Individual Plans (2017)

Summary of Benefits and Coverage (SBC)

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 your plan. The SBC summarizes important information about your health coverage in a standardized format. Each SBC will display as a PDF, and you will need Adobe Reader to view it. You can download Acrobat Reader for free using the link at the bottom of this page. If you aren't clear about any of the underlined terms used in these forms, see the Glossary.

HMO

Florida Hospital Bronze HMO 100 1646
Florida Hospital Bronze HMO 100 1646 ZERO
Florida Hospital Bronze HMO 50 1634
Florida Hospital Bronze HMO 50 1634 ZERO
Florida Hospital Gold HMO 80 1644
Florida Hospital Gold HMO 80 1644 ZERO
Florida Hospital Gold POS 80 1645
Florida Hospital Gold POS 80 1645 ZERO
Florida Hospital GYM ACCESS Bronze HMO 100 HSA 1574
Florida Hospital GYM ACCESS Bronze HMO 100 1574 ZERO
Florida Hospital GYM ACCESS Bronze HMO 70 1571
Florida Hospital GYM ACCESS Bronze HMO 70 1571 ZERO
Florida Hospital GYM ACCESS Bronze HMO 70 HSA 1576
Florida Hospital GYM ACCESS Bronze HMO 70 1576 ZERO
Florida Hospital GYM ACCESS Catastrophic HMO 1624
Florida Hospital GYM ACCESS Catastrophic POS 1625
Florida Hospital GYM ACCESS Gold HMO 100 1617
Florida Hospital GYM ACCESS Gold HMO 100 1617 ZERO
Florida Hospital GYM ACCESS Gold HMO 70 1621
Florida Hospital GYM ACCESS Gold HMO 70 1621 ZERO
Florida Hospital GYM ACCESS Gold HMO 80 1620
Florida Hospital GYM ACCESS Gold HMO 80 1620 ZERO
Florida Hospital GYM ACCESS Gold HMO 90 HSA 1622
Florida Hospital GYM ACCESS Gold HMO 90 1622 ZERO
Florida Hospital GYM ACCESS Silver AV73 HMO 100 1578
Florida Hospital GYM ACCESS Silver AV73 HMO 100 1586
Florida Hospital GYM ACCESS Silver AV73 HMO 70 1602
Florida Hospital GYM ACCESS Silver AV73 HMO 70 1610
Florida Hospital GYM ACCESS Silver AV73 HMO 80 1594
Florida Hospital GYM ACCESS Silver AV73 HMO 80 HSA 1614
Florida Hospital GYM ACCESS Silver AV73 HMO 90 1590
Florida Hospital GYM ACCESS Silver AV87 HMO 100 1579
Florida Hospital GYM ACCESS Silver AV87 HMO 100 1587
Florida Hospital GYM ACCESS Silver AV87 HMO 70 1603
Florida Hospital GYM ACCESS Silver AV87 HMO 70 1611
Florida Hospital GYM ACCESS Silver AV87 HMO 80 1595
Florida Hospital GYM ACCESS Silver AV87 HMO 80 1615
Florida Hospital GYM ACCESS Silver AV87 HMO 90 1591
Florida Hospital GYM ACCESS Silver AV94 HMO 100 1580
Florida Hospital GYM ACCESS Silver AV94 HMO 100 1588
Florida Hospital GYM ACCESS Silver AV94 HMO 70 1604
Florida Hospital GYM ACCESS Silver AV94 HMO 70 1612
Florida Hospital GYM ACCESS Silver AV94 HMO 80 1596
Florida Hospital GYM ACCESS Silver AV94 HMO 80 1616
Florida Hospital GYM ACCESS Silver AV94 HMO 90 1592
Florida Hospital GYM ACCESS Silver HMO 100 1577
Florida Hospital GYM ACCESS Silver HMO 100 1577 ZERO
Florida Hospital GYM ACCESS Silver HMO 100 1585
Florida Hospital GYM ACCESS Silver HMO 100 1585 ZERO
Florida Hospital GYM ACCESS Silver HMO 70 1601
Florida Hospital GYM ACCESS Silver HMO 70 1601 ZERO
Florida Hospital GYM ACCESS Silver HMO 70 1609
Florida Hospital GYM ACCESS Silver HMO 70 1609 ZERO
Florida Hospital GYM ACCESS Silver HMO 80 1593
Florida Hospital GYM ACCESS Silver HMO 80 1593 ZERO
Florida Hospital GYM ACCESS Silver HMO 80 HSA 1613
Florida Hospital GYM ACCESS Silver HMO 80 1613 ZERO
Florida Hospital GYM ACCESS Silver HMO 90 1589
Florida Hospital GYM ACCESS Silver HMO 90 1589 ZERO
Florida Hospital Silver AV73 HMO 80 1637
Florida Hospital Silver AV73 HMO 80 1649
Florida Hospital Silver AV87 HMO 80 1638
Florida Hospital Silver AV87 HMO 80 1650
Florida Hospital Silver AV94 HMO 80 1651
Florida Hospital Silver AV94 HMO 95 1639
Florida Hospital Silver HMO 80 1636
Florida Hospital Silver HMO 80 1636 ZERO
Florida Hospital Silver HMO 80 1648
Florida Hospital Silver HMO 80 1648 ZERO

POS

Florida Hospital Bronze POS 100 1647
Florida Hospital Bronze POS 100 1647 ZERO
Florida Hospital Bronze POS 50 1635
Florida Hospital Bronze POS 50 1635 ZERO
Florida Hospital GYM ACCESS Bronze POS 100 HSA 1575
Florida Hospital GYM ACCESS Bronze POS 100 1575 ZERO
Florida Hospital GYM ACCESS Gold POS 100 1618
Florida Hospital GYM ACCESS Gold POS 100 1618 ZERO
Florida Hospital GYM ACCESS Silver AV73 POS 70 1606
Florida Hospital GYM ACCESS Silver AV73 POS 80 1598
Florida Hospital GYM ACCESS Silver AV87 POS 70 1607

Florida Hospital GYM ACCESS Silver AV87 POS 80 1599
Florida Hospital GYM ACCESS Silver AV94 POS 70 1608
Florida Hospital GYM ACCESS Silver AV94 POS 80 1600
Florida Hospital GYM ACCESS Silver POS 70 1605

Florida Hospital GYM ACCESS Silver POS 70 1605 ZERO
Florida Hospital GYM ACCESS Silver POS 80 1597
Florida Hospital GYM ACCESS Silver POS 80 1597 ZERO
Florida Hospital Silver AV73 POS 80 1641

Florida Hospital Silver AV73 POS 80 1653
Florida Hospital Silver AV87 POS 80 1642
Florida Hospital Silver AV87 POS 80 1654
Florida Hospital Silver AV94 POS 80 1655
Florida Hospital Silver AV94 POS 95 1643
Florida Hospital Silver POS 80 1640

Florida Hospital Silver POS 80 1640 ZERO
Florida Hospital Silver POS 80 1652
Florida Hospital Silver POS 80 1652 ZERO

Rate Increase

2017 Rate Increase Justification

 

A paper copy of your SBC is also available, free of charge, by calling Customer Service toll-free at 1.844.522.5269 (TTY/TDD relay: 1.800.955.8771) weekdays from 8 a.m. to 6 p.m.

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 your plan. The SBC summarizes important information about your health coverage in a standardized format. Each SBC will display as a PDF, and you will need Adobe Reader to view it. You can download Acrobat Reader for free using the link at the bottom of this page. If you aren't clear about any of the underlined terms used in these forms, see the Glossary.

Last updated: 7/9/2017