Florida blue options ppo providers. HMO coverage is offered by Health Options, Inc.

Florida blue options ppo providers. Find doctors and healthcare providers near you with Florida Blue's easy-to-use search tool. Jun 18, 2025 · Is Florida Blue Blue options HMO or PPO? Florida Blue's Health maintenance organization plans, or HMO plans, offer a wide range of health care services through a specific, local network of our participating health care providers, hospitals and facilities, typically for a lower deductible than a PPO plan. Certain specialty drugs may also be ordered and administered in a doctor’s office (see provider-administered list). For more information or to register, visit availity. Enter your location information and connect with a doctor near you. You’ll save time, and pay less when you go to health care providers who are part of the network,6 and understand how your plan works. In addition, you'll find directories for mental health clinicians and facilities. BlueDental plans provide the coverage you need to have a healthy smile for years to come. Dental plans offered by their affiliate, Florida Combined Life Insurance Company. What Is The Difference Between Florida Blue HMO and PPO? Committed to serving Floridians and upholding the principles of the Blue Cross and Blue Shield Association, Florida Blue prioritizes making healthcare accessible and comprehensive. DBA Florida Blue HMO. If you don't have your ID card, you can access it online by logging into your Florida Blue account, selecting your dental plan, and on the next page clicking under "ID Cards. You’ll save time and usually pay less when you go to health care providers who are part of the network,6 and understand how your plan works. Their networks tend to be larger, so you have more doctors and hospitals to choose from. 1 Florida Blue has proudly served Medicare beneficiaries since 1965. Your guide to choosing a health insurance plan Even though there are so many options available and a limited window for enrollment, choosing a health insurance plan doesn’t have to be hard. Preferred provider organization plans, or PPO plans, offer you more options for health care providers. Learn more here. Also find medical facilities such as hospitals, urgent care centers and imaging centers as well as pharmacies and other types of providers. . offers only the BlueOptions high-deductible health plans specifically designed to be used in conjunction with a Health Savings Account (HSA). Tier 1 benefits offer the best value, with lower deductibles and out-of-pocket costs. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Florida Blue offers affordable health insurance plans to individuals, families, and businesses. We do not exclude people or treat them di Florida Blue, Florida Blue HMO, Florida Blue Preferred HMO, Florida Combined Life and FEP: You can check your benefits by logging in to your Florida Blue online member account or calling the number on your member ID card. Search Sep 11, 2025 · Shopping for Medicare insurance plans in Florida? Explore your Medicare coverage options and find the Florida Blue Medicare plan that works best for you. ** All international hospitals will be considered under the Option 2 hospital benefit level for BlueOptions plans. Find a Center Use these tools to find a network doctor, dentist, or health care facility such as a hospital or urgent care clinic. BlueDental Choice PPO plan that is rich in benefits and offers broad access to dentists 7,000 dentists in Florida to choose from Access to a national network of 80,000 dentists Out-of-network coverage No referrals or authorizations are necessary to see a specialist Affordable coinsurance on basic and major services I understand that in order for Florida Blue/Florida Blue HMO to review my Grievance or Appeal, Florida Blue/Florida Blue HMO may need medical or other records for information relevant to my Grievance or Appeal. Looking for care and treatment options starts with understanding what's a medical emergency and what falls under routine health care. (BCBSF) Medicare Advantage plan sponsored by employers. Oct 1, 2024 · Florida Blue offers affordable health insurance plans to individuals, families, and businesses. More flexibility to use providers both in-network and out-of-network. Among these options, Preferred Provider Organization (PPO) plans stand out for their flexibility and are gaining popularity with both patients and healthcare providers alike. Lowering your cost and making sure you're in good hands. Search our Provider Directory to see if your doctors, hospitals or other facilities are in-network and accept our plans. Search for healthcare providers and facilities in the Florida Blue network to find the right care for your needs. Bronze 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 Need Help? Call 1-888-902-5707 or TTY 1-800-955-8770 Save money on hearing aids Hearing loss is common, especially