Organization Detail
Florida Blue / GuideWell
4 plans across 1 state · Medicare AdvantageExchange Plans
5.8%
Florida Blue / GuideWell Denial Rate
standard, avg across 4 plans
12.7%
National Average
all reporting plans
-6.9%
vs. National
below average
FL4 plans
| Plan | Requests | Approved | Denied | Appr % | Denial % ▼ | Appeals | Overturn % | Denied Appeal % | Appr Ext % | Denied Ext % | Mean Days | Med Days | Source |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Florida Blue Medicare Advantage HMO (H1035)Medicare Advantage | — | — | — | 91.0% | 9.0% | — | 55.0% | 45.0% | 0.0% | 0.0% | 2.1 | 0.0 | View source ↗ |
| Florida Blue Medicare Advantage PPO (H5434)Medicare Advantage | — | — | — | 92.0% | 8.0% | — | 56.0% | 44.0% | 0.0% | 0.0% | 2.3 | 0.0 | View source ↗ |
| Florida Blue BlueOptions/BlueSelect QHP (16842)Exchange Plans | — | — | — | 95.0% | 5.0% | — | 28.0% | 72.0% | 0.0% | 0.0% | 1.0 | 0.0 | View source ↗ |
| Florida Blue myBlue/BlueCare QHP (30252)Exchange Plans | — | — | — | 99.0% | 1.0% | — | 30.0% | 70.0% | 0.0% | 0.0% | 0.2 | 0.0 | View source ↗ |