El Localizador de Atención para el Cáncer de Florida Cancer Connect ayuda a los residentes a encontrar instalaciones de atención médica, incluidos hospitales y centros de tratamiento del cáncer. Regularmente se agregan proveedores adicionales.

Cuando se enfrenta un diagnóstico de cáncer, comprender y navegar el sistema de atención médica puede ser un desafío en un momento ya de por sí estresante. El Departamento de Servicios Financieros de Florida (DFS) ofrece un health insurance consumer guide that may help answer your insurance-related questions.

Although the Florida Office of Insurance Regulation is responsible for licensing and regulating insurance companies, DFS also handles consumer-related matters.

If you are a Florida Medicaid member experiencing challenges with your managed care plan, contact the Agencia de Florida para la Administración de Atención Médica or call 877-254-1055 (TDD 866-467-4970).

Es importante que los adultos y los niños con cáncer mantengan una cobertura de seguro médico continua que incluya los tratamientos necesarios contra el cáncer. Esto es lo que los cuidadores necesitan saber sobre el seguro de salud:

• Conozca los detalles del plan de seguro individual de su ser querido y su cobertura. Pídale al administrador del plan un Resumen de Beneficios (SBC, por sus siglas en inglés).
• When possible, call the insurer to make sure planned medical services such as surgery, procedures or treatments do not require prior authorization.
• Si está cambiando de plan de seguro, no deje que su póliza caduque hasta que la nueva entre en vigor. Esto incluye el cambio a Medicare.
• Pagar las primas del seguro médico y otros costos en su totalidad y a tiempo para evitar cualquier brecha en la cobertura.

Cosas adicionales que debe saber sobre el seguro médico:

• Si una factura parece extraña o errónea, llame o envíe un correo electrónico a la aseguradora para evitar que le cobren de más por error.
• Submit claims for all medical expenses, even when you are unsure they are covered.
• Keep complete and accurate records of all claims submitted, pending, and paid.
• Keep copies of all claims-related paperwork, such as letters of medical necessity, explanations of benefits, bills, receipts, requests for sick leave, or family medical leave and correspondence with insurance companies.
• Get a caseworker, hospital financial counselor, or social worker to help if your finances are limited. 
• If you let them know about your situation, companies and hospitals can work with you to make special payment arrangements.

Post Screening Medicaid Eligibility

Recomendaciones de Programa de detección temprana de cáncer de seno y cuello uterino del Departamento de Salud de Florida. promotes early detection and treatment of cancer by encouraging all women to receive regular screenings. If you do not have access to a health care provider, you may be able to receive free or low-cost screenings. Florida Medicaid supports the care of most women diagnosed under this program.

In 2001, the state of Florida established a Medicaid eligibility determination process to enroll women with newly diagnosed breast or cervical cancer.

Women may be eligible if they are:

• Screened through the Florida Department of Health’s Breast and Cervical Cancer Early Detection Program
• Uninsured or coverage that doesn’t include necessary treatments
• Not eligible under a federally mandated Medicaid group
• 65 years old or younger

Given that individuals must first meet the qualifications for the screening program, nearly all women who apply will qualify. In rare cases, women ineligible for Florida Medicaid may be referred to the American Cancer Society for charity care, if available. If eligible, women will receive full Medicaid benefits rather than those being treated for cancer.

La elegibilidad para Medicaid de Florida finaliza cuando:

• Course of treatment ends
• Patient no longer meets the eligibility criteria
• Patient obtains health insurance or Medicare that covers treatment 
• Patient moves out of the state of Florida