as we age. Choose a plan that's right for you with coverage options like access to a trusted network of doctors, hospitals and pharmacies, cost-saving programs and more. com. is a subsidiary of Blue Cross and Blue Shield of Florida. Earn rewards with Florida Blue The Better You Strides Rewards program builds a custom-made plan to help you get healthier while earning rewards toward your premium. Health insurance is offered by Blue Cross and Blue Shield of Florida, Inc. Access information about your benefits and coverage The information below provides access to SBCs for Individual and Families Under 65 plans. And, being “in-network” means there are no claims to file and protection from balance billing. With UnitedHealthcare Options PPO health plans, you can use any doctor, clinic, hospital or health care facility in the national network. Did you know that your teeth are a vital part of your overall health? The health of your mouth can afect your quality of life and even certain medical conditions. Florida Blue's affiliate Florida Combined Life offers a wide range of DPO and DHMO group dental insurance plans for companies of all sizes, from small businesses to large employers. Su salud es nuestra prioridad Everyday Health 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 If you have a Florida Blue plan with dental benefits, your plan name will be shown in the top right of your ID card – see the second example below. The SBC shows you how you and the plan would share the cost for covered health care services. May 28, 2025 · Advertiser disclosure Best Health Insurance Plans in Florida 2025 Sibling companies Florida Blue and Florida Blue HMO lead the pack in Florida. com Search our Provider Directory to see if your doctors, hospitals or other facilities are in-network and accept our plans. Within the United States Always carry your current BlueCross card for easy reference and access to service. Here’s a breakdown of some key features and benefits: Network Coverage: In-network coverage refers to healthcare services received from providers within the Florida Blue network. BLUE (2583). In an emergency, go Page 2 of 2 63371-0908R SR * Health Options, Inc. Jan 28, 2025 · Florida Blue Medicare Advantage (Part C) plans cover the benefits of Original Medicare and much more. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc. 2. Su salud es nuestra prioridad Attention: This website is operated by Florida Blue and is not the Health Insurance Marketplace® website at HealthCare. Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc. Mar 28, 2024 · Unsure about Florida Blue vs Florida Blue HMO? This guide breaks down the key differences to help you pick the right Medicare Advantage plan for you in Florida. Save time and money when you see a primary care doctor at any Value Choice Provider location. Providers, self-service tools and solutions are available to you online. To ensure value from your plan benefits it is important that your Physician obtains prior authorization for your medical services. Find all your forms for prescriptions, claims, and more, all right here. Is Florida Blue Accepted Everywhere? Mar 28, 2024 · Understanding Florida Blue Medical Coverage Policy Florida Blue, as a prominent health insurance provider in the state, is dedicated to offering a comprehensive array of coverage options tailored to meet the unique needs of individuals and families. Also, with an HMO plan, unless it's an emergency, you only have coverage for care and supplies from providers in your plan's We're committed to providing you the best quality healthcare plans for both individuals and families. What's the difference between HMO and PPO plans? Florida Blue's HMO plans, myBlue, BlueCare and SimplyBlue, feature a primary care doctor who coordinates your health care, sometimes including referrals to specialists. Mar 28, 2024 · Is Florida Blue Accepted Everywhere? Florida Blue, a leading health insurance provider in Florida, offers a range of plans to meet diverse healthcare needs. Return a device within 45 days, if it doesn’t work out for Determining BlueMedicare Group PPO Member Cost-Share Amounts BlueMedicareSM Group PPO is a Blue Cross and Blue Shield of Florida, Inc. If you have coverage through your employer, contact your employer's benefit administrator for a copy of your SBC. ’s BlueCare (HMO), BlueMedicare HMO (Medicare Advantage HMO), BlueOptions (PPO), BlueMedicare PPO (Medicare Advantage PPO Minimum Essential Coverage generally includes plans, health insurance available through the Marketplace or other individual market policies, Medicare, Medicaid, CHIP, TRICARE, and certain other coverage. Get help from Blue Cross and Blue Shield to find a doctor or specialist. Find out which Florida Blue provider network & insurance plans best suits your needs & budget. The Takeaway: Why Choose Florida Blue Benefits Florida Blue understands the importance of health