Individual & Family Plans

From immunizations to well-baby care, urgent care visits to travel coverage, surgical procedures to prescriptions and everything in-between, our range of health plans and Member wellness benefits fit the needs of you and your family each and every day.

 

Want to learn a little more about health insurance or how to figure out exactly which health plan is right for you?

Visit our How to Evaluate Health Plans page. It's a great place to start! Or call 800-390-9355 (TTY 711) 9 am – 6 pm, Monday to Friday.


AvMed Engage

AvMed Engage positions the Primary Care Physician (PCP) at the center of the Member’s healthcare experience. The Member and chosen PCP begin a trusted partnership, working together toward better health while benefiting from the comfort of a fully coordinated health experience. Enhanced by the predictability of copay-based plan designs and the promise of centralized care, Engage delivers the best value in healthcare.

  • HMO (closed network) plan with high-quality network providers
  • Care coordinated through their PCP to guide and simplify their health care needs
  • Copay predictability
  • Preventive care at no cost
  • Prescription drug coverage
  • Maternity coverage
  • Pediatric dental and vision coverage
  • Wellness tools and incentives, including a gift card upon completion of Personal Health Assessment
  • Discount programs for vision and complementary and alternative medicine included
AvMed Engage is offered in Miami-Dade, Broward, and Palm Beach. Out-of-network benefits available for emergency services only. International out-of-network benefits available for emergency services only.

AvMed Empower

AvMed Empower offers the network and cost-share flexibility to make informed, empowered healthcare decisions. Empower Members can always access the full AvMed Network, as well as out-of-network options, but find the lowest out-of-pocket costs with our high-value network. These providers share our commitment to the trust and comfort of a fully coordinated care experience that begins with the Member’s first no-cost visit and continues throughout the entire journey to better health.

  • Relationships with high-quality network providers
  • Open Access POS Plan with no referrals needed to see a specialist
  • Co-pay predictability
  • Preventive care at no cost
  • Prescription drug coverage
  • Maternity coverage
  • Pediatric dental and vision coverage
  • Wellness tools and incentives, including a gift card upon completion of Personal Health Assessment
  • Discount programs for vision and complementary and alternative medicine included
AvMed Empower is offered in Miami-Dade, Broward, and Palm Beach. Out-of-network benefits available within U.S. for select covered services. International out-of-network benefits available for emergency services only.

Quick Guides 


Click on one of the options below to view a quick guide with the most essential information you need to know about each plan.

To view your Summary of Benefits and Coverage, log in to your Member Portal or click here to view a list of all Individual and Family Plan SBCs as well as Medical and Hospital Service Contracts.

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