Premium Plus

Designed with flexibility in mind, offering three tiers of benefit coverage

The Premium Plus plan offers you three network tier options. Tier 1 benefits are services you receive from the GatorCare Network. Tier 1 is primarily composed of UF Health facilities and physicians in Central Florida, Gainesville, and Jacksonville, however, select community providers are included to ensure adequate access to care. Tier 1 benefits offer the best value, with lower copays, deductibles and out of pocket costs. Tier 2 benefits apply when you receive services from Florida Blue’s BlueOptions providers, which typically result in higher out-of-pocket costs. When using Tiers 1 and 2 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.

UF Health CF Leesburg
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LOOKING FOR MORE SPECIFICS?

Check Out the 2023 Summary of Health Plan Benefits!

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

2023 Additional Resources (Summary of Benefits and Coverage)

Benefit Booklet

2023 Premium Plus Benefit Booklet

This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit Premium Plus 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.

2022 Resources

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.