ACA Open Enrollment October 2020
The Opportunity Florida Blue has a strong market share in ACA and a sizable opportunity to grow in Sanitas Counties • Switchers (Estimated 600,000 people with a competitor plan) • Uninsured: newly and from previous years (Estimated 1,000,000)
Sanitas has expanded their network of centers and providers to better access/service • 36 medical centers, 6 remodeled to better serve aging-in commercial members • 180 providers by January 2021
Florida Blue is competitive in price and with Sanitas $0 primary/urgent care
• Lowest in all Sanitas counties, but Miami where there is a very small difference ($4) • Differentiating product benefits with an exclusive network of centers
The combo “price and benefits at Sanitas” creates a strong market message against competitors
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Sanitas Key Messages • Unlimited $0 copay for primary care and two $0 copay for urgent care visits at Sanitas with your Florida Blue ACA plan • Sanitas is an exclusive provider for Florida Blue so you and your family have a place to get care without having to wait • One-stop shop. Everything you and your family need in one place (doctor visits, labs, imaging, walk-ins for urgent care) with convenient appointments after hours and on weekends • There is a Sanitas Medical Center near you—36 Sanitas Medical Centers and 180 providers • Whole person care with longer doctor appointments and support from care coordinators, nurses, social workers and nutritionists
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Sanitas in South Florida
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Sanitas in Central and West Florida
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Reminder of Service and Standards for Access to Care Core Services Comprehensive Primary Care
Virtual Care Channels
High Volume Specialists
Onsite Lab & Diagnostic
Advanced Urgent Care
Wellness and Disease Management Programs • • •
Nutrition Exercise Planning Tobacco Cessation
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Hypertension Stress Management Behavioral health
Diabetes Respiratory diseases Cardiovascular diseases
Enhanced Access Next-day appointments
Urgent care walk-ins
Evening and weekend hours
365 day mobile access