Health Insurance Blog

Go Blue Florida has helped many Florida residents find affordable health insurance.  At blueadvocacy.org you can learn a bit more about the program.  This product, which was designed to provide affordable access to health care, makes health insurance simpler for people in Florida.

Go Blue health insurance provides easier access to doctor visits, preventative dental care, and pharmacy services at competitive premiums.  Prices can be as low as $26/mos for a 25 year old.  Members have access to the Florida PPO network and protection against balance billing, which can be a huge relief for many.  Another excellent benefit is that no applicants are denied enrollment. 

Some other health care needs that are covered include prescription drugs, dental care and lab services.  They reimburse up to $50 toward each visit for qualified services.  As long as members pay their monthly premium they can receive benefits indefinitely.  This is a unique approach to ensuring more Florida residents are insured.  With the economy struggling and health care up for a possible major reform, it’s definitely good information to have. 

According to US News and World Report, Capital Health Plan, an affiliate of Blue Cross Blue Shield of Florida, is the top rated Medicare Health Plan in Florida.

Founded in 1982, Capital Health Plan serves the four county are surrounding Tallahassee.  They currently provide coverage to more than 110,000 members.

More information about Florida health insurance & senior health insurance.

Blue Cross Blue Shield of Florida (BCBSF) has introduced a new Medicare Advantage plan to its portfolio of health plans for seniors.

BlueMedicare Regional PPO joins a senior health insurance portfolio which already included HMO, PPO, Fee-for-service, Medicare Part D, and traditional Medicare Supplement Plans.

BlueMedicare Regional PPO is available across Florida for a $45 monthly premium.  Benefits include the ability for members to choose theit own doctors ans hospitals with no referrals required, as well as both in-network and out-of-network coverage.

More information about Florida health insurance and Medicare Advantage Plans.

Blue Cross Blue Shield of Florida (BCBSFL) offers a Medical Discount Card called FamilyBlue that provides discounts on health care.  FamilyBlue is not health insurance, but it does provide discounts on heath care services which is negotiated with providers.

As mentioned above, FamilyBlue is not health insurance, and should be viewed as a last resort only if health insurance cannot be obtained.  If you shop around and compare rates for individual health insurance plans in Florida you will find that there are many affordable health plans available.  A true health insurance plan will offer superior benefits and protect you more comprehensively should you have an accident or become ill.

There are two different FamilyBlue Plans.

• $14.95/mo.per family - discounts on doctor visits, medical services, and Rx drugs.
• $19.95/mo. per family - discounts on doctor visits, medical services, Rx drugs, as well as dental, vision, diabetic supplies, hearing, vitamins and more

More information about Florida health insurance.

The Senate Finance Committee is coming close to figuring out a healthcare reform bill according to Maggie Guo’s article on The Ethiopian Review site.  Health care cooperatives are still on the table, which has the idea of building large groups so that the price of expensive medical costs are spread out among members to reduce costs for everyone.

But Consumer Watchdog says this will not necessarily lower health insurance quotes for consumers.  They say that in practice there has not been enough members for cooperatives to carry out their function and people with less medical risk often opt out of joining. 

For a cooperative to be effective, member enrollment would need to be near 500,000 consumers according to some estimates.  There have been attempts in Texas, Florida and Colorado without much success.  There is also the concern that if small states get together to create bigger groups, then health insurance companies may insist on a suspension of state regulations because of the different types of customers they would be serving.  This would in turn cause a whole new type of oversight and possibly a lack of proper regulation. 

Blue Cross Blue Shield member plans initiatives to  increase access to affordable health insurance by the uninsured.

Part IV

GoBlue is a product offered by Blue Cross Blue Shield of Florida which provides Florida residents access to doctor visits, basic and preventative dental care, prescription coverage, and lab tests all at affordable rates as low as $26 per month, for a 25 year old.

