Winter 2013

Florida Blue Marketplace products:
We’ve got Florida covered

Beginning in 2014, Marketplace health plans in the individual and small group markets must meet certain coverage requirements and are categorized into “metal” levels: bronze, silver, gold and platinum. These metal levels allow consumers to compare plans with similar coverage and consider factors such as premium amounts and provider participation to make informed decisions on which health plan best fits their needs.

Florida Blue developed Marketplace (Exchange) plans based on existing product portfolios and will use existing provider network arrangements such as:

  • BlueOptionsSM, which has the widest choice of providers and provides coverage in every county in the state.

  • BlueSelect, which provides affordable health plan options with comprehensive benefits for individuals in 32 counties.

  • BlueCare®, an HMO product designed with comprehensive benefits that will be offered in 44 counties.

Click here to see where we offer Marketplace plans in Florida.

Florida Blue (which includes subsidiaries Florida Blue HMO (Health Options, Inc.) and Florida Health Care Plans) is the only insurer to offer Marketplace plans in all 67 Florida counties. In 37 counties, Florida Blue is the only insurer with plans on the Marketplace.

Existing provider network contracts and reimbursement levels apply to Florida Blue plans offered inside and outside of the Marketplace.

Member ID Cards

The format of Florida Blue member identification (ID) cards will not change. However, Florida Blue members in Marketplace health plans will have the following new alpha prefixes:

  • VMB – Individual HMO plan

  • VMA – Individual PPO plan

  • XJQ – Small group HMO plan

It is important to ask members for their ID card at each visit. You should verify eligibility and benefits electronically through Availity®1 to determine member copay, coinsurance and deductible amounts at the time of the visit.

For more information about health care reform, please refer to the Answers to Frequently Asked Questions on the Providers tab of the www.floridablue.com website; click on “Tools and Resources” and then “Bulletins and FAQs” or visit the Florida Blue health care reform website at floridabluehealthcarereform.com.

 

1 Availity, LLC, is a multi-payer, joint venture company. For more information or to register, visit Availity’s website at www.availity.com.