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Loyalty Reward Program

The longer you are with us more benefits you get

bronze (0-12 months in our plan)

Preventive Control Panels (every 3 months)

As its name indicates, the Preventive Panels are designed to monitor and prevent possible diseases in time. These panels begin to be effective after 90 days and allow you to visit your Primary Care Physician (PCP) without co-payment and are available throughout the year, every 3 months, without an expiration date. Studies such as Mammography, Pap Smear, Prostate Test and Occult Blood, and others, can provide you a better quality of life.

  • PANEL I (X-RAYS AND ULTRASOUNDS $200 CREDIT) (Panels)
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    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have procedures described in Panel I performed. This panel has a $200.00 credit every contract year. This credit accumulates every contract year. If the full $200.00 credit is not used during a contract year, the balance of the credit rolls over and is added to the next contract year's $200 credit amount. The procedure(s) must be performed in a participating provider physician/specialist's office or plan diagnostic center upon referral from a participating provider physician and subject to a previous appointment request, with the exception of child immunizations and flu shots. Must be medically necessary.

  • PANEL H (LABS 3 TIMES PER YEAR) (Panels)
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    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have during an office visit either singular or multi lab tests (Panel H) performed 3 times per contract year. The first and second office visits whereby Panel H tests are performed are covered after the one month waiting period. The third office visits whereby Panel H tests are performed are covered only if the lab tests are performed more than three months after the second office visit. The tests must be medically necessary and be performed in the participating provider primary care physician or general practitioner's office. Panel H Lab tests can be combined with procedures from Preventive Panel female B and F, excluding other Panels.

  • PANEL B MALE (PROSTATE EXAM LABORATORY 35 YEARS AND OLDER) (Panels)
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    MALE
    • Office Visit
    • Prostate Test
    • Coronary Risk Test
  • PANEL F (PAP SMEAR 21 YEARS AND 34) (Panels)
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    FEMALE
    • Office Visit
    • Mammogram (screening, digital)
    • PAP Smear
  • PANEL B FEMALE (MAMMOGRAM 35 YEARS AND OLDER) (Panels)
  • DENTAL PROCEDURES ($200 CREDIT EVERY YEAR) (Additional Benefits)
  • EKG (Additional Benefits)
  • DENTAL PROPHYLAXIS (DENTAL CLEANING) (Additional Benefits)
  • FIT COLON CANCER TEST (50 YEAR AND OLDER) (Additional Benefits)

silver (13-24 months in our plan)

3 Free Additional Benefits

There are expensive procedures that you will have access to, completely without co-payment. After the first year (12 months) your Plan has obtained a SILVER category in our loyalty program, and now you can begin to enjoy the ADDITIONAL BENEFITS, which will increase qualitatively and quantitatively.

  • PANEL I (X-RAYS AND ULTRASOUNDS $200 CREDIT) (Panels)
    • Show/Hide Details

    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have procedures described in Panel I performed. This panel has a $200.00 credit every contract year. This credit accumulates every contract year. If the full $200.00 credit is not used during a contract year, the balance of the credit rolls over and is added to the next contract year's $200 credit amount. The procedure(s) must be performed in a participating provider physician/specialist's office or plan diagnostic center upon referral from a participating provider physician and subject to a previous appointment request, with the exception of child immunizations and flu shots. Must be medically necessary.

  • PANEL H (LABS 3 TIMES PER YEAR) (Panels)
    • Show/Hide Details

    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have during an office visit either singular or multi lab tests (Panel H) performed 3 times per contract year. The first and second office visits whereby Panel H tests are performed are covered after the one month waiting period. The third office visits whereby Panel H tests are performed are covered only if the lab tests are performed more than three months after the second office visit. The tests must be medically necessary and be performed in the participating provider primary care physician or general practitioner's office. Panel H Lab tests can be combined with procedures from Preventive Panel female B and F, excluding other Panels.

