FLHMOCAP

The Florida Health Maintenance Organization Consumer Assistance Plan ("HMOCAP") was created by statute to protect persons enrolled for coverage with HMOs, subject to certain limitations, against the failure of their HMO to perform its contractual obligations due to its insolvency. The HMOCAP only provides protection for "commercial" HMO members - those who have group HMO coverage, generally through their employer, or persons who purchase individual coverage directly through the HMO. Persons who are enrolled with an HMO for Medicaid or Medicare coverage are not covered by the HMOCAP. Rather, these persons must contact the Agency for Health Care Administration (for Medicaid) or the Center for Medicare and Medicaid Services (for Medicare), for their coverage questions.

Primary location: Tallahassee United States