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Miami Dade Blue Highlights

Florida's Miami-Dade County and BlueCross BlueShield of Florida on Tuesday announced a new low-cost health plan, called Miami-Dade Blue, aimed at helping the estimated 600,000 uninsured county residents, the Miami Herald reports. The plan -- which costs taxpayers nothing -- is a traditional PPO, with no pre-approvals or referrals and will cost a healthy 35-year-old male about $100 per month. Miami-Dade Blue has a $250 deductible and will cover 90% of in-network hospital costs and 100% of fees for in-network lab tests after the deductible is met. The copayment for generic drugs is $10 per prescription; the plan will not offer coverage for brand-name prescriptions.

Kaiser Insurance Article About Dade Blue

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Commissioner Martinez announces new affordable health care plan

A unique pilot health care program, co-designed by Blue Cross BlueShield of Florida, Inc. (BCBSF) and the Office of Countywide Healthcare Planning (OCHP) under Commissioner Joe A. Martinez's leadership, will give residents and small business owners the opportunity to purchase health insurance with affordable monthly payments, with coverage being offered starting July 1, 2009. Find out more about Miami-Dade Blue and how it could help you.

 

Miami-Dade Blue for Individuals and Small Groups

 

How can Blue help you?

By offering health care benefits that you can really use. If you think health care coverage is out of reach, let BCBSF show you how Miami-Dade Blue can make it work within budget for small groups in Miami-Dade County.  Miami-Dade Blue offers low-cost coverage for a broad spectrum of useful benefits like routine and preventive care, hospital visits, and dental benefits all rolled into one, easy-to-use plan. Low premiums are made possible by our locally-focused provider network 1 of family physicians, specialists, hospitals, urgent and convenient care centers available to you without referral. As with most BCBSF plans, you can go out of the network for care, but will save more staying within the network. It's up to you.   With Miami-Dade Blue, members have access to valuable extras2 like personalized support programs, online health tools and other resources that help you save money and take control of your health, at no added cost. Members also receive big discounts3 on health-related services like hearing and vision exams and products, chiropractic care, and much more.


Plan at a Glance

Miami-Dade Blue helps you keep more money in your pocket with affordable health care benefits that work for you. With no referrals necessary, you can see any provider you want, but you’ll save using the local Miami-Dade Blue network. Enrollment is fast and easy, and you’re covered for: 

  • Routine and preventive doctor office visits. We pay up to $50 per provider, per date of service, and you pay the balance, or the amount billed by the provider after subtracting the $50 payment made by us. 

  • Generic prescription drugs

  • Urgent care center visits

  • Dental services. We pay $50 per provider, per date of service, and you pay the balance, which is the amount you will be billed by the provider after subtracting the $50 payment made by us.

  • Lab tests 

  • Inpatient hospital care

  • Outpatient hospital care related to surgery

  • Emergency room services

  • Mammograms

 

For more information

1Miami-Dade Blue network is one of our preferred provider networks made up of independent hospitals, physicians and ancillary providers in Miami-Dade County, and is the PPO provider network designated as “in-network” for the Miami-Dade Blue plan.

2As a courtesy, BCBSF has entered into arrangements with various vendors to provide value-added features that include care decision support tools and services to its members. These programs are not part of insurance coverage. All decisions that members make pertaining to medical/clinical judgment should be made in conjunction with their physician since neither BCBSF nor its vendors provide medical care or advice.

3Discounts available as a courtesy to all BCBSF members through separate business partners. Discounts may be used once covered benefits, if any, are exhausted.

Miami-Dade Blue is insured by Blue Cross and Blue Shield of Florida. Miami-Dade County is not responsible for the operations or liabilities of this product. Exclusions and limitations apply. The amount of benefits provided depends upon the plan selected and the premium will vary with the amount of benefits selected.

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