COVERAGE LIMITS: To ensure your child has all the needed care from his/her PCP, Community Care Plan - Florida Healthy Kids has waived the copays for any visit provided by the enrollee’s PCP. There is no limit to this benefit.
COVERAGE LIMITS: Community Care Plan – Florida Healthy Kids enrollees are eligible for an annual school or sports physical provided by the enrollee’s PCP with no copay. Limited to one (1) physical per enrollee per year.
COVERAGE LIMITS: The Health Risk Assessment (HRA) helps Community Care Plan – Florida Healthy Kids better understand your child’s health needs. To encourage completion of the HRA, Community Care Plan – Florida Healthy Kids provides a one-time incentive of one (1) of the following:
COVERAGE LIMITS: Must be approved by Community Care Plan – Florida Healthy Kids. Benefi t limited to $150 per episode of care. Reimbursement is only available when services are not available within the Community Care Plan – Florida Healthy Kids network. Enrollees must provide proof of relevant expenditures to receive reimbursement.
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COVERAGE LIMITS: Community Care Plan – Florida Healthy Kids provides up to $100 per year of hypoallergenic bedding for enrollees with an appropriate diagnosis of allergies or asthma for whom hypoallergenic bedding is medically necessary.
COVERAGE LIMITS: Community Care Plan – Florida Healthy Kids offers up to 20 visits per year for home visits by a licensed provider to enrollees who are homebound or who are not engaged with a PCP and need an emergency department follow-up visit. Must be approved by Community Care Plan – Florida Healthy Kids.
COVERAGE LIMITS: Community Care Plan – Florida Healthy Kids offers individualized, in-person coaching programs for the following health behaviors:
To support the enrollee and family, case management will be provided to track progress and remove barriers to success.
COVERAGE LIMITS: In partnership with other community organizations, Community Care Plan – Florida Healthy Kids offers a series of three (3) education workshops to address childhood obesity. You and your child will learn about healthy eating and adopting a healthier lifestyle. This program is tailored to each participating enrollee and will include a self-management assessment tool upon enrollment in the program, at three (3), six (6), and 12 months enrollment. As an incentive, each participating family receives a Bluetooth-enabled scale to help them and their PCP track the child’s progress.
COVERAGE LIMITS: In collaboration with local agencies, Community Care Plan – Florida Healthy Kids provides water safety and drowning prevention classes to all enrollees. You can request this benefi t for your child. Limited to one (1) set of classes per enrollee per lifetime.
COVERAGE LIMITS: Hearing and vision screenings must be provided by your child’s PCP. You can get your immunizations from a Community Care Plan – Florida Healthy Kids network provider, pharmacy, minute clinic, or urgent care center
COVERAGE LIMITS: Must use a Community Care Plan – Florida Healthy Kids network provider.
COVERAGE LIMITS: Must use a Community Care Plan – Florida Healthy Kids network provider.
COVERAGE LIMITS: Must use a Community Care Plan – Florida Healthy Kids network provider. Some diagnostic testing services may require approval from Community Care Plan – Florida Healthy Kids.
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Limited to one visit per day for up to two visits per month for certain foot disorders.
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No prior authorization is required.
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If you have an emergency, call 911 or go to the nearest hospital emergency room right away.
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Transportation in response to an emergency medical condition.
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All doctors are licensed and are available in the following specialties: