Medical

We offer you a comprehensive benefits program to help you and your family protect your health and financial security. Your benefits are a valuable part of your compensation; we encourage you to learn how your plans work so you can get the most from them.

You have three (3) plan options through Blue Cross Blue Shield.

Enroll in Your Benefits
HMO vs PPO Video (7:52)

CLICK TO VIEW INFORMATION:

Medical Plan
Medical Resources
Rates

Contact the provider of these benefits by calling this phone number or visiting this website:

Group # 71-6289N

Phone: 855-816-7637

Website: myhealthtoolkitfl.com

Medical Plan Design

This is not a complete list of covered services. For more details, please refer to the plan documents.

The Blue Cross Blue Shield network is available for all employees. You are encouraged to visit www.myhealthtoolkitfl.com to search the provider directory for physicians and hospitals within your service area.

Your healthcare ID card reflects your coverage under the medical and prescription drug (if enrolled). Your dependents’ names will be listed on the card; additional cards can also be ordered with Blue Cross Blue Shield at www.myhealthtoolkitfl.com.

Quest Diagnostics is FL Blue's in-network provider for lab work.


Choice HSP
In-Network
Choice HMO
In-Network
Choice Plus
In-Network
Plan Year Deductible
(Individual/Family)
$4,000/$8,000
Plan Year Deductible
(Individual/Family)
$5,000/$10,000
Plan Year Deductible
(Individual/Family)
$3,000/$6,000
Your Coinsurance
20% after Deductible
Your Coinsurance
30%
Your Coinsurance
20%
Out-of-Pocket Maximum (Individual/Family)
$6,650/$13,300
Out-of-Pocket Maximum (Individual/Family)
$7,350/$14,700
Out-of-Pocket Maximum (Individual/Family)
$6,000/$12,000
Physician Visit
(Primary Care/Specialist)
Deductible, then coinsurance

Physician Visit

(Primary Care/Specialist)

$40/$75 copay

Physician Visit

(Primary Care/Specialist)

$35/$60 copay

Preventive Care Services
Covered 100%
Preventive Care Services
Covered 100%
Preventive Care Services
Covered 100%
Lab and X-Ray
Deductible, then coinsurance*
Lab and X-Ray
No charge*
Lab and X-Ray
No charge*
Major Imaging (PET/CT/MRI)
Deductible, then coinsurance
Major Imaging (PET/CT/MRI)
$300 copay
Major Imaging (PET/CT/MRI)
$300 copay
Inpatient Hospital Services
Deductible, then coinsurance
Inpatient Hospital Services
$100 copay + coinsurance
Inpatient Hospital Services
Deductible, then coinsurance

Outpatient Hospital Services

(Freestanding Facility / Hospital)

Deductible, then coinsurance

Outpatient Hospital Services

(Freestanding Facility / Hospital)

$250 copay/Deductible, then coinsurance

Outpatient Hospital Services

(Freestanding Facility / Hospital)

Deductible, then coinsurance

Urgent Care Visit
Deductible, then coinsurance
Urgent Care Visit
$60 copay
Urgent Care Visit
$40 copay
Emergency Room Visit
Deductible, then coinsurance
Emergency Room Visit
$750 copay
Emergency Room Visit
$750 copay
Out-of-Network
Out-of-Network
Out-of-Network

Plan Year Deductible

(Individual/Family)

Not covered

Plan Year Deductible

(Individual/Family)

Not covered

Plan Year Deductible

(Individual/Family)

$6,000/$12,000

Your Coinsurance
Not covered
Your Coinsurance
Not covered
Your Coinsurance
50%
Out-of-Pocket Maximum
(Individual/Family)
Not covered

Out-of-Pocket Maximum

(Individual/Family)

Not covered

Out-of-Pocket Maximum

(Individual/Family)

$12,000/$24,000

* Quest Diagnostics is FL Blue's in-network provider for lab work.

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Per-Pay-Period Premium Rates

Based on 20 Pre-tax Contributions (Sep-Jun). Pro-rated rates may apply when there are fewer than 20 deductions available.

After nearly 8 years without increases to employee medical contributions, changes are necessary this year to help support the long-term sustainability of the District’s benefits program. The District will continue to pay a large share of costs while offering strong benefits coverage. Medical premiums shown during Open Enrollment will reflect current rates; however, employee medical premiums will increase following ongoing negotiations and final funding decisions. The District’s actuary has currently recommended an overall 22% increase in medical funding for the upcoming plan year. Premium costs are subject to collective bargaining. Please review your 2026–2027 options and rates carefully when enrolling.

Coverage Level
Choice HSP
Choice HMO
Choice Plus
Employee Only
$0.00
$81.30
$152.55
Employee + Spouse
$234.98
$435.93
$573.60
Employee + Child(ren)
$153.34
$344.96
$476.25
Employee + Family
$349.22
$612.42
$792.77
Employee + Spouse (Both employed)
$0.00
$0.00
$119.02
Employee + Family (Both employed)
$0.00
$57.84
$238.19

Rates are subject to change.

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Choice

In-Network


Annual Deductible (Individual / Family)

$5,000 / $10,000

Your Coinsurance3

30%

Out-of-Pocket Maximum (Individual / Family)

$7,350 / $14,700

Physician Visit (Primary Care / Specialist)

$45 copay / $75 copay

Preventive Care Services

Covered 100%

Lab and X-Ray

No charge

Major Imaging (PET/CT/MRI)

$300 copay

Inpatient Hospital Services

$100 copay + coinsurance

Outpatient Hospital Services

(Freestanding Facility / Hospital)

$250 copay / Ded., then coinsurance

Urgent Care Visit

$70 copay

Emergency Room Visit

$500 copay

Out-of-Network


Annual Deductible (Individual / Family)

Not covered

Your Coinsurance

Not covered

Out-of-Pocket Maximum (Individual / Family)

Not covered

View HDHP Summary

Choice Plus

In-Network


Annual Deductible (Individual / Family)

$3,000 / $6,000

Your Coinsurance3

20%

Out-of-Pocket Maximum (Individual / Family)

$6,000 / $12,000

Physician Visit (Primary Care / Specialist)

$40 copay / $60 copay

Preventive Care Services

Covered 100%

Lab and X-Ray

No charge

Major Imaging (PET/CT/MRI)

$300 copay

Inpatient Hospital Services

Deductible, then coinsurance

Outpatient Hospital Services

(Freestanding Facility / Hospital)

Deductible, then coinsurance

Urgent Care Visit

$50 copay

Emergency Room Visit

$500 copay

Out-of-Network


Annual Deductible (Individual / Family)

$6,000 / $12,000

Your Coinsurance

50%

Out-of-Pocket Maximum (Individual / Family)

$12,000 / $24,000

View PPO Summary

Choice HSP

In-Network


Annual Embedded Deductible (Individual / Family)

$4,000 / $8,000

Your Coinsurance3

20%

Out-of-Pocket Maximum (Individual / Family)

$6,650 / $13,300

Physician Visit (Primary Care / Specialist)

Deductible, then coinsurance

Preventive Care Services

Covered 100%

Lab and X-Ray

Deductible, then coinsurance

Major Imaging (PET/CT/MRI)

Deductible, then coinsurance

Inpatient Hospital Services

Deductible, then coinsurance

Outpatient Hospital Services

(Freestanding Facility / Hospital)

Deductible, then coinsurance

Urgent Care Visit

Deductible, then coinsurance

Emergency Room Visit

Deductible, then coinsurance

Out-of-Network


Annual Deductible (Individual / Family)

Not covered

Your Coinsurance

Not covered

Out-of-Pocket Maximum (Individual / Family)

Not covered

View PPO Summary

Away From Home

Learn more

Telehealth

Learn more

OneClay Health Clinic

Learn more
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