Florida Blue Copay



Basic Option
Preventive Care Nothing for covered preventive screenings, immunizations and services
Physician Care

$30 for primary care1
$40 for specialists1

Virtual doctor visits by Teladoc®

$0 for first 2 visits
$15 all additional visits

Urgent Care Center $35 copay
Prescription Drugs Preferred Retail Pharmacy:
Tier 1 (Generics): $10 copay
Tier 2 (Preferred brand): $55 copay2
Tier 3 (Non-preferred brand): 60% of our allowance ($75 minimum)2
Tier 4 (Preferred specialty): $65 copay2
Tier 5 (Non-preferred specialty): $90 copay2
Mail Service Pharmacy:
Available to members with Medicare Part B primary only. Visit the Medicare page for more information.
Tier 1 (Generics): $20
Tier 2 (Preferred brand): $100 copay
Tier 3 (Non-preferred brand): $125 copay
Specialty Pharmacy:
Tier 4 (Preferred specialty): $85 copay2
Tier 5 (Non-preferred specialty): $110 copay2
Maternity Care $175 inpatient
$0 outpatient
Hospital Care

Inpatient (Precertification is required): $175 per day; up to $875 per admission

Outpatient: $100 per day per facility1

Surgery

$150 in an office setting1

$200 in a non-office setting1

ER (accidental injury)

$175 per day per facility

ER (medical emergency)

$175 per day per facility

Lab work (such as blood tests) $0 copay1
Diagnostic services
(such as sleep studies, CT scans)

Up to $100 in an office1

Up to $150 in a hospital1

Chiropractic Care $30 per treatment; up to 20 visits per year
Dental Care $30 copay per evaluation; up to 2 per year
Rewards Program

Earn $50 for completing the Blue Health Assessment3

Earn up to $120 for completing three eligible Online Health Coach goals3

With this option, there is a $35 copay for the initial office visit, then $150 inpatient hospital copay per day up to $750 maximum. Deductible: Copay Enabled: Saturday, July 21, 2012 Rider. Please call Florida Blue at the help number listed on this website and read them the message on your screen, including the Application ID. If you are a Florida Blue member, you can also obtain your current SBC anytime by logging into the Florida Blue Member Portal. Use the Search box below to search for an SBC by Group Number or Plan Number. 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. For TTY/TDD call 1-800-955-8771. $60 Copay for remaining Visits/ Urgent Care $60 Copay per Visit Value Choice Provider: Not Covered/ Urgent Care Visits: Deductible + $60 Copay per Visit If you have a hospital Facility fee (e.g., hospital room) $600 Copay per Day / Deductible + 50% Inpatient Rehab Services limited to 30 days. Florida Blue and Florida Combined Life Insurance Company, Inc. Do not discriminate on the basis of race, color, national origin, disability, age, sex, gender identity, sexual orientation, or health status in the administration of their plans, including enrollment and benefit determinations. It took seven steps to find a reference to copay accumulators for Florida Blue, the largest private insurer in Florida. The copay accumulator language was finally discovered on page 47 in a section called “Pharmacy Limitations and Exclusions” within a 144-page “Schedule of Benefits” document that is part of the plan contract.

Are you having a difficult time finding Florida health insurance that provides you with great coverage, flexibility, and a reasonable premium? If so, perhaps you have not considered Florida Blue Options plans yet. Florida Blue used to call themselves Blue Cross and Blue Shield of Florida, This means that they are affiliated with the national network of Blue Cross companies, and members of Blue Options can take advantage of this huge network to save money on covered services statewide and countrywide.We are Secure Health Options, a leading health insurance agency in the state of Florida. We are here to help you compare Florida Blue health insurance quotes for individuals and families. Contact us with your questions or for help signing up for a new health insurance plan.

Understanding Florida Blue Insurance Options

Florida Blue Teladoc Copay

Florida Blue CopayFlorida blue prescription copayBlueBlue Cross Blue Shield of Florida offers these policies on the health insurance marketplace, and that means that they have to conform to the guidelines of the Affordable Care Act. They cannot decline any applicants because of pre-existing health conditions and must provide essential health benefits like coverage for maternity, vaccines, hospital stays, emergency room visits, and laboratory tests. Children get dental and vision benefits. Additionally, many middle-income earners can qualify for tax credits that help pay part of the premium.Keep some things in mind about these health insurance marketplace options:
  • The company offers Blue Options in all of the levels, and this includes Bronze, Silver, Gold, and Platinum.
  • Consumers can choose deductibles between $0 and $7,000.
  • With a variety of Blue Options everyday health plans, Blue Options all copay plans, and Blue Options essential plans, most people can find excellent coverage that works with their budget.

Florida Blue Options PPO Health Insurance Plans

The main advantage of these plans is that they offer members a lot of freedom. This flexibility provides a great benefit for people who live inside of the state, have kids going to college in another state, or who spend time traveling outside of Florida. Like any PPO, this one uses a network of health providers in order to keep costs down and make it easier to access medical services.Learn why the Florida Blue Options PPO is so great:

Florida Blue Copay Ppo

  • Blue Options PPO health insurance plans use a statewide network, so you can find providers anywhere in Florida.
  • You also get access to the BlueCard network, and this lets you get in-network benefits all over the United States.
  • Better yet, your services can still be covered if you decide to step outside the network, but they will be covered at a lower level.
  • Emergency services are covered at the network rate anywhere in the country too.

Blue Options HSA Health Insurance Plans

Copays for blue cross coverageThe Florida Blue Options HSA plans offer most of the same advantages as the PPO, but they work a little differently. You choose a high deductible major medical policy and also set up a health savings account, or HSA.Consider some features and benefits of an HSA:
  • You can deduct money that you save in your account from your taxes, and this gives you a way to use pre-tax earnings to pay bills and earn an extra tax deduction.
  • You are also allowed to pay some for some things with your account that major medical does not cover. Examples are dental and vision services for adults.
  • Any unused money rolls over to the next year, and you can withdraw any leftover funds without a penalty when you hit retirement age.

Which Florida Blue Insurance Plan is Best?

Florida Blue CopayThe best option for you and your children will come with reasonable premiums and the coverage you need to access good health services and control your expenses. Keep in mind that you might qualify for a subsidy, so your actual premium could be lower than the one displayed on our quote system.If you have to deal with a chronic or severe medical issue, a low deductible plan should help you plan your medical expenses. If you and your family seldom need to visit a doctor, a high deductible option could work out cheaper. If you can commit to saving money in your HSA regularly and would like another tax deduction, an HSA might be the best choice.

Florida Blue Copay For Mri

We Can Help You Find Affordable Florida Blue Insurance

Florida Blue Copay Plan

An easy way to start shopping for Florida Blue Options health insurance is to make use of our free online price quote request. Simply enter your ZIP code to begin using the system. If you have questions, want personal advice, or need help signing up for health insurance, contact us as soon as possible. Our professional and experienced agents are eager to take your calls because they are committed to helping Floridians find the best possible medical plan for the right price.