UF Health Jacksonville

 

UF Health Jacksonville employees have three health plans to choose from:

  • GatorCare Prime
  • GatorCare Premium
  • GatorCare Healthy Rewards

For additional questions about enrollment or premiums, see the Enrollments section of the FAQ page or contact your Human Resources office at (352) 244-9651.


GatorCare Prime

Designed with the highest value; all services provided by the GatorCare Network

The majority of services received under the Prime plan fall into Tier 1 benefits provided by the GatorCare Network. This includes hospitals, physicians and providers in Gainesville and Jacksonville, and emergency care for you and your covered dependents. Physician office visits require co-payments; other services require paying deductibles and co-insurance. Wellness and preventive care and annual physicals are offered with no out-of-pocket expense to you.


For information on coverage, co-pays, and co-insurance:

  • Summary of Health Plan Benefits

Still have questions? Try these additional resources:

 


 

GatorCare Premium

Designed with flexibility in mind, offering three tiers of benefit coverage

The Premium plan offers you three network tier options. Tier 1 benefits are services you receive from the GatorCare Network, which includes hospitals, physicians and providers in Gainesville and Jacksonville. Tier 1 benefits offer
the best value, with lower deductibles and out-of pocket costs. Tier 2 benefits apply when you receive services from Florida Blue’s NetworkBlue providers, which typically result in higher out-of-pocket costs. When using Tiers 1 and 2 for wellness and preventive care, annual physicals and labs are offered with no out-of-pocket expense to you. Tier 3 benefits apply when you receive services from an out-of-network provider; you still have coverage, but may be billed for the difference between the provider’s charge and the allowed amount.


For information on coverage, co-pays, and co-insurance:

  • Summary of Health Plan Benefits

Still have questions? Try these additional resources:

 


GatorCare Healthy Rewards (HRA)

A high-deductible plan with network options

The Healthy Rewards plan offers a Health Reimbursement Account (HRA). You must meet the deductible before medical services are covered. There are three benefit tiers. Tier 1 benefits, provided by the GatorCare Network, offer the best value with low deductibles, out-of-pocket costs and co-insurance, and include 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. Tier 2 benefits apply when you receive services from Florida Blue’s NetworkBlue providers,  which result in higher deductibles, out-of-pocket costs and co-insurance. For Tiers 1 and 2, the deductible does not apply to wellness and preventive care annual physicals and labs. Tier 3 benefits apply when you receive services from an out-of-network provider; you still have coverage, but may be billed for the difference between the provider’s charge and the allowed amount.


For information on coverage, co-pays, and co-insurance:

Still have questions? Try these additional resources:

 


*The following apply to all the above plans:

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.