Distance. Florida Blue offers affordable health insurance plans to individuals, families, and businesses. Oct 1, 2023 · Learn how to choose a provider in-network or out-of-network for your Florida Blue Medicare plan. Find a provider that accepts a plan by selecting from the dropdown list below. Speak today with an agent to learn more. Shop plans. ## mi. The Summary of Benefits and Coveragethe(SBC) document will help youGlossarychoose a health plan. Please choose a different in-network Medicare Advantage (Part C) View and download important forms and documents about your BlueMedicare plan from Florida Blue. Choice Provider is a designation Florida Blue HMO gives to some in-network providers, including Sanitas. Oct 1, 2023 · While Open Enrollment has ended, you may still qualify for a health plan. If you are already enrolled in a plan If you’re looking for an in-network pharmacy, start by selecting the Facility or Hospital button below. Apr 27, 2021 · Just call our Florida Blue Medicare member services team at 1-800-926-6565. Select BlueOptions as your plan and select “Continue”. You will pay less if you use a provider in the plan’s network. m. Let us know how we can help. This plan uses a provider network. 2 Some features are provided by Sanitas. Why should I select a plan? Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Medicare Plans BlueSelect 2139Coverage Period: 01/01/2022 - 12/31/2022 Bronze. Find an Agent. 1-800-727-2227. 00 : 50. To locate doctors, hospitals and other participating providers within the state of Florida, use Doctors in Florida. Value Choice Providers is a designation Florida Blue gives to some in-network providers. They can help you find the plan that best fit your needs and budget. Florida Blue will mail you a letter confirming that your medical service have been approved or denied. Last Updated: 10. FBC GMEM 002 NF 072022. When scheduling appointment verify that they participate in providers. To start over, click Search Again. 1452P. Take note of this—you’ll need to provide this to your Human Resources department. 1442 (HSA) 1442P Plus (HSA) BlueSelect Everyday Health Plans: 1443. to 8 p. We are here to help! To start over, click Search Again. Most plans even have a $0 monthly plan premium. Register with or log into Availity here. network providers. Summary of Benefits and Coverage: What this Plan Covers & What You Pay For Covered Services Coverage for: Individual and/or Family |Plan Type: PPO/EPO. Oct 1, 2023 · Florida Blue is a PPO, RPPO and Rx (PDP) plan with a Medicare contract. Many of the differences between these plans can be found in their Find a Doctor & More. Peer to Peer Phone: 800-955-5692. However, those who are thinking about selecting Blue Select should make sure that their area is in the network. Phone: 800-955-5692 (Use Availity®1 to enter your authorizations, referrals, and inquiries) Transplant Requests Phone: 844-701-2583. Check your Online Provider Directory for providers in your area. Disclaimers. As part of Florida Blue health coverage, we provide services to help save money by avoiding unnecessary costs. Ahead of some services, we ask physicians to consult with our medical and pharmacy teams to discuss and agree on the course of treatment. Find out about virtual care options, provider network benefits, and how to contact Teladoc or Member Services. Keep the letter for future reference. We're here to help you with caring for our members. Provider or Facility Name. Most people know the importance of seeing their family doctor each year, but many neglect going to the dentist or eye doctor — and it can be risky. Box 211778 Kansas City, MO 64121-1778 Dec 4, 2015 · BlueCare offers no coverage for out-of-network services outside of Florida, except in an emergency. Use the Search box below to search for an SBC by Group Number or Plan Number. Medical supplies and equipment: Certain medically necessary supplies, such as oxygen equipment, wheelchairs or glucose monitors must be coordinated by CareCentrix (1-877-561-9910), Florida Blue’s contracted providers. Select a Provider Type: X-Ray; Select Specialty: All; Click Search Now at the bottom of the page to see participating facilities and centers. Oral Health for Overall Health If you have a qualifying medical condition, the Oral Health for Overall Health program So, it’s important to understand your plan’s 1 prescription drug coverage - from covered drugs and coverage requirements to cost shares 2 and pharmacy choices. Then, click the Pharmacy button on the next page and select Retail in the dropdown menu to see your results. We are committed to developing relationships with physicians and health care providers that help improve the coordination and quality of care for all of our members. The BlueSelect Network is our Preferred Provider/Exclusive Provider Network made Choose your provider from the list below and click Save & Continue. Explore our medical, dental, and Medicare health care plans. Prescription Fax: 904-905-9849. ) To find a Value Choice Provider near you, visit our online of Florida or around the world, by calling BlueCard Access at 1-800-810-BLUE (2583) or look online at www. The amount of benefits provided depends on the plan selected and the premium may vary with the amount of benefits selected. When you find the PCP you want, click on the Doctor’s Name. . It lists all the drugs your plan covers, plus any special rules you’ll need to follow with certain medications. Watch on. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc. 1 of 7. You may add up to 3 providers to your provider list. Florida Health Insurance Plan Types that Meet Your Needs. