Medical
HMO Health Plan

Highlights

IMPORTANT NOTE

Employees who were hired or rehired on or after 1/1/2022 are required to remain on HMO Plan for 5 years.

Health Transparency Machine Readable Files:

www.floridablue.com/members/tools-resources/transparency
This link leads to the machine readable files that are made available in response to the federal Transparency in Coverage Rule and includes negotiated service rates and out-of-network allowed- amounts between health plans and healthcare providers. The machine-readable files are formatted to allow researchers, regulators, and application developers to more easily access and analyze data.
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How It Works

New Hires hired on or after January 1, 2022 must remain on HMO plan for 5 years. This is an open access plan that does not require you to choose a primary care physician. As long as you reside in the State of Florida, you may choose a participating network physician of your choice. In order to receive coverage you must utilize HMO providers that participate with Florida Blue, BlueCareHMO and providers can be found at www.floridablue.com.

Plan Details Include:

  • Your School District continues to provide employee medical coverage at no premium cost to you
  • Your School District continues to offset a portion of the dependent coverage cost
  • Coinsurance applies to all services that do not have set copays
  • You must remain in network for services to be covered. Outside the state of Florida only emergency care is covered
  • Deductible, coinsurance and copays (including Rx), count toward the maximum out-of-pocket limit
  • Medical Flexible Spending Account available (Employee Contributions Only)
  • PayFlex Card accounts will not roll over the amount elected in the prior plan year

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.

How to Enroll:

You can enroll in this benefit by visiting www.myfbmc.com, logging in and following the instructions to access the benefit. Remember you must create an account if you have not already in order to enroll in benefits.

How to Find a Primary Care Provider (PCP)

Please follow the instructions below to search for In-Network Providers:

  1. www.FloridaBlue.com
  2. Click on “Find Care”
  3. Click on “Find a doctor or dentist”
  4. Go to the section “Find Doctors by Plan”
  5. Click the Select “drop-down”
  6. Under Health Plans select BlueCare (HMO)
  7. Click Continue
  8. Enter the “Last Name” of the provider and/or “select the type of provider”
  9. Search within your mile radius, using the drop-down (5,10,20)
  10. Enter your zip code
  11. Click search now

HMO Plan Bi-Weekly Contribution Rates

PER PAY EMPLOYEE DEDUCTIONS 20 PAY 24 PAY
Employee Only $0.00 $0.00
Employee & Spouse $259.91 $216.59
Employee & Child(ren) $186.66 $155.55
Employee & Family $509.80 $424.83
Health Savings Account N/A
Medical FSA/PayFlex Card Employee Contributions Only

Contact

Get the App

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

HMO Health Plan Benefits Chart

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

  • If you do not wish to make any changes to your current benefit elections and you do not make employee contributions to an MFSA, DFSA, or HSA, 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