The AvMed Difference

Personalized Service, Regional Plan.
AvMed members enjoy the highly personalized service of a regional plan with all the advantages of a nationally competitive health plan.

• In 2009, for the fifth consecutive year, AvMed Health Plans received the highest overall rating of any statewide Florida plan that submitted data to NCQA in the Consumer Assessment of Healthcare Providers and Systems survey (CAHPS). AvMed received a score of 77% compared to the state average of 65% for plans reporting Health Maintenance Organization (HMO) and Point of Service (POS) products, according to independent firm DSS Research. The CAHPS member satisfaction survey measures members’ experiences with their care.
  
• AvMed Member Services and Nurse On Call phone lines are staffed by AvMed employees 24 hours a day, seven days a week, every day of the year.
  
• AvMed’s focus on service excellence is appreciated by clients, many who have been with us for more than 10 years.
  
• AvMed’s local presence ensures a seamless transition for employers—from a quick turnaround on ID cards to explaining administrative guidelines and the payment process, we bring you online quickly.
  
• AvMed uses “predictive modeling” to identify health patterns in employee groups and forecast potential health-related problems. Once identified, we help members avoid complications to keep employees healthy and productive. We also make sure they’re getting the benefits and administration support they need.

Focus on Health and Wellness
We help our members to live a healthy, more active life. Empowering members with the resources and tools to improve and maintain personal health is a priority for AvMed.

• Members receive education and incentives to participate in a wide range of wellness and prevention programs, and complementary and alternative medicine programs.
  
• Incentive programs range from reimbursements for Weight Watchers™ to rewards for pre-natal and well-child visits.
  
• We provide our members with decision support tools to help them make better health care choices and save money.
  
• For members with chronic conditions, such as asthma, diabetes and heart disease, our highly trained care team offers individualized attention and education information to help members manage their health.

Access to Quality Care
Regardless of service area, our members have access to a broad network of doctors and a wide array of comprehensive care management programs for those living with chronic diseases and complex medical issues.

• We have a broad network of specialists, flexible authorization policies and plans without referral requirements. We make it easy for members to access this fine network of doctors.
  
• AvMed continually evaluates service and network providers to offer the highest quality health care.
  
• We emphasize efficiencies that help control health care costs for members, employers and society at large.
  
The National Committee on Quality Assurance (NCQA), the country’s leading healthcare quality evaluator, named AvMed as a health plan of “Distinction” for its early adoption of new national standards related to care management and health improvement, which we did before it was required of all health plans.