• Seeing a Doctor Out-of-Network
• Fill a Prescription Out-of-Network
• Enrollment
  • Eligibility
  • Disenrollment

FILLING A PRESCRIPTION OUT-OF-NETWORK

Your prescription may be covered in certain situations

Generally, we cover drugs filled at an out-of-network pharmacy only when you are not able to use a network pharmacy. Here are the circumstances when we would cover prescriptions filled at an out-of-network pharmacy:

• Prescriptions for out-of-area emergency or urgently needed services
Before you fill your prescription in these situation, call Member Services to see if there is a network pharmacy in your area where you can fill your prescription. If you do go to an out-of-network pharmacy for the reason listed above then you will have to pay the full cost when you fill your prescription. You can ask us to reimburse you for our share of the cost by submitting a paper claim to

Florida Health Care Plans
Attn:  Claims Department
P.O. Box 9910
Daytona Beach, FL 32120

 

Please be sure to contact Member Services if you have any questions. If you don’t know what you owe, or you receive bills and you don’t know what to do about those bills, we can help. You can also call if you want to give us more information about a request for payment you have already sent to us.