Changes to Provider Network: possible impacts to out-of-pocket costs

Published: March 25th, 2016

Category: News

A large group of providers have terminated their relationship with Florida Blue and may impact your out-of-pocket costs.

GatorCare was notified on March 24, 2016 that EMCare, a group of physicians including Emergency Medicine Physicians, Anesthesiologists, and Hospitalists terminated their contract with Florida Blue effective March 1, 2016.

What does this mean for GatorCare members?

Services at many Florida facilities, including North Florida Regional Medical Center, Memorial Hospital at Jacksonville, Orange Park Medical Center, Munroe Regional Medical Center ED, and Lake City Medical Center may be impacted.  Members receiving care at one of these facilities, and those listed in the attachment below, may be balanced billed for services received from anesthesiologists, emergency room physicians, and hospitalists on and after March 1, 2016, and may be responsible for additional payment after the health plan has paid their portion.

A complete list of providers affected by this change (now considered Tier 3) can be found here.

Questions regarding this change should be directed to GatorCare on-site representatives:

Gainesville office:  Kelly Maloney, Kelly.Maloney@floridablue.com, 352.594.3354

Jacksonville office:  Kelley Thomas, Kelley.Thomas@floridablue.com, 904.244.9130