Important Information If Your Doctor Is Part of the VitalMD Group
We recently sent letters to some Florida Blue members whose provider is part of the VitalMD group, letting them know that their doctor may not be in their health plan’s network after March 31. We know that this is disappointing news, and we want to be sure that it’s clear what is happening right now.
Our goal is to make sure our members have easy access to quality care and affordable choices. A part of this is looking for ways to hold costs down for everyone by negotiating the best costs with the health care providers who participate in our networks.
VitalMD is a group of providers, most of whom are in South Florida. Currently, Florida Blue and VitalMD are talking about a new contract that would start on April 1, 2017. Unfortunately, if we don’t reach an agreement, all VitalMD providers will no longer be part of any Florida Blue network as of April 1.
It’s important for our members to know that we are working hard to reach an agreement with VitalMD to keep rates affordable and similar to other doctors that provide these types of medical services. We value our relationship with the doctors in the VitalMD group, and we are hopeful that these providers will remain in our networks for our members.
If your doctor is part of the VitalMD group, you don’t need to do anything right now. Even if your doctor leaves the network, we’ll be here to help you find a new doctor or, in some special situations, help make sure you can continue receiving care from your current doctor for a certain amount of time.
Answers to Questions You May Be Asking
Which doctors are part of VitalMD, and where are they located? Most of the doctors are located in South Florida, with a few in Central Florida. Practices are located in Broward, Lake, Manatee, Marion, Miami-Dade, Orange, Palm Beach and Volusia counties. To see a list of VitalMD doctors, click here.
How can I find a new doctor in my area? Florida Blue has some of the largest networks in Florida. To find a new doctor in your area, log in to your member account, and use the online provider directory. If you need help, you can also call us at the customer service number on the back of your member ID card.
If I have an appointment with my VitalMD doctor, should I keep it? If your appointment is scheduled before April 1, then yes, keep it. If your appointment is planned for after April 1, please be aware that your doctor may not be in your network at that time. To be sure, please call your doctor’s office or Florida Blue before your appointment.
Will it cost me more to see a VitalMD doctor if they are not in the network as of April 1? If you continue to see a VitalMD doctor, except for emergencies services for HMO plans only, you will most likely pay a higher out-of-pocket cost for each visit, and you will not be protected from balance billing by VitalMD. You can look up your out-of-network benefits by logging in to your member account.
I am undergoing treatment with a VitalMD doctor. What should I do if they are no longer in the network? If you or a family member is pregnant or currently being treated for an ongoing condition, please work directly with your doctor to coordinate your care, or call us at the number on the back of your member ID card so we can help you get the care you need.
Know Before You Go to the Doctor – All Year Long
Providers can come and go for different reasons throughout year. For example, a doctor may move or retire, or a hospital may no longer agree to be part of the network for a Florida Blue health plan. When this happens, we’ll update our online provider directory as quickly as possible. It’s always a good idea to check it or ask the doctor’s office before each appointment. Otherwise, you might end up paying a lot more for a visit if the doctor is not part of your health plan’s network.
To check the provider directory, just log in to your member account. You’ll be able to see the list of doctors, pharmacies, hospitals and other providers who are in your plan’s network. You can also call the customer service number on the back of your member ID card for help. Florida Blue has some of the largest networks in Florida, so you can count on easy access to quality care near you.
Please keep this link (link to this blog). We’ll update you by adding new information as it becomes available.
Filed under: Health Insurance Explained