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Insurance Plans - Florida
Select the name of your insurance company to find out where to get forms
and to find contact information for your plan if you need to request prior
authorization or an exception.
This information was collected from the Web sites of the plans, and in
some cases from e-mails and phone calls to the plans. It is provided here
in an effort to make the information more conveniently available to you.
We do not endorse any particular plan and we are not responsible if any
plan has been inadvertently omitted from this list. We have not verified
this information. In addition, we cannot be responsible for ensuring that
the information is always up to date. Please notify
us if you are aware that any of the information provided has changed.
If you would like more detailed and current information, we suggest that
you consult the Medicare
Web site.
AETNA HEALTH INC
Where to Get Forms: http://www.aetna.com
Phone # to request Prior Authorization: 1-800-414-2386
Phone # to request Exception: 1-800-414-2386
Fax #: 1-800-408-2386
E-mail Address: PartDpharmacisthelp@aetna.com Updated: May 2006
AMERICAN PIONEER LIFE INSURANCE COMPANY
Where to Get Forms: Call 1-800-244-5800 and ask to have form sent.
Phone # to request Prior Authorization: 1-800-244-5800
Phone # to request Exception: 1-800-244-5800
Fax #: 513-881-6841
E-mail Address: jroesch@pharmacare.com Updated: May 2006
AMERICA'S
HEALTH CHOICE MEDICAL PLAN
AVMED, INC
BLUE CROSS AND BLUE SHIELD OF FLORIDA, INC.
Where to Get Forms: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: pharmcontracting@medco.com Updated: May 2006
CAPITAL HEALTH PLAN
CAREONE HEALTH PLAN, INC.
CITRUS HEALTH CARE, INC.
Where to Get Forms: Call 1-800-788-2942 and ask to have form sent.
Phone # to request Prior Authorization: 1-800-788-2949 Option 3
Phone # to request Exception: 1-800-788-2949 Option 3
Fax #: 858-790-7100
E-mail Address: customerservice@medimpact.com Updated: May 2006
CONNECTICUT GENERAL LIFE INSURANCE COMPANY
COVENTRY HEALTH AND LIFE INS COMPANY
Where to Get Forms: Call 1-800-551-2694 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-551-2694
Phone # to request Exception: 1-800-551-2694
Fax #: Call 1-800-551-2694 and ask for fax number.
E-mail Address: Not Available
Updated: May 2006
DOCTORCARE, INC.
Where to Get Forms: No form necessary. Include company name, member name, and phone number in letter.
Phone # to request Prior Authorization: 305-441-5826
Phone # to request Exception: Not Available
Fax #: 305-441-5860
E-mail Address: jking@doctorcareinc.com Updated: May 2006
ELDER HEALTH MARYLAND HMO, INC.
Where to Get Forms: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: pharmcontracting@medco.com Updated: May 2006
FIRST HEALTH LIFE & HEALTH INSURANCE COMPANY
Where to Get Forms: Call 1-800-551-2694 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-551-2694
Phone # to request Exception: 1-800-551-2694
Fax #: Call 1-800-551-2694 and ask for fax number.
E-mail Address: Not Available
Updated: May 2006
FLORIDA HEALTH CARE PLAN, INC.
Where to Get Forms: Call 1-800-352-9824 and ask to have form faxed.
Phone # to request Prior Authorization: 1-800-352-9824 x4022
Phone # to request Exception: 1-800-352-9824 x4022
Fax #: 386-676-7165
E-mail Address: gklein@fhcp.com Updated: May 2006
FREEDOM HEALTH, INC.
HEALTH FIRST HEALTH PLANS, INC.
HEALTH OPTIONS, INC
Where to Get Forms: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: pharmcontracting@medco.com Updated: May 2006
HEALTHSUN HEALTH PLANS, INC.
HUMANA HEALTH PLAN, INC.
LEON MEDICAL CENTERS HEALTH PLANS, INC
Where to Get Forms: Not Available
Phone # to request Prior Authorization: 305-559-5366
Phone # to request Exception: Not Available
Fax #: 305-642-1142
E-mail Address: hhernandez@leonmedicalcenters.com Updated: May 2006
MARQUETTE NATIONAL LIFE INSURANCE COMPANY
Where to Get Forms: Call 1-800-244-5800 and ask to have form sent.
Phone # to request Prior Authorization: 1-800-244-5800
Phone # to request Exception: 1-800-244-5800
Fax #: 513-881-6841
E-mail Address: JRoesch@pharmacare.com Updated: May 2006
MEDCO CONTAINMENT INSURANCE COMPANY OF NEW YORK
Where to Get Forms: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: Not Available
Updated: May 2006
MEDICA HEALTHCARE PLANS, INC.
MEMBERHEALTH, INC.
METCARE HEALTH PLANS, INC.
PACIFICARE LIFE AND HEALTH INSURANCE COMPANY
PENNSYLVANIA LIFE INSURANCE COMPANY
Where to Get Forms:
Call 1-800-244-5800 and ask to have form sent.
Phone # to request Prior Authorization: 1-800-244-5800
Phone # to request Exception: 1-800-244-5800
Fax #: 513-881-6841
E-mail Address: JRoesch@pharmacare.com Updated: May 2006
PHYSICIANS UNITED PLAN, INC.
Where to Get Forms: Not Available
Phone # to request Prior Authorization: 1-800-546-5677 x32
Phone # to request Exception: 1-800-546-5677 x32
Fax #: 1-800-458-1646
E-mail Address: eschram@pti-nps.com Updated: May 2006
PREFERRED CARE PARTNERS INC.
Where to Get Forms: Call 1-866-231-7201 and ask to have form faxed.
Phone # to request Prior Authorization: 1-866-231-7201
Phone # to request Exception: 1-866-231-7201
Fax #: Call 1-866-231-7201 and ask for fax number.
E-mail Address: partd@psohealth.com Updated: May 2006
QCC INS CO D/B/A AMERIHEALTH INS CO
SILVERSCRIPT INSURANCE COMPANY
STERLING LIFE INSURANCE COMPANY
Where to Get Forms: http://www.foxrxcare.com/exceptions.htm
Phone # to request Prior Authorization: 1-888-369-7979
Phone # to request Exception: 1-888-369-7979
Fax #: 1-866-284-4509
E-mail Address: Not Available Updated: May 2006
SUMMIT HEALTH PLAN, INC.
UNICARE
UNITED AMERICAN INSURANCE COMPANY
Where to Get Forms: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Prior Authorization: Your pharmacist will receive information from the plan if your prescription is denied because of a coverage problem.
Phone # to request Exception: Not Available
Fax #: Not Available
E-mail Address: pharmcontracting@medco.com Updated: May 2006
UNITED HEALTHCARE INSURANCE COMPANY
Where to Get Forms: Call 1-877-665-6619 and ask to have form faxed.
Phone # to request Prior Authorization: 1-877-665-6619
Phone # to request Exception: 1-800-207-2578
Fax #: 1-866-617-6695
E-mail Address: provider.relations@walgreens.com Updated: May 2006
UNIVERSAL HEALTH CARE, INC.
VISTA HEALTHPLAN, INC.
WELLCARE HEALTH PLANS
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