In February, DeSantis directed the Department of Management Services (DMS) to pursue innovative methods to deliver health care options to its members, including competitively procuring for MA-PD plans and making those plans available on a voluntary basis during this year’s open enrollment for the 2020 plan year.
The Department initiated a competitive procurement for MA-PD plans in April and, on August 7, awarded three health insurance companies to provide MA-PD plans. UnitedHealthcare will offer a Preferred Provider Organization (PPO) MA-PD plan statewide with access to a national network, Humana will offer a Health Maintenance Organization (HMO) MA-PD plan in 40 Florida counties, and Capital Health Plan will offer an alternate HMO MA-PD option in seven counties in the Big Bend.
The new program will be administered by DMS.
“These new health plan options will provide access to high-quality care to thousands of retirees while saving them, collectively, as much as $7 million,” said DMS secretary Jonathan Satter. “This is one way we can provide retirees in the State Group Insurance program with the best possible benefits and services for the premiums they pay.”
The MA-PD plans will provide the standard hospitalization and medical coverage of Medicare Part A and Part B as well as prescription drug coverage. In addition to lower monthly premiums for retirees, the new plans will also offer:
- Reduced out-of-pocket costs for preventative care, specialist visits, and home health services;
- Expanded benefits for vision, hearing, and dental services; and
- Access to telehealth, fitness programs, and caregiver support.
Medicare-eligible retirees will be able to voluntarily enroll in one of the new plans during the Department’s Open Enrollment period which begins October 14, 2019, and concludes on November 1, 2019. The plan coverage will go into effect on January 1, 2020.
Currently, retirees can continue the coverage they had as active employees by paying the entire monthly premium. Once they become Medicare-eligible at age 65, Medicare is the primary payer of medical and prescription drug claims, and the Program coordinates benefits with Medicare. This health option will still be available to retirees under the Program.
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