Quality Health Plans. for Individuals and Families

Transcription

1 Quality Health Plans for Individuals and Families

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3 It s All About You! AvMed Individual Health offers individual and family health coverage at prices you can afford. You can control the cost based on the network you choose. The doctors you need The service you deserve Your health partner for life A 40-Year Tradition of serving Floridians and consistently ranked above our stateside competitors for overall member satisfaction, according to the National Committee for Quality Assurance (NCQA) in the annual Consumer Assessment of Healthcare Providers and Systems survey (CAHPS)*. * Highest overall rating of statewide plans reporting Health Maintenance Organization (HMO) and Point of Service (POS) product data to the National Committee for Quality Assurance (NCQA) for the Consumer Assessment of Healthcare Providers and Systems (CAHPS). CAHPS is a registered trademark of the Agency of Healthcare Research and Quality (AHRQ). 1

4 Your Choice Embrace Better Health Start Now Plans with in- and out-of-network benefits High value network of doctors and hospitals to suit your budget No referrals needed to visit specialists Various deductibles to choose from Worldwide emergency coverage 2

5 Your Health Live Better Today, Feel Better Tomorrow Preventive care at no charge Vision and dental pediatric benefits Prescription drug coverage and maternity coverage included Online tools to review current benefits and check claims status and more... Even if you re healthy today, an accident or medical emergency can threaten your financial stability. Put your mind at ease with AvMed Individual Health. It s the coverage you need at prices you can afford. 3

6 Your Money AvMed Offers Quality Choices at Prices You Can Afford Generics can offer you real savings HSA Qualified Plans available with triple tax-advantage HSA accounts Access to urgent care and retail clinics Credit cards accepted for monthly premium payments Smart for your budget. Right for your lifestyle. 4

7 How It Works AvMed Service Area Network AvMed offers Individual Health products to residents of Palm Beach, Broward and Miami-Dade counties only. AvMed Individual Health members have the option of using a AvMed TOTAL Commercial Service 276,512 Manatee Medicare: 28,544 Sarasota Area counties, provider from the AvMed provider network in Florida. Or, if you TOTAL Managed Care 305,056 use the AvMed Lee AvMed Commercial products are available in all the counties shown. purchased a plan with out-of-network benefits you can access provider AvMed offers Medicare products network in Broward and Miami-Dade counties only, and offers Individual products in Broward, Palm Beach and Miamiservices when outside the service area, either in Florida or to Dade save counties only. the most. The AvMed Choice commercial product allows members to access services in and out of the AvMed Service Area counties, as well as outside nationwide through our national network partner, Private the State of Florida. Healthcare Systems (PHCS). You also have the option of choosing a physician or hospital outside the PHCS network, but at a higher cost to you. To find a doctor or hospital in the AvMed or PHCS network, visit us online at Always bring your ID card to your doctor s appointment If members arrive at the doctor s office without their member ID card, care providers have access to AvMed s Web Site which enables them to view all of their benefit information. What about lost or stolen cards? Call AvMed Member Solutions at as soon as possible and a replacement will be sent in the mail. Temporary ID cards can be printed from our Web Site at MP-5695(01/12) AvMed Enrollment December 31, 2011 Commercial: Group: 190,931 Individual Under 65: 10,636 For services within the ASO Self Funded: 74,945 Hamilton Suwannee Dixie Health plans with your health in mind. Gilchrist Clay GAINESVILLE Alachua Columbia Levy Pinellas Nassau JACKSONVILLE Baker Duval Union Citrus Bradford Hernando Pasco Marion Hillsborough TAMPA Polk St. Johns Lake Seminole ORLANDO Orange Osceola FT. MYERS PALM BEACH Palm Beach FT. Broward LAUDERDALE MIAMI Miami- Dade For more information, contact your Independent Insurance Agent. 5

8 Service Areas: Miami-Dade Broward Palm Beach IP-1170(10/13)