Medical
PPO Health Plan

Highlights

Opting out of the District Sponsored Medical plan can save you money! You may receive up to $1,200 annually. Meet with a Benefit Counselor to learn more.

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 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 (Network Blue) 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)
  • Inspira Financial 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. 

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

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.

  • 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, 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