UF Health Shands Gainesville

UF Health Shands employees have two health plans to choose from:

  • GatorCare Prime Plus
  • GatorCare Premium

For additional questions about enrollment or premiums, view the Enrollments section of the FAQ page or contact your Human Resources office at (352) 265-0043.


GatorCare Prime Plus

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.


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:

 


 

*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.