The Options plan offers you three network tier options. Tier 1 benefits, provided by the GatorCare Network, offer the best value, with a lower deductible and low out-of-pocket and co-insurance amounts. Tier 1 includes hospitals, physicians and providers in Gainesville and Jacksonville. 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 Tier 1 and Tier 2 providers 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.
Here you can find general information about the plan and get a better idea of how our coverage works for you!
Here we have answers to questions like: How much do I pay per visit? What’s my deductible? and How much is covered at the pharmacy?
Pharmacy Changes: Value Max Copay Assistance, Tier 0 Contour® and Contour Next® Test Strips, Maintenance Medication refills
This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit Plan Options 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 Summary of Benefits and Coverage (SBC) document will help you choose a health plan. The SBC shows you how you and the plan would share the cost for covered health care services.
This document details the Options pharmacy coverage and benefits.
Contact your dedicated Florida Blue representative
- Gainesville—(352) 594-3354
- Jacksonville & Central Florida—(904) 244-9130
The following applies to the above plan: