the home’s value and construction, distance to the water, and your wind-mitigation credits all factor in. On the coast, two things move the premium most: verified wind-mitigation credits, which can meaningfully reduce it, and flood, which is always a separate policy. We review both before we quote, so the number reflects the credits your home actually qualifies for.

Yes. A DP3 dwelling-fire policy is designed for short-term hosting, including Airbnb and VRBO. It covers the structure, your loss of rental income after a covered loss, and liability for guests and amenities like pools, hot tubs, and golf carts. Airbnb’s and VRBO’s built-in host protection offers some coverage, but the limits are typically low and the exclusions many — it was never meant to replace a property policy on a coastal home.

Florida doesn’t mandate it by statute, but two things make it necessary in practice: if you carry a mortgage, your lender requires property coverage that actually responds to rental use, and your homeowners policy generally won’t pay a claim once the home is rented. Registering a short-term rental with Walton County or your city covers the permitting side — it does not provide any insurance.

Yes — and on a property booked months out, it’s often the most valuable coverage in the policy. A DP3 vacation-rental policy can include loss of rents (business income), which pays your expected rental income while the home is uninhabitable after a covered loss, such as hurricane or fire damage, during the repair period.

Flood is never included in a DP3 or any rental property policy — it’s always separate, through the NFIP or a private flood carrier. On the Emerald Coast, where storm surge and heavy-rain flooding are real exposures regardless of flood zone, we recommend flood coverage on every coastal rental and check your zone and elevation to find the right fit.

Condo (HO6) Insurance FAQ

It’s not required by Florida law, but your mortgage lender will almost always require it, and your condo association’s bylaws may require a minimum HO6 with a set loss-assessment limit. Even if you own the unit outright, your association’s master policy doesn’t cover your interior finishes, your belongings, or your personal liability — so HO6 coverage is strongly recommended.

An HO6 covers the parts of your condo you’re responsible for: your interior build-out (Coverage A), personal property (C), loss of use or loss of rents (D), personal liability (E), and medical payments (F), plus loss assessment for your share of certain association assessments. In short, it fills the gaps your association’s master policy leaves to you.

If you use the condo yourself and also rent it, the usual answer is an HO6 written or endorsed for rental — it keeps coverages like loss assessment that the dwelling-fire form typically drops. A DP3 dwelling-fire policy applies when you never occupy the unit, or when a carrier’s program requires it. Either way, the rental use has to be disclosed to the carrier, or a claim can be denied.

Your HO6 loss-assessment coverage can pay your share of an assessment when it stems from a covered peril — such as hurricane or wind damage to the building. It does not pay for assessments that fund routine maintenance, reserves, or structural and milestone-inspection (SIRS) work, no matter how high your limit is.

Florida requires every HO6 to include at least $2,000 of loss assessment, and many coastal owners raise that limit — commonly into the $5,000–$10,000 range, subject to underwriting. The right amount depends on your building’s master-policy hurricane deductible, so ask your association for that figure and we’ll help you size it.

Yes, separately — an HO6 never includes flood. Your association’s policy (often an NFIP RCBAP) insures the building structure, not your interior finishes, upgrades, or contents, so a separate unit-owner flood policy is recommended, especially for low-floor or Gulf-front units.

Renters Insurance FAQ

On the Auto-Owners renters policies we write, yes – your personal belongings in a storage unit are covered up to 100% of your Coverage C (personal property) limit, theft included. Many other renters policies cap off-site property at a small sublimit, so the carrier you’re with makes a real difference. Property kept for business and high-value categories like jewelry have their own limits, and coverage is subject to your policy terms. Call us at 850-622-5283 and we’ll confirm how your coverage reads.

Three things: your personal belongings (against losses like fire, theft, and burst pipes), your liability if someone is hurt in your unit or you cause damage, and your living expenses if a covered loss makes your rental unlivable. Most policies add a small amount of medical payments coverage for an injured guest.

High-value categories have special limits no matter where the items are. Jewelry, watches, and furs are limited for theft, as are guns and silverware. If you own valuables worth more than those caps, we schedule them separately so they’re covered for their full value. Bring us a rough list and we’ll sort it out.

On the coast there’s a ceiling on how much personal property coverage you can carry, and it depends on your exact location and how your address is rated for wind. Most renters never reach it, but if you carry high limits it’s possible to. We’ll tell you the most you can carry at your address.

No. Flood is always a separate policy, never part of renters insurance. On the Emerald Coast it’s worth considering, and we can write flood coverage for you alongside your renters policy.

Yes. Your landlord’s policy covers the building, not your belongings or your liability. If your unit is burglarized or a fire damages your things, the landlord’s insurance doesn’t replace any of it. Renters insurance is the only coverage that protects you, and it’s usually very affordable.

Contractor Insurance

The right contractor insurance on 30A is not about one “best” company — it is about matching your trade, crew size, and distance to the water to the carrier whose appetite actually fits. Fuller Insurance is an independent agency in Santa Rosa Beach, and we place contractor coverage across Walton, Okaloosa, and Bay Counties with carriers that understand coastal construction. Among the carriers we represent, Utica First can rate small artisan contractors on number of employees instead of payroll, with no annual audit; Frank Winston Crum writes contractor general liability across seventy-seven class codes with no limitation on new residential work; and Berkshire Hathaway Homestate treats contractor commercial auto as a top class that often binds the same day. We match the carrier to your operation rather than forcing every contractor onto one form. All terms are subject to underwriting and availability. Call us at 850-622-5283.

Yes — in Florida the construction industry has the strictest workers’ compensation threshold of any industry. A construction business generally must carry coverage once it has even one employee, and general contractors are responsible for verifying that their subcontractors carry it too. Fuller Insurance places construction workers’ compensation through standard markets built for the trades, including FCBI, a Florida group self-insurance fund organized specifically for construction employers and artisan contractors. This is private, trade-focused coverage — not the state’s residual-market pool — and we also place carriers that bill pay-as-you-go on actual payroll so you are not fronting a large deposit. Roofers, framers, and other height-exposed trades have a narrower set of markets with specific experience and payroll requirements, which is exactly where knowing the right carrier matters.

