Medical
High HMO Health Plan

Highlights

IMPORTANT NOTE

This is an open access plan that requires you to choose a primary care physician. For details on how to find out if your medical provider – primary care provider, or specialist – is considered In-Network for the Low and High HMO plans without logging into your account, click here.

Good News!

We are pleased to inform you that our DCPS group health plans under BlueCare (HMO) and BlueOptions (PPO) will continue to be in-network with Baptist Health for the remainder of 2024 and the new 2025 plan year. This includes all three new medical plans for 2025: Low HMO, High HMO, and PPO plans.

If you have any questions regarding your in-network coverage, please call the number on the back of your member ID card.

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

This is an HMO plan and requires you to choose a primary care physician. You may choose the physician of your choice. However, to receive your maximum benefit, you must select an in-network doctor from participating BlueCareHMO network providers found at www.floridablue.com.

Plan Details Include: 

  • Your School District continues to offset a portion of the dependent coverage cost
  • Employees must choose an in-network  provider at the time of service
  • Deductible and coinsurance applies to all services that do not have set copays; for example:
    • Inpatient hospitalization 
    • All out-of-network services.
  • 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. 

HMO High Health Plan Bi-Weekly Contribution Rates

PER PAY EMPLOYEE DEDUCTIONS 20 PAY 24 PAY
Employee Only $42.00 $35.00
Employee & Spouse $330.71 $275.59
Employee & Child(ren) $250.26 $208.55
Employee & Family $605.80 $504.83
Receiving Spouse $187.71 $156.42

Contact

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.

  • 2025 Enrollment is mandatory for all employees.

  • You must re-enroll and select your Medical FSA and Dependent Care accounts each year. These will not automatically roll over.

  • 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