Health coverage is offered by Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. HMO coverage is offered by Health Options, Inc. DBA Florida Blue HMO. Dental, Life and Disability are offered by Florida Combined Life Insurance Company, Inc., DBA Florida Combined Life. These companies are Independent Licensees of the Blue Cross and Blue Shield Association.

© 2024 Blue Cross and Blue Shield of Florida, Inc. DBA Florida Blue. All rights reserved.

We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability or sex.

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ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-800-352-2583 (TTY: 1-877-955-8773).
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-800-352-2583 (TTY: 1-800-955-8770).
 

1. Limitations and Exclusions

Policies have limitations and exclusions. The amount of benefits provided depends upon the plan selected and the premium may vary with the amount of benefits selected. Networks may change throughout the year.

2. Better You Strides Rewards Program

The Better You Strides Rewards program is available to Florida Blue members age 18 years or older covered under an ACA or Fully insured group plan. If you have Florida Blue coverage through your job, ask your benefits administrator if you qualify. Each covered member age 18 years or older is eligible for a one-time reward for joining the program. Rewards earned are subject to the annual program maximum. Reward terms and conditions apply.

Florida Blue has entered into an arrangement with Onlife to provide Florida Blue members with care decision support services, information, and other services. Please remember that all decisions that require or pertain to independent professional medical/clinical judgment or training, or the need for medical services, are solely your responsibility and the responsibility of your physicians and other health care providers. The programs mentioned above are subject to change.

3. Lyft

One (1) Lyft ride available to members 18 years or older up to $50 roundtrip, subject to terms and conditions.  Lyft is an independent third party that provides transportation services.

4. Blue365® 

Blue365® offers access to savings on items that Florida Blue members may purchase directly from independent vendors.  Blue365 does not include items covered under your policies with Florida Blue or any applicable federal health care program. Blue Cross and Blue Shield Association (BCBSA) and Florida Blue may receive payments from Blue365 vendors. Neither BCBSA nor Florida Blue recommends, endorses, warrants or guarantees any specific Blue365 vendor or item. For more information about Blue365, go to floridablue.com/blue-365-disclaimer.

5. Value Choice Provider

Value Choice Provider (VCP) is a designation Florida Blue and Florida Blue HMO gives to some in-network providers, including Sanitas Medical Center and GuideWell Emergency Doctors. $0 VCP primary care visits do not apply to Health Savings Account (HSA) plans, Simple Choice plans, or myBlue plans 2286 and 2286O. $0 for first two (2) VCP urgent care visits and reduced cost VCP specialist visits do not apply to HSA plans and Simple Choice plans; VCP services will be covered at the cost share amount that would apply to non-VCPs.

6. Teladoc

Teladoc is an independent company contracted by Florida Blue to provide physician visits via phone or online video to members with non-emergent medical issues. Teladoc is only available in the U.S. Teladoc® is a trademark of Teladoc, Inc.

7. Behavioral Health

Florida Blue contracts with Lucet to provide behavioral health services. 

8. meQuilibrium

meQuilibrium is an independent company contracted by Florida Blue to provide health services.

9. Rewards

Rewards programs restrictions and limitations may apply. For complete details log in to your floridblue.com member account.

10. Tivity Health

Terms, Conditions and Limitations Apply. Tivity Health Services, LLC, is an independent vendor that provides solutions to improve health and well-being. Fitness Your Way and Tivity Health are registered trademarks of Tivity Health, Inc.

11. Healthy Addition Prenatal Program

All decisions that require or pertain to independent professional medical or clinical judgment or training, or the need for medical services, are solely your responsibility and that of your treating Physician and/or health care Providers. You and your Physicians are responsible for deciding what medical care should be rendered or received, and when that care should be provided.

12. Amazon Pharmacy

Amazon Pharmacy does not dispense Schedule 2 controlled substance or specialty drugs. MedsYourWay prescription drug discount card, administered by Inside Rx LLC, is not insurance. You are responsible for the cost of prescription(s) when using the card. Limitations apply. The discount pricing card is automatically available to all members with no additional sign up needed. The card is electronic only, a physical card will not be mailed. Average savings are based on usage and Inside Rx data as compared to cash prices; average savings are up to 80% for all generics and 37% for select brand medicines. Restrictions apply. Check your plan policy/plan's benefit booklet/contract for more information on what applies to the out-of-pocket maximum. If your medicine has an unfulfilled requirement, the cost may not count toward your (accumulator) out-of-pocket maximum. Typical requirements include prior authorization (PA) needed, quantity limit exceeded, or step therapy needed. Amazon Pharmacy is an independent company contracted to provide Pharmacy Home Delivery services for both Florida Blue and Florida Blue HMO, an affiliate of Florida Blue. These companies are Independent Licensees of the Blue Cross Blue Shield Association.

