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.
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?
New in 2023
Egg freezing services offered by Tier 1 UF Health Reproductive Medicine physicians at Springhill Reproductive Endocrinology Institute are now covered by GatorCare.
Tier 1 UCC’s are being updated to accurately reflect current locations and rates.
All members are eligible to receive free Contour® and Contour® Next Test strips at a tier 0 level of coverage.
The Value Max Copay Assistance Program is being expanded to cover diabetes medications. To view all affected medications, click the link below.
Below is a document that details eligibility, diagnoses, treatment, and coverage for Healthy Rewards HRA plan members.
Below is a list of frequently asked questions for infertility benefits and coverage for Healthy Rewards HRA plan members.
Below is a list of UF Health Reproductive Medicine providers that provide Tier 1 coverage for Healthy Rewards HRA plan members.
2023 Additional Resources (Summary of Benefits and Coverage)
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.
This Schedule of Benefits is part of your Benefit Booklet, where more detailed information about your
benefits can be found.
The SBC shows how you and the plan would share the cost for covered health care services.
The SBC shows how you and the plan would share the costs for covered pharmacy services.
Coming in 2024
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?
Contact your dedicated Florida Blue representative
- Gainesville—(352) 594-3354
- Jacksonville & Central Florida—(904) 244-9130
The following applies to the above plan: