GATORCARE 2013 UF POST DOCS 1. TODAY’S AGENDA Welcome and Introductions What is GatorCare Who is GatorCare Review of GatorCare Options Health Plan Design.

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Presentation transcript:

GATORCARE 2013 UF POST DOCS 1

TODAY’S AGENDA Welcome and Introductions What is GatorCare Who is GatorCare Review of GatorCare Options Health Plan Design Q & A Instructions/Assistance Enrollment 2

WELCOME AND INTRODUCTIONS 3 Gatorcare.org Mary Alice Albritton, Director Kelly Rossa, Analyst Julie K. Neubig Benefits Manager University Benefits Human Resource Services P.O. Box Gainesville, FL (P) (F)

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) 4

WHAT IS GATORCARE 5 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”.

WHO IS GATORCARE 6 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

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 7

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 8

9 SAMPLE GATORCARE MEMBER ID CARD

FINDING A GATORCARE PROVIDER 10 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 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.2013 Preferred Drug Guide

Questions? 11

Thank you! Welcome to GatorCare! GatorCare.org 12