About

About The Program

Welcome to the newest and most beneficial way to shop for your insurance needs! The FMA Health Insurance Exchange offers you competitive options to shop and compare medical, dental, vision, life, disability, accident, and wellness insurance from leading providers, such as Blue Cross Blue Shield, Humana, Cigna, United Health One, Aetna, and more.

The FMA Health Insurance Exchange is an exclusive opportunity available to sole practitioners, individuals, and employees of members. Employer accounts with defined contribution tools also will be available through the Exchange.

Member Benefits Inc., which has specialized in association programs for more than thirty years, was selected to administer the private exchange for the Florida Medical Association, aptly named the FMA Health Insurance Exchange.

FAQ

What is the FMA Health Insurance Exchange?

The FMA Health Insurance Exchange is an online marketplace (aka private exchange) where members, and their employees, can compare and purchase products and services from insurance providers that compete for business within the exchange.

What products are available in the private exchange?

Medical insurance is the main attraction on the private exchange, however other products are also available at specially negotiated pricing, such as dental, vision, disability, life, accident, telemedicine, identity theft protection, and more. Insurance plans are provided by leading providers.

What is different about the insurance plans in the private exchange versus the public exchange (aka Federally Facilitated Exchange or Health Insurance Marketplace)?

Most health insurance plans available on the public exchange (known as Qualified Health Plans) are also available, at the same rates, through the private exchange. The private exchange has additional plans that will not be available through the public exchange. This is because some insurance providers have chosen to limit the number of plans they offer on the public exchange or have chosen not to participate on the public exchange. Both the public and private exchange will have dental plans available. Plans available on private exchange that will not be available on the public exchange include vision, term life, disability, AD&D, teledoc, id theft.

Can I be turned down for health insurance coverage in the private exchange due to a pre-existing health condition?

Beginning with new coverage effective dates of January 1, 2014, most health insurance plans can’t refuse to cover you or charge you a higher premium because of a pre-existing health condition. This will be the case regardless of whether you purchase your plan on the public or private exchange.

Am I obligated to purchase coverage if I register and create an account?

No. You are not obligated to purchase anything by creating an account.

Can my spouse purchase a plan on the exchange if I do not?

Yes. Your spouse can register through this site and purchase a health plan on the exchange even if you do not. He or she will need to create their own an account and will need your Member ID# to register.

What about the subsidies to help me pay for my health insurance?

As part of the Affordable Care Act (ACA), beginning in October 2013, lower and middle-income people under age 65, who are not eligible for coverage through their employer, Medicaid, or Medicare, can apply for tax credit subsidies available through the public exchange. Our online calculator, within the private exchange, will help you estimate if you potentially qualify for a tax-credit. If you do, our enrollment counselors are available to assist and guide you through the tax-credit application and for coverage on the public exchange.

Is the private exchange available to out of state members?

No, not at this time. Due to complexities and differences in health insurance providers and the public exchange rules in each state, the health insurance products in the private exchange are only available to residents of Florida at this time.

Can my employees purchase a plan on the exchange?

Yes. Your employees can register through this site and purchase a health plan on the exchange even if you do not. They will need to create their own an account and will need your Member ID# to register. If you have more that 5 employees, consider requesting an employer group exchange quote.

For Individuals

Register to begin using the FMA Health Insurance Exchange.

For Groups

Request an Employer Group Health plan quote.