Medical
PPO Health Plan

Opting out of the District Sponsored Medical plan can save you money! You may receive up to $1,200 annually. Meet with a Benefits Counselor or call the Employee Benefits Office to learn more about this program.

Highlights

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How It Works

This is an open access plan that does not require you to choose a primary care physician. You may choose the physician of your choice. However, to receive your maximum benefit, you should select an in-network doctor from participating Florida Blue, Blue Options providers found at www.floridablue.com.

Plan Details Include: 

  • All coverage levels have a cost associated with this plan
  • Employees have the freedom to choose an in-network or out-of-network service provider at the time of service
  • Deductible and coinsurance applies to all services that do not have set copays; for example:
    • Inpatient and outpatient hospitalization
    • Ambulatory surgical center facility
    • All out-of-network services
  • Coinsurance and copays (including Rx) count towards the maximum out-of-pocket limit
  • Medical Flexible Spending Account available (Employee Contributions Only)

Note: If you wish to contribute to the Medical FSA, you must make that election at your enrollment session. Prior year contributions are not going to automatically roll over. 

PPO Plan Bi-Weekly Contribution Rates

PER PAY EMPLOYEE DEDUCTIONS 20 PAY 24 PAY
Employee Only $102.00 $85.00
Employee & Spouse $432.11 $360.09
Employee & Child(ren) $340.86 $284.05
Employee & Family $743.20 $619.33
Receiving Spouse $325.11 $270.92

Sanitas

Florida Blue and Sanitas Medical Centers deliver integrated, accessible primary care in one place—offering services like urgent care, mental health, diagnostics, wellness, and insurance support. With both in-person and 24/7 virtual access, these Value Choice Providers aim to simplify and lower the cost of high-quality healthcare for Florida Blue members.
Learn More

Get the App

Access your insurance and the tools to help you use it anytime, anywhere with the mobile app.

Medical Plan Benefit Comparison Chart

For Summary Plan Descriptions and Medical Plan Documents, please click Here.

  • if you do not have dependent coverage and are not making changes to your current benefit elections and you do not make employee contributions to an MFSA, or DFSA, your current benefit elections will automatically carry forward to this plan year
  • ID Cards – You can print a temporary Florida Blue ID card or request a new member ID card by visiting www.floridablue.com
  • Blue365 offers member discounts on Gym memberships and Lasik at LasikPlus Centers. Call 1-855-511-2583. To access Blue365, logon to: www.floridablue.com