State of Florida

Florida Health Care Plans has been continuously providing coverage to State employees that live or work in our service area of Volusia and Flagler counties since June 1, 1977.

Click here to review 2010 benefit information.

What's New for 2011?

Federal Affordable Care Act

The Federal Affordable Care Act requires health insurers to do the following, effective January 1, 2011

  • Cover dependents through the end of the calendar year in which they turn age 26, provided they are not eligible to enroll in an employer-sponsored health plan (other than their parents’).

State Legislative Changes Effective January 1, 2011

Each year the General Appropriations Act, also called the state budget, sets the benefits for State of Florida employees and retirees. This year the budgeting process made some important changes to your health benefits. All changes effective January 1, 2011.

Copays for medical services are as follows:

Services

All HMOs

Current Copay

Copay as of
Jan. 1, 2011

Urgent Care Physician Visit

$15

$25

Emergency Room Visit

$50

$100

Primary Care Physician Office Visit

$15

$20

Specialist Physician Office Visit

$25

$40

 

Copays for prescription drugs are as follows:

 

All HMOs

RETAIL
Current Copay

RETAIL
Copay as of Jan. 1, 2011

MAIL ORDER
Current Copay

MAIL ORDER Copay as of
Jan. 1, 2011

Generic Drugs

$10

$7

$20

$14

Preferred Brand Name Drugs

$25

$30

$50

$60

Non-Preferred Brand Name Drugs

$40

$50

$80

$100

 

  • Smoking Cessation Perscription Drug Benefits: All health plans offer this health insurance benefit, limited to up to a six-month supply in any plan (calendar) year, with a lifetime maximum benefit of no more than nine months.

Remember, with all State Group Insurance prescription drug plans, you have two ways to fill your prescriptions:
1.   Retail—use your insurance card at the pharmacy for short-term medications and those that must be filled immediately.

2.   Mail order—send your maintenance prescriptions to the mail order pharmacy and get up to a 90-day supply for the cost of two months.

There are two types of plans offered:  the Standard Plan (HMO) and the Health Investor Plan (HMO) (lower monthly premium, high annual deductible).   FHCP offers these plans to those State of Florida employees who live or work in Volusia or Flagler counties.

State of Florida retirees please click here to review FHCP’s Medvantage Rx Plus plan.

Standard HMO Plan

  • No deductible
  • Low out-of-pocket costs
  • Over 550 Providers and Contract Facilities in Volusia and Flagler counties
  • Worldwide coverage for Emergency and Urgent Care
  • No Paperwork or Claim forms

Click here for a description of the 2011 HMO benefits.

Health Investor Health Plan

  • High deductible
  • Lower cost alternative for employee benefits
  • Preventive care covered in full
  • HSA qualified plan
  • Tax advantages for employees

Click here for a description of the 2011 Health Investor Health Plan benefits.

State of Florida Member Handbook
Click here for a full description of covered benefits and exclusions and limitations.