security. They offer a comprehensive suite of health insurance plans, coupled with valuable features like virtual care, wellness programs, and access to a network of quality providers. You may also contact the state insurance department at 1-877-693-5236. For more information about your coverage, or to get a copy of the complete terms of coverage BlueOptions has the most providers of all the Florida Blue health plan networks. The Summary of Benefits and Coverage (SBC) document will help you choose a health plan. Diverse plan options to meet individual and family needs. While you’re able to see out-of-network providers with a PPO plan, you may pay higher out-of-pocket costs than you would with in-network providers. The Premium plan offers three network tier options. Search for doctors, dentists and other specialists that participate in Florida Blue networks. If you are not a Florida Blue member, go to Shop Our Plans to explore our plans and Feb 20, 2025 · Getting into the Florida Blue Provider Network is key for better healthcare and saving money. Members can find in-network doctors and hospitals online or through the BCBS app. See how companies stack up. Florida Blue members, take full advantage of your insurance plan. Providers, find information on self-administered and provider-administered specialty pharmacy medications here. These providers One of Florida Blue’s PPO plan options, BlueOptions plans provide the widest choice in care with our largest network of doctors, hospitals, and pharmacies. , DBA Florida Combined Life. New members, register to access your Florida Blue account. As a Blue Cross and Blue Shield of Florida member, you have two options for hearing aid discounts: Beltone and TruHearing. Examples: Florida Blue HMO, Florida Blue PPO, Florida Blue Select, and Florida Blue Medicare Advantage plans. Or, you can call us at 1-866. Florida Blue polices and procedures for physicians and other providers. The emphasis is on providing accessible and quality healthcare services across Florida. Patient-Centered Medical Home is an integrated health care delivery model that provides coordinated medical care, wellness and preventive services to patients with a goal of improving health care outcomes. or hospital, but you’ll get the most value when you select from Florida Blue’s extensive network of quality providers — located in the communities where you live and work. , DBA Florida Blue, an Independent Licensee of the Blue Cross and Blue Shield Association. All Copay 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 Medication guides list all the drugs your plan covers, plus any special rules you’ll need to follow with certain medications. Value Choice Provider is a designation Florida Blue gives to some in-network providers. Log in to see doctors and pharmacies in your plan's network, along with features like online appointment scheduling, virtual care and provider ratings and photos, when applicable and based on your plan. Please call the provider prior to scheduling an appointment to verify that the provider continues to be part of the network. Florida Blue is an independent licensee of the Blue Cross and Blue Shield Association. Get deep discounts on hearing aid devices. Blue Cross and Blue Shield of Florida, Inc. Section 1557 Notification: Discrimination is Against the Law ate on the basis of race, color, national origin, age, disability, or sex. Mar 28, 2024 · From extensive coverage networks and diverse provider options to innovative technological integrations and cost-saving measures, Florida Network Blue stands as a beacon of quality healthcare in the evolving landscape of medical services. For more information on the tax advantages and implications of HSAs as used with a high-deductible health plan, contact your legal or tax advisor. Five9 LiveChat ClientContact us for personal assistance! Each plan is different, and we can help you find the one that’s best for you and your family. Using in-network providers helps ensure lower out-of-pocket costs and full plan benefits. Jul 9, 2025 · This guide helps Florida Blue members and non-members search for in-network doctors, medical specialists, mental health providers, hospitals, and labs. Para que rinda más el dinero destinado a los cuidados de la salud. Find a doctor near me. You don’t have to have a Florida Blue health plan to enroll in a BlueDental plan. With Florida Blue, you’ll find a myBlue HMO plan that fits your needs. plan member, you take your health care benefits with you — across the country and around the world — through the BlueCard program. All Copay 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 Mar 28, 2024 · Florida Blue, a prominent name in the Florida healthcare landscape, offers a diverse range of insurance options, including HMO plans. That’s why so many Floridians turn to Florida Blue for their dental and health coverage. This website does not display all Qualified Health