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Health Flex Plan Program - Health Maintenance Organizations (HMOs), Health
Care Providers and Insurers Only
The Agency for Health Care Administration (Agency) and the Florida Department
of Financial Services (Department) announce the availability of the Health Flex
Plan, established in Section 408.909, Florida Statutes, that became effective
July 1, 2002. The Legislature found that a significant proportion of the residents
of this state are unable to obtain affordable health insurance coverage. Therefore,
it is the intent of the Legislature to expand the availability of health options
for low-income uninsured state residents by encouraging health insurers, health
maintenance organizations, health care provider sponsored organizations, local
governments, health care districts or other public or private community-sponsored
organizations to develop alternative approaches to traditional health insurance
that emphasize coverage for basic and preventive health care services.
The initial expiration date of the pilot program was July 2004; however, the
2003 Legislature extended the program to July 2008.
THE PROGRAM IS CURRENTLY AVAILABLE IN THE FOLLOWING COUNTIES. TO FIND OUT MORE
ABOUT EACH PROGRAM IN YOUR AREA, CALL THE NUMBER LISTED.
Miami-Dade County:
AmericanCare, Inc.: Phone:
(305) 278-0200
Website:
www.americancare.net
Preferred Medical Plan: Phone: 1-800-779-0930
Jackson Memorial Plan: Phone: (305) 575-3700
Duval County:
JaxCare, Inc.: Phone:
(904) 244-9272
Website: www.jaxcare.org
Email: info@jaxcare.org
Palm Beach County:
Vita Health: Phone: 1-866-930-0035
Website: www.vitahealth.org
The Agency and the Department have jointly created an application package as
an aid for HMOs, Health Care Providers and Insurers in preparing your application
for the establishment of a Health Flex program.
For additional information and the Health Flex Plan Program application and
related forms, please visit the following:
Health Flex Plan Application
(934KB.pdf)
This file contains the entire application and attachments in an Adobe Acrobat
Document that can be printed or downloaded to a PC.
Please note that the following on line interactive files can be completed
and printed on line, but unless the user has a full version of Adobe Acrobat
(not just Acrobat Reader) the ability to save the information to a file to
retrieve at a later time is unlikely.
Health Flex Plan Program Introduction
and Contacts (158KB.pdf)
Health Flex Plan Program Application Checklist
(266KB.pdf)
Health Flex Plan Program Application Section
I (165KB.pdf)
Health Flex Plan Program Application Section
II (85KB.pdf)
Health Flex Plan Program Application Section
III (557KB.pdf)
Health Flex Plan Program Application Section
IV (146KB.pdf)
Health Flex Plan Program Application Section
V (258KB.pdf)
Health Flex Plan Program Application Section
VI (97KB.pdf)
Biographical Affidavit (275KB.pdf)
Confidential Social Security Number Form
(169KB.pdf)
Fingerprint Card Instructions (102KB.pdf)
Invoice - Request For Payment of Fingerprint
Charges (158KB.pdf)
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