Yes. Coastal builders risk in the 30A corridor is placeable, and Fuller Insurance writes it three different ways depending on the project. Through US Assure, builders risk is available on the admitted, A-rated Zurich plan with Florida windstorm within one thousand feet of tidal water in every Florida county except Monroe, for projects valued up to five million dollars. Through Victor, it is written on A++-rated Berkshire Hathaway Specialty paper with capacity up to eight million dollars on frame construction and fifteen million on non-combustible. And through Alchemy, Florida projects can be structured with wind, excluded wind, or a named-storm exclusion when the project economics call for it. Frame construction near the water is the single hardest builders-risk class to place in Florida, so having three coastal paths instead of one is often the difference between binding the job and losing it. All terms are subject to underwriting.

Usually, yes — being told you are “too new” or “too small” is normally a carrier-fit problem, not a dead end. Several of the carriers we represent will write a brand-new contracting business or a seasonal operation that standard markets turn away. Utica First quotes new and seasonal trade accounts, and our coastal builders-risk markets will look at projects already underway. As an independent agency, Fuller Insurance knows which carriers welcome new ventures and which will decline them, so we steer your account to the market most likely to write it. Call us at 850-622-5283 and we will tell you which of the carriers we represent fits a newer operation.

Not under a general liability policy, and rarely well under a generic property policy — tools and equipment need inland marine coverage. Inland marine covers contractors’ tools and equipment, installation floaters, and materials in transit or stored at the jobsite against losses a standard policy leaves out. Several of the carriers we represent bundle tool and equipment coverage into the contractor program, and Fuller Insurance right-sizes the limits to what is actually on your truck and at your sites rather than a generic default. Coverage terms vary by carrier and are subject to underwriting.

Because on the coast, carrier choice is the whole game — and an online quote cannot do the matching. A small subcontractor who wants to avoid a year-end payroll audit belongs with a carrier that rates on headcount. A roofer needs a market that will write roofing at all. A spec-home builder putting up frame construction within a thousand feet of the Gulf needs a coastal builders-risk market with windstorm capacity, structured around how many hurricane seasons the build will span. A trade contractor with a couple of trucks wants the auto market that binds instantly instead of returning an indication a week later. Those are four different carriers, and choosing among them is exactly what an independent coastal agency does that a direct writer cannot. Some specialty and surplus-lines markets are also not protected by the Florida Insurance Guaranty Association, and we explain where that applies at the quote stage so you can make an informed decision. Reach Fuller Insurance at 850-622-5283.

Individual Health Insurance

No. The premium is the same whether you enroll through us, do it yourself, or call a national 800 number. The carrier sets the rate and the state approves it. A local independent agent gets paid by the insurance company, not by you, so our help is free. What you get for nothing extra is somebody local who checks that your doctors and pharmacy are in network and keeps you from making an expensive mistake.

It depends on the doctors, hospitals, and pharmacies you use. Florida Blue’s individual plans run on four networks: BlueOptions, BlueSelect, BlueCare, and myBlue. Both Walton County hospitals, Ascension Sacred Heart Emerald Coast and North Walton Doctors Hospital, are in network on all four as of the 2026 plan year, but the pharmacy and provider lists are different, and the cheaper myBlue network is the thinnest one locally. Before you pick, we check that your specific providers and pharmacy are covered.

Yes. If you don’t have employer coverage, the individual marketplace is built for you, and most self-employed people around here end up on a Florida Blue plan. Whether you get a subsidy comes down to your household income. Under today’s rules, households below about four times the federal poverty level may qualify, and those above it pay the full premium. Self-employment income is hard to pin down, so estimating it right matters, and we’ll help you think it through. Run the tax side past your accountant too.

The subsidy cliff is the income line above which you get no help with your premium. Under the rules in effect for 2026, a household earning more than about four times the federal poverty level, which is roughly sixty-three thousand dollars for a single person, gets no premium tax credit, even a dollar over. The enhanced subsidies that had erased this cliff since 2021 expired at the end of 2025. If your income is anywhere near that line, talk to us before you enroll, because a small difference can cost you a lot.

Open Enrollment for 2027 coverage runs from November 1 through December 15, 2026, for Florida, and coverage starts January 1, 2027. It’s a shorter window than past years. Outside of Open Enrollment you can only sign up if you’ve had a qualifying life event, like losing other coverage, getting married, having a child, or moving, which opens a sixty-day Special Enrollment Period.

Losing job-based coverage is a qualifying life event, so it opens a sixty-day Special Enrollment Period to get on a marketplace plan. You don’t have to wait for Open Enrollment. You might also bridge the gap with a short-term medical plan while you get sorted. Call us as soon as it happens, because that sixty-day clock runs out fast and we can move quickly.

There are still options, just nothing one-size-fits-all. Depending on your situation, that might be an off-exchange Florida Blue plan, a short-term medical plan to cover a set gap, or a higher-deductible plan paired with supplemental coverage like accident, critical illness, or hospital indemnity to cap what you’d owe if something big happened. We write these directly and we’ll lay out the trade-offs straight, short-term plan limits included.

For your health insurance, yes. We work exclusively with Florida Blue, and that holds across the whole health side: ACA marketplace plans, off-exchange plans, short-term coverage, dental, and supplemental coverage like accident, critical illness, and hospital indemnity. The one place we’re not exclusive is Medicare. For Medicare Advantage and Part D prescription drug plans we represent more than one company, so we can match you to the right one. That focus works in your favor everywhere else. Because we write Florida Blue every day, we know its four networks and how each one covers Walton County doctors, hospitals, and pharmacies better than a generalist would, and if a marketplace plan isn’t the right fit, we’ve got Florida Blue’s off-exchange, short-term, and supplemental options to show you.

Individual Dental Insurance

Yes. If you’re an active adult member (nineteen or older) on the last day of the calendar year and you’ve used at least one covered service that year — a routine cleaning counts — a portion of your unused benefit rolls into the next year. On the individual plan, a one-thousand-dollar annual maximum can build toward two thousand dollars of available benefit over time. Rollover dollars don’t expire and it’s automatic. It applies to BlueDental Choice (PPO) plans, not the prepaid BlueDental Care plan.

