Form SF-3662 Avmed Away From Home Program (Afh) Enrollment - Miami-Dade County, Florida

Form SF-3662 Avmed Away From Home Program (AFH) Enrollment is used by AvMed Health Plans members residing in Miami-Dade County, Florida, for enrolling in the Away From Home (AFH) program. The AFH program allows members who are temporarily residing or studying outside of their home service area for at least 60 days but no more than 180 days, to receive routine or preventive care services. This might include students attending college out-of-state or individuals on extended business or personal travel.

The Form SF-3662 AvMed Away From Home Program (AFH) Enrollment is filed by individuals who are already enrolled in a health plan with AvMed and wish to participate in the Away From Home program. This program enables AvMed members to have access to medical services even when they are not within the service area of their primary care physician. The form is applicable for residents of Miami-Dade County, Florida who will be out of the service area for at least 90 consecutive days. It is important for members to complete and submit this form prior to leaving their home area for an extended period of time.

FAQ

Q: What is SF-3662 Avmed Away From Home Program?
A: The SF-3662 Avmed Away From Home Program is a form used for enrollment in the AvMed Away From Home Program in Miami-Dade County, Florida. The program is designed for members who will be away from their regular address for an extended period and need healthcare services in another AvMed service area.

Q: Can I enroll in the Avmed Away From Home Program if I am not a resident of Miami-Dade County, Florida?
A: The AvMed Away From Home Program is primarily designed for AvMed members in Miami-Dade County. However, the exact eligibility requirements and availability may vary. It is best to contact AvMed directly to get accurate information.

Q: What is AvMed?
A: AvMed is a not-for-profit health plan that provides comprehensive health care coverage to businesses, individuals, and Medicare beneficiaries in Florida.

Q: How long can I be enrolled in the AvMed Away From Home Program?
A: The duration of enrollment in the AvMed Away From Home Program may vary based on individual circumstances and policies of AvMed. It is recommended to check with AvMed directly for the most accurate information.

Q: How to enroll in the AvMed Away From Home Program?
A: To enroll in the AvMed Away From Home Program, you need to fill out and submit the SF-3662 form. The form requires personal details, current AvMed Service area and the AvMed Service area where you will be staying.