Health First Health Plans

Leg Pain Masthead

Group POS Plans

These plans are available to Brevard and Indian River County businesses for their employees. They feature low copayments at network providers, and also the option of receiving care outside of our network.

Benefits

Health benefit plans offered by Health First Health Plans, Inc. (HFHP) may be subject to limitations and exclusions. For costs and complete details, contact your employer, insurance agent, or HFHP.

Small group plans
(2-50 eligible employees)

2017 plans

Comparison of Benefits
SBCs
5-tier QHP formulary (searchable) | PDF
5-tier non-QHP formulary (searchable) | PDF
3-tier non-QHP formulary (searchable) | PDF
Pediatric dental flyer

2016 plans

Comparison of Benefits
SBCs
Pediatric dental benefits
General Information | Plan details
5-tier QHP formulary (searchable) | PDF
5-tier non-QHP formulary (PDF)

2015 plans

Comparison of Benefits
Marketplace plans (SBCs)
Pediatric dental benefits - They're included!
General Information | Plan details
QHP 5-tier commercial formulary:
PDF | Online Search
Non-QHP Plans 5-tier commercial formulary:
PDF | Online Search

2014 plans

ON-Marketplace plans
OFF-Marketplace plans
- Pediatric dental coverage for off-Marketplace plans

Large group plans
(51+ eligible employees)

2017 plans

Comparison of Benefits
SBCs
5-tier non-QHP formulary (searchable) | PDF
3-tier non-QHP formulary (searchable) | PDF

2016 plans

2015 plans

Comparison of Benefits
SBCs
3-tier commercial formulary:
PDF | Online Search
Non-QHP 5-tier commercial formulary:
PDF | Online Search

2014 plans

OFF-Marketplace POS and HD POS plans

For coverage becoming effective
on or after September 1, 2011

Prescription drug information

Prescription reimbursement form
Order mail order prescriptions online
Pharmacy authorization/exception request form - must be completed and submitted by your physician

Provider information

Authorizations

Medical services that require authorization
Medical authorization request form - must be completed and submitted by your physician
Radiology services that require authorization
Pharmacy authorization/exception request form - must be completed and submitted by your physician
5 Tier QHP Prior Authorization & Step Therapy
5 Tier Non-QHP Prior Authorization & Step Therapy
3 Tier Non-QHP Prior Authorization & Step Therapy

General information

Forms

Prescription mail order form
Prescription drug reimbursement form
Medical reimbursement form
Appoint a representative - authorize someone to act on your behalf
Pharmacy authorization/exception request form - must be completed and submitted by your physician
Medical authorization request form - must be completed and submitted by your physician
Coordination of Benefits Questionnaire
Other Coverage Form