Plans (QHPs) available through HealthCare. Offer a range of options with varying levels of coverage and costs to fit different budgets and healthcare needs. NOTE: Information about the cost of this plan (called the premium) will be provided separately. Mar 28, 2024 · Florida Blue, a leading health insurance provider in Florida, offers a diverse range of plans to cater to individual healthcare needs. You may mail or fax it to the address/fax number provided above. Providers, find information on Florida Blue’s payment policies here. With Florida Blue Options PPO, you have access to an expansive network of top-tier healthcare providers across the country. BlueCard — Wherever you go, your health care coverage goes with you When you're a Blue Cross and Blue Shield of Florida, Inc. Feb 9, 2025 · BCBS Florida PPO plans offer a wide range of coverage options, including medical, dental, and vision care. Get in touch with us today! Search our Provider Directory to see if your doctors, hospitals or other facilities are in-network and accept our plans. We offer a variety of affordable Medicare plans with more benefits than Original Medicare. Register with or log into Availity here. Enjoy affordable premiums, $0 virtual visits, and thousands of doctors across Florida. Staying in the network — a group of health care providers and facilities that have a contract with UnitedHealthcare — saves you money. Jan 13, 2023 · A PPO plan can be a better choice compared with an HMO if you need flexibility in which health care providers you see. Find doctors, specialists, medical facilities, pharmacies and other providers participating in Florida Blue networks. This is only a summary. You can choose from various network options, including a large network of healthcare providers. Health insurance PPO and HMO plans offered by Florida Blue and Florida Blue HMO. All Copay 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, 2024 · Search our Provider Directory to see if your doctors, hospitals or other facilities are in-network and accept our plans. Existing members, log into our secure member website to get ID cards, find a doctor, and more. Florida Blue plans administered by Florida Combined Life: BlueOptions Health and Dental BlueOptions BlueSelect BlueCare HMO Miami Dade Blue BlueMedicare myBlue SimplyBlue Blue Options Hospital Surgical Plus Blue Select Hospital Surgical Plus FPCP Pediatric Essential Dental Plan 1-866-445-5148 Florida Blue offers affordable health insurance plans to individuals, families, and businesses. (BCBSF) and Health Options, Inc. However, understanding your network coverage is crucial for maximizing the benefits of your plan and navigating your healthcare journey effectively. Demystifying Coverage Options: A Look at Key Features and Benefits Florida Blue Health Insurance plans come with a range of coverage options to address your specific healthcare requirements. Access to a wide choice of quality doctors 24/7, enjoy affordable premiums, and get special perks like rewards and gym discounts. Two plan options available to you depending on your situation: Option 1: Extensive Network of Providers. Learn more about Florida Blue’s options for getting care here. For most Florida Blue plans these drugs are covered under a medical visit, rather than through your pharmacy, prescription drug benefits. Our PPO plans include rich in- and out-of-network coverage with many plan features and the convenience of accessing your dental and medical plan information in one place. Discover comprehensive health coverage with Blue Cross Blue Shield Of Florida. The Preferred Provider Network in Florida, made up of independent hospitals, physicians and ancillary providers who are considered participating providers for your health plan BlueOptions has the most providers of all the Florida Blue health plan networks. Explore affordable health insurance plans for individuals, families, and businesses with Florida Blue's medical, dental, and Medicare coverage options. As a part of the Florida Blue family, your online account is your 24-hour connection to ID cards, checking benefits, updating account preferences, health and wellness resources, exclusive discounts, and more! To keep your personal and sensitive health information safe, we've added an extra layer of security to your account. Trusted plans tailored to your needs for peace of mind. Get resources to help promote your mental health, resilience and well-being. Whether you’re at home or traveling, you can rest assured that you'll find trusted physicians and facilities ready to meet your healthcare needs. Explore our medical, dental, and Medicare health care plans. Value Choice Providers include Sanitas Medical Center and Diagnostic Clinic Medical Group. Employer groups select BlueMedicare Group PPO plans for Medicare-eligible retirees and their Medicare-eligible dependants. We’ve put together this handy guide to help you feel