  • PANEL B MALE (PROSTATE EXAM LABORATORY 35 YEARS AND OLDER) (Panels)
    • Show/Hide Details
    MALE
    • Office Visit
    • Prostate Test
    • Coronary Risk Test
  • PANEL F (PAP SMEAR 21 YEARS AND 34) (Panels)
    • Show/Hide Details
    FEMALE
    • Office Visit
    • Mammogram (screening, digital)
    • PAP Smear
  • PANEL B FEMALE (MAMMOGRAM 35 YEARS AND OLDER) (Panels)
  • DENTAL PROCEDURES ($200 CREDIT EVERY YEAR) (Additional Benefits)
  • EKG (Additional Benefits)
  • DENTAL PROPHYLAXIS (DENTAL CLEANING) (Additional Benefits)
  • FIT COLON CANCER TEST (50 YEAR AND OLDER) (Additional Benefits)
  • SURGICAL PROCEDURES (Additional Benefits)

gold (25-36 months in our plan)

4 Free Additional Benefits

With two years active in the plan (24 months), now your membership has reached a GOLD category in our loyalty program, and you will be entitled up to 4 of the procedures listed in the ADDITIONAL BENEFITS table.

  • PANEL I (X-RAYS AND ULTRASOUNDS $200 CREDIT) (Panels)
    • Show/Hide Details

    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have procedures described in Panel I performed. This panel has a $200.00 credit every contract year. This credit accumulates every contract year. If the full $200.00 credit is not used during a contract year, the balance of the credit rolls over and is added to the next contract year's $200 credit amount. The procedure(s) must be performed in a participating provider physician/specialist's office or plan diagnostic center upon referral from a participating provider physician and subject to a previous appointment request, with the exception of child immunizations and flu shots. Must be medically necessary.

  • PANEL H (LABS 3 TIMES PER YEAR) (Panels)
    • Show/Hide Details

    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have during an office visit either singular or multi lab tests (Panel H) performed 3 times per contract year. The first and second office visits whereby Panel H tests are performed are covered after the one month waiting period. The third office visits whereby Panel H tests are performed are covered only if the lab tests are performed more than three months after the second office visit. The tests must be medically necessary and be performed in the participating provider primary care physician or general practitioner's office. Panel H Lab tests can be combined with procedures from Preventive Panel female B and F, excluding other Panels.

  • PANEL B MALE (PROSTATE EXAM LABORATORY 35 YEARS AND OLDER) (Panels)
    • Show/Hide Details
    MALE
    • Office Visit
    • Prostate Test
    • Coronary Risk Test
  • PANEL F (PAP SMEAR 21 YEARS AND 34) (Panels)
    • Show/Hide Details
    FEMALE
    • Office Visit
    • Mammogram (screening, digital)
    • PAP Smear
  • PANEL B FEMALE (MAMMOGRAM 35 YEARS AND OLDER) (Panels)
  • DENTAL PROCEDURES ($200 CREDIT EVERY YEAR) (Additional Benefits)
  • EKG (Additional Benefits)
  • DENTAL PROPHYLAXIS (DENTAL CLEANING) (Additional Benefits)
  • FIT COLON CANCER TEST (50 YEAR AND OLDER) (Additional Benefits)
  • SURGICAL PROCEDURES (Additional Benefits)
  • ENT PROCEDURES (LARINGOSCOPY) (Additional Benefits)
  • DERMATOLOGY PROCEDURES (Additional Benefits)
  • NEUROLOGY PROCEDURES (ELECTROENCEPHALOGRAM) (Additional Benefits)

diamond (36 plus months in our plan)

5 Free Additional Benefits

Congratulations!!!! , You have reached the DIAMOND category in our loyalty program, because your plan has been active for 3 years (36 months) and in gratitude to your preference FLORIDA HEALTH SOLUTION would like to offer you the best. Now you are entitled up to 5 of the procedures listed in the ADDITIONAL BENEFITS table, where you will find procedures such as MRI, CTSCAN, NUCLEAR MEDICINE AND COLONOSCOPY, and others without waiting time and completely without co-payment.

  • PANEL I (X-RAYS AND ULTRASOUNDS $200 CREDIT) (Panels)
    • Show/Hide Details

    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have procedures described in Panel I performed. This panel has a $200.00 credit every contract year. This credit accumulates every contract year. If the full $200.00 credit is not used during a contract year, the balance of the credit rolls over and is added to the next contract year's $200 credit amount. The procedure(s) must be performed in a participating provider physician/specialist's office or plan diagnostic center upon referral from a participating provider physician and subject to a previous appointment request, with the exception of child immunizations and flu shots. Must be medically necessary.

  • PANEL H (LABS 3 TIMES PER YEAR) (Panels)
    • Show/Hide Details

    After a one (1) month waiting period commencing from the member's coverage effective date, a member is eligible to have during an office visit either singular or multi lab tests (Panel H) performed 3 times per contract year. The first and second office visits whereby Panel H tests are performed are covered after the one month waiting period. The third office visits whereby Panel H tests are performed are covered only if the lab tests are performed more than three months after the second office visit. The tests must be medically necessary and be performed in the participating provider primary care physician or general practitioner's office. Panel H Lab tests can be combined with procedures from Preventive Panel female B and F, excluding other Panels.

  • PANEL B MALE (PROSTATE EXAM LABORATORY 35 YEARS AND OLDER) (Panels)
    • Show/Hide Details
    MALE
    • Office Visit
    • Prostate Test
    • Coronary Risk Test
  • PANEL F (PAP SMEAR 21 YEARS AND 34) (Panels)
    • Show/Hide Details
    FEMALE
    • Office Visit
    • Mammogram (screening, digital)
    • PAP Smear
  • PANEL B FEMALE (MAMMOGRAM 35 YEARS AND OLDER) (Panels)
  • DENTAL PROCEDURES ($200 CREDIT EVERY YEAR) (Additional Benefits)
  • EKG (Additional Benefits)
  • DENTAL PROPHYLAXIS (DENTAL CLEANING) (Additional Benefits)
  • FIT COLON CANCER TEST (50 YEAR AND OLDER) (Additional Benefits)
  • SURGICAL PROCEDURES (Additional Benefits)
  • ENT PROCEDURES (LARINGOSCOPY) (Additional Benefits)
  • DERMATOLOGY PROCEDURES (Additional Benefits)
  • NEUROLOGY PROCEDURES (ELECTROENCEPHALOGRAM) (Additional Benefits)
  • GASTROENTEROLOGY PROCEDURES (EGD AND COLONOSCOPY) (Additional Benefits)
  • CT-SCAN (Additional Benefits)
  • MRI (Additional Benefits)
  • NUCLEAR MEDICINE (Additional Benefits)

Member Education and Information Portal

For more information about Cervical & Breast Cancer click on the links below:

Key talking points regarding Covid-19 and the Delta variant

As, the pandemic continues to disrupt our lives and the healthcare system. We have effective vaccines that can reduce the risk of hospitalizations due to COVID-19 and the Delta variant. The vaccines have been found to be effective against the Delta variant. Getting vaccinated will bring us closer to finding an end to the pandemic, it protects you , your family and your community. It will help us get closer to returning to the lifestyle we had and the ability to gather with loved ones. The Centers for Disease Control and Prevention (CDC) states that "COVID-19 vaccines are effective at protecting you from getting sick even after you have had Covid-19. Vaccination is an important tool to help us get back to normal." 1 There are currently, 2 vaccines that have been granted emergency use authorization:

  • Moderna ( 2 shots, 28 days apart)
  • Johnson & Jonhson's Janssen ( 1 shot)
  • And one that has been FDA approved- Pfizer-BioNtech ( 2 shot, 21 days apart)

These vaccines teach our immune systems how to recognize and fight the virus that causes COVID-19. It typically takes 2 weeks after vaccination for the body to build protection (immunity) against the virus that causes COVID-19. It is important to talk to your healthcare provider if you have any questions regarding the vaccine, since they are your best source of information and know your health the most.

https://www.cdc.gov/coronavirus/2019-ncov/vaccines/prepare-for-vaccination.html

Protect Florida's Children Against the Flu

VFC Providers,

On Friday, January 12, 2018, the Centers for Disease Control held a telebriefing stating flu activity was at epidemic levels. As of this writing, the nation has experienced 20 pediatric deaths from influenza during the 2017-2018 season. Please help us prevent these senseless deaths by immunizing as many children as possible.

