Cobertura inicial:
tooltip_Until yearly drug costs reach $3,310, you'll pay..._2021
Brecha de la cobertura
tooltip_After costs paid by you and the drug plan are greater than $3,310 and your out-of-pocket is less than $4,850, you'll pay..._2021
Cobertura para Eventos Catastróficos
tooltip_After your out-of-pocket costs plus the amount of the drug manufacturer's discounts reach $4,850, you'll pay…_2021
Cobertura para Medicinas Recetadas
| Deducible para medicinas recetadas |
$405 (applies to tiers 3, 4, 5) |
| Cobertura de medicinas recetadas dentro de la red - Cobertura inicial |
Tier 1 - Preferred Generics
|
| Brecha en la Cobertura |
You pay no more than 25% of the costs for preferred generic, generic and generic specialty drugs. You pay no more than 25% of the costs for brand name drugs and non-generic specialty drugs in the coverage gap. |
| Cobertura para Eventos Catastróficos |
You pay the greater of $3.70 or 5% for generic drugs and drugs treated like generics. You pay the greater of $9.20 or 5% for brand name drugs. |
Cobertura Fuera de la Red:
| Medicinas recetadas | This plan does not cover drugs filled at an out-of-network pharmacy. |
Documentos del plan
| Resumen de beneficios (PDF) | |
| Constancia de Cobertura (PDF) | |
| Calificación del plan (PDF) | |
| Notificación general de transición (PDF) | |
| Tabla de resumen de subsidios para la prima por bajos ingresos para quienes reciben ayuda adicional (PDF) | |
| Formulario completo (PDF) | |
| Notificación Anual de Cambios | |
| Mapa de áreas de servicio | |
| Formulario de inscripción |
Why Choose Blue
Member Account
A secure members-only website that keeps you in control of your health and wellness with a variety of easy-to-use tools.
Health Club Discounts
Special Blue365 member discounted enrollment and membership at fitness centers across the state.
Care Coordination Team
A dedicated consultant to assist with coordinating appointments, in or outpatient stays, management of chronic conditions and help with finding the best price on procedures and prescriptions.
Florida Blue Retail Centers
Enjoy face-to-face customer service, wellness events and educational seminars at one of our unique retail centers.