13. Annual Wellness Checkups

Many Florida Blue plans cover annual wellness checkups, including covered vaccinations, lab work, and screenings, for a $0 copay. During your checkup, if you need medical tests or treatments, prescriptions, or a referral, you may have a cost share. When scheduling your checkup with a new doctor for the first time, ask if you need a new patient visit before your checkup. If so, you may have a cost share for the new patient visit.

14. Walgreens

Walgreens^©️ and myWalgreens™️ are trademarks of Walgreen Co. Walgreens is an independent contracted pharmacy provider, and not otherwise affiliated with Florida Blue.

15. SilverSneakers

SilverSneakers^(R) is a registered trademark of Tivity Health, Inc. ©️2024 Tivity Health, Inc. All rights reserved.

16. Prime Therapeutics

Florida Blue contracts with Prime Therapeutics, LLC to provide pharmacy benefit management and mail order pharmacy services.

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1. Limitations and Exclusions

Policies have limitations and exclusions. The amount of benefits provided depends upon the plan selected and the premium may vary with the amount of benefits selected. Networks may change throughout the year.

2. Better You Strides Rewards Program

The Better You Strides Rewards program is available to Florida Blue members age 18 years or older covered under an ACA or Fully insured group plan. If you have Florida Blue coverage through your job, ask your benefits administrator if you qualify. Each covered member age 18 years or older is eligible for a one-time reward for joining the program. Rewards earned are subject to the annual program maximum. Reward terms and conditions apply.

Florida Blue has entered into an arrangement with Onlife to provide Florida Blue members with care decision support services, information, and other services. Please remember that all decisions that require or pertain to independent professional medical/clinical judgment or training, or the need for medical services, are solely your responsibility and the responsibility of your physicians and other health care providers. The programs mentioned above are subject to change.

3. Lyft

One (1) Lyft ride available to members 18 years or older up to $50 roundtrip, subject to terms and conditions.  Lyft is an independent third party that provides transportation services.

4. Blue365® 

Blue365® offers access to savings on items that Florida Blue members may purchase directly from independent vendors.  Blue365 does not include items covered under your policies with Florida Blue or any applicable federal health care program. Blue Cross and Blue Shield Association (BCBSA) and Florida Blue may receive payments from Blue365 vendors. Neither BCBSA nor Florida Blue recommends, endorses, warrants or guarantees any specific Blue365 vendor or item. For more information about Blue365, go to floridablue.com/blue-365-disclaimer.

5. Value Choice Provider

Value Choice Provider (VCP) is a designation Florida Blue and Florida Blue HMO gives to some in-network providers, including Sanitas Medical Center and GuideWell Emergency Doctors. $0 VCP primary care visits do not apply to Health Savings Account (HSA) plans, Simple Choice plans, or myBlue plans 2286 and 2286O. $0 for first two (2) VCP urgent care visits and reduced cost VCP specialist visits do not apply to HSA plans and Simple Choice plans; VCP services will be covered at the cost share amount that would apply to non-VCPs.

6. Teladoc

Teladoc is an independent company contracted by Florida Blue to provide physician visits via phone or online video to members with non-emergent medical issues. Teladoc is only available in the U.S. Teladoc® is a trademark of Teladoc, Inc.

7. Behavioral Health

Florida Blue contracts with Lucet to provide behavioral health services. 

8. meQuilibrium

meQuilibrium is an independent company contracted by Florida Blue to provide health services.

9. Rewards

Rewards programs restrictions and limitations may apply. For complete details log in to your floridblue.com member account.

10. Tivity Health

Terms, Conditions and Limitations Apply. Tivity Health Services, LLC, is an independent vendor that provides solutions to improve health and well-being. Fitness Your Way and Tivity Health are registered trademarks of Tivity Health, Inc.

11. Healthy Addition Prenatal Program

All decisions that require or pertain to independent professional medical or clinical judgment or training, or the need for medical services, are solely your responsibility and that of your treating Physician and/or health care Providers. You and your Physicians are responsible for deciding what medical care should be rendered or received, and when that care should be provided.

12. Amazon Pharmacy

Amazon Pharmacy does not dispense Schedule 2 controlled substance or specialty drugs. MedsYourWay prescription drug discount card, administered by Inside Rx LLC, is not insurance. You are responsible for the cost of prescription(s) when using the card. Limitations apply. The discount pricing card is automatically available to all members with no additional sign up needed. The card is electronic only, a physical card will not be mailed. Average savings are based on usage and Inside Rx data as compared to cash prices; average savings are up to 80% for all generics and 37% for select brand medicines. Restrictions apply. Check your plan policy/plan's benefit booklet/contract for more information on what applies to the out-of-pocket maximum. If your medicine has an unfulfilled requirement, the cost may not count toward your (accumulator) out-of-pocket maximum. Typical requirements include prior authorization (PA) needed, quantity limit exceeded, or step therapy needed. Amazon Pharmacy is an independent company contracted to provide Pharmacy Home Delivery services for both Florida Blue and Florida Blue HMO, an affiliate of Florida Blue. These companies are Independent Licensees of the Blue Cross Blue Shield Association.

