State of Florida

Click here to review 2011 benefit information.

Click Here for exciting news about 2012 Gym Access for State of Florida employees & their dependents and details about completing a Health Risk Assessment!




Why Choose Florida Health Care Plans in 2012?

Florida Health Care Plans has been providing exceptional service and affordable quality coverage to State of Florida Employees that live or work in our service area of Volusia and Flagler counties since June 1, 1977.

 

When you choose Florida Health Care Plans you have access to over 550 local network physicians and when outside of Central Florida, access to Blue Cross Blue Shield's excellent Blue Card Network for urgent or emergency care.

All FHCP Customer service functions are located within Volusia and Flagler counties. FHCP owns and operates 10 staff clinic facilities. These facilities provide families with many services at one location saving you both valuable time and gasoline.


Want more reasons to trust in Florida Health Care Plans for your health insurance needs?

  • We have contracts with and acess to ALL hospitals in Volusia and Flagler Counties, as well as Central Florida Regional in Sanford and Putnam Community Hospital in Palatka
  • Our Progressive Wellness Programs are comprehensive and customized to individual needs
  • Free access for you and your dependents to over 38 gyms in Volusia and Flagler Counties, when you choose to go!
  • We give you worldwide access to emergency and urgent care
  • Plans focus on wellness and preventive care.

Benefits at a Glance


There are two types of plans offered: the Standard Plan (HMO) and the Health Investor Plan (HMO) (lower monthly premium, high annual deductible).

FHCP offers these plans to those State of Florida employees who live or work in Volusia or Flagler counties.

Standard HMO Plan Health Investor Health Plan
  • No deductible
  • Low out-of-pocket costs
  • Over 700 Providers and Contract Facilities in Volusia and Flagler counties
  • Worldwide coverage for Emergency and Urgent Care
  • No Paperwork or Claim forms
  • Medical Reimbursement Account

 
  • High deductible
  • Lower cost alternative for employee benefits
  • Preventive care covered in full
  • HSA qualified plan
  • Tax advantages for employees
  • Limited Purpose Medical Reimbursement Account

 
State of Florida retirees please click here to review FHCP's Medvantage Rx Plus plan.


Plan Comparison Snapshot

Benefits & Limitations
Standard HMO Plan
Health Investor HMO Plan (H.S.A.)3
Plan Deductible1

Individual $0

Family $0

Individual $1,250

Family $2,500

Out of Pocket Maximum

Individual $1,500

Family $3,000

Lifetime Maximum: Unlimited

After Deductible:

Individual $3,000

Family $6,000

Lifetime Maximum: Unlimited

Primary Care Provider Office Visit
$20 copay
20% of allowed amount
Specialist Office Visit
$40 copay
20% of allowed amount
Preventive Care
(includes well child and adult preventive care)
Paid at 100% of allowed amount
Paid at 100% of allowed amount (No Deductible)
Inpatient Hospital
$250/admit, then 100%
20% of allowed amount
Inpatient Hospital Physician
Paid at 100%
20% of allowed amount
Outpatient Facility
Paid at 100%
20% of allowed amount
Hospital Emergency Room
$100 copay (WIA)
Covered in Full
Urgent Care
$25 copay
Covered in Full
Mental Health
 
 
Inpatient2
$250/admit, then 100%
20% of allowed amount
Outpatient
$40 copay/visit
20% of allowed amount
Substance Abuse
 
 
Inpatient2
$250/admit, then 100%
20% of allowed amount
Outpatient
$40 copay/visit
20% of allowed amount
Prescription Drug4    
Retail    
Generic
$7/30 day
30% of allowed amount
Brand
$30/30 day
30% of allowed amount
Non-Preferred Brand
$50/30 day
50% of allowed amount
Mail Order    
Generic
$14
30% of allowed amount
Brand
$60
30% of allowed amount
Non-Preferred Brand
$100
50% of allowed amount
State's Contribution to H.S.A. Account    
Individual
N/A
up to $500/year
Family
N/A
up to $1,000/year
Qualifies for Tax-favored Account
Yes, Medical Reimbursement Account
Limited Purpose Medical Reimbursement Account

1 Out-Of-Pocket Maximums include the plan deductible.
231 combined days (Mental Health and Substance Abuse) per person per calendar year.
3For the Health Investor PPO and HMO plans, the calendar year deductible must be met before any benefits are payable under the plan with the exception of preventive care.
4For questions regarding Prescription Drugs- call Medco at 877-531-4793.

 

State Of Florida Employees also have access to these additional services and more!

  • 24-Hour Member Only Nurse line - English and Spanish
  • Member Portal and Welcome to Wellness online Health Risk Assessment - providing health education and programs empowering FHCP State Of Florida Members take a more active role in their healthcare.
  • Smoking Cessation Prescription Drug Benefits: All health plans offer this health insurance benefit, limited to up to a six-month supply in any plan (calendar) year, with a lifetime maximum benefit of no more than nine months.
  • Preferred Fitness Program: access to participating fitness centers and gyms in Volusia and Flagler Counties for you and your dependents with completion of our "Welcome to Wellness" Health Risk Assessment. Click Here for more info.
Healthy Living

 

Questions?

Click here or call 7 days a week, 8 am to 8 pm
386-676-7110 or 1-800-232-0578 to connect with an FHCP Account Executive today.

Questions not specific to FHCP coverage? Click Here for State of Florida Employee Benefit General Questions and Enrollment.


Additional Resources

State of Florida Member Handbook (Certificate of Coverage)
Click here for a full description of covered benefits and exclusions and limitations.