Jeffrey Wade
Staywell, a Florida health insurance provider, offers a range of benefits to its members, including unlimited free PCP visits, rewards for healthy living, and access to resources to support healthy choices. Staywell also provides a Sliding Fee Discount program for patients with or without insurance, based on household size and income. For those seeking to apply for Staywell insurance, it is important to note that they accept Medicare, Medicaid, Husky, and most private insurances. Additionally, Staywell provides assistance to patients in navigating the complex healthcare system and finding ways to meet their financial obligations.
| Characteristics | Values |
|---|---|
| Services | Access to resources, checkups, swimming lessons, eye exams, and more |
| Payment | Accepts Medicare, Medicaid, Husky, and most private insurances, as well as cash, checks, money orders, and credit cards |
| Discounts | Sliding Fee Discount program for patients with or without insurance at or below 200% of federal poverty guidelines |
| Billing | Patients are responsible for co-pays, co-insurance, deductibles, and services not covered by insurance |
| Claims | Providers can submit claims through any available mode except the provider portal during the contracting process |
| Network | WellCare honors services authorized for members transitioning from another Florida Medicaid plan or fee-for-service system |
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What You'll Learn
Staywell's Sliding Fee Discount Program
StayWell Health Center offers a sliding fee discount program to ensure that everyone can access their healthcare services. The discount amount is determined by your family household size and income, calculated using current Federal Poverty Level income guidelines.
StayWell recognizes that payment for healthcare services can be challenging and often acts as a barrier to seeking treatment. The sliding fee discount program is one of several options StayWell provides to assist patients in receiving the care they need while meeting their financial obligations.
To apply for the sliding fee discount, you will need to provide proof of income. This can include pay stubs, tax returns, or other documents that verify your income. The proof you supply will be used to calculate your discount. Interpretation services are available to assist with the application process.
In addition to the sliding fee discount program, StayWell accepts most commercial insurances, including Medicare, Medicaid, Husky, and private insurance. They also accept self-pay patients. StayWell offers a variety of community programs to support access to care, help patients reach their health goals, and ensure their family's growth and development. Their services include primary care, dentistry, behavioral health, opioid addiction treatment, specialty care, HIV and infectious disease care, and more.
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Accepted insurance types
Staywell is a Florida health insurance program that provides a range of benefits to its members. The program offers several options to assist patients in receiving affordable healthcare and meeting their financial obligations.
Staywell accepts various insurance types, including Medicare, Medicaid, Husky, and most private insurances. This flexibility ensures that individuals with different insurance providers can access the benefits offered by Staywell.
For those without insurance or choosing not to use their insurance, Staywell recognizes the right of patients to receive a Good Faith Estimate for the expected costs of non-emergency items and services. This estimate includes related expenses such as medical tests, prescription drugs, equipment, and hospital fees. Patients can request this estimate in writing at least one business day before their medical service. Additionally, patients can dispute any bills that exceed the estimated cost by more than $400, providing cost protection for unexpected charges.
Staywell also offers a Sliding Fee Discount program for patients with or without insurance who fall at or below 200% of the federal poverty guidelines. The discount amount is determined based on family household size and income, utilizing current Federal Poverty Level income guidelines. This program further enhances accessibility by providing discounted rates to those who may face financial challenges in obtaining healthcare.
Furthermore, Staywell provides additional benefits to support the well-being of its members. These include rewards for healthy living, where members can earn over $100 annually for maintaining healthy habits. There are also options for free unlimited PCP visits, and annual benefits for eye exams, frames, and contact lenses for members aged 21 and older. Staywell also helps members save on everyday items, such as food, diapers, milk, and wipes, making it easier to manage expenses.
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Continuity of Care
To ensure continuity of care for Florida Staywell members, the insurance program offers several provisions and resources. One of the key aspects is providing members with a choice of health plans that best suit their needs, allowing them to maintain relationships with their preferred healthcare providers.
Florida Staywell emphasizes the importance of ongoing, consistent care, particularly for members with chronic conditions or those requiring specialized treatment. To facilitate this, they offer a wide network of healthcare providers, including primary care physicians (PCPs) and specialists, who are committed to delivering continuous and coordinated care to their patients.
