Group HMO Plans

Benefits

Small Groups

2019 Plans
Comparison of Benefits

2018 Plans
Comparison of Benefits

Large Groups

2019 Plans
Comparison of Benefits

2018 Plans
Comparison of Benefits


SBCs

In compliance with new requirements of the Affordable Care Act, Florida Hospital Care Advantage has made available a Summary of Benefits and Coverage (SBC) for our group plans. All SBCs are available at myFHCA.org/mySBC.

2019 Drug Lists (Formularies):

2018 Drug Lists (Formularies):

Authorizations:

  • Pharmacy Authorization Criteria (Commercial Metal 5 Tier)2018 | 2019
  • Pharmacy Authorization Criteria (Commercial 5 Tier)2018 | 2019
  • Pharmacy Authorization Criteria (Commercial 3 Tier)2018 | 2019

Pediatric dental coverage

Last updated: 10/24/2018