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc. Choose a Plan: (optional) Search for doctors, dentists and other specialists that participate in Florida Blue networks. You will pay the most if you use an out-of-network provider, and you might receive a bill from a provider for the difference between the provider’s charge and what your plan pays (balance billing). Schedule an in-person or virtual appointment with an agent. You’ll Receive a Notice. Need Help? Call 888-902-5707 or TTY 800-955-8770. The next page will show the PCP’s information. No providers found. O. FBM PPV 002 F 092020. An authorization review can take between 2 to 3 business days to complete. Select PPO/EPO as the network and enter your zip code or city and state in the location field and select "Go". Please choose a different in-network Along with preventative care, virtual visits cost significantly less than urgent care and emergency visits. The plans you’ll find in this network are FBC IMEM 002 NF 072022. And best of all, if you choose a Value Choice Provider as your primary care doctor, you could have unlimited appointments for as low as $0 copay per visit. Many of our Medicare Advantage plans can give you vision, dental, and hearing coverage, and low or no copays to see doctors and specialists. Sep 18, 2023 · Florida Blue is a PPO, RPPO and Rx (PDP) plan with a Medicare contract. Need Help? Call 1-888-902-5707 or TTY 1-800-955-8770 If you are a Florida Blue member, you can also obtain your current SBC anytime by logging into the Florida Blue Member Portal. 2021 BlueSelect Silver 1456B Snapshot | Florida Blue Prior Authorization information for medical and pharmacy services. They’ll submit this to Florida Blue. to 8:00 p. BlueSelect Essential Plans: 1452. FBC VIR 001 NF 012024. Part C PPO plans. INSURANCE. Provider Programs. Part C HMO DSNP: Medicare & Medicaid benefits. Florida Blue Medicare is an HMO plan with a Medicare contract. Routine dental and vision exams are vital to total health and can be early detectors for serious diseases. We know how confusing it can be to choose the right health insurance plan. Total Care+ providers also met a goal of delivering quality care at a lower total Oct 1, 2023 · Find an Agent. Questions? Our customer service associates can help! Just call 1-888-223-4892, Monday through Friday, 8 a. Florida Blue and Florida Blue Medicare are Independent Licensees of the Blue Cross and Blue Shield Association. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate providers. 3. com. Enjoy peace of mind with simple and affordable health insurance plans created to help keep you healthy. If the request has not been approved, the letter will tell you the steps to appeal the decision. Search for Hospitals/Facilities. Quality Programs: Medicare Stars. Scroll down to view a list of In-Network Vision Providers. Sanitas is an independent medical center, service people insured by Florida Blue (or other Blue Cross and Blue Shield plans), original Medicare or self-paying for medical treatment. General/VPCR/VPSS Fax: 877-219-9448. 800-352-2583. If you are unable to locate your SBC, or wish to have an SBC sent to you free of charge, call 1-800-352-2583. If you’re already a member, during Open Enrollment you can use the Premium and Plan Compare tool once you’re logged in to your account. FB HIE 005 NF 122021. Enter a Provider or Business Name, if necessary. While Open Enrollment has ended, you may still qualify for a health plan. Hi! We're ready to help you find or get care, but our online provider directory has moved. Because each plan has a specific network of participating providers, you’ll get the best results if you are signed in as a member. We are open from 8 a. , DBA Florida Combined Life Enter your search criteria: Search within: Search. Availity is our trusted information exchange partner enabling the movement of business and clinical information in real-time. Search for Specialists/Doctors. Transplant Fax: 904-357-6331. 2016 Plans. 2023. If you choose a network providers. Please choose a different in-network If you are a Florida Blue member, you can also obtain your current SBC anytime by logging into the Florida Blue Member Portal. Log into your secure Florida Blue account to view claims, access your ID card, pay your premium, manage your health benefits, find a nearby provider, and more. Log into your online account or use the Florida Blue app on your smartphone to get plan-specific benefits and costs, which makes it easier to compare options with your doctor or providers. Out-of-network coverage in or outside of Florida for many services. Our exclusive, appointed Florida Blue agents are happy to help you choose the best insurance plan for your unique needs. , DBA Florida Blue HMO, an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. SBCID: 2332806. Preservice Medical Review. BlueSelect PPO/EPO is Florida Blue’s smallest network with over 16,000 doctors, 100 hospitals and most major pharmacy chains. A dedicated Florida Blue agent can help you find the right plan for you. Medicare Advantage, Florida Blue Medicare Select Location Required: Choose the number of miles you wish to search within and then enter a zip code, city and state, or street address. We're ready to help you find or get care, but our online provider directory has moved. Policies have limitations and exclusions. Four Common Types of Health Insurance. