How to Keep Your Medicare Coverage When You Live in Two States

If you split your time between two homes — for example, winters in Florida and summers in New York — you’re not alone. Many Medicare beneficiaries enjoy the flexibility of living in two states, but that can raise big questions about how your coverage works.
Here’s what to know so your access to care follows you wherever you go:

Original Medicare Travels Well

If you have Original Medicare (Parts A & B), you can generally see any provider nationwide that accepts Medicare. Your red, white, and blue card works the same in both states. Simple as that.
But you’ll still want to consider prescription coverage.

Medicare Advantage May Be More Limited

Medicare Advantage plans (Part C) are offered by private insurers — and most operate within regional networks. If your plan has:
  • HMO: Care typically must be within the plan’s service area.
  • PPO: You may have nationwide access, but out-of-network costs could be higher.
If you’re spending significant time in both locations, explore:
  • Plans with national networks
  • Plans that allow guest membership for extended out-of-area stays

Prescription Coverage Matters Too

Whether it’s a standalone Part D plan or coverage included in Medicare Advantage, always confirm:
  • Drug formularies are accepted in both areas
  • Local pharmacies are in network

Consider Your “Home Base”

Medicare requires an address on file that reflects your primary residence — where you spend most of your year and where you’re taxed.
If you officially change your state residency, you’ll likely need to update your plan options as well.
Thinking about a two-state lifestyle? You don’t have to figure it out alone. The Popel Insurance Group can review your current plan and help keep your coverage seamless.