13. Annual Wellness Checkups

Many Florida Blue plans cover annual wellness checkups, including covered vaccinations, lab work, and screenings, for a $0 copay. During your checkup, if you need medical tests or treatments, prescriptions, or a referral, you may have a cost share. When scheduling your checkup with a new doctor for the first time, ask if you need a new patient visit before your checkup. If so, you may have a cost share for the new patient visit.

14. Walgreens

Walgreens^©️ and myWalgreens™️ are trademarks of Walgreen Co. Walgreens is an independent contracted pharmacy provider, and not otherwise affiliated with Florida Blue.

15. SilverSneakers

SilverSneakers^(R) is a registered trademark of Tivity Health, Inc. ©️2024 Tivity Health, Inc. All rights reserved.

16. Prime Therapeutics

Florida Blue contracts with Prime Therapeutics, LLC to provide pharmacy benefit management and mail order pharmacy services.

FHCP Medicare is an HMO Plan with a Medicare contract. Enrollment in FHCP Medicare depends on contract renewal.

For assistance, prospective FHCP Medicare members please call 1-844-672-7324 (TTY: 1-800-955-8770). Hours: 8:00 a.m. to 8:00 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8:00 a.m. to 8:00 p.m. local time, Monday through Friday, except for major holidays.

Current FHCP Medicare members please call 1-833-866-6559 (TTY: 1-800-955-8770). Hours: 8:00 a.m. to 8:00 p.m. local time, seven days a week, from October 1 through March 31, except for Thanksgiving and Christmas. From April 1 through September 30, our hours are 8:00 a.m. to 8:00 p.m. local time, Monday through Friday, except for major holidays.

This information is not a complete description of benefits. Call 1-844-672-7324 for more information. TTY users should call 1-800-955-8770.

FHCP Medicare’s pharmacy network includes limited lower-cost, preferred pharmacies in Brevard, Flagler, Seminole, St. Johns and Volusia counties, Florida. The lower costs advertised in our plan materials for these pharmacies may not be available at the pharmacy you use. For up-to-date information about our network pharmacies, including whether there are any lower-costs preferred pharmacies in your area, please call 1-833-866-6559 (TTY users call 1-800-955-8770) or consult the online pharmacy directory at fhcpmedicare.com.

Medicare beneficiaries may also enroll in FHCP Medicare plans through the CMS Medicare Online Enrollment Center located at medicare.gov.

Every year, Medicare evaluates plans based on a 5-star rating system. Star ratings are calculated each year and may change from one year to the next.

We comply with applicable Federal civil rights laws and do not discriminate on the basis of race, color, national origin, age, disability, or sex. Visit fhcpmedicare.com/ndnotice_eng for information on our free language assistance services.

ATENCIÓN: Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-833-866-6559 (TTY: 1-877-955-8773). 
ATANSYON: Si w pale Kreyòl Ayisyen, gen sèvis èd pou lang ki disponib gratis pou ou. Rele 1-833-866-6559 (TTY: 1-800-955-8770)

FHCP Medicare 
P.O. Box 45296
Jacksonville, FL 32232-5296

HMO Coverage is offered by Florida Blue Medicare, Inc., DBA FHCP Medicare, an Independent Licensee of the Blue Cross and Blue Shield Association. 

Florida Blue is a trade name of Blue Cross and Blue Shield of Florida, Inc., an Independent Licensee of the Blue Cross and Blue Shield Association.

BlueMedicare Supplement Plans C and F and BlueMedicare Supplement Select Plan C may not be offered to any newly eligible Medicare beneficiary. Newly eligible Medicare beneficiary means anyone who attains age 65 on or after January 1, 2020, or who first becomes eligible for Medicare benefits due to age, disability or end-stage renal disease on or after January 1, 2020.

Florida Blue Medicare Supplement Insurance policies are not connected with or endorsed by the U.S. Government or the Federal Medicare Program. 

The amount of benefits provided depends upon the plan selected and the premium may vary with the amount of benefits selected. While medical cost increases and inflation could increase our premiums, your premium will always remain the lowest we offer, according to your age at enrollment. Medical Underwriting will apply to all BlueMedicare Supplement and BlueMedicare Supplement Select products unless the applicant is eligible for guaranteed issue. Networks are comprised of independent contracting healthcare providers.

