What type of insurance is Florida Blue?

Asked by: Ms. Berneice Gleason  |  Last update: February 11, 2022
Score: 4.5/5 (75 votes)

Florida Blue is a sub-division of Blue Cross, a well-known national health care provider. Florida Blue offers PPO plans, which provide you with the most freedom to choose your doctors and health care service providers.

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.

What kind of company is Florida Blue?

Florida Blue is a not-for-profit, policyholder-owned, tax-paying mutual company. Headquartered in Jacksonville, Fla., it is an independent licensee of the Blue Cross and Blue Shield Association, an association of independent Blue Cross and Blue Shield companies.

Is Florida Blue commercial insurance?

These efforts are expected to provide at least $50 million in health care cost relief to Florida Blue's commercial fully insured employer group customers. ... Florida Blue is implementing additional plan and policy changes to help its members stay healthy and its employer groups cope financially during COVID-19.

Is Florida Blue PPO Medicare?

Florida Blue Medicare PPO Plans

Our PPO plans give you the opportunity to save with low out-of-pocket costs when you use in-network providers. With these plans, you have the option to use healthcare providers out-of-network. You don't need a referral for specialist visits.

Understanding Your PPO & HMO Benefits

34 related questions found

Is Florida Blue HMO or PPO?

Florida Blue offers PPO plans, which provide you with the most freedom to choose your doctors and health care service providers.

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.

What is Florida Blue HMO?

Florida Blue HMO is a trade name of Health Options, Inc., an HMO affiliate of Blue Cross and Blue Shield of Florida, Inc. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. Since 1944, our members across the state have counted on us for affordable health care.

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.

What is the difference between Florida Blue Select and Florida Blue Options?

According to Florida Blue, BlueOptions offers the greatest flexibility with in- and out-of-network coverage for most health care services. ... BlueSelect PPO/EPO is Florida Blue's smallest network with over 16,000 doctors, 100 hospitals and most major pharmacy chains.

Is Florida Blue good insurance?

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.

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).

Can I use Florida Blue insurance in another state?

Most Blue Cross Blue Shield members can rest easy since Blue Cross Blue Shield coverage opens doors in all 50 states and is accepted by over 90 percent of doctors and specialists. And if your extended travel plans take you abroad, you can ensure you have access to quality care through GeoBlue.

Is Florida Blue based on income?

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

Is Florida Blue Medicare any good?

Every Medicare health plan receives a yearly star rating on a scale from 1 to 5, with 5 being the highest. For the second year in a row (2019 and 2020), we're proud to say our Florida Blue Medicare and FHCP Medicare HMO plans have earned a 5-star rating from CMS.

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 is Obamacare called in Florida?

Florida - Obamacare. Essential facts about the Affordable Care Act (ACA or Obamacare) in Florida, including whether you must get health insurance, how much it costs, and how you can save money.

Is it better to have an HMO or PPO?

HMO plans typically have lower monthly premiums. You can also expect to pay less out of pocket. PPOs tend to have higher monthly premiums in exchange for the flexibility to use providers both in and out of network without a referral. Out-of-pocket medical costs can also run higher with a PPO plan.

Is Florida Blue Care an HMO?

HMO coverage is offered by Florida Blue HMO, an affiliate of Florida Blue. These companies are Independent Licensees of the Blue Cross and Blue Shield Association. We comply with applicable Federal civil rights laws and do not discriminate.

What is difference between myBlue and BlueCare?

myBlue is a managed care, referral-based product. Primary care physicians are responsible for coordinating access to all medical services for myBlue members. Our traditional HMO plan, BlueCare, requires members to be assigned to a primary care physician.

What is an EPO plan vs HMO?

An Exclusive Provider Organization (EPO) is a lesser-known plan type. Like HMOs, EPOs cover only in-network care, but networks are generally larger than for HMOs. They may or may not require referrals from a primary care physician. Premiums are higher than HMOs, but lower than PPOs.

Are EPO and PPO the same?

A PPO offers more flexibility with limited coverage or reimbursement for out-of-network providers. An EPO is more restrictive, with less coverage or reimbursement for out-of-network providers. For budget-friendly members, the cost of an EPO is typically lower than a PPO.

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.

Is UnitedHealthcare a PPO or HMO?

UnitedHealthcare Options - a Preferred Provider Organization (PPO)