Health First Medicare
Health First is a collaboration between 3 not-for-profits hospitals in Florida’s Space Coast. Cape Canaveral Hospital, Palm Bay Hospital, and Holmes Regional Medical Center joined together to form the Health First family. Soon Viera Hospital will be added to the family. Their goal is to offer top-notch healthcare combined with high-caliber medical technology.
Holmes Regional Medical Center was originally opened in 1937 with 27 beds as Brevard Hospital. It has since experienced growth along with the name change, currently holding 514 beds. The Cape Canaveral Hospital opened in 1962 with only 44 beds, and has since expanded to 150 beds. The Palm Bay Hospital was opened in 1992 as a satellite location of Holmes Regional Medical Center with a total of 60 beds.
In 1995 the three hospitals joined together to create an integrated health care delivery system. They are currently undergoing growth and development to their Viera Health Park for an 84 bed hospital and expanded outpatient services and physician offices.
Health First Health Plans primarily serves the Florida Space Coast. This is east of Orlando and south of Daytona Beach. They offer a variety of health plans, including commercial HMO and POS health plans and Medicare Advantage plans. Commercial group members must work or live in the service area. Medicare members must live in the service area.
Health First offers several options to meet the needs of their patients. They offer the Value and Classic plans with both medical and prescription benefits. The Secure plan offers medical benefits, but no prescription coverage. The employer groups allow employers to offer coverage to their employees and retirees.
The Value Plan is an HMO plan that offers enrollees no additional monthly premium to pay in addition to the Medicare monthly Part B premium. There is an in-network out of pocket limit of $3,400. This limit includes only Medicare covered services. The copay for in-network visits to the primary care doctor is $10. The copay for urgent care visits, in-area, are also $10. Specialist visits are a $30 copay. The Value Plan also offers prescription coverage. The initial coverage limit is $2,830. You pay based on a tiered scale for your medications until you have reached the initial limit. After reaching your initial limit, you pay 100% of the cost until your out of pocket costs reach $4,550. At that point the coverage comes back on.
The Classic Plan is an HMOPOS plan that offers enrollees an additional monthly premium of $74 to pay in addition to the Medicare monthly Part B premium. There is an in-network out of pocket limit of $3,350. This limit includes only Medicare covered services. There is no limit on cost sharing for Dental services, Hearing services, and Vision services. The out-of-network limit is $10,000. The copay for in-network visits to the primary care doctor is $10. The copay for urgent care visits, in-area, are also $10. Specialist visits are a $25 copay. The Classic Plan also offers prescription coverage. The initial coverage limit is $2,830. You pay based on a tiered scale for your medications until you have reached the initial limit. After reaching your initial limit, you pay 100% of the cost until your out of pocket costs reach $4,550. At that point the coverage comes back on.
The Secure Plan offers a $44 monthly plan premium in addition to the monthly Medicare Part B premium. There is an in-network out-of-pocket limit of $3,350. All Medicare services are covered under the out-of-pocket limit. However, dental, vision and hearing are not covered under this limit. The copay for in-network visits to the primary care doctor is $10. The copay for urgent care visits, in-area, are also $10. Specialist visits are a $25 copay. The Secure Plan does not offer prescription drug coverage.
Finding the right Medicare Plan for you can be confusing. Our Medicare specialists are trained to help you find the plan that will work for you. To speak to one of our specialists call us at 800-328-7305.
