What is the difference between Florida Blue and my blue?

Asked by: Axel Bahringer  |  Last update: February 11, 2022
Score: 4.2/5 (26 votes)

myBlue is a new type of HMO plan that includes a narrow network of primary care physicians. ... Many of the Florida Blue HMO (Health Options, Inc.) in-network hospitals, specialists and ancillary providers are included in the myBlue network.

Is My Blue same as Florida Blue?

What is myBlue HMO? ... The provider network that supports myBlue HMO is a sub-network of our existing Florida Blue HMO (Health Options, Inc.) primary care physician network along with other providers in the Florida Blue HMO network.

What type of insurance is Florida Blue?

Florida Blue, a GuideWell Company, has been providing health insurance to residents of Florida for 75 years. Driven by its mission of helping people and communities achieve better health, the company serves more than five million health care members across the state.

Is Florida Blue HMO good?

Florida Blue, a leading health solutions company, earned the top ranking among health insurers across the country in a new survey released by consumer insurance company website Insure.com.

What is the difference between Florida Blue HMO and PPO?

Choosing between an HMO or a PPO health plan doesn't have to be complicated. The main differences between the two are the size of the health care provider network, the flexibility of coverage or payment assistance for doctors in-network vs out-of-network, and the monthly payment.

Understanding Your PPO & HMO Benefits

33 related questions found

Which pays better HMO or PPO?

In general, HMO premiums are lower than other plans (like PPOs) that give you more flexibility. Additionally, you may pay less for deductibles, copays, and prescriptions with HMOs. PPO premiums are higher than HMOs. You also typically pay more for out-of-pocket costs like deductibles and copays.

Do doctors prefer HMO or PPO?

PPOs Usually Win on Choice and Flexibility

If flexibility and choice are important to you, a PPO plan could be the better choice. Unlike most HMO health plans, you won't likely need to select a primary care physician, and you won't usually need a referral from that physician to see a specialist.

Is Florida Blue Obamacare?

Florida Blue is using the term 'Non-ACA' to include all older health plans without the essential benefits required under the Affordable Care Act—so both “grandfathered” plans and “transitional” plans are Non-ACA plans. Affordable Care Act plans vary in benefits and premiums.

Can I use Florida Blue out of state?

Access to coverage - nearly everywhere

As a Blue Shield member, you have access to coverage through the BlueCard® Program, no matter where you live or travel.

Who owns Florida Blue?

Patrick J.

GuideWell is a mutual insurance holding company and is a family of forward-thinking companies focused on transforming health care. The holding company includes Florida Blue, GuideWell Connect, Onlife Health, GuideWell Health, GuideWell Source, PopHealthCare and WebTPA.

What is the difference between a PPO and HMO?

What Is the Difference Between an HMO and a PPO? ... With an HMO plan, you must stay within your network of providers to receive coverage. Under a PPO plan, patients still have a network of providers, but they aren't restricted to seeing just those physicians. You have the freedom to visit any healthcare provider you wish.

Does Florida Blue have a Medicaid plan?

Need assistance applying for Medicaid and other public assistance programs like Extra Help? Florida Blue Medicare is a local community partner agency providing individuals access to public assistance services through the ACCESS Florida system by the Florida Department of Children and Families (DCF).

Does Florida Blue PPO cover cataract surgery?

Cataract surgery is considered a medically necessary procedure and is covered by Blue Cross Blue Shield Association plans. However, Blue Cross Blue Shield plans only cover cataract surgery using the monofocal intraocular lens.

What is CareCentrix Florida Blue?

CareCentrix is the leading benefit management company focused on home healthcare services. The company offers a full range of services including coordination of home nursing, home infusion and home medical equipment.

Is Florida Blue Medicare or Medicaid?

Florida Blue has proudly served Medicare beneficiaries since 1965. We offer a variety of affordable Medicare plans with more benefits than Original Medicare. Choose the 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.

Is BCBS private insurance?

It is private insurance.

Can I use Florida Blue in California?

When traveling out-of-state, you're covered under the BlueCard® Program. You'll receive in-network benefits and will be protected from balance billing when receiving covered services from a BlueCard® participating provider.

Is Florida Blue based on income?

Amount of subsidy and savings is based on subsidy eligibility, annual income, age, county and the plan selected.

Who is eligible for Florida Blue?

You are age 65 or older and a U.S. citizen or a permanent U.S. resident who has lived in the U.S. continuously for five years prior to applying. You are younger than 65 with a qualifying disability.

Is Florida Blue select a PPO?

Members who are covered under Florida Blue's BlueSelect plans will always carry a Florida Blue ID card. Please note: When reviewing member eligibility on the Wellmark site, you'll see SD Blue Select listed as the PPO network.

What does PPO not cover?

PPOs cannot charge more than Original Medicare charges for certain kinds of care, including chemotherapy, dialysis, and skilled nursing facility (SNF) care. However, PPOs can charge higher copays for other services, including home health, durable medical equipment (DME), and inpatient hospital care.

Can I have both HMO and PPO?

Yes, you can have two health insurance plans. Having two health insurance plans is perfectly legal, and many people have multiple health insurance policies under certain circumstances.

Why would a person choose a PPO over an HMO?

Advantages of PPO plans

A PPO plan can be a better choice compared with an HMO if you need flexibility in which health care providers you see. More flexibility to use providers both in-network and out-of-network. You can usually visit specialists without a referral, including out-of-network specialists.