Policy Numbers: Policy Numbers: BlueMedicare Supplement Plan A – [30147-0717 SU] | BlueMedicare Supplement Select Plan B – [30166-0717 SU] | BlueMedicare Supplement Plan C – [30149-0717 SU] | BlueMedicare Supplement Plan D – [30150- 0717 SU] | BlueMedicare Supplement Plan F – [30151-0717 SU] | BlueMedicare Supplement Plan G – [30152-0717 SU] | BlueMedicare Supplement Plan K – [30154-0717 SU] | BlueMedicare Supplement - Plan L – [30155-0717 SU] | BlueMedicare Supplement Plan M – [30156-0717 SU] | BlueMedicare Supplement Plan N – [30157-0717 SU] | BlueMedicare Supplement Select Plan B – [30166-0717 SU] | BlueMedicare Supplement Select Plan C – [30167-0717 SU] | | BlueMedicare Supplement Select Plan D – [30168-0717 SU] | BlueMedicare Supplement Select Plan M – [30159-0717 SU]

If this policy is replacing current health insurance coverage that has been in effect for at least three months, there is no waiting period required for pre-existing conditions. However, if this policy does not replace current health insurance coverage, a condition treated three months before the effective date may not be covered until three months after the effective date of this policy. Additionally, coverage for this condition may not begin for patients in a hospital or skilled nursing facility the day before the effective date until they have been released, or six months passed the effective date of the policy. For special circumstances or questions, please call 1-855-601-9465 or TTY 1-800-955-8770.

BlueMedicare Supplement and BlueMedicare Supplement Select Plans are guaranteed renewable. 

Florida Blue will only terminate your coverage for nonpayment of premiums or material misrepresentation.

Exclusions for BlueMedicare Supplement and BlueMedicare Supplement Select Plans
Services or supplies not covered or approved by Medicare, and not considered eligible as a Medicare- Eligible Expense; Services or supplies in excess of what Medicare determines or would have determined is a covered Service and a Medicare-Eligible Expense; Services or supplies which would duplicate what Medicare has paid or would have paid had a claim for Services been submitted to Medicare; Services for which there is no charge or for which you have no legal liability to pay; Mental or nervous disorders, alcoholism and drug addiction in excess of what Medicare allows.; Illness, treatment or medical conditions arising out of: War or act of war (whether declared or undeclared); participation in a felony, riot or insurrection, engaging in an illegal occupation, service in the armed forces or auxiliary units thereto; suicide or attempted suicide, whether sane or insane, or intentionally self-inflicted injury; coverage for air related accidents which occur outside of the United States; being intoxicated or under the influence of any narcotic unless taken on the advice of a Physician; Cosmetic surgery, except that “cosmetic surgery” does not exclude benefits for reconstructive surgery when such Service is incidental to or follows surgery resulting from trauma, infection or other diseases of the involved part, or to restore normal bodily function; Hearing aids and eyeglasses and examinations for prescription fitting; Rest cures, custodial care, transportation and routine physical examinations.

These Plans do not contain limitations or exclusions on coverage that are more restrictive than those of Medicare.

The following exclusions apply ONLY to the plans indicated and not to other BlueMedicare Supplement or BlueMedicare Supplement Select plans:
•    Applies only to Plan A: Medicare Part A Inpatient deductible; Medicare Part B deductible; Care received outside of the United States.
•    Applies only to Plan A, Plan B and Select Plan B: Care received at a skilled nursing facility.
•    Applies only to Plan B, Select Plan B, Plan K and Plan L: Medicare Part B deductible; Care received outside of the United States.
•    Applies only to Plan C and Plan F: Care received outside of the United States that is not a Medically Necessary Medical Emergency/Accident Service.
•    Applies only to Plan D, Select Plan D, Plan G, Plan M Select Plan M, and Plan N: Medicare Part B deductible; Care received outside of the United States that is not a Medically Necessary Medical Emergency/Accident Service.

Applies only to BlueMedicare Select Plans:
•    Network Hospital - You are responsible for only 50% of the Medicare Part A deductible for each Medicare Benefit Period.
•    Non-Network Hospital, you are responsible for 100% of the inpatient Medicare Part A deductible EXCEPT as indicated in the Network Hospital Restrictions.

SilverSneakers® is a separate fitness program and not part of Florida Blue’s Medicare Supplement Insurance Policy. To enroll in SilverSneakers®, you must be enrolled in a Medicare Supplement Insurance Policy through Florida Blue. Your SilverSneakers® fitness membership will automatically cancel when you are no longer enrolled in a Florida Blue Medicare Supplement Insurance policy. You may cancel your SilverSneakers® membership at any time. Tivity Health, SilverSneakers® and SilverSneakers® FLEX are registered trademarks or trademarks of Tivity Health, Inc. and/or its subsidiaries and/or affiliates in the USA and/or other countries. ©2024 Tivity Health, Inc. All rights reserved.