Designed with two network options and two tiers of benefit coverage
The highest value for the Prime Plus plan is received when using the Tier 1 benefits provided by the GatorCare Network, which includes hospitals, physicians and providers in Gainesville and Jacksonville. When using the Tier 1 GatorCare Network for wellness and preventive care, annual physicals and labs are offered with no out-of-pocket expense to you. The Prime Plus plan also offers Tier 2 benefits, which apply when you receive services from Florida Blue’s NetworkBlue providers. It is important to review the schedule of benefits, as utilizing Tier 2 benefits typically results in higher out-of-pocket costs.
Benefits (Coverage, co-pays, and co-insurance)
Still have questions?
Try these additional resources:
- 2019 Benefit Booklet
- 2019 Schedule of Benefits
- 2019 SBC Medical
- 2020 SBC Medical
- 2019 SBC Pharmacy
- 2020 SBC Pharmacy
Contact your on-site Florida Blue Representative:
- Gainesville—Kelly Maloney
- Jacksonville—Kelley Thomas
The following applies to the above plan:
As a result of the Affordable Care Act, GatorCare is required to provide employees with an easy-to-understand Summary of Benefits and Coverage (SBC) statement that describes the plan’s coverage. All insurance companies must use the same format allowing members to compare plan options. Please note that the examples on page 8 for medical and page 12 for pharmacy, do not reflect actual GatorCare co-pays and deductibles, rather they are general examples required by the federal government. To get your GatorCare medical specific cost of services, call (800) 664-5295; for Magellan Pharmacy Benefits, call (800) 651-8921.