Members are encouraged to select a primary care physician who will serve as their personal doctor and coordinate all their healthcare needs. This PCP will be responsible for referrals to specialists, ensuring that members receive the necessary care while maintaining continuity. Additionally, Florida Staywell provides access to a comprehensive range of healthcare services, such as preventive care, routine check-ups, immunizations, and management of chronic conditions, promoting ongoing and consistent care.
The insurance program also recognizes the importance of mental health and substance abuse services, offering coverage for these areas to ensure members can access the care they need without disruption. For members requiring specialized care, Florida Staywell facilitates connections with medical experts and facilities, ensuring seamless continuity. This includes assistance with scheduling appointments, coordinating transportation, and providing necessary resources to promote consistent and uninterrupted treatment.
Florida Staywell is dedicated to giving members the tools and resources needed to effectively navigate their healthcare journey. They offer educational materials, support services, and personalized assistance to help members understand their benefits, locate providers, and make informed decisions about their health. By prioritizing continuity of care, Florida Staywell aims to improve health outcomes and ensure members receive high-quality care throughout their lives.
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Payment options
To apply for Florida Staywell Insurance, you must be eligible for Florida Medicaid. Staywell Health Plan is a Managed Care Plan with a Florida Medicaid contract.
Staywell accepts Medicare, Medicaid, Husky, and most private insurances. Patients are responsible for paying any unpaid balances, such as copays, coinsurance, deductibles, and other services not covered by insurance.
Staywell accepts personal cash, checks, money orders, and all major credit cards. They also offer a Sliding Fee Discount program for all patients with or without insurance at or below 200% of the federal poverty guidelines. The amount of the sliding fee discount is based on your family household size, household income, and determined using current Federal Poverty Level income guidelines.
Staywell also provides a Good Faith Estimate for patients without insurance or those not using insurance. This is an estimate of the total expected cost of any non-emergency items or services, including related costs like medical tests, prescription drugs, equipment, and hospital fees. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
Additionally, Staywell offers rewards for healthy living, such as earning over $100 a year for making healthy choices and providing up to $300 worth of products annually. They also cover the cost of eye exams, frames, and contact lenses for members aged 21 and older, as well as free swimming lessons for children under 21 to prevent drowning.
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Application status
To check the status of your application for Florida Staywell Insurance, you must first ensure that you have already applied for the insurance. Florida Staywell Insurance is a Managed Care Plan with a contract with Florida Medicaid. To enrol with Staywell, you must be eligible for Florida Medicaid.
If you are unsure about your application status, you can contact the Medicaid Choice Counseling helpline toll-free at 1-877-711-3662 (TTY 1-866-467-4970). The helpline operates Monday through Thursday from 8 a.m. to 8 p.m. and on Friday from 8 a.m. to 7 p.m. You can also visit the SMMC website at www.flmedicaidmanagedcare.com. A Medicaid Choice Counselor will help you select a plan and address any concerns regarding your application status.
If you have already enrolled in Staywell, you can check your application status by contacting WellCare. WellCare complies with applicable Federal civil rights laws and does not discriminate based on race, colour, national origin, age, sex, or disability.
Staywell also offers a Sliding Fee Discount program for patients with or without insurance at or below 200% of the federal poverty guidelines. You may apply for this discount at the time of registration.
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Frequently asked questions
Staywell is a healthcare provider that offers services to all individuals, regardless of their ability to pay. Staywell provides access to resources to support the well-being of its members and offers extra benefits such as rewards for healthy living and free swimming lessons for children under 21.
Yes, Staywell accepts Medicare, Medicaid, Husky, and most private insurances. Patients are responsible for any unpaid balances, such as co-pays and deductibles.
To apply for Florida Staywell Insurance, you can contact the Medicaid Outreach and Enrollment Staff for assistance. You can also reach out to the multilingual registration staff for guidance on program requirements and application processes.
Under the law, healthcare providers are required to give patients who don't have insurance or choose not to use it, a Good Faith Estimate of the expected costs for non-emergency items and services. This estimate should be provided in writing at least one business day before the medical service.
Staywell offers various benefits to its members in Florida. These include unlimited free PCP visits, rewards for healthy living, and access to resources for support. Staywell also provides continuity of care during transitions from other Florida Medicaid health plans, ensuring that previously authorized services are honored for a specified period.