The VFC Program has vaccine available to ship immediately to those providers willing to immunize vulnerable children. Providers will not be held responsible for flu vaccine that expires in their storage units. Please log into FL SHOTS and place your order. Flu orders are being prioritized for approval by VFC staff.

Please help us protect children against the flu.

Contact the VFC Program via email at floridavfc@flhealth.gov, or via phone at 1-877-888-7468 Option 1.

General VFC Program information and forms can be found on our website at http://www.floridahealth.gov/programs-and-services/immunization/vaccines-for-children/index.html.

*Blast Communication 1/17/2018*

Prepare your family for a Disaster

Your family may not be together when a disaster strikes it is important to create a plan in advance. It is essential to have a disaster supplies kit that includes basic items from your home that you may need in case of emergency.


Your Plan should include:
  • How you will get to a safe place.
  • How you will contact each other.
  • How you will get back together.
  • What you will do in different situations.

Start preparing for an emergency or disaster before anything happens Family communication is very important. A disaster supplies kit is simply a collection of basic items you may need in the event of an emergency. Assemble your kit well in advance of an emergency so you can survive on your own after an emergency.

Start Here

Dental Health

Dental health is a very important part of one's health and well-being. Tooth day and tooth loss can lead to dental pain and cause much suffering. We need good oral health in order to chew, swallow, smile, speak, sing and communicate with others. Approximately 25% of our nation's children have multiple cavities. According to recent studies , both the American Dental Association and the American Heart Association have acknowledged the relationship between gum disease and heart disease. It is believed gum disease may increase the risk of heart disease because inflammation in the gums and bacteria may eventually lead to narrowing of arteries which is believed to be a contributing factor in coronary artery disease. Periodontal disease has also been associated with Alzheimer's disease because bacteria was found in the tissues and spinal fluid of patient's with the illness.

Dental disease has been associated with multiple co-morbidities and may exacerbate other illness side effects. Changes in the mouth can give clues to other illness such as infectious disease, immune disorder, nutritional deficiencies and cancer. Good oral and physical health includes a healthy diet, proper exercise and the access to dentist and physicians as well as fluoridated water and preventive dental services such as dental sealants and fluoride treatments. According to the Department of Health in the State of Florida, "Dental disease is largely preventable through effective health promotion and dental disease prevention programs". Florida Health Solution believes in prevention and created Panel J which is twice a year cleaning and prophylaxis available to you with a wide network of Dentist. Schedule an appointment today. Having a simple cleaning, extraction or filling may prevent a more difficult to treat condition such as a dental abscess or root canal.

Mental Illness

Mental illness is on the rise and it can no longer be taboo to speak about this illness. It is important to seek help in times of sadness, grief , anxiety and depression. Mental Health can hinder how we communicate with our family and can affect how we view ourselves Asking and getting the help we need by professionals such as psychologist and psychiatrist is paramount to recovery. Florida Health Solution has a network of providers that can assist you in diagnosis and treatment. We have many providers that can see you from the comfort of your own home via telehealth. The stress of the pandemic has increased the levels of anxiety. It is ok to ask for help!


Documents about Mental Health

If you have any questions please call (305) 269-2000 to speak to a customer service representative or, contact us online through our contact form.

  • Stay updated with our View Member's Bulletin 2021.

    • Office Location

    • MIAMI

      7350 Nw 7th St Suite 204
      Miami, Fl, 33126
      (305) 269-2025

    • Orlando

      12250 Menta St 103
      Orlando, FL, 32837
      (407) 851-1554