AvMed Customer Service Number: Complete Practical Guide

Overview and why the correct number matters

AvMed Health Plans is a regional health insurer serving members across Florida with individual, employer, Medicare Advantage and Medicaid-related products. When you need care coordination, billing help, claims resolution, prior authorization or an ID card replacement, the fastest route is the member services phone line printed on your ID card or available on the insurer’s official site. Using the correct number immediately connects you to specialists trained on your plan variant (commercial, Medicare, Medicaid or employer group) and prevents delays that can affect access to care or claim adjudication.

This guide focuses on practical, actionable information: the primary contact number, what to have ready when you call, alternatives to phoning, escalation steps, and how to document the interaction so you can resolve issues reliably and quickly. For the definitive source always confirm the specific line on your AvMed ID or at the official website: https://www.avmed.org.

Primary contact details

AvMed’s main member services phone number (for general inquiries and most member issues) is 1-800-452-8633. If you are deaf or hard of hearing, use your state relay by dialing 711 to connect to AvMed through a TTY-capable operator. The company website for all portals, plan documents, and online services is https://www.avmed.org; the site lists specialized lines, forms and up-to-date mailing addresses for appeals, claims and provider relations.

Important: phone numbers for Medicare Advantage, Medicaid, employer groups, dental, vision or broker support often differ from the general number. These specialized lines are printed on the back of your ID card and in your Evidence of Coverage (EOC). If you do not have your card, log in to the secure Member Portal on avmed.org or use the mobile app to view plan-specific phone numbers and hours of operation.

Specialized phone lines and online portals

Providers, brokers and employers use distinct portals (Provider Portal, Broker Portal, Employer HR Portal) to submit claims, manage enrollment and check billing. Provider-relations phone and fax numbers are typically listed on the Provider Portal landing page. If you’re a clinician handling a claim or authorization, log into the AvMed Provider Portal for secure uploads and direct messaging to the clinical review team—this is faster than general member lines for clinical questions or authorizations.

Members should register for the Member Portal (secure login on avmed.org) and download the AvMed mobile app (iOS/Android) to access ID cards, claim status, EOBs and secure messaging. The secure message function routes questions to the correct internal team and creates an electronic trail that complements phone notes. Use online bill-pay and auto-pay settings to avoid missed premium payments and to get instant receipts.

What to have ready when you call

• Member ID (exactly as printed on your card), group number (if employer plan), plan type (HMO/PPO/Medicare) and the member’s date of birth.
• Specific claim numbers, dates of service, provider name and NPI (if available), prescription names and strength, and any prior authorization or reference numbers.
• Billing statements showing the billed amount, amount paid, and the Explanation of Benefits (EOB) if you are disputing a claim or balance.

Having these items ready reduces call time and prevents repeated callbacks. If the call concerns a bill, be prepared to read the exact dollar amounts and dates as printed on the statement; for medications, have the pharmacy invoice or Rx bottle available. If you anticipate needing an appeal, request the internal reference number and an estimated resolution timeframe during the first call.

How to escalate, document and appeal

If the frontline representative cannot resolve your issue, calmly request escalation to a supervisor and record the supervisor’s name and the escalation reference code. Always ask for a timestamped reference number for the call—agents are required to provide a confirmation or ticket number on most calls. If a promised action (such as a corrected claim or new ID card) is not completed in the stated timeframe, follow up and reference the original ticket number to avoid repeating details.

For appeals of coverage denials or claim disputes, AvMed’s appeal procedures and required forms are posted on avmed.org under “Appeals & Grievances.” Appeals generally require a written request that includes the member’s name, member ID, provider name, date(s) of service, and a concise statement of why the decision should be reversed. If you prefer written correspondence, use the address shown in your denial letter or the appeals mailing address listed online to ensure proper routing.

Alternatives to calling and best practices

Besides phone service, use the secure Member Portal, mobile app, or secure messaging for non-urgent matters—these create written records and often result in shorter turnaround times. For urgent clinical issues, the phone is still the fastest route, and agents can triage to a clinical nurse or case manager when needed. If you prefer in-person help, check the AvMed website for local community office locations or partnered broker offices; hours and services vary by location.

Best practices when interacting with AvMed customer service: call during weekday mornings (often lower wait times), have all documents scanned or photographed before calling, request direct-email or secure-message confirmation when available, and keep a personal log with dates, times, agent names and reference numbers to speed any subsequent follow-ups or formal appeals.

What states does AvMed cover?

What Is AvMed Insurance?

• AvMed is an insurance provider offering comprehensive coverage across the state of Florida.
• As one of Florida’s longest-standing not-for-profit health plans originally created in 1969, AvMed spans the coast serving numerous counties including Palm Beach, Miami-Dade, and Broward.

How do I find my AvMed member number?

Your AvMed Member card will act as proof of insurance. Your card will provide you with your Member ID number. You can also get a digital copy of your Member ID card after logging into the Member Portal.

What is the phone number for AvMed?

Should you have any further questions, please contact a Provider Service Center Representative at [email protected] or call the Provider Service Center at 1-800-452- 8633, Monday-Friday, 8 am-5 pm, excluding holidays.
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What is the phone number for US Med customer service?

1-866-723-6958
Call Us. Our helpful agents are never more than a phone call away. Call our Customer Care Team at 1-866-723-6958 to place your reorder over the phone.

Does AvMed pay for gym membership?

As an AvMed Member you are eligible for a discounted membership, through Active&Fit Direct®, that gives you access to local gyms and fitness centers in your area, and to 1,500+ on-demand workout videos online. Plus, you can receive one-on-one lifestyle coaching in other subjects about healthy living, such as nutrition.

Is AvMed a PPO or HMO?

With a monthly premium of $0.00, AvMed Medicare One brings together hospital, medical, and prescription drug coverage in one coordinated Medicare Advantage HMO plan.