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 BlueOptions 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.
2025 Benefit Resources
Looking for a preview of next year?
Preview the 2025 Summary of Health Plan Benefits Document!
Here we have answers to questions like: How much do I pay per visit? What's my deductible? How much is covered at the pharmacy?
2025 Summary of Benefits & Coverage (MEDICAL)
The SBC shows how you and the plan would share the cost for covered health care services.
2025 Schedule of Benefits & Coverage (PHARMACY)
The SBC shows how you and the plan would share the costs for covered pharmacy services.
Coming Soon! – refer to 2024
2025 Healthy Rewards HRA Benefit Booklet
This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit Plan Healthy Rewards HRA established and maintained by GatorCare.
Coming Soon! – refer to 2024
2025 Schedule of Benefits (CYD’s & OOP’s)
This Schedule of Benefits is part of your Benefit Booklet, where more detailed information about your benefits can be found.
2025 General Wellness Guidelines
Not sure what exams and screenings to do to keep yourself well? Check out the General Wellness Guidelines below for an in-depth look at the recommended doctor visits you should do this year!
2024 Benefit Resources
LOOKING FOR MORE SPECIFICS?
Check Out the 2024 Summary of Health Plan Benefits!
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 BlueOptions 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.
2024 Summary of Benefits & Coverage (MEDICAL)
The SBC shows how you and the plan would share the cost for covered health care services.
2024 Schedule of Benefits & Coverage (PHARMACY)
The SBC shows how you and the plan would share the costs for covered pharmacy services.
2024 Healthy Rewards HRA Benefit Booklet
This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit Plan Healthy Rewards HRA established and maintained by GatorCare.
2024 Schedule of Benefits (CYD’s & OOP’s)
This Schedule of Benefits is part of your Benefit Booklet, where more detailed information about your benefits can be found.
2024 General Wellness Guidelines
Not sure what exams and screenings to do to keep yourself well? Check out the General Wellness Guidelines below for an in-depth look at the recommended doctor visits you should do this year!
Additional Benefit Resources
Egg Freezing
Elective Oocyte Cryopreservation (Egg Freezing)
Egg freezing services offered by Tier 1 UF Health Reproductive Medicine physicians at Springhill Reproductive Endocrinology Institute are now covered by GatorCare.
Egg Freezing
Egg Freezing Eligibility Form
Egg freezing services offered by Tier 1 UF Health Reproductive Medicine physicians at Springhill Reproductive Endocrinology Institute are now covered by GatorCare.
Urgent Care Centers
Tier 1 Urgent Care Centers in Florida
Tier 1 Urgent Care Centers are being updated to accurately reflect current locations and rates.
Free Diabetes Test Strips
Tier 0 Contour® & Contour® Next Test Strips
All members are eligible to receive free Contour® and Contour® Next test strips at a Tier 0 level of coverage.
Copay Assistance
Value Max Copay Assistance
The Value Max Copay Assistance Program is being expanded to cover diabetes medications. To view all affected medications, click the link below.
Medical Information Disclosure
Notice of Privacy Practices
This notice describes how medical information about you may be used and disclosed and how you can get access to this information.
Infertility Benefits
Benefit descriptions
GatorCare Infertility Benefits
Below is a document that details eligibility, diagnoses, treatment, and coverage for Healthy Rewards HRA plan members.
FAQs
Infertility Benefits FAQs
Below is a list of frequently asked questions for infertility benefits and coverage for Healthy Rewards HRA plan members.
Infertility Eligibility
GatorCare Infertility Benefit Eligibility
Below is a document that details eligibility for Healthy Rewards HRA members.
Providers
UF Health Reproductive Medicine Providers
Below is a list of UF Health Reproductive Medicine providers that provide Tier 1 coverage for Healthy Rewards HRA plan members.
Contact your dedicated Florida Blue representative
- Gainesville—(352) 594-3354
GatorCareCSR@bcbsfl.com - Jacksonville & Central Florida—(904) 244-9130
GatorCareCSR@bcbsfl.com
For additional questions about enrollment or premiums, view the Enrollments section of the FAQ page or contact your Human Resources office.