Health Care Benefits: Florida

Federal law and guidance on this subject should be reviewed together with this section.

Author: Patricia A. Morley, Research and Writing Associates

Summary

• Florida chose not to establish a state-based Marketplace under the Affordable Care Act. See Health Insurance Marketplaces Under the ACA.
• Florida has taken steps to preserve certain benefits made available under the Affordable Care Act. See Preserving ACA Benefits.
• Same-sex marriage is legal nationwide. See Same-Sex Partner Benefits.
• Group health plans in Florida must include certain maternity and newborn/adopted child coverage. See Maternity and Newborn/Adopted Child Coverage.
• Health plans in Florida must offer coverage for mental health and substance abuse treatments. There are specific requirements for coverage of children with autism spectrum disorders. See Mental Health and Substance Abuse Coverage.
• Group health plans must provide coverage for specified providers. See Coverage for Specified Providers.
• Health plans that cover mastectomies must also cover certain treatments and reconstructive breast surgery. See Reconstructive Breast Surgery.
• Health plans must provide coverage for certain illnesses, diseases, and services. See Diabetes Coverage; Bone Mass Screening; TMJ Disorders; Mammograms.
• Certain coverage for children and dependents must be provided. See Coverage for Children and Dependents.
• Group plans must provide coverage for certain adult children. See Coverage for Adult Children.