GoBlue is a guaranteed issue producty which means florida residents cannot be declined due to health conditions.  In addtion, the product has no lifetime maximums so members can continue to be enrolled as long as they continue to pay their monthly premiums.

More information about Florida health insurance.

Miami-Dade county in Florida has teamed up with Blue Cross Blue Shield health insurance of Florida for a very unique partnership according to the article “Dade, Blue Cross offer health plan” by John Dorschner on miamiherald.com.  Currently there are around 600,000 uninsured in Miami-Dade county and leaders felt something needed to be done to fix this. 

Janet Perkins with the Office of Countywide Healthcare Planning believes this is a cutting edge program for Florida health insurance and a national model.  It’s called Miami-Dade Blue and it’s a revolutionary option to offer affordable health insurance to the uninsured.  This special health insurance would cost a healthy 35 year old man around $100 which is extremely low.  This concept was first a vision of Commissioner Joe Martinez from about 5 years ago.  He said it’s been a long, hard road, but he’s truly excited and good things can come from this plan. 

There are some concerns over the benefits of the program.  Some insurance brokers believe the benefits may not be as good as most popular plans which may cause a problem as policyholders file claims.  One of the major challenges was getting providers to take discounted prices.  Approximately 1,500 doctors have agreed to be included in the Miami-Dade Blue network which is a great start in the right direction.

The Health First Foundation is going to host the 8th annual Grape Escape on October 24th according to Health First’s website.  This event is put on each year to raise money for Intra Cardiac Echocardiography (ICE). 

This year’s food and wine-tasting events at Seasons 52 in Orlando features culinary delights created by the internationally recognized Executive Chef Clifford Pleau.  Proceeds from the evening will go to Health First Cardiac Services.

Highlights of the Grape Escape include a multi-course meal served with distinctive wine from the large wine cellar.  Wines, fine art, jewelry and vacation packages will be auctioned off at the live auction.  Dick Beagley is heading up the Health First Foundation volunteer committee that is organizing this year’s event, which is sure to be spectacular.  Health First Insurance is a subsidiary of HealthFirst Inc,  a non-profit health care system that serves Florida’s Space Coast.

According to the article, “Blue Cross requiring psychiatrists to get prior authorization before treating patients” by Liz Freeman on naplesnews.com, Blue Cross Blue Shield health insurance of Florida implemented a new rule taking effect this fall which will require psychiatrists to get authorization before treating patients in their office or out patient locations.

Blue Cross sent letters to psychiatrists which outline the new rule that goes into effect on Oct 3.  A contract amendment must by signed by the mental-health providers by June 24 if they accept Blue Cross Insurance.  The pre-authorization will be required to treat patients for office based visits, inpatient admissions, and for partial psychiatric and substance abuse care.  Emergency visits are covered but the provider will need to request authorization.  This is all outlined in the notice from Blue Cross.

Blue Cross officials state the new authorization rule is partly because of the Mental Health Parity Act of 2008 which intends to end inequity between medical treatment and mental health care for plans with 50 or more employees.  The David Lawrence Center, a private nonprofit mental health center in Golden Gate, Florida, believes its expenses may rise with the new rule, but their patients will not face any fee increases and they will not turn anyone away because they have Blue Cross.

The state of Florida was not included in the Southeast region when J.D. Powers ranked the top health plans in the Southeast, in their rating of the top health plans in 17 distinct regions, Florida is its own region.  That being said, J.D. Power and Associates rated Blue Cross Blue Shield of Florida as the top rated health plan in Florida.

BCBSFL was rated as being among the best health plans in the country, as was Humana, coming in just behind the Florida Blue Cross Blue Shield plan.

Other Florida health plans that were rated as part of this study included UnitedHealthCare, CIGNA, and Aetna.  UnitedHealthCare was given 4 stars out of 5 in overall experience (better than most) while CIGNA & Aetna were given 2 stars, a below average rating.

More about Florida health insurance.