3 Amazing Florida Community Care Medicaid Plan coverages you need to understand
Florida Medicaid provides healthcare coverage to millions of eligible residents, but choosing the right managed care plan can be confusing. Florida Community Care (FCC) is one of the organizations participating in Florida's Statewide Medicaid Managed Care program. Its Managed Medical Assistance (MMA) program provides eligible members with access to primary care, specialists, hospital services, prescription medications, behavioral healthcare, and additional medical support.
Understanding what Florida Community Care Medicaid covers, how to find participating doctors, and how to enroll can help Florida residents make informed healthcare decisions.
If you are considering FCC or already enrolled in its Managed Medical Assistance program, this guide explains its benefits, services, provider resources, and contact information.
What Is Florida Community Care (FCC) Medicaid?
Florida Community Care is a managed care organization contracted with Florida Medicaid to provide healthcare services to eligible members.
Its Managed Medical Assistance program coordinates medical care through participating healthcare providers. Members can access routine medical appointments, specialty services, preventive care, prescription medications, and hospital treatment.
One important feature of the FCC MMA program is care coordination. Instead of navigating different healthcare services independently, members can receive assistance connecting with their primary care providers, specialists, and other medical professionals.
Florida Community Care also offers additional resources intended to help members maintain their health and access necessary medical services.
Official website: https://fcchealthplan.com/managed-medical-assistance/
Florida Community Care MMA Benefits and Covered Services
Florida Community Care provides a range of medical benefits through its Managed Medical Assistance program. These services are designed to support routine healthcare needs as well as more specialized medical conditions. Covered benefits may include:
1. Primary Care and Preventive Healthcare
Primary care is an essential part of maintaining good health. FCC members have access to primary care providers who can assist with routine medical appointments, preventive screenings, health assessments, and treatment for common medical conditions.
The plan advertises unlimited primary care visits.
Members can work with their primary care provider to identify potential health concerns, coordinate specialist referrals, and develop preventive healthcare plans.
2. Specialist Medical Services
Some medical conditions require treatment from healthcare professionals with specialized training. FCC provides access to a network of specialists and specialty services, including:
Podiatry services
Chiropractic care
Physical therapy
Respiratory therapy
Speech therapy
Prenatal care
Behavioral health services
Members should confirm provider participation and whether referrals or prior authorizations are required before scheduling certain services.
3. Prescription and Over-the-Counter Medications
Access to medications is an important component of managing medical conditions.
Florida Community Care provides prescription and over-the-counter medication benefits through its MMA program.
Members should review the current pharmacy formulary to determine whether a specific medication is covered. Certain medications may require prior authorization, generic alternatives, or other coverage requirements.
FCC also provides medication management resources to help members coordinate their treatment.
4. Hospital and Emergency Medical Services
Unexpected illnesses and injuries can require immediate medical attention.
FCC MMA benefits include access to covered hospital services and emergency care.
Additional services include:
Emergency medical treatment
Ambulance transportation
Laboratory services
X-ray services
Diagnostic testing
Specialist appointments
Members experiencing a medical emergency should seek immediate emergency assistance rather than delay treatment while contacting their health plan.
5. Behavioral Health Services
Behavioral healthcare is an important part of overall health and wellness. FCC provides access to behavioral health services for eligible members who need assistance managing mental health conditions or other behavioral healthcare needs.
Members should contact their plan for information about participating behavioral health providers, covered treatments, and applicable authorization requirements.
Additional Florida Community Care Member Benefits
In addition to traditional medical coverage, FCC advertises several additional services intended to improve healthcare access and member support.
24/7 medical advice
Transportation to covered medical appointments
Medical equipment when needed
Medication management
Care coordination
Vision and hearing services
Physical, occupational, and speech therapy
Home-delivered meals
Preventive healthcare support
These additional benefits can be particularly helpful for individuals who experience transportation difficulties, have ongoing medical conditions, or need assistance coordinating multiple healthcare services. Specific eligibility requirements and coverage limitations may apply.
How Florida Community Care Care Coordination Works
Care coordination is an important part of the FCC Managed Medical Assistance program.
Members can work with their primary care provider and FCC's care coordination team to organize their healthcare needs. Care coordination services may include:
Primary Care Provider Assignment: Members have access to a personal primary care provider who helps oversee their routine medical needs.
Specialist Referrals: Assistance connecting members with specialists when additional medical treatment is necessary.
Preventive Care Planning: Support for routine screenings, health assessments, and preventive healthcare services.
Disease Management: Assistance for members managing ongoing health conditions.
Nurse Advice: Access to a 24/7 nurse advice line for medical questions and guidance.
