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An Ounce of Prevention is Worth a Pound of Cure

Click here to learn more about your Preventive Care options offered through the State Medical Plans.

 

The State of Florida offers comprehensive medical coverage to meet the needs of you and your family through four types of medical plans. Each option provides services and shares costs with you in a different way.

In addition to using the Medical Plan Cost Estimator and thinking through some Important Considerations, take some time to review key highlights of the different types of plans below. Click on each Plan name to learn more.


  Health Investor PPO Health Investor HMO Standard PPO Traditional HMOs

Your contributions for coverage (payroll deduction)

Lower for Career Service employees and University Faculty, Staff and Administrative, and Professional employees*

Higher for Career Service employees and University Faculty, Staff and Administrative, and Professional employees*

Choice of providers

Network or not

Network only

Network or not

Network only

Lifetime maximum

$2 million/person**

Unlimited

$2 million/person**

Unlimited

Open a Health Savings Account?

Yes

Yes

No

No

Have a Reimbursement Account?

Yes, a Limited Purpose Medical Reimbursement Account

Yes, a full Medical Reimbursement Account

Annual deductible

Higher

Higher

Lower

None

How you pay for most care

Percentage of cost after deductible

Percentage of cost after deductible

Network: set copayments
Non-network: percentage of cost after deductible

Set copayments

With single coverage, you must meet the individual deductible before anything but preventive care is covered
With family coverage, you must meet the family deductible before anything but preventive care is covered

Preventive care

Some physical exams and screenings covered with no deductible; see preventive care details

Annual out-of-pocket coinsurance maximum (the cap on the coinsurance you pay for most covered care)

Higher

Higher

Lower

Lowest

*Individuals in the Spouse Program or in employment classifications eligible for State-paid or university-paid coverage will still make no contribution for their medical coverage.

**Combined benefit under State Employees' Health Investor and Standard PPO while covered as employee, retiree or dependent.

If you enroll in a Health Investor plan, you may also open a Health Savings Account with contributions from the State, as long as you have no other medical coverage for 2008.

The State also makes supplemental hospital, cancer and intensive care insurance available through a variety of vendors.