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. Enter ZIP Code and Search Radius, or State, County, and City. If you don’t choose a PCP when you enroll, one providers. Call Member Services at 1-800-926-6565 (TTY 1-800-955-8770 ) Hours: 8:00 a. At the top right, you’ll see the 10-digit NPI number. Find a Doctor & More If you’re looking for an in-network pharmacy, start by selecting the Facility or Hospital button below. Five9 LiveChat Client. local time, seven days a week from October 1 through March 31, except for Thanksgiving and Christmas. Click Search Now. Get ID cards, cost-comparison tools, exclusive member discounts, and find answers and updates about your health plan, all in one spot. Your plan comes with a medication guide. bcbs. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc. For most Florida Blue plans these drugs are covered under a medical visit, rather than through your pharmacy, prescription drug benefits. 1. Please click here to get started. Additional Information and Important Notices. Oct 1, 2023 · Find a Doctor | Florida Blue. , DBA Florida Blue. Blue Distinction Total Care (“Total Care”) providers have met national criteria based on provider commitment to deliver value-based care to a population of Blue members. Part C HMO plans. Wherever you go, your health care coverage goes with you and we’ll take care of all the paperwork. Enrollment in Florida Blue or Florida Blue Medicare depends on contract renewal. Dental exams can detect: 1. Specialist Visit Covered: $20. Your account has everything you need to get the most from your plan. FB PRV 001 NF 122021. providers. NOTE: As of November 30, all Winn-Dixie and Harveys pharmacies are permanently closed. Is My Doctor In-Network? Search for your current providers to see if they are in-network for the available plans in your area. Please choose a different in-network Guided Search for Providers within Florida. TTY users, please call 1-800-955-8770. , or visit floridabluedental. Availity - Your Health Information Network. Learn more about the providers. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Each plan has its own medication guide, so be sure the one you look at matches the plan you are shopping for or are already enrolled in. Whether you’re uninsured, about to lose your coverage, or just looking to switch your plan, you may be able to enroll in or change plans. If you’re looking for an in-network pharmacy, start by selecting the Facility or Hospital button below. If you’re looking for health insurance, especially in the Marketplace, you may find these four common plan types: HMOs, PPOs, EPOs, and POS plans. 01. Florida Blue has expanded the range of Marketplace insurance plans they offer in certain states and counties in 2023, giving their members more options to choose from that will suit their particular needs and budgets. If you need help understanding your options, enrolling, or managing your plan, a Florida Blue agent is here for you. Outside of Florida, use the National Doctor and Hospital Finder. Also find medical facilities such as hospitals, urgent care centers and imaging centers as well as pharmacies and other types of providers. The Affordable Care Act is often referred to as Obamacare since it was signed into law in March 2010 by President Barack Obama. That’s why our knowledgeable agents are here to help. There are so many different plan types to help ensure that different needs can be met. Call 1-800-839-8631. , DBA Florida Combined Life If you’re looking for an in-network pharmacy, start by selecting the Facility or Hospital button below. Verify eligibility and benefits, request authorizations and referrals, submit claims, check claim status and more – all online and at your fingertips. Florida Blue members can access a variety of forms including: medical claims, vision claims and reimbursement forms, prescription drug forms, coverage and premium payment and personal information. Create an account. Visitor Main Search | Florida Blue Jun 26, 2019 · Steps to Find an In-Network Vision Provider: Access the Florida Blue Vision Provider Search Tool. com under Doctor Finder. Provider information contained in this directory is refreshed nightly with the exception of Pharmacy (refreshed monthly). Find information, tools and resources to help you navigate through our Medicare Stars program. (This doesn't apply if you have a Health Savings Account plan, Simple Choice plan or myBlue plans 2126, 2146, 2266 or 2286. Register now. Search Again. 00% Coinsurance after deductible: Lower out of pocket costs for virtual visits and reduced cost available at Value Choice Providers. select BlueDental Choice from the Select Plan Name list. HMO coverage is offered by Health Options Inc. Find information on value-based health care and other payment and care programs offered through Florida Blue here. Expert Agents Across the State. For TTY/TDD call 1-800-955-8771. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, and more. Search within: of. Oct 1, 2023 · Need Help? Call 888-902-5707 or TTY 800-955-8770. Y0011_FBM1610_M. Reference Contact Guide. The Affordable Care Act (ACA) is the name of the health care reform law and its amendments, which address health insurance coverage, costs, and preventive care. Oct 1, 2023 · You have options when it comes to Medicare Advantage (Part C) plans. Under the ACA, those who were previously uninsured due to Why Select a Plan? We have a variety of plans with different networks for doctors, hospitals, pharmacies and other health care providers. Call us at 888-476-2227 to let us know how we can help. Go online to get a quote if you don’t have Florida Blue insurance. NOTE. Florida Combined Life Insurance Company P. Dental + Vision Health for Overall Health Campaign. Covered Drugs. vj zz zs nb nt pm rm zd co of