empowered to choose the best plan for you and your family without feeling rushed or overwhelmed. BlueMedicare (HMO/PPO/RPPO) Member Grievance and Appeal Form Mail to: Florida Blue/Florida Blue HMO PO Box 41609 Jacksonville FL 32203-1609 Attn: Medicare Advantage Member Grievances & Appeals Fax: 305-437-7490 Please read and sign the statement below. Tier 1 benefits are services you receive from the GatorCare Network, which includes hospitals, physicians and providers in Gainesville, Jacksonville and Central Florida. Blue Cross and Blue Shield Licensees have made reasonable efforts to validate that the information displayed is up to date and accurate. Choose from one of our PPO options: Search for doctors and pharmacies in your plan's network, access virtual care, schedule appointments online, and view provider ratings and photos. Additionally, a consumer assistance program can help you file your appeal. To see all available QHP options, go to the Health Insurance Marketplace® website at HealthCare. Find your health information network here. Florida Blue Near Me - Find Relief Now! Florida Blue offers affordable health insurance plans to individuals, families, and businesses. Depending on the type of health plan you have, you’ll need to see providers in your network to have lower out-of-pocket costs unless it’s an emergency. Access to quality healthcare, including virtual care and To help you understand what health insurance costs and how that can fit into your budget, we explore various health insurance costs and what affects them. For non-federal governmental group health plans and church plans that are group health plans contact your employee services department. Hearing aids can make a real difference. gov. 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. Sep 11, 2025 · Explore the wide variety of Florida Blue Medicare products including Medicare Advantage, Part D Prescription Drug, and Medicare Supplement Insurance plans. HMO coverage is offered by Health Options, Inc. Group Plans for Businesses: Tailored to businesses seeking to provide Florida Blue Insurance coverage for their employees. Health care providers and administrators, get access to verify eligibility and benefits, submit claims, and more. Oct 1, 2024 · More value, savings and choices. Struggling to find Florida Blue near you? Discover convenient locations and ease your search for quality healthcare. 1 Availity, LLC is a multi-payer joint venture company. Oct 1, 2024 · Florida Blue Medicare released details of its Medicare offerings for the 2025 Annual Enrollment Period (AEP), which runs from October 15 to December 7. " Mar 28, 2024 · Flexible Plan Options: Florida Blue offers HMO, PPO, and SNP plans, allowing you to choose the level of choice and network flexibility that best suits your needs. Enjoy health coverage when you’re traveling worldwide or access in-network health coverage nationwide for facilities that specialize in complex medical conditions. Minimum Essential Coverage generally includes plans, health insurance available through the Marketplace or other individual market policies, Medicare, Medicaid, CHIP, TRICARE, and certain other coverage. These providers offer you quality care for many conditions. Find doctors and healthcare providers near you with Florida Blue's search tool. Aug 23, 2024 · Find forms and documents for the BlueMedicare Value (PPO) plan from Florida Blue Medicare Providers, find helpful resources and links here. How can Blue help you? For more information about pairing an HSA with your BlueOptions HSA-compatible health plan, contact your sales agent or a Blue Cross and Blue Shield of Florida representative. Discover BlueOptions, a Florida Blue PPO plan. 642. Mar 28, 2024 · Preferred Provider Organizations (PPOs): PPO plans offer more flexibility, allowing you to see any in-network provider, including specialists, without needing a referral. May 18, 2020 · Network: BlueSelect BlueSelect PPO/EPO health benefit plans, from Florida Blue, offer comprehensive health care with the personal support members need to make informed medical decisions. Contact an agent to discover benefits. Find a Doctor Find doctors, hospitals, facilities, and other providers in Florida Blue's networks. bcbsfl. Our plans include PPO, DSNP, and HMO. Standard Authorization and Certification Requirements The following provides information on standard services that routinely require admission certification, authorization, or notification for Blue Cross and Blue Shield of Florida, Inc. Supplemental, Life, and Disability products are offered by USAble Life. May 18, 2020 · BlueOptions PPO health benefit plans, from Florida Blue, offer comprehensive health care with the personal support members need to make informed medical decisions. With both programs, you can: Get a hearing screening. Quick reference guide of Florida Blue contacts. 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