SimplyHealthcarePlans Medicaid: An In-Depth Overview of Florida’s Medicaid Benefits
Simply Healthcare Plans, Inc. is a health maintenance organization (HMO) based in Florida, collaborating
with the Florida Agency for Health Care Administration (AHCA) to deliver Medicaid services across
numerous regions within the state. Their Medicaid programs include Managed Medical Assistance (MMA),
Long-Term Care (LTC), and Florida Healthy Kids programs, with the goal of providing accessible and
comprehensive healthcare to eligible residents of Florida.
Medicaid Coverage Alternatives with Simply Healthcare
- Managed Medical Assistance (MMA)
Targeted towards low-income adults, children, and pregnant individuals, the MMA initiative offers:
Primary and specialized care
Emergency medical services
Prescription drugs
Vision and mental health services
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This initiative serves children aged 5–18 who do not meet the criteria for Medicaid but fulfill income
thresholds. Benefits encompass:
Routine health examinations and immunizations
Dental and optical care
Emergency and urgent medical services
simplyhealthcareplans.com - Long-Term Care (LTC)
For individuals aged 18 and older needing assistance with daily living activities, LTC services include:
Personal assistance
Case supervision
Skilled nursing and rehabilitation services
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Eligibility Requirements
To be eligible for Medicaid through Simply Healthcare, applicants must:
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Satisfy certain income and resource thresholds
Be U.S. citizens or qualified non-citizens
Live in one of the specified service areas
For LTC, complete an evaluation by the Comprehensive Assessment and Review for Long-Term Care
Services (CARES) program
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Simply Healthcare operates in various regions throughout Florida, including locations such as Escambia,
Broward, Hillsborough, Miami-Dade, and Palm Beach counties.
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Simply Healthcare provides a variety of resources to support members:
Member Manuals: Comprehensive guides on utilizing benefits, selecting primary care doctors, and
understanding rights and responsibilities.
24/7 NurseLine: Access to medical guidance and support at any hour.
Transportation Support: Help with non-emergency medical travel.
Over-the-Counter (OTC) Benefits: Monthly credits for acquiring approved health-related products.
Case Management: Personalized assistance for handling complex health requirements.
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Members can also engage in surveys to provide input and enhance services.
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Conclusion:
Simply Healthcare Plans delivers a comprehensive Medicaid program in Florida, emphasizing accessibility,
thorough care, and member assistance. Whether you are a parent looking for coverage for your child or an
adult in need of long-term care options, Simply Healthcare offers customized solutions to address varied
healthcare requirements.
