Insurance Plans


    Last updated September 22, 2019
  


 
Insurance plans are subject to regulations of insurance carrier or government agency that issues the insurance. 
Patients are responsible for copays and coinsurance at the time of service.   (Note:  Exception is stand-alone Medicare/