Help Paying Medicare Advantage Copays in ZIP Code 32226 — Jacksonville, FL
ZIP code 32226 covers North Jacksonville and the Heckscher Drive corridor including the Yellow Bluff and Fort George Island areas near the Nassau County line. It is a primarily residential and rural area with a meaningful share of Medicare-eligible residents.
This page is an educational resource for Medicare beneficiaries in ZIP code 32226. No recommendations are being made. Coverage varies by plan.
For a comprehensive overview, visit: Help Paying Medicare Advantage Copays — Main Resource.
Independent Medicare Broker — ZIP 32226, Jacksonville, FL
William Gray — The Medicare Dude
Serving ZIP code 32226 and all of Duval County. Independent, educational Medicare guidance since 1998.
- FL License #W690237 · Agency License #L134055
- Independent — represents multiple carriers, not captive to any single plan
- No obligation. No pressure. Educational consultations only.
Medicare Advantage in ZIP Code 32226
Duval County is served by a robust healthcare network including Baptist Health, UF Health Jacksonville, Ascension St. Vincent's, HCA Florida Memorial Hospital, and Mayo Clinic Florida. Provider network participation varies by Medicare Advantage plan — verify that your preferred hospitals and physicians are in-network before enrolling.
Medicare Advantage plan availability is determined at the county level. All Duval County residents have access to the same set of plans regardless of which Jacksonville ZIP code they live in.
An independent Medicare broker can compare the plans available in ZIP code 32226 and help you understand how each plan's cost-sharing structure aligns with your healthcare needs and preferred providers.
Educational Information About Cash-Benefit Insurance
Hospital Indemnity Insurance
Pays a fixed cash benefit upon a covered hospital admission. Benefits vary by policy. Eligibility, exclusions, limitations, and waiting periods may apply.
Hospital Indemnity Insurance — Full OverviewCancer Insurance
Pays a fixed cash benefit upon a covered cancer diagnosis or during covered cancer treatment. Benefits vary by policy.
Cancer Insurance — Full OverviewCritical Illness Insurance
Pays a lump-sum cash benefit upon diagnosis of a covered critical illness. Benefits vary by policy.
Critical Illness Insurance — Full OverviewRelated Pages — Duval County
- Duval County Hub — Help Paying Medicare Advantage Copays
- Jacksonville City Page
- ZIP 32202 — Downtown Jacksonville
- ZIP 32204 — Riverside / Avondale
- ZIP 32205 — Westside Jacksonville
- ZIP 32206 — North Jacksonville
- ZIP 32207 — San Marco / Southside
- ZIP 32208 — North Jacksonville
- Main Pillar Page
Frequently Asked Questions — ZIP 32226 Medicare Advantage
What is the out-of-pocket maximum for Medicare Advantage plans in 2026?
For 2026, CMS set the maximum allowable in-network out-of-pocket maximum (MOOP) at $9,350. Individual plans may set their MOOP lower. Once you reach your plan's MOOP, the plan covers 100% of covered in-network services for the rest of the calendar year. Coverage varies by plan.
How do I verify my doctor is in-network for a Medicare Advantage plan?
Use the plan's online provider directory or call the plan's member services line. An independent Medicare broker can also help you verify network participation for the plans available in your ZIP code before you enroll.
When can I change my Medicare Advantage plan?
The Annual Enrollment Period (AEP) runs October 15 – December 7 each year. Changes take effect January 1. The Medicare Advantage Open Enrollment Period runs January 1 – March 31 and allows one plan change. Outside these periods, changes are generally only permitted with a qualifying Special Enrollment Period.
What free Medicare counseling is available in Duval County?
The Florida SHINE program (Serving Health Insurance Needs of Elders) provides free, unbiased Medicare counseling. Call 1-800-963-5337 to reach a SHINE counselor who can help you compare plans, understand your benefits, and navigate enrollment periods at no cost.
Independent Medicare Broker — ZIP 32226, Jacksonville, FL
William Gray — The Medicare Dude
Serving ZIP code 32226 and all of Duval County. Independent, educational Medicare guidance since 1998.
- FL License #W690237 · Agency License #L134055
- Independent — represents multiple carriers, not captive to any single plan
- No obligation. No pressure. Educational consultations only.
This page is for educational purposes only. No recommendations are being made. Coverage varies by Medicare Advantage plan. Plan availability varies by ZIP code. Hospital indemnity insurance, cancer insurance, and critical illness insurance are separate supplemental insurance products. They are not Medicare Supplement insurance and do not replace Medicare. Benefits vary by policy. Eligibility, exclusions, limitations, and waiting periods may apply. The Medicare Dude is a licensed independent Medicare insurance agency. FL License #W690237. Agency License #L134055.