AvMed Customer Service Phone Number — Complete, Practical Guide

Primary contact information and where to find the correct number

For day‑to‑day questions about coverage, claims, prior authorization, referrals, billing, or provider directories, the most reliable way to reach AvMed is the phone number printed on the back of your member ID card. AvMed’s public website — https://www.avmed.org — lists plan‑specific contact numbers and secure messaging options. If you don’t have your card available, call AvMed Member Services at 1-800-452-8633 (TTY 711) as a central starting point; an automated or agent menu will route you to the correct specialized team for Medicare, Medicaid, employer groups, or individual marketplace plans.

Why the ID card matters: insurers maintain multiple dedicated call centers for commercial, Medicare Advantage, dual‑eligible, and Medicaid products. The exact phone extensions, hours, and procedures differ by plan year and by employer group. Using the number on your card or the plan‑specific contact page on avmed.org ensures you reach the right queue immediately and preserves the secure authentication flow that insurers require.

Typical hours, expected hold time, and documentation to have ready

AvMed Member Services hours commonly align to business hours (for example, Monday–Friday, roughly 8:00 AM–6:00 PM Eastern), but specific Medicare or specialty lines may offer extended hours or weekend coverage; always verify hours for your plan on the phone menu or online. Hold times vary by season — expect longer waits during open enrollment (November–December) or at the start of the calendar year (January–February) when many members call about ID cards and deductibles. A realistic expectation is a 5–20 minute hold during normal periods and 30–90+ minutes during peak times.

To expedite your call, have the following information ready and visible. Agents will verify identity and plan details, and having precise data reduces call time and administrative errors.

• Member ID number (from the front of the AvMed ID card) and your group number if applicable.
• Date of birth and the primary subscriber’s Social Security number or the last four digits (if requested) for identity verification.
• Provider name and NPI (or provider phone number), claim or invoice numbers, dates of service, and CPT/diagnosis codes if the question is claim‑specific.
• Authorization or referral numbers, prior authorization letters, and any denial or explanation of benefits (EOB) documents to reference during the call.
• Preferred callback number and best times to be reached; use the secure AvMed online account to avoid repeating sensitive details on phone systems when possible.

Specialty lines, escalations, and complaint procedures

Different AvMed products have designated specialty lines: Medicare Advantage (Part C) and Part D prescription drug questions frequently have a separate member services line; employer‑sponsored and broker channels often use their own business workflows. If an agent cannot resolve your issue, ask for a supervisor or for the claim/appeals team. Escalation paths typically include a Level 1 supervisor review, internal clinical review (for medical necessity or prior authorization disputes), and a formal written appeal or grievance process that is governed by state and federal timelines (for Medicare Advantage, CMS requires acknowledgement within 5 business days and resolution timelines specified in the Evidence of Coverage).

Document every escalation step: record the date and time of each call, the agent’s name or ID, ticket or reference numbers, and the exact wording of the resolution timeframe you were given. If a call results in a promised callback, set a calendar reminder 48 hours after the stated callback window; if that callback does not occur, follow up immediately and reference the earlier ticket number to get prompt attention.

Alternative channels, online resources, and when to use them

AvMed’s secure online member portal (available at avmed.org and via the AvMed mobile app) allows you to view claims, download EOBs, check eligibility, request ID cards, and send secure messages to Member Services. For non‑urgent tasks — replacing an ID card, reviewing claim details, setting up automatic premium payments, or checking the drug formulary — the portal saves time and provides written records that you can download and attach to appeals or HR inquiries.

Use phone support for time‑sensitive issues that require immediate human intervention: urgent prior authorizations, billing disputes involving imminent collections, or complex appeals that need detailed explanation. For hearing impaired users, request TTY (via 711) services or use the secure online messaging tool. If you prefer to avoid phone holds, ask the agent to open a secure message or case so you receive written confirmation and a response timeframe in your AvMed account.

Quick checklist before you call

• Locate your AvMed member ID card and note the phone number printed on the back — that number is the authoritative routing for your specific plan.
• Have claims/EOBs, provider invoices, and prior authorization documents in front of you; note dates of service and invoice totals (e.g., $125.00 on 02/14/2025) to reference during the call.
• Record the agent’s name, reference/ticket number, time of call, and promised resolution window; escalate to supervisor and file a written grievance if deadlines are missed.

Final practical note: validate any phone number you use by cross‑checking avmed.org or your ID card. For most members, starting with 1-800-452-8633 (TTY 711) will connect you to Member Services and route you to the correct specialty team; for plan‑specific nuances, always use the number printed on your membership materials or the contact page on avmed.org.

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.

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.

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.

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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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.