GatorCare Presentation - University of Florida

Report
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TODAY’S AGENDA
• Welcome and Introductions
• What is GatorCare
• Who is GatorCare
• Review of GatorCare Options Health Plan Design
• Q&A
• Instructions/Assistance Enrollment
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WELCOME AND INTRODUCTIONS
Gatorcare.org
Mary Alice Albritton, Director
352.265.7255
[email protected]
Kelly Rossa, Analyst
352.265.7255
[email protected]
Julie K. Neubig
Benefits Manager
University Benefits
Human Resource Services
P.O. Box 115007
Gainesville, FL 32611
352-392-2477(P)
352-846-1854 (F)
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WELCOME AND INTRODUCTIONS
Florida Blue GatorCare Team
• Jan Goess, Account Manager
• Julie Engelien, Strategic Account Executive
• Leslie Florence, Florida Blue on-site representative (Gainesville)
• Kelley Thomas, Florida Blue on-site representative (Jacksonville)
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WHAT IS GATORCARE
A new health insurance plan created with your health and wellness needs
in mind. GatorCare is a consolidated group health plan available to eligible
employee groups associated with University of Florida, UF Health and its
affiliates.
“The goal of GatorCare is to improve the health of our employees at lower
cost by providing them with easy access to our clinical faculty and facilities,
to electronic information about their health records, and to services that
emphasize prevention and early intervention,” said Dr. David S. Guzick,
senior vice president for health affairs and president of the UF&Shands
Health System. “It’s about Gators taking care of Gators”.
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WHO IS GATORCARE
The GatorCare network includes UF Health Hospitals, UF Physicians, and
select community providers in the Gainesville and Jacksonville areas.
Providers in both locations are available to all employees.
Employees will receive the highest level of benefits when services are
rendered within the GatorCare network.
Health Plans administered by Florida Blue
Pharmacy benefits administered by Magellan Pharmacy Solutions
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WHO IS GATORCARE
You are in Great Company!
Entities covered by GatorCare include:
• Shands Jacksonville and Gainesville Jan 1, 2013
• UF Jax Healthcare (UFJHI) and UF Physicians (UFJPI) Jan 1, 2013
• UF Domestic Partners Jan 1, 2013
• University of Florida Foundation May 1, 2013
• College of Medicine and Dentistry July 1, 2013
• UF Veterinary Medicine July 1, 2013
• UF Post Docs July 1, 2013
• UF Graduate Assistants - August 16, 2013
• UF Investment Corporation – August 1,2013
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GATORCARE BENEFIT PLAN DESIGN
• Post Doc GatorCare Plan: Options Plan
• Plan offers Tier 1 coverage or “GatorCare” network coverage
• Tier 2 = Network Blue/Blue Options in-network providers
• Tier 3 = Out of Network/Non Par providers
• Members will receive the highest level of benefits when they
receive services within the GatorCare Tier 1 network.
• Pharmacy benefits administered by Magellan Pharmacy
Solutions
• GatorCare Options Summary of Benefits
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SAMPLE GATORCARE MEMBER ID CARD
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FINDING A GATORCARE PROVIDER
GatorCare.org
Look for: Provider Directory
GatorCare Provider Directories (Tier 1)
Gainesville and Surrounding Area Providers
• Primary Care
• Sorted by primary care specialty
• Sorted by provider name
• Specialty Care
• Sorted by Community Providers
• Sorted by UFP Providers
Jacksonville and Surrounding Area Providers
• Sorted by county and provider type
Florida Blue Provider Directory (Tier 2)
Online Provider Directory
When searching in the Florida Blue
online provider directory, please use
“BlueOptions” to find providers that
qualify for Tier 2 coverage under the
GatorCare health plan.
Magellan Preferred Drug Guide
This 2013 Preferred Drug Guide
provides helpful information on the
GatorCare Drug List and your
pharmacy benefit plan.
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Questions?
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Thank you!
Welcome to GatorCare!
GatorCare.org
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