A BlueDental Choice network search anchored on the Santa Rosa Beach 32459 area returns more than thirty participating dentists across our immediate coast — Santa Rosa Beach, Miramar Beach, Freeport, and Destin — including general dentists, pediatric specialists, and orthodontists. You can use any dentist, but in-network care means richer benefits and lower cost. Networks change, so confirm a specific office still participates before your first visit.

Preventive care — exams, cleanings, and routine X-rays — has no waiting period and is covered at one hundred percent in network. For adults, basic services like fillings and major services like crowns and root canals have a six-month waiting period, which can be waived with proof of prior credible dental coverage. Children’s benefits have no waiting period.

Yes. BlueDental Choice Q is a child-only plan for children up to age nineteen. It’s Affordable Care Act–compliant, has no waiting period on any service, and covers medically necessary orthodontics with preauthorization. In-network out-of-pocket is capped at $450 for one child or $900 for more than one. You can also add children to a family Choice QF plan instead — and you don’t need a Florida Blue health plan to do either.

No — anyone can enroll in a BlueDental plan on its own. But if you carry both a Florida Blue medical plan and BlueDental and you have a qualifying medical condition, you’re automatically enrolled in the Oral Health for Overall Health program, which adds cleanings and periodontal care at no extra cost.

Two exams and cleanings a year plus routine X-rays (covered in full in network), basic services such as fillings and extractions, and major services such as crowns, root canals, and dentures on a coinsurance basis. You can see any dentist in or out of network, there are no referrals to see a specialist, and you get two TeleDentistry virtual consultations a year.

Monthly premiums are based on age. Rather than a one-size number, we’ll quote your exact rate and the right BlueDental Choice option for your household — call Fuller Insurance at 850-622-5283 and ask for Garrett Fuller, Chris Jayne, or Trista Cordell.

Medicare

If you have creditable employer group coverage, you can usually delay Part B and Part D without penalty, and a Special Enrollment Period protects you when that employment coverage ends. Two traps: COBRA and retiree coverage do not count as creditable coverage for delaying Part B, and small-employer plans with fewer than twenty employees generally require you to take Medicare as primary at sixty-five. Getting this wrong creates a late-enrollment penalty that lasts the rest of your life, so confirm your situation before your sixty-fifth birthday.

Original Medicare (Parts A and B) lets you see any doctor or hospital in the country that accepts Medicare, with no networks or referrals, and most people add a Medicare Supplement plan to cap their costs plus a stand-alone Part D drug plan. Medicare Advantage (Part C) replaces Original Medicare with a private plan that typically has a low or zero premium but uses a local provider network, may require plan approvals for care, and carries an in-network out-of-pocket maximum that can reach nine thousand two hundred fifty dollars in 2026. Travelers and part-year residents usually favor Original Medicare with a supplement; budget-focused enrollees who stay local sometimes favor Medicare Advantage.

The Medicare Advantage landscape here differs from Florida’s big metros. In Tampa, Orlando, Jacksonville, and Miami, carriers compete hard and PPO options are plentiful. In less-populated Walton, Okaloosa, and Bay Counties, plans tend to be HMO or HMO-POS, and a few PPO choices. Every Medicare Advantage plan caps your in-network out-of-pocket costs for the year, and many bundle extras like dental, vision, or prescription coverage. Plan lineups are rebuilt annually, and the exact county-by-county options are not final until CMS releases the approved plans each fall — so the key is matching an available plan to your doctors, your prescriptions, and your budget, which we do with you each year.

Your Initial Enrollment Period is the seven months surrounding your sixty-fifth birthday: the three months before your birthday month, your birthday month, and the three months after. Signing up late for Part B or Part D without other creditable coverage can trigger a lifetime late-enrollment penalty. Separately, enrolling in Part B opens a one-time six-month Medigap Open Enrollment Period — the window when you can buy any Medicare Supplement plan sold in Florida with no health questions. Miss that one and later applications usually require medical underwriting rather than a penalty. The Annual Enrollment Period for changing Medicare Advantage and Part D plans runs October 15 through December 7 each year.

Yes, if your plan’s letter says it is ending or leaving your county and you go back to Original Medicare. You can apply from the day you receive the letter until 63 days after your coverage ends, which is about March 4, 2027 for a plan ending December 31. If you first became eligible for Medicare in 2020 or later, Plan G and high-deductible Plan G are on the guaranteed list; if you were eligible earlier, the list has Plans C, F and high-deductible F instead of D, G and high-deductible G. Plan N is not guaranteed in this situation.

Not with a guarantee. Medicare’s Annual Enrollment Period, October 15 to December 7, 2026, is for Medicare Advantage and drug plans and does not give you a right to change supplements. You can apply to change supplements at any time, but unless you are still in your six-month Medigap open enrollment period or a guaranteed-issue situation, a Florida company can ask health questions and decline you, and Florida has no birthday rule. You can still change your Part D drug plan during that period, and we compare drug plans with you then.

Plan around your Part B start date, because your six-month Medigap open enrollment period begins the first month you are both 65 or older and enrolled in Part B. Many companies accept an application a few months ahead, so the policy can start the same day Part B does. If you delay Part B because you still have coverage from a current employer, the window waits and starts when Part B begins. Call us three to six months before your 65th birthday and we will lay out your timeline.

Property Manager

Yes. A guest injury or a management dispute can name both the property owner and the management firm, and the owner’s policy will not defend or pay for your business — it covers the owner. Your firm’s own general liability and professional liability respond to your firm’s exposure. Property managers and owners carry separate risks, which is why a management firm needs its own program.

General liability covers third-party bodily injury and property damage, such as a guest injured at a property you manage. Professional liability — errors and omissions — covers claims that you failed to perform your management duties: a managed home that did not meet code, a maintenance failure you were responsible for, or an owner’s lost rental income. A general liability policy was never designed to answer those claims, and the professional liability form should be written specifically for property-management operations, ideally including contingent bodily injury and property damage. Coverage is subject to underwriting.

Crime and fidelity coverage — specifically employee dishonesty — pays for funds an employee steals, including owners’ rents held in a trust account. If your firm has employees and handles owner money, this is one of the most important and most overlooked coverages you can carry. We place it through carriers we represent, including Auto-Owners and Liberty Mutual, at limits that match the balances you actually hold.

