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What are the essential benefits provided by all plans?

Since the passing of the Affordable Care Act in 2010, all plans must cover these 10 essential health benefits:

  1. Ambulatory patient services (outpatient care you get without being admitted to a hospital)
  2. Emergency services
  3. Hospitalization (like surgery and overnight stays)
  4. Pregnancy, maternity and newborn care (both before and after birth)
  5. Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy)
  6. Prescription drugs
  7. Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills)
  8. Laboratory services
  9. Preventive and wellness services and chronic disease management
  10. Pediatric services, including oral and vision care (but adult dental and vision coverage aren’t essential health benefits)

Plans must also cover birth control and breastfeeding.

These are the minimum requirements any health plan must offer. Florida Blue also offers many programs and services to help you achieve your best health

When does coverage start?

If you didn’t make a payment when you applied for coverage, you’ll need to make your payment in full before your coverage will start. Look for a payment letter and a bill in the mail.

It takes up to 10 days to process your payment. If your payment is still processing when your coverage takes effect and you need care right away, there will be a few extra steps to verify your payment and coverage first.

Pay by phone or online 24/7 
Call: 800-352-2583

You can pay with a credit card, a debit card or by electronic funds transfer (EFT). Follow the prompts and select the option Make a Payment.

You’ll need:

  • Member Number
  • Social Security Number
  • Zip Code
  • Birthdate
  • Bank or credit card information
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