Care Coordination for Seniors in Florida
How Aviator navigators coordinate care in Florida
Aviator Health pairs Florida seniors—especially Medicare and Medicare Advantage beneficiaries managing chronic conditions—with a dedicated Healthcare Navigator to coordinate appointments, explain benefits, handle prior authorizations, arrange transportation, and connect to community supports. Most patients pay $0 when services are billed under Medicare’s Principal Illness Navigation (PIN) or related benefits through our affiliated medical group and payer partners. See billing details below.
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Whole‑person coordination: medical, behavioral, and social needs (transportation, food, equipment, housing referrals).
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Unlimited messaging between visits; navigators can join telehealth or provider visits to take notes and advocate.
Who qualifies and how billing works
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Medicare PIN (effective Jan 1, 2024) supports monthly, time‑based reimbursement for navigation delivered by auxiliary personnel (e.g., nurses, CHWs) after an initiating visit with a practitioner. Codes include G0023/G0024 (PIN) and G0140/G0146 (PIN—Peer Support). One billing practitioner per member per month; documentation and consent are required. See the American Academy of Family Physicians summary and rural health guidance for details.
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Why this matters in Florida: 93% of older adults nationally report ≥1 chronic condition; coordinated navigation reduces fragmentation and improves access.
Florida‑specific resources seniors actually use
These are the high‑value, state and local contacts your Navigator will work with and, when helpful, schedule on your behalf.
| Resource | Purpose | How to access | Service area / notes |
|---|---|---|---|
| Florida SHIP (SHINE) | Free, unbiased Medicare counseling (plan comparisons, appeals, enrollment help) | 1‑800‑963‑5337; online at floridashine.org | Statewide; program of Florida Dept. of Elder Affairs. |
| Modivcare (NEMT) | Non‑emergency medical transportation used by many MA/Medicaid plans | Use the number on your plan card; Florida Blue MA rides: 1‑855‑875‑5194. Medicaid examples: Aetna Better Health 1‑866‑799‑4463; AHCA MCD 1‑866‑726‑1457. | Statewide vendor hub. |
| Wellcare transportation | Supplemental rides in many MA plans | Call the Transportation number on your member ID; see FAQs for rules and urgent ride policies | Availability varies by plan/region. |
| Humana (Medicaid example) | Medicaid transportation via Modivcare (separate from MA benefits) | Where’s My Ride: 1‑866‑779‑0565; schedule online/phone | For Humana Healthy Horizons (Medicaid) members. |
| Miami‑Dade STS paratransit | ADA door‑to‑door service | Reservations 305‑871‑1111; info 786‑469‑5000 | Countywide 24/7 service; $3.50 per trip. |
| Orlando ACCESS LYNX | ADA and eligibility‑based paratransit | 407‑841‑5969; golynx.com | Orange/Seminole/Osceola counties. |
| Tampa HARTPlus | ADA paratransit | Customer Service 813‑254‑4278 | Hillsborough County; see HARTPlus and HARTFlex details. |
Notes and tips
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Medicare Advantage transportation varies; confirm your exact benefit (miles allowed, number of rides, medical vs. non‑medical, wheelchair needs) in your Evidence of Coverage. Example: Florida Blue MA uses Modivcare with dedicated reservation lines.
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Medicaid NEMT is separate from MA extra benefits. Eligibility and brokers vary by plan and program year. Your Navigator will verify coverage and book the appropriate ride type.
Common coordination requests we handle in Florida
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Primary/specialist scheduling, referrals, records collection, and prior authorization follow‑through
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Medication list reconciliation, refill coordination, pharmacy transfers
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Durable Medical Equipment and mobility advocacy (scooters, wheelchairs, rollators, walkers), including medical‑necessity documentation and supplier follow‑up; see our Florida mobility page below
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Transportation setup across MA supplemental rides, Medicaid NEMT, ADA paratransit, and county programs; reminders and “Where’s My Ride” support
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Benefits education: explaining MOOPs, supplemental benefits, and appeal pathways; when helpful, warm hand‑offs to SHINE counselors
Food and mobility supports (Aviator services)
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Food access, SNAP and home‑delivered meals
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Mobility equipment advocacy and coverage in Florida
Evidence and policy references (last verified Dec 5, 2025)
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Medicare PIN codes and program rules (initiation visit, time thresholds, who can furnish services)
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Burden of multiple chronic conditions (context for navigation)
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Florida SHIP (SHINE) official contacts
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Transportation vendors and program pages used by Florida seniors; Paratransit programs
Get started in Florida
1) Contact Aviator to match with a Navigator (covered by Medicare/MA in most cases). 2) Your Navigator performs a structured intake, reviews benefits, and drafts a person‑centered plan (including rides, providers, equipment, and food supports). 3) We schedule what’s next, coordinate with your doctors, and message you with reminders and checklists. If you prefer, we can join visits and handle appeals.
Questions now? Call SHINE for unbiased Medicare counseling at 1‑800‑963‑5337, and loop us in to coordinate next steps alongside your plan and providers.