Seeing a Doctor Out-of-Network
Florida Health Care Plan, Inc. (FHCP) has formed a network of doctors, specialists, and hospitals. You can use any doctor who is part of our network. As a member of FHCP's Medvantage Plan(HMOPOS) or Medvantage Rx Plus Plan(HMOPOS), we offer an optional Point-of-Service (POS) benefit. If you choose this optional POS benefit, you may see any physicians or utilize any facility that is not in FHCP's network of providers without a referral. Please keep in mind that when deciding to go to an out-of-network physician that the Optional POS benefit is limited to providers that accept Medicare assignment only. The healthcare providers in our network can change at any time. Please click this link to see our current Provider Directory. To access the document(s) Adobe Reader® must be installed on your computer. If you do not have Adobe Reader ®, you can download it for free by clicking here.
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WHAT HAPPENS IF I GO TO A DOCTOR WHO IS NOT IN FHCP's NETWORK?
As a member of FHCP's Medvantage Plan(HMOPOS) or Medvantage Rx Plus Plan(HMOPOS), if you choose the Optional Point-of-Service benefit, you will be responsible for a 20% coinsurance for all out-of-network physician or provider services with the exception of Inpatient Hospital - Acute Care facility or Inpatient Psychiatric Hospital where a $200 copay per day for days 1-10 applies. Please keep in mind that, when deciding to go to an out-of-network physician or facility that the Optional POS benefit is LIMITED TO PROVIDERS THAT ACCEPT MEDICARE ASSIGNMENT ONLY.
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