Prime Plus
GatorCare Prime Plus

Designed With Two Network Options & Two Tiers of Benefit Coverage

The highest value for the Prime Plus plan is received when using the Tier 1 benefits provided by the GatorCare Network, which includes 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. The Prime Plus plan also offers Tier 2 benefits, which apply when you receive services from Florida Blue’s BlueOptions providers. It is important to review the schedule of benefits, as utilizing Tier 2 benefits typically results in higher out-of-pocket costs.

UF Health Shands

2026 Benefit Resources

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Review the 2026 Summary of Health Plan Benefits Document!

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?

2026 Summary of Benefits & Coverage (MEDICAL)

The SBC shows how you and the plan would share the costs for covered health care services.

2026 Summary of Benefits & Coverage (PHARMACY)

The SBC shows how you and the plan would share the costs for covered pharmacy services.

Coming soon – Refer to 2025 Benefit!

2026 Prime Plus Benefit Booklet

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

Coming soon – Refer to 2025 Benefit!

2026 Schedule of Benefits (CYD’s & OOP’s)

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

Coming soon – Refer to 2025!

2026 General Wellness Guidelines

Not sure what exams and screenings to do to keep yourself well? Check out the General Wellness Guidelines below for an in-depth look at the recommended doctor visits you should do this year!

2025 Benefit Resources

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Review the 2025 Summary of Health Plan Benefits Document!

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?

2025 Summary of Benefits & Coverage (MEDICAL)

The SBC shows how you and the plan would share the costs for covered health care services.

2025 Summary of Benefits & Coverage (PHARMACY)

The SBC shows how you and the plan would share the costs for covered pharmacy services.

2025 Prime Plus Benefit Booklet

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

2025 Schedule of Benefits (CYD’s & OOP’s)

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

2025 General Wellness Guidelines

Not sure what exams and screenings to do to keep yourself well? Check out the General Wellness Guidelines below for an in-depth look at the recommended doctor visits you should do this year!

Additional Benefit Resources

Finding Providers

Provider Directory Tool

Florida Blue’s new member portal has an updated provider directory that lets you search for providers in your area. Follow the guide below to sign in and find providers near you!

Egg Retrieval

Elective Egg Retrieval

Egg retrieval services offered by Tier 1 UF Health Reproductive Medicine physicians at Springhill Reproductive Endocrinology Institute are now covered by GatorCare.

Urgent Care Centers

Tier 1 Urgent Care Centers in Florida

Tier 1 Urgent Care Centers are being updated to accurately reflect current locations and rates.

Free Diabetes Test Strips

Tier 0 Contour® & Contour® Next Test Strips

All members are eligible to receive free Contour® and Contour® Next test strips at a Tier 0 level of coverage.

Copay Assistance

Value Max Copay Assistance Program

The Value Max Copay Assistance Program helps members pay for costly specialty and diabetic medications by connecting them with medication manufacturers. For more information about this copay assistance program, please review this document.

Medical INformation Disclosure

Notice of Privacy Practices

This notice describes how medical information about you may be used and disclosed and how you can get access to this information.

Infertility Benefits

Benefit descriptions

GatorCare Infertility Benefits

Below is a document that details eligibility, diagnoses, treatment, and coverage for Prime Plus members.

FAQ

Infertility Benefits FAQ’s

Below is a list of frequently asked questions for infertility benefits and coverage for Prime Plus members.

Providers

UF Health Reproductive Medicine Providers

Below is a list of UF Health Reproductive Medicine providers that provide Tier 1 coverage for Prime Plus members.

Questions?

Contact Your Dedicated Florida Blue Representative

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

Looking for information about ID cards? Click here.