Plans Directly Through AvMed

With our Individual and Family Plans (IFP), whether through the AvMed Marketplace or directly through us, you and your loved one will receive top-notch service, backed by 50 years of experience in delivering health coverage in Florida.

 

Discovering our Plans below is a great way to start! You can also get a quote today and find out if you qualify for a subsidy.

 

For any questions, please call us at 1-800-390-9355 (TTY 711) 9 am – 6 pm, Monday to Friday.

Marketplace Plans


AvMed Entrust

AvMed Entrust is a new subsidy eligible plan that provides coverage for most things, from preventive wellness to vision and dental. There are over 55 options with varying premiums and deductibles so that you can find the plan that’s right for you and your family.

  • Affordable premiums, copays and deductibles
  • Access to 35,000+ providers from all major networks
  • Free preventive visits
  • 24/7 nurse support
  • Free Virtual Visits telehealth
  • Added health services like gym discounts

You will be able to enroll in AvMed Entrust through the AvMed Marketplace and you will receive the protection you need at the price you want.

AvMed Individual and Family Plans (IFP)


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
  • Healthyperks
  • Active & Fit
  • Wellness tools and incentives, including a gift card upon completion of Personal Health Assessment
  • Discount programs for vision and complementary and alternative medicine included
  • Network expansion to 22 counties for Tier A and 31 counties for Tier B.

AvMed Empower is offered in Miami-Dade and Broward. Out-of-network benefits available within U.S. for select covered services. International out-of-network benefits available for emergency services only.

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
  • Healthyperks
  • Active & Fit 
  • 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 and Broward. Out-of-network benefits available for emergency services only. International out-of-network benefits available for emergency services only.

Health Savings Account (HSA)

Our HSA-Qualified Plan is a high-deductible health plan (HDHP) that can be paired with a Health Savings Account (HSA). An HSA is a tax-free account that clients can use as a long-term savings fund for healthcare expenses. The AvMed HSA-Qualified Plan puts them in control. Plus, they can use AvMed's easy Online Consumer Tools to make informed and cost-conscious health care decisions, which is managed through Health Equity

  • No fee for account setup, maintenance or investment
  • Free VISA debit card
  • Funds roll over from year to year
  • South Florida network of high quality doctors, and hospitals
  • Preventive care at no charge
  • Prescription drug and maternity coverage included
  • Emergency worldwide coverage
  • Discount programs for vision and complementary and alternative medicine included
  • IRS Publications of Qualified Medical Expenses

Quick Guides 

View the quick guides below for 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.

To view a list of all 2021 Individual and Family Plans, click here.

To view a list of all Small Group SBCs and Medical and Hospital Service Contracts click here.

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