AvMed Individual Health Just what you’re looking for.
FloridaAvMed.com is run by East Coast Health Insurance, a licensed agency of AvMed. AvMed is also a not for profit health insurance carrier and enjoys substantial pricing benefits over their for profit competition. We recommend you run your own Florida AvMed quote right now!
At AvMed, we understand that no matter what life stage you’re in opening a business, starting a family or sending kids off to college you want the security of knowing you will always have access to the quality care you deserve. Even if you’re healthy today, an accident or medical emergency can drain your finances. Put your mind at ease with AvMed Individual Health. It’s the coverage you need at prices you can afford.
Part-Time or Not Covered at Work – let us personalize a Florida health plan for you!
Starting Out – recent graduates or just moved out on your own.
Newlyweds – plans to fit your health care needs.
Raising a Family – flexible plans let you focus on raising a healthy and happy family.
Self-employed – freelance, contractor, own your own business – we’ve got you covered.
Between Jobs – AvMed’s premiums may be lower than that of COBRA.
Empty Nesters or Retiring Early – affordable options before you’re ready for Medicare.
You’re busy living your life. Just call East Coast Health Insurance at 888 803 5917, and talk with an experienced Personal Coverage Specialist who will help you select a plan designed to best fit your needs. AvMed has plan designs for all life stages.
AvMed individual health coverage is available for persons 18-64 years of age who are not eligible for Medicare and who live in Palm Beach, Miami-Dade, or Broward counties.
For questions on eligibility call 1-888-803-5917, e-mail us at firstname.lastname@example.org.
AvMed Plan Basics
Healthcare can be intricate but AvMed wants to ensure you understand your benefits. This information is important to help you become familiar with your health plan.
With AvMed Individual Health, you may choose from an extensive, strong network of participating health care providers. In-network benefits will provide you the most value for your health care dollars.
- More than 23,000 physicians, specialists and hospitals provide AvMed members access to quality medical care in every major metropolitan area of the state.
- You can access AvMed’s providers on our Web site at www.avmed.org
Although you are not required to select a Primary Care Physician, AvMed encourages you to develop a unique and valuable relationship with one. A primary care physician will oversee and coordinate your health care needs.
AvMed In-Network Providers/Facilities
The network consists of AvMed providers within the AvMed service area. Typically, your out-of-pocket expenses will be lowest when care is received from AvMed providers in the AvMed Network. Covered services will be paid at the highest level of your plan benefits.
PHCS National Network Providers/Facilities
Our national network partner, Private Healthcare Systems (PHCS), is a supplemental network available to you at your in-network benefit level. These providers and facilities are available to you outside of AvMed’s service area, either in Florida or nationwide. This will help keep your out-of-pocket expenses lower than if you were seeking care from an out-of-network provider.
As an AvMed Individual Health member, you also have the option of going to hospitals and physicians outside both the AvMed network and the PHCS network, anywhere in the United States. Your out-of-pocket expenses would be highest in this case, regardless of whether you receive care in or out of the AvMed service area. Covered services will be paid at the lowest level of your plan benefits. Because there are no contracts with these providers, you may be billed the difference between the billed charge and the usual, reasonable and customary fee allowance covered by your plan.
AvMed strongly believes that preventive health is the cornerstone to staying healthy. That is why your plans do not make Preventive Care services subject to your in-network calendar year deductible. AvMed truly wants our members to take an active role in managing their health and wellness. We encourage you to get the proper age and gender specific screenings and immunizations to keep you healthy and prevent future health problems. Some of the most common covered Preventive Care Services are:
- Annual physicals including labs
- Child and adult immunizations
- Well child care
- Screening services
- Well Woman Exams (PAP)
- PSA tests for men
For a full list of Preventive Care Services, visit our website at www.avmed.org and select “Individual Members” and “Preventive Services.”
AvMed Easy Plan
With the AvMed Easy Plan you have predictable out-of-pocket costs and a broad network of providers.
- Predictable co-payment only plan
- Lower co-payments at select locations
- No co-insurance
- Broad network of local doctors and hospitals
- Emergency worldwide coverage
- No waiting period for preventive benefits
- Unlimited lifetime maximum
- Prescription drug coverage available with no annual maximum
- Maternity coverage available
AvMed Elite Plan
|With the AvMed Elite Plan, you can see any doctor or visit any hospital, anywhere in the United States. Co-payments, deductibles and co-insurance vary depending on the network selected.|
The AvMed HSA-Qualified Plan is a high-deductible health plan (HDHP) that can be paired with a Health Savings Account (HSA)1. An HSA is a tax-free account that you can use as a long-term savings fund for health care expenses. The AvMed HSA-Qualified Plan puts you in control. Use AvMed’s easy Online Consumer Tools to make informed and cost-conscious health care decisions.
- In-and out-of-network benefits
- Access to a broad network of doctors and hospitals in Florida and the United States
- Emergency worldwide coverage
- No referral to see a specialist
- 100% after deductible plans available
- No deductible or waiting period for preventive benefits
- Prescription drug coverage included
Terms You Should Know
Co-payment: A fixed fee paid by you to the provider for covered medical services.
Co-Insurance: a percentage you must pay toward the cost of covered services once the deductible has been met. The co-insurance amount will vary depending on the network selected.
Deductible: An annual deductible is the amount you pay for covered services before the plan will begin to pay for these services. A new deductible must be met each calendar year. You must meet your in-network deductible separate than your out-of-network deductible. Deductible amounts can be found on your Schedule of Benefits.
Out-of-Pocket Max: To protect you from catastrophic costs, AvMed’s plans include an annual out-of-pocket max to protect you. The out-of-pocket max is the total amount per calendar year you will pay for covered services, after you have met your deductible. After the out-of-pocket is met, AvMed will pay 100% of your covered services until the following calendar year.
- Note: Certain services in your plan may not count towards your out-of-pocket max; see your Schedule of Benefits for more information on your plan design.
We understand that no matter what life stage you’re in: opening a business, starting a family or sending kids to college…you want the security of knowing you have the coverage you need at prices you can afford.
- More value for your health care dollar
- Predictable co-pays for in-network preventive services
- Options flexible enough to meet your needs
AvMed. Health plans with your health in mind.