Healthy Rewards HSA DRAFT [Lucas]

A high-deductible plan with network options

The Healthy Rewards plan offers a Health Savings Account (HSA). 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, Jacksonville and Central Florida. 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.

UF Health Shands Psychiatric Hospital surrounded by palm trees

Overview and Benefits


Infertility Benefits

2023 Additional Resources (Summary of Benefits and Coverage)

Benefit Booklet

2023 Prime Plus Benefit Booklet [COMING SOON]

This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit HSA Plan established and
maintained by GatorCare.

Schedule of Benefits

2023 Schedule of Benefits (CYD’s and OOP’s) [COMING SOON]

This Schedule of Benefits is part of your Benefit Booklet, where more detailed information about your
benefits can be found.

Additional Resources (Summary of Benefits and Coverage)

Benefit Booklet

2022 HSA Benefit Booklet

This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit HSA Plan established and
maintained by GatorCare.

Coming in 2023

Contact your dedicated Florida Blue representative

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.

For additional questions about enrollment or premiums, view the Enrollments section of the FAQ page or contact your Human Resources office.