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.
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
The Value Max Copay Assistance Program is being expanded to cover diabetes medications. To view all affected medications, click the link below.
Tier 1 UCC’s are being updated 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.
2023 Additional Resources (Summary of Benefits and Coverage)
This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit Premium Plus 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 Premium Plus pharmacy coverage and benefits.
- 2022 Summary of Health Plan Benefits
- 2022 Premium Plus Benefit Booklet
- 2022 Schedule of Benefits
- 2022 Summary of Benefits & Coverage (MEDICAL)
- 2022 Summary of Benefits & Coverage (PHARMACY)
Contact your dedicated Florida Blue representative
- Gainesville—(352) 594-3354
- Jacksonville & Central Florida—(904) 244-9130
The following applies to the above plan: