Learn more about your Medical Plan Options
Medical Plan Design
UF Direct Health
EPO
In-Network Only
Calendar Year Deductible (Individual / Family)
$750 / $1,500
Your Coinsurance
20%
Out-of-Pocket Maximum (Individual / Family)
$2,500 / $5,000
Teladoc
$0
Physician Visit (Primary Care / Specialist)
$10 / $30
Lab Diagnostic Services
$0
X-Ray / Advanced Imaging Services
CYD + 20%
Hospital Services
CYD + 20%
Urgent Care Visit
$25
Emergency Room Visit
CYD + 20%
Therapy Services (Outpatient / Inpatient)
CYD + 20%
Out-of-Network
Calendar Year Deductible (Individual / Family)
No Coverage
Your Coinsurance
No Coverage
Out-of-Pocket Maximum (Individual / Family)
No Coverage
Blue Care 65
HMO Higher Deductible
In-Network Only
Calendar Year Deductible (Individual / Family)
$1,500 / $3,000
Your Coinsurance
30%
Out-of-Pocket Maximum (Individual / Family)
$5,000 / $10,000
Teladoc
$0
Physician Visit (Primary Care / Specialist)
$25/ $40
Lab Diagnostic Services
$0
X-Ray / Advanced Imaging Services
CYD + 30%
Hospital Services
CYD + 30%
Urgent Care Visit
$25
Emergency Room Visit
CYD + 30%
Therapy Services (Outpatient / Inpatient)
$40 / CYD + 30%
Out-of-Network
Calendar Year Deductible (Individual / Family)
No Coverage
Your Coinsurance
No Coverage
Out-of-Pocket Maximum (Individual / Family)
No Coverage
Blue Care 48
HMO Lower Deductible
In-Network Only
Calendar Year Deductible (Individual / Family)
$300 / $600
Your Coinsurance
30%
Out-of-Pocket Maximum (Individual / Family)
$2,500 / $5,000
Teladoc
$0
Physician Visit (Primary Care / Specialist)
$25 / $35
Lab Diagnostic Services
$0
X-Ray / Advanced Imaging Services
$30 / $300
Hospital Services
CYD + 30%
Urgent Care Visit
$30
Emergency Room Visit
$300 + 30%
Therapy Services (Outpatient / Inpatient)
$35 / CYD + 30%
Out-of-Network
Calendar Year Deductible (Individual / Family)
No Coverage
Your Coinsurance
No Coverage
Out-of-Pocket Maximum (Individual / Family)
No Coverage
Blue Options 5782
PPO
In-Network
Calendar Year Deductible (Individual / Family)
$750 / $1,500
Your Coinsurance
30%
Out-of-Pocket Maximum (Individual / Family)
$6,000 / $12,000
Teladoc
$0
Physician Visit (Primary Care / Specialist)
$30 / $40
Lab Diagnostic Services
$0
X-Ray / Advanced Imaging Services
$35 / $300
Hospital Services
CYD + 30%
Urgent Care Visit
$35
Emergency Room Visit
$300 + 30%
Therapy Services (Outpatient / Inpatient)
$40 / CYD + 30%
Out-of-Network
Calendar Year Deductible (Individual / Family)
$1,000 / $2,000
Your Coinsurance
50%
Out-of-Pocket Maximum (Individual / Family)
$9,000 / $18,000
BCBS Resources
Smoking Cessation Program
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Contact the provider of these benefits by calling this phone number or visiting this website: 800-352-2583, floridablue.com
Contribution Rates
Per Pay Period - Biweekly
Employee Only
UF Direct Health
$0.00
Blue Care HMO 65
$0.00
Blue Care HMO 48
$27.57
Blue Options PPO
$41.35
Employee + Spouse
UF Direct Health
$122.88
Blue Care HMO 65
$119.75
Blue Care HMO 48
$159.98
Blue Options PPO
$191.17
Employee + Child(ren)
UF Direct Health
$105.86
Blue Care HMO 65
$106.23
Blue Care HMO 48
$142.55
Blue Options PPO
$170.33
Employee + Family
UF Direct Health
$235.52
Blue Care HMO 65
$237.52
Blue Care HMO 48
$323.74
Blue Options PPO
$370.74
This Digital Benefits Guide is intended to highlight available benefits and should not be relied upon to fully determine coverage. The benefits plan may not cover all health care expenses. More complete descriptions of benefits and the terms under which they are provided are contained in the Certificate of Coverage that you will receive upon request. If this Digital Benefits Guide conflicts in any way with the policy issued by the employer, the policy shall prevail.