Yes. Coastal addresses cause most standard package markets to decline on proximity to the water and construction, so we take a different route: we write an admitted commercial package for the general liability, property, and workers’ compensation with wind and hail excluded, and place a separate wind-only policy through a wholesale broker for the hurricane exposure. Crime, professional liability, and hired and non-owned auto can be added for eligible classes. Flood is always covered separately. All coverage is subject to underwriting and carrier appetite.

No. We do not insure condominium associations or condominium buildings. We write general property managers — short-term and vacation-rental managers, long-term rental managers, single-family-home and townhome homeowners-association managers, and commercial property managers. Condominium associations are a specialized coastal placement shaped by recent Florida condo law, and we focus instead on the managers and owners who make the decisions directly.

We write short-term and vacation-rental management companies, long-term rental managers, single-family-home and townhome homeowners-association managers, and commercial property managers across 30A and the Emerald Coast — Santa Rosa Beach, Grayton, Seaside, WaterColor, WaterSound, Rosemary Beach, Inlet Beach, Miramar Beach, and Destin. Because vacation rentals are the core of our book, we can also write the dwelling-fire and condo-unit policies your owners’ rental properties need.

Restaurant Insurance

Only if it is written to. There is a difference between power failing inside your building and power failing out on the utility grid, and many standard property forms cover the on-premises failure while excluding the off-premises one unless a utility-interruption endorsement is added. In hurricane country that off-premises coverage is the whole loss, because a grid-down event after a storm can ruin a full walk-in of inventory. We read your specific policy for how off-premises power loss is handled and the sublimit that applies, and confirm it with you before you bind. Terms are subject to underwriting.

Yes. A standard general liability policy excludes claims arising from alcohol, so a restaurant that serves any beer or wine has no coverage for an alcohol-related claim unless a separate liquor-liability policy or endorsement is in place. Florida’s dram-shop law, Fla. Stat. §768.125, is vendor-friendly and generally does not hold a business liable simply for serving an adult — the real exposure is service to a minor or to someone known to be habitually addicted — but that does not stop a suit from being filed or defense costs from adding up. For food-first restaurants we keep liquor liability at a sensible, low-to-middle level.

A food truck adds an exposure a building never has: the vehicle itself. That means commercial auto for physical damage and liability on the truck, and commercial auto generally will not cover the cooking equipment installed inside or the gear and inventory you carry, which are handled as property and inland marine. You also need general liability that follows you to every stop and event. We write food trucks through a true mobile-vendor program that bundles these together on one account.

More like a fixed location than a vehicle. A trailer that is parked permanently in one place has no driving exposure of its own, so the trailer and its equipment are typically covered as property, and any tow vehicle is insured separately. That distinction matters — insuring a stationary trailer as if it were a moving truck usually means paying for auto coverage you do not need, while insuring it too lightly can leave the equipment underprotected.

Yes. Non-alcohol drink stands, specialty smoothie booths and seasonal pop-ups typically need special-event general liability, along with the vendor and additional-insured endorsements that festivals and markets require, plus product liability and coverage for equipment like blenders, coolers and perishable ingredients. For an operator working several events a year, an annual general liability policy is usually more cost-effective than buying one-day coverage for each event.

Because a kitchen adjacent to or with direct access to the shoreline falls outside some standard carriers’ guidelines — several regional carriers restaurants otherwise rely on will not write a restaurant right on the water. That is exactly where an independent agent earns their keep: we know in advance which markets back away from the water, and we place those risks through specialty and coastal wholesale carriers instead, then package wind and flood separately so the restaurant is properly covered. Some of those markets are non-admitted surplus-lines carriers, and we explain what that means at quote.

Equipment breakdown covers the sudden, accidental internal failure of mechanical and electrical equipment — a walk-in compressor burning out, the HVAC quitting, an oven, fryer or ice machine failing — when there is no fire, storm or theft involved. Standard property is built around outside causes of loss, so it often will not respond to the equipment simply breaking on its own. For a restaurant it can pick up the repair, the spoiled inventory and the income lost while you are down, which makes it one of the most frequently used coverages on a kitchen’s policy.

Flood Insurance

No — standard homeowners, condo (HO6), and renters policies exclude damage from flooding. That’s the market standard, which is why flood is written as its own policy, through either the federal NFIP or the private flood market. Fuller Insurance places both and compares them for your property.

It’s usually not federally required in Zone X, but it’s still worth considering. According to the NFIP, about 29 percent of its flood claims from 2014 through 2024 came from lower-risk areas outside the mapped high-hazard zones, and FEMA notes that one inch of water can cause roughly twenty-five thousand dollars of damage. On 30A, a Zone X lot can sit a block from an AE or VE zone, so we rate each quote to the specific address.

It depends on the property. The NFIP caps building coverage at two hundred fifty thousand dollars and settles a non-primary residence’s building at actual cash value, while private forms we write — such as the Neptune Flood policies — can offer higher limits, replacement cost, and coverages the NFIP doesn’t include, like temporary living expenses and pool repair. The NFIP is still the better fit in some cases, especially where you can assume a grandfathered policy or qualify for Walton County’s community discount. Because private flood is frequently written by surplus-lines carriers that aren’t protected by the Florida Insurance Guaranty Association, we walk you through that tradeoff before you decide.

If your property is insured by Citizens with wind coverage and your dwelling (Coverage A) is four hundred thousand dollars or more, flood coverage has been required since January 1, 2026. By January 1, 2027, that requirement extends to all Citizens personal-residential policies, regardless of flood zone. Condominium unit-owner and tenant-content policies are exempt. Confirm your status at your next Citizens renewal.

The federal NFIP does not cover lost rental income or additional living expenses. Private flood forms we write can add loss of rental income and temporary living expenses, which matter when a covered flood takes an income property offline. For a Gulf-front or dune-lake rental held as a non-primary residence or investment, private coverage can also restore replacement cost on the building, where the NFIP would pay actual cash value.

A new NFIP policy generally takes 30 days to take effect, with limited exceptions such as coverage tied to a loan closing. Private flood often binds faster. But once a storm is named and watches or warnings go up for our area, most carriers stop writing new flood coverage until the threat passes — so the time to bind is before a storm is on the way, not while one is approaching.

