The majority of services received under the Prime plan fall into Tier 1 benefits provided by the GatorCare Network. This includes hospitals, physicians and providers in Gainesville and Jacksonville, and emergency care for you and your covered dependents. Physician office visits require co-payments; other services require paying deductibles and co-insurance. Wellness and preventive care and annual physicals are offered with no out-of-pocket expense to you.
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?
Tier 1 UCC’s are being updated accurately reflect current locations and rates.
Pharmacy Changes: Value Max Copay Assistance, Tier 0 Contour® and Contour Next® Test Strips, Maintenance Medication refills
Below is a document that details eligibility, diagnoses, treatment, and coverage for Prime members.
Below is a list of frequently asked questions for infertility benefits and coverage for Prime members.
Below is a list of UF Health Reproductive Medicine Providers that provide Tier 1 coverage for Prime Members.
Additional Resources (Summary of Benefits and Coverage)
This booklet describes your coverage, benefits, limitations and exclusions for the self-funded Group Health Benefit Plan Prime 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 Prime 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: