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Products at a glance
| Product Name |
Product Description |
| AvMed Choice |
Allows a member to use any doctor, any hospital, anywhere in the U.S., all referral free. The member’s co-payments, deductible and co-insurance will vary depending on the network the member selects. |
| AvMed Open Access |
A Plan that allows members to freely see and AvMed physician without a referral.
With AvMed Open Access, members are not required to designate a Primary Care
Physician (PCP) upon enrollment. However, AvMed encourages members to visit a
PCP for routine and preventive care. Members agree to use an AvMed network
doctor or hospital in order to have expenses covered, except for emergency care or in special situations when authorized by AvMed. |
| AvMed Consumer |
AvMed’s consumer-directed (CDHP) product line allows employers to design plans
for their employees by pairing the AvMed products with funding mechanisms such
as Health Reimbursement Arrangements (HRAs and HSAs). The plans encourage
preventive care and generally have higher deductibles and co-insurance. They are
designed to lower premiums for employers while engaging consumers in all aspects
of their health care. |
AvMed HSA-Compatible
HDHPs |
Specialized consumer-directed health plans (CDHPs) generally have lower
premiums and can be paired with Health Savings Accounts (HSAs). The HSA
compatible High-Deductible Health Plans (HDHPs) are designed to actively engage
consumers in using and choosing their health benefits, while providing them access to a tax-free account that can serve as a long-term savings mechanism for health care expenses. |
| AvMed Classic |
A plan that allows for fully coordinated health care within the AvMed network.
With AvMed Classic, members choose a Primary Care Physician (PCP) for routine
and preventive care. A PCP coordinates visits to specialists. Members agree to use
a network doctor or hospital to have expenses covered. Various co-payments, coinsurance and deductible options are available. |
| AvMed Open Access POS |
A POS plan that allows members referral-free office visits for any AvMed
physician and the freedom to go outside the AvMed network at any time for most
services. With AvMed Open Access POS, members are not required to designate a
Primary Care Physician (PCP) upon enrollment. However, AvMed encourages
members to visit a PCP for routine and preventive care. |
| AvMed Classic POS |
A POS plan that allows for coordinated health care through a Primary Care
Physician (PCP) within the AvMed network, and offers a member the freedom to
seek care outside the network at any time for most services. |
| Medicare Premier Care |
A Medicare Advantage HMO plan that uses a full network of AvMed participating
Primary Care Physicians, Specialists, Hospitals, and other providers located in
Miami-Dade and Broward counties. A member can use any provider who is part of the AvMed Premier Care Network. |
| Medicare Preferred PPO |
A Medicare Advantage PPO plan that uses a full network of AvMed participating
Primary Care Physicians, Specialists, Hospitals, and other providers located in
Miami-Dade and Broward counties. A member can use any provider who is part of the AvMed Medicare Preferred PPO Network or providers who accept Medicare
but do not participate in AvMed’s Medicare Preferred PPO Network at a
nonparticipating provider rate. |
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