General Liability

Florida does not require most businesses to carry general liability by law. In the real world your customers require it. General contractors, landlords, event venues, property managers, and lenders on the Emerald Coast will not let you work, sign a lease, or close a loan without it, and they usually want at least one million dollars per occurrence and two million for the year. If you plan to do business on 30A, treat it as necessary.

No. General liability covers injuries and property damage you cause to other people. It does not insure your own building or property, so it does not pay for wind or hurricane damage to what you own. On the coast that exposure goes on a separate wind or property policy, and flood is always its own policy on top of that. We can help you put all three in place.

In general terms, general liability covers bodily injury and property damage your business causes to other people, along with what is often called personal and advertising injury, such as libel or slander, and small medical payments for a minor injury to a customer. On most policies, the cost of defending a claim is paid on top of your limit. Coverage varies by policy and carrier, so your own policy is what controls the details.

It means they want your policy to also protect them for claims that arise out of your work. It is standard on the coast: general contractors ask it of their subs, property managers of their vendors, and venues of everyone at an event. Covering someone for work still in progress and for work already completed are two separate things, and the certificate they collect is only evidence, not the coverage itself. It is worth confirming the actual policy is endorsed for what the contract requires.

General liability is standalone coverage for the injuries and damage you cause to others. A business owners policy, or BOP, bundles that same general liability with coverage for your own building, equipment, and lost income. If your business has real property to protect, a BOP is often the better value, though many contractors and higher risk classes cannot get one and carry general liability on its own. You need one or the other, not both, and we can help you sort out which fits.

It depends on your trade, your size, and your claims history, so the only real number is a quote. As a rough range, many small Emerald Coast businesses land somewhere between about five hundred and two thousand dollars a year, with construction and higher exposure work running higher. Bundling into a business owners policy often costs less than buying general liability and property separately. Every figure is subject to underwriting.

Your homeowners or landlord policy may contain a certain amount of Personal or Premises Liability; however, for a short-term rental, especially one you hold in an LLC, a standalone general liability policy is how many 30A owners cover that exposure, alongside whatever the booking platform provides. Call us and we can walk you through how it fits with your vacation rental coverage.

Medicare Supplement

Yes, if your plan’s letter says it is ending or leaving your county and you go back to Original Medicare. You can apply from the day you receive the letter until 63 days after your coverage ends, which is about March 4, 2027 for a plan ending December 31. If you first became eligible for Medicare in 2020 or later, Plan G and high-deductible Plan G are on the guaranteed list; if you were eligible earlier, the list has Plans C, F and high-deductible F instead of D, G and high-deductible G. Plan N is not guaranteed in this situation.

Not with a guarantee. Medicare’s Annual Enrollment Period, October 15 to December 7, 2026, is for Medicare Advantage and drug plans and does not give you a right to change supplements. You can apply to change supplements at any time, but unless you are still in your six-month Medigap open enrollment period or a guaranteed-issue situation, a Florida company can ask health questions and decline you, and Florida has no birthday rule. You can still change your Part D drug plan during that period, and we compare drug plans with you then.

Plan around your Part B start date, because your six-month Medigap open enrollment period begins the first month you are both 65 or older and enrolled in Part B. Many companies accept an application a few months ahead, so the policy can start the same day Part B does. If you delay Part B because you still have coverage from a current employer, the window waits and starts when Part B begins. Call us three to six months before your 65th birthday and we will lay out your timeline.

No. A concierge or membership fee is not covered by Medicare, and standardized Medicare Supplement plans do not pay it either. The more important question is whether that doctor still participates in Medicare. If they have formally opted out, Medicare pays nothing for your care there, you cannot submit the claim yourself, and your supplement pays nothing either, so the entire bill is yours. Ask before your first appointment.

Partly, and less than most people assume. Medicare covers essentially nothing outside the United States. Plans C, D, F, G, M, and N include a foreign travel emergency benefit that pays eighty percent after a two hundred fifty dollar deductible, but the fifty thousand dollar maximum is a lifetime limit rather than an annual one, and it only applies to care beginning in the first sixty days of a trip. It also is not built to cover getting you transported home. For a real trip abroad we point clients toward a standalone travel medical policy instead of relying on the built-in benefit.

Yes, but only on one side of the line. Drugs a doctor administers in the office, in an infusion suite, or in a hospital outpatient setting fall under Part B, where you owe twenty percent with no annual cap, and your supplement pays its share of that. Drugs you pick up at a pharmacy fall under Part D, where a supplement pays nothing and you need a standalone drug plan. For someone on a biologic infusion or chemotherapy, the Part B side can be among the largest things the supplement ever covers.

Only manual manipulation of the spine to correct a subluxation. X-rays, the exam itself, massage, ultrasound, electrical stimulation, traction, therapeutic exercise, supplements, and orthotics are all excluded when a chiropractor provides them, and so is maintenance care once you are holding steady rather than actively improving. Your supplement pays its share of the twenty percent on the covered adjustment and nothing on the rest.

Original Medicare covers it only for chronic low back pain lasting twelve weeks or longer with no identifiable systemic cause, capped at twenty visits a year. Acupuncture for migraine, neuropathy, arthritis, or anything else is not covered, and the supplement pays nothing toward it. There is also a practical catch: Medicare does not recognize licensed acupuncturists as billing providers, so treatment has to be furnished by or supervised by a physician or advanced practice provider to be billable at all.

Usually not. A supplement includes no pharmacy drug coverage, so this runs through Part D, and Part D only pays when every ingredient qualifies as a Part D drug. Bulk chemical powder does not qualify, and that is what most compounded pellets are made from. The FDA-approved testosterone pellet is the narrow exception and may be covered under Part B when a physician implants it for diagnosed hypogonadism.

Most Medicare Supplement plans have no network and no service area, so they work with any provider in the country that accepts Medicare, with no referral required. The exception is Medicare SELECT, which uses a hospital network for non-emergency care. Medicare Advantage works differently: every plan has a service area, and the rules for care away from home vary by plan. A plan must also disenroll a member who has been outside its service area for more than six months, unless the plan offers a visitor or traveler option that extends that window. If you spend part of the year away from 30A, tell us where and for how long, and we will go over how each choice handles it.

Neither one is right for everybody. A supplement usually means a monthly premium in exchange for very predictable costs, with no network on most plans. Medicare Advantage delivers your Part A and Part B coverage through a private plan, with a service area and rules that vary by plan. The right answer depends on your doctors, how much of the year you are here, and how you would rather absorb a bad year.

Coastal & Piling Home Insurance

Yes. Among carriers we represent, there is appetite for site-built homes on wood pilings, and coastal appetite for open foundation construction widened during 2026 after several tight years. Eligibility depends on the policy form, the year built and the distance to the coast, and every placement is subject to underwriting. Elevated homes are also commonly inspected before a carrier will bind.

Not necessarily, and it is worth checking why before you accept it. Homeowners forms and dwelling fire forms carry different piling rules at the same carrier, so a home declined on one can be eligible on the other. A decline is a signal to check the form and the submission, not automatically a verdict on the house.

It can affect both your floodplain compliance and your flood rating. Under the NFIP Flood Insurance Manual, enclosed space of three hundred square feet or more behind solid breakaway walls is counted as the building’s lowest floor even when its use is restricted, which can move a flood premium significantly. Below base flood elevation, enclosed space is permitted for parking, building access and limited storage only. If you are considering finishing out a ground level, price the insurance consequence before you start.

Because since April 2023, FEMA’s Risk Rating 2.0 has priced flood on your specific building rather than on your flood zone. First floor height, foundation type, distance to water, construction type and replacement cost all feed the rate. Two houses a hundred feet apart can rate very differently if one is elevated higher or has its machinery above the first floor. The flood zone still triggers the mandatory purchase requirement, but it is not what sets the price.

Not to buy an NFIP policy. You may still submit one, and it can lower the premium by documenting a first floor height above FEMA’s modeled estimate. It is generally still needed for post-FIRM buildings in A and V zones for community compliance, and it supports a Letter of Map Amendment. Most private flood carriers still ask for one, so if you have it, we want it.

No. Florida’s wind mitigation form scores roof covering, roof deck attachment, roof to wall connection, roof geometry, secondary water resistance and opening protection. The foundation is not on that list. Elevation is a flood rating variable, not a wind one. On an elevated coastal home the credit worth chasing is opening protection.

Yes, and it changes the form. A property rented to others generally belongs on a dwelling fire form rather than a homeowners form, and short term rental use carries its own surcharges and stay-length considerations that vary by program. Construction type and occupancy are underwritten separately, so a rental on pilings sometimes places where the same house as an owner occupied risk does not.

Landlord and Rental Property Insurance

No Florida statute requires a landlord to insure a rental home. Your mortgage lender will require it, and your homeowners policy stops matching the risk the day a tenant signs a lease, so in practice every financed rental carries a dwelling fire policy. The real requirement is being on the right form, which for most 30A rentals is a DP3.

A DP1 covers a short list of named perils and usually settles at actual cash value. A DP2 covers a longer named perils list. A DP3 covers the dwelling on an open perils basis, everything except what the policy specifically excludes, and typically settles at replacement cost. On coastal rental property, the DP3 is the form we place most.

Fair rental value coverage pays the rent you were collecting while a covered loss makes the home unlivable, usually as a percentage of the dwelling limit, for example while a wind damaged rental is being repaired. It does not pay for ordinary vacancy or a tenant who simply stops paying. Check the limit on your declarations page, because a coastal rental can take months to rebuild.

Yes. Rental programs we represent write LLC owned and trust owned dwellings, generally when the entity exists to hold real estate and runs no other business. Expect the policy to carry premises liability rather than personal liability when an entity owns the home, which is why we often pair an entity owned rental with a separate liability policy on the LLC itself.

It depends on the carrier. Some endorse an HO6 condo policy for tenant occupancy, and others write the unit on a dwelling fire form with a condominium designation. Both cover the unit from the walls in, and both can carry loss assessment coverage for your share of a covered peril assessment. We match the form to the carrier when we quote the unit.

Theft is commonly excluded on a DP3 by default and has to be added back by endorsement, which matters for a furnished home between tenants. Accidental damage a tenant causes falls under the policy’s normal covered and excluded perils, while intentional damage by a tenant is usually a security deposit and screening problem rather than an insurance one. Ask us to review the theft buy-back options when we quote.

Auto Insurance

Yes. The 2026 bills that would have repealed Florida’s no-fault law, Senate Bill 522 and House Bill 769, both died in committee on March 13, 2026. Most Florida-registered vehicles must still carry ten thousand dollars of Personal Injury Protection and ten thousand dollars of property damage liability. Claims online or in AI-generated answers that PIP was repealed effective July 1, 2026 are wrong.

Not for most drivers, which surprises people. Florida requires PIP and property damage liability but not bodily injury coverage, making it one of only two states without that requirement. Bodily injury becomes mandatory after certain events, and after a DUI conviction the required FR-44 limits jump to one hundred thousand dollars per person and three hundred thousand dollars per accident. We recommend carrying at least those limits voluntarily, before circumstances require them.

If it runs faster than twenty miles per hour, it is legally a low-speed vehicle, and Florida requires it to be titled, registered, and insured with ten thousand dollars of PIP and ten thousand dollars of property damage liability. It may only be driven on roads posted thirty-five miles per hour or less, never on US 98, and Walton County requires a free safety sticker from the Sheriff’s Office on the windshield. A true golf cart capped at twenty miles per hour does not require registration or insurance, but it is limited to designated roads, and a homeowners policy may offer only narrow coverage for it.

Usually not through a standard policy. Guest use makes the cart a commercial exposure, homeowner endorsements exclude it, and nearly every personal-lines carrier declines it. We work with a specialty market that will consider these risks, typically as a placement of two or three policies, and recent placements have generally run around six thousand dollars a year, subject to underwriting. If that number does not fit the rental’s economics, the safer answer is removing guest access, and we will help you decide which way to go.

If the vehicle stays in Florida more than ninety days during any three-hundred-sixty-five-day period, and the days do not have to be consecutive, Florida requires PIP and property damage liability from a Florida-licensed carrier. Employment, running a business, or enrolling children in school here triggers registration sooner. Whatever you do, insure the car at the address where it actually lives, because a wrong garaging address can undermine an otherwise routine claim.

