Health Insurance

Summary of benefits and coverage        
Summary of benefits and coverage

Alachua County offers Blue Options 05770, a PPO option under a self insured health insurance plan administered by Florida Blue. A new employee is eligible for coverage under Alachua County's group health insurance plan, the 1st day of the month, following one month of employment with Alachua County. An active employee may enroll themselves or their eligible dependents during open enrollment or within 30 days of a qualified life-style change.

An employee may decline to be covered by Alachua County's health insurance plan. If the employee decides to enroll, there are three levels of coverage; employee only, employee, plus one dependent and employee, plus two or more dependents. The County pays 85% of the employee only coverage and 70% of the employee, plus one or family coverage.

BlueOptions PPO Plan 05770

Blue Options 05770 is the PPO option plan available to Alachua County employees. Employees and their dependents who are covered by the PPO may access any doctor without authorization by BCBS. Medical care may be provided by in-network or out-of-network providers. If care is provided in network the member is responsible for appropriate copayment. If a member receives treatment outside the network Blue Options pays 50% of the allowed amount after the deductible has been met. 

       Florida Blue - Blue Options Premiums - effective October 1, 2016

BlueOptions 05770 Biweekly Premium >Monthly Premium
coverage Employee County Total Employee County Total
Emp. Only $36.95 $209.36 $246.31 $73.90 $418.72 $492.62
Emp. + 1 $176.59 $412.05 $588.64 $353.18 $824.10 $1,177.28
Emp. + 2 or more $248.96 $580.90 $829.86 $497.92 $1,161.80 $1,659.72
Value Added Programs

Blue365 is a discount plan offered by Florida Blue and currently offers programs including discounts on LASIK eye surgery, vision care, hearing exams and hearing aids, gym memberships, Jenny Craig weight loss and mail order contacts lens. 

Care Consultants offers free advice and support to help members manage their health needs and control their total costs.  Their toll free number is 1-888-476-2227.

Health Dialog provides a resource for medical information, free educational materials, and most importantly, the ability to talk to a Health Coach at anytime to discuss personal health issues. The toll free number is 1-877-789-2583.

Florida Blue is Blue Cross Blue Shield's website for members. It gives members the ability to:

  • Check Claims status
  • View Benefit information
  • Search provider directories
  • Request ID cards and benefit booklets 
  • Log into my BlueRewards page
  • Update other Insurance Information
  • Submit general inquiries
  • Download forms and search Frequently Asked Questions
Care Away from Home

Within the United States

BlueChoice and BlueOption Plans: When you are outside the State of Florida and need healthcare, pull out your ID card and call BlueCard Access at 1-800-810-BLUE (2583) for information on the nearest BlueCard PPO doctors and hospitals.

Outside the United States

If a member is planning a trip or is traveling outside the U.S., the member calls the BlueCard Worldwide Service Center at 800-810-BLUE (2583) for available providers. The BlueCard Worldwide Service Center provides information on local doctors and hospitals available in the member's travel destination. General BlueCard Worldwide information is also available online.

If a member is traveling or living outside the U.S. and requires medical attention, the member calls the BlueCare Access line at 800-810-BLUE (2583). A medical assistance coordinator, in conjunction with a nurse, will facilitate hospitalization or make an appointment with a physician.

Pharmacy Benefit

Cost for prescription medications continues to soar with direct consumer advertising and introduction of new medicines. With direct consumer advertising comes the need to provide better employee education concerning prescription medications and the cost associated with them. Alachua County moved to a three-tier pharmacy plan to encourage discussion between the employee, doctor and pharmacist.

Retail Pharmacy for 30-day Supply

The prescription drug plan is a three-tiered plan. The co-payments are for a 30 day supply of a medication from a participating pharmacy. The co-payment for a generic medication is $10, a Blue Cross Blue Shield preferred name brand medication is $50 and a non-preferred name brand medication is $80.  There is a $100 calendar year deductible that must be met for non-generic medications.

90 day mail order pharmacy benefit

Blue Cross Blue Shield offers a 90 day mail order pharmacy benefit. This benefit benefit allows for the purchase of a 90-day supply of a maintenance medication for the equivalent of 2 and a half co-payments. A maintenance medication is a drug which is prescribed for regular consumption, for a prolonged period of time, such as high blood pressure medication. An employee must get his or her doctor to write a prescription for a 90-day supply of the medication. The employee can send the prescription to Prime Therapeutics along the mail order pharmacy form and payment.  The form can be found online at www.Floridablue.com

  Retail - 30 day supply Mail order- 90 day supply
Generic $10.00 $25.00
$100 calendar year deductible for non generic medications
Preferred name brand $50.00 $125.00
Non-preferred name brand $80.00 $200.00