Medicare Advantage Dual Eligible Special Needs Plan (D-SNP)

The Florida Master Agreement FP127 is an Indefinite Delivery Vehicle (IDV) for a Medicare Advantage Dual Eligible Special Needs Plan (D-SNP) that provides comprehensive healthcare services. The contract enables Emphesys Insurance Company to deliver coordinated medical, behavioral health, and prescription drug benefits to dual-eligible beneficiaries. This master agreement covers specific Florida counties including Brevard, Broward, Glades, Indian River, Martin, Miami-Dade, Okeechobee, Palm Beach, and St. Lucie, focusing on providing specialized healthcare services for individuals with unique medical needs.

The IDV is awarded by the Agency for Health Care Administration (AHCA) to Emphesys Insurance Company, with a contract period from January 1, 2026, through December 31, 2028. The total contract value is $24,829,423.28, subject to annual appropriations. As a master agreement, the contract requires Emphesys to maintain a medical loss ratio of at least 85% and comply with state and federal healthcare regulations. The contract type is a Master Agreement specifically for the State of Florida, with Emphesys Insurance Company's primary legal entity located in Louisville, Kentucky, serving as the prime contractor for this comprehensive healthcare services IDV.