As of October 1, 2017, many formerly Tier 2 mental health providers have dropped out of Florida Blue (GatorGradCare) network coverage.
Immediately following this insurance change, GAU's Mental Health Committee reached out to the University of Florida to inform them of our concerns. Fortunately, thanks to GAU's efforts on this front, university administrators eventually agreed to establish an "override" to retroactively cover and grandfather in ALL GAs affected by this change.
What this means for you...Florida Blue will reimburse the provider at its new (post-October 1) rate, which is 30% lower than the previous reimbursement rate if:
You were seeing a mental health provider prior to October 1, 2017,
This provider left Florida Blue's insurance network due to a change in the insurance company's rate of reimbursement.
This "override" should be automatic and cover you retroactively, meaning if you continued seeing your providers but paid entirely out-of-pocket, you should now be able to get a substantial amount of that money back! You may still end up paying a slightly higher copay than you did before October 1, but you might be able to negotiate that cost with your provider.
If you are one of the GAs affected by this change, we urge you to call Florida Blue yourself (the number is on the back of your insurance card), inform them of this change, and ask if you have been placed into the override system yet. If not, then please contact Dr Jill Sumfest (email@example.com,edu).
If you have any questions, or are unsure if you are eligible, you may contact GAU or email the Mental Health Committee directly.