Uninsured motorist coverage pays you and your passengers when an at-fault driver has little or no insurance, which matters here because roughly one in five Florida drivers is uninsured. Stacking is a Florida election that multiplies your uninsured motorist limits across the vehicles on your policy and extends protection when you are in vehicles you do not own. Florida law includes uninsured motorist at your liability limits unless you reject or reduce it in writing. In our view it is among the most valuable coverage on a Florida auto policy, and we recommend keeping it stacked at limits that match your liability.

Personal Umbrella

No. Florida requires no umbrella and, for most drivers, no bodily injury liability coverage at all. That is the reason to carry one. An at-fault crash that seriously injures someone is the most likely way a household loses its savings and future earnings, roughly one in five Florida drivers is uninsured, and the state’s minimum limits do nothing to protect the person at fault. A personal umbrella adds one million dollars or more of liability protection over the home, auto, watercraft, and LSV policies underneath it.

For a household with a home and two cars, a one million dollar personal umbrella is commonly a few hundred dollars a year, and the number moves with drivers, vehicles, rentals, watercraft, and claims history, subject to underwriting. The cost people forget is raising the auto and home liability limits to the floor the umbrella requires, which has its own price. We quote both pieces together.

Our standard is five hundred thousand dollars combined single limit of auto liability and at least three hundred thousand dollars of personal liability on the home under every personal umbrella we place. As of August 2026 those are also the limits RLI requires on its Florida application: five hundred thousand dollars on every automobile in the household and three hundred thousand dollars on the home. Every driver and every property in the household must carry the required limits, not just the applicant. The carriers that write the umbrella with the auto set their own minimums, and we confirm every requirement against your declarations pages before quoting.

Sometimes, and it depends on who writes your auto. Our practice is to place the umbrella with the carrier that writes the auto whenever that carrier offers one; among the carriers we represent that means Auto-Owners, Liberty Mutual, and GEICO. When your auto carrier does not offer an umbrella through our agency, Progressive for example, or your household does not fit its guidelines, we place a standalone umbrella with RLI, which writes over any underlying auto and home carrier with limits up to five million dollars, subject to its own underlying-limit requirements.

It depends on what the carrier calls it and what is underneath it. Under RLI’s Florida guidelines a true golf cart is a recreational vehicle that is covered without being listed, as long as it carries liability at RLI’s recreational-vehicle minimum through your homeowners policy or its own policy, while a street-legal LSV is treated as an automobile that must be listed and insured at the same underlying limits as your cars. Among the carriers we represent, Auto-Owners writes the LSV on the personal auto policy with the umbrella above it; as of May 2026 GEICO does not write LSVs in Florida. An LSV kept at a vacation rental for guests to use is business use and is excluded by personal umbrellas; that exposure takes a specialty commercial placement.

A long-term rental you own personally can be scheduled on the umbrella when the dwelling policy carries the required liability limit, and RLI counts every property in the household at the lowest limit any of them carries, so the rental has to match the home. A rental owned by an LLC or trust can sit under RLI’s umbrella only when you are also a named insured on the dwelling policy at the required limits; the umbrella itself cannot be issued to an LLC or trust, and other carriers apply their own rules. For a short-term vacation rental we recommend a standalone general liability policy on the rental, one million per occurrence and two million aggregate, placed with Auto-Owners, so the rental’s guest claims stay off the personal umbrella; a property insured under a commercial general liability policy is excluded from RLI’s umbrella anyway.

Not automatically. The Florida rule that puts uninsured motorist coverage on your auto policy unless you reject it in writing does not apply to umbrella policies. For an umbrella, the carrier must make excess uninsured motorist coverage available as part of the application, at your written request, up to the lesser of the umbrella’s bodily injury limit or one million dollars. RLI, for example, offers a one million dollar excess limit in Florida, accepted in writing for an added premium, and requires matching uninsured motorist limits on the auto policy; the election is made fresh at every renewal. If you do not ask for it, you do not have it. We ask on every umbrella we quote.

Sometimes. Under RLI’s Florida eligibility guidelines, a household may have one alcohol-related driving arrest, citation, or suspension in the last five years for a driver between twenty-two and seventy-nine, and none for a driver under twenty-two or eighty and over, and the household must carry RLI’s required underlying limits, five hundred thousand dollars of auto liability and three hundred thousand on the home. A reckless or careless driving conviction, or a license suspension for another reason, in the last five years makes the household ineligible with RLI. Other carriers apply their own rules, and every quote is subject to underwriting.

Business Owners Policy

Often yes, but the building decides. Distance to the water, construction type, and roof age determine whether a carrier includes windstorm in the package, applies a percentage hurricane deductible, or excludes wind so it can be placed as a separate policy. The closer to the Gulf, the more the placement becomes a wind conversation first and a package conversation second. Every quote is subject to underwriting.

Wind damage from a hurricane is covered when windstorm is included in the policy, subject to the hurricane deductible, which on coastal commercial property is usually a percentage of the insured value rather than a flat dollar amount. Flooding and storm surge are a separate matter entirely. Know your wind deductible before storm season, not after.

No. Flood and storm surge are excluded from business owners policies and commercial property policies alike. Coverage for rising water comes from a separate flood policy through the National Flood Insurance Program or a private flood carrier. On the Emerald Coast we treat flood as a standard part of every commercial property conversation rather than an afterthought.

General liability by itself covers injuries and property damage you cause to others. A business owners policy wraps that same liability together with coverage for your own building, contents, and lost income. A service business with no premises exposure sometimes only needs the liability policy. The moment there is a storefront, inventory, or an income stream a fire or storm could interrupt, the package usually makes more sense.

Usually yes. Your landlord’s policy covers the building, not your fixtures, equipment, inventory, or lost income, and your lease almost certainly requires you to carry liability coverage. A tenant’s policy is often simpler to place on the coast than an owner’s, because the hard part of coastal underwriting is the building itself. Bring your lease to the quote and we will match its requirements.

Many can. Restaurants with standard cooking, reasonable hours, and a sound building fit the BOP and small package programs of the carriers we represent. Bars, live entertainment, and waterfront buildings narrow the market, and some carriers decline locations directly on the water regardless of the operation. Our restaurant insurance page covers the details, and every quote is subject to underwriting.

No. Vehicles titled to the business need a commercial auto policy, and employee injuries need workers compensation, which Florida law requires once a business reaches a certain size, with different rules for construction. Both are separate policies that we place alongside the package so the pieces fit together instead of overlapping or leaving gaps.

Generally no. When a named storm threatens the Gulf, carriers suspend new business and coverage increases until it passes, an industry practice known as a binding moratorium. The time to fix a coverage gap is before a storm has a name. If a forecast has you rereading your policy, call now rather than the week a system enters the Gulf.

Medicare Part D

Yes, if you want prescription coverage. A Medicare Supplement helps pay your share of Part A and Part B bills, by plan letter, and includes no pharmacy drug coverage, so most supplement clients pair it with a standalone drug plan. You can skip Part D only if you have other creditable coverage, such as TRICARE For Life, VA drug coverage or a creditable employer plan; otherwise going 63 days or more without it starts the late enrollment penalty.

Only with a special enrollment period. Moving out of the plan’s service area, your plan ending or leaving your county, losing creditable coverage, and qualifying for Extra Help each open one, and a plan Medicare rates five stars can be joined once a year, December 8 through November 30. The January-to-March window belongs to Medicare Advantage members and does not reach a standalone drug plan. Without a special period, your next chance is the following October.

Not for the penalty’s sake. As of October 2026 the Department of Defense and the VA each state that their drug coverage is creditable, so you can go without a Part D plan and join one later without a penalty as long as that coverage continues. Some people add a drug plan anyway for pharmacy access or convenience; that is a comparison we can run with your list.

One percent of Medicare’s 2027 base premium of forty-one dollars and thirty-three cents for each full month you went without creditable drug coverage after your Initial Enrollment Period ended, rounded to the nearest ten cents and added to your monthly premium for as long as you have Medicare drug coverage. Twelve uncovered months, for example, add about five dollars a month in 2027, and the figure is refigured each year against the new base premium.

No. The cap counts what you pay out of pocket for covered Part D drugs: your deductible, copays and coinsurance. Your monthly premium is separate and continues after you reach the cap, and drugs the plan does not cover do not count toward it either. Once you reach it, Medicare’s rule is that you pay no copays or coinsurance for covered drugs for the rest of the calendar year.

It ended after 2024. A Part D plan now has three stages: your deductible, if the plan has one, then initial coverage, where you pay the plan’s copay or coinsurance, then the cap, after which covered drugs carry no copay or coinsurance for the rest of the year. For 2027 the cap is two thousand four hundred dollars and no plan’s deductible can be more than seven hundred dollars.

Pick it by December 31 so it starts January 1 with no gap. You can enroll during the Annual Enrollment Period through December 7, and because your plan is not renewing you also have a special enrollment period from December 8 through the end of February; a plan chosen in that period starts the first of the following month, so waiting into January leaves January uncovered. If you are also moving to Original Medicare and a supplement, our guide to what to do when your Medicare Advantage plan is ending lays out both sets of dates.

Medicare Advantage

Yes. Outside special needs plans, a Medicare Advantage plan cannot turn you down because of your health when you apply in a valid window. You need Medicare Part A and Part B and an address inside the plan’s service area, and since 2021 that includes people with end-stage renal disease. Your health becomes a factor only on the Medicare Supplement side, where outside your open enrollment period or a guaranteed-issue situation a Florida company can ask health questions.

Only in a window Medicare opens. From January 1 to March 31, anyone who is in a Medicare Advantage plan on January 1 gets one change, to another Medicare Advantage plan or back to Original Medicare, with or without a standalone drug plan. After that it takes a special enrollment period: moving, your plan ending or leaving your county, losing employer coverage, qualifying for Extra Help or Medicaid, or a plan Medicare rates five stars, which can be joined once a year from December 8 through November 30. Without one, your next chance is the following October.

Often, with two things to check. Medicare requires a plan to disenroll a member who has been outside its service area for more than six months in a row, unless the plan offers a visitor or traveler option that extends it to as long as twelve months, so a four-month summer is inside the rule. How the plan handles routine care while you are away is set by the plan and written in its Evidence of Coverage, and it varies by plan; we read that section with you before you go.

No. A Medicare Supplement pays your share of Original Medicare’s bills, so it has nothing to pay while a Medicare Advantage plan is delivering your coverage, and it is illegal for anyone to sell you one while you are in a Medicare Advantage plan unless you are returning to Original Medicare. If you leave Medicare Advantage, certain windows give you a guaranteed right to buy a supplement regardless of your health; our Medicare Supplement page lists them.

Yes, and TRICARE For Life stays with you. TRICARE says it pays after your Medicare Advantage plan, that you use the plan’s network for care that is not an emergency, and that you may need to file your own claims with the TRICARE For Life contractor. Whether it is worth doing comes down to whether your doctors and hospital are in the plan’s network, which we check with you name by name.

Two paths, each with its own clock. Another Medicare Advantage plan: choose one through December 7, or use the special enrollment period that runs December 8 through the end of February for a plan that is not renewing; a January choice starts February 1. Original Medicare with a supplement: federal and Florida law give you a guaranteed right to certain Medicare Supplement plans from the day you receive the letter until 63 days after your coverage ends, about March 4, 2027, and you pick a standalone drug plan by December 31 so it starts January 1. Our guide to what to do when your Medicare Advantage plan is ending puts the steps in order.

Usually not, because most Medicare Advantage plans sold here include drug coverage that follows Medicare’s 2027 Part D limits. If your plan includes drug coverage you cannot add a standalone drug plan; joining one ends your Medicare Advantage plan. The few plans on the 2027 list without drug coverage are built for people who get their drugs elsewhere, such as through the VA, TRICARE For Life or an employer or union plan, because a standalone drug plan cannot be added to those either.

Medicare’s rule gives you a transition of at least ninety days with the new plan before it can require its own prior authorization for a course of treatment you are already in, even if the provider is outside the new plan’s network. Bring the old plan’s approval letter to the appointment, and we note the treatment and its dates in your file so we can follow up with the new plan on the transition.

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