Coordinated healthcare can help members better understand their treatment options and maintain communication between different healthcare professionals.
Florida Community Care MMA Service Areas
Florida Community Care's official MMA page identifies the following service regions and counties:
Region | Counties |
Region A | Bay, Calhoun, Escambia, Franklin, Gadsden, Gulf, Holmes, Jackson, Jefferson, Leon, Liberty, Madison, Okaloosa, Santa Rosa, Taylor, Wakulla, Walton, Washington |
Region B | Alachua, Baker, Bradford, Citrus, Clay, Columbia, Dixie, Duval, Flagler, Gilchrist, Hamilton, Hernando, Lafayette, Lake, Levy, Marion, Nassau, Putnam, St. Johns, Sumter, Suwannee, Union, Volusia |
Region C | Pasco, Pinellas |
Region D | Hardee, Highlands, Hillsborough, Manatee, Polk |
Region I | Miami-Dade, Monroe |
Not every Florida county is listed on the MMA page. Residents should verify current plan availability and enrollment eligibility before selecting FCC.
How to Find a Florida Community Care Doctor
Finding a doctor who accepts your Medicaid managed care plan is essential for maintaining consistent healthcare.
Florida Community Care provides an online provider directory that allows members to search for participating healthcare professionals and facilities. Members can search for:
Primary care physicians
Medical specialists
Hospitals
Pharmacies
Other participating healthcare professionals
To find a provider:
Visit FCCHealthPlan.com.
Select the Find a Provider option.
Search for a doctor, hospital, or pharmacy.
Confirm that the provider participates in your specific FCC plan.
Contact the provider to verify appointment availability.
Always verify network participation before receiving non-emergency medical services.
How to Enroll in Florida Community Care Medicaid
Florida residents who qualify for Medicaid may have the opportunity to select a managed care plan through Florida's Medicaid enrollment process.
Individuals interested in Florida Community Care should first confirm their Medicaid eligibility and whether FCC is available in their county.
Enrollment and plan selection assistance is available through Florida's Medicaid Enrollment Broker.
Florida Medicaid Enrollment Broker:
Telephone: 1-877-711-3662
TDD: 1-866-467-4970
You can also visit the official FCC website to review available services and enrollment information.
Remember that selecting a managed care plan does not replace the Florida Medicaid eligibility application process. Medicaid eligibility and health plan enrollment are separate steps.
Florida Community Care Contact Information
Members who have questions about benefits, doctors, prescriptions, transportation, or healthcare services can contact Florida Community Care directly.
Florida Community Care Member Services
Telephone: 1-833-322-7526
TTY: 711
Website: https://fcchealthplan.com/
Managed Medical Assistance: https://fcchealthplan.com/managed-medical-assistance/
Members should have their Medicaid identification information available when contacting the plan.
Frequently Asked Questions About Florida Community Care Medicaid
Does Florida Community Care accept Florida Medicaid?
Yes. Florida Community Care is a managed care plan with a Florida Medicaid contract. Its MMA program provides covered healthcare services to eligible enrolled members.
Does Florida Community Care cover prescription medications?
Yes. Prescription and over-the-counter medication benefits are included in its MMA program. Specific medications and coverage requirements should be verified through the current formulary.
Does FCC provide transportation to medical appointments?
Yes. Transportation to covered medical appointments is listed among the program's benefits. Members should contact FCC to arrange transportation and confirm applicable requirements.
Does Florida Community Care offer behavioral health services?
Yes. Behavioral health services are included in the MMA program.
How can I find out whether my doctor accepts FCC Medicaid?
Use the online Find a Provider directory at FCCHealthPlan.com or contact member services at 1-833-322-7526.
Does Florida Community Care offer 24-hour medical assistance?
FCC advertises 24/7 medical advice and a 24/7 nurse advice line for members.
Is Florida Community Care the Right Medicaid Plan?
Florida Community Care offers a range of Managed Medical Assistance benefits designed to help eligible Florida Medicaid recipients access medical care and additional healthcare support.
Its benefits include primary care, specialist services, prescription medications, hospital care, behavioral healthcare, transportation, and coordinated medical assistance.
Before selecting FCC, compare its provider network, covered benefits, prescription formulary, and available services with other Florida Medicaid managed care plans.
Understanding your healthcare coverage can help you avoid unexpected medical expenses and maintain access to the doctors and services you need.
Disclaimer:
This article is for educational and informational purposes only and does not constitute medical, legal, or financial advice. Program eligibility, benefits, and requirements may change. Always verify current information directly with the Florida Department of Health or the appropriate government agency before making healthcare or coverage decisions. Read full disclaimer.
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