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 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
Tier 1 Urgent Care Centers 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.
2023 Benefit Resources
This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit HSA Plan 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?
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.
Contact Your Dedicated Florida Blue Representative
- (352) 594-3354
- Jacksonville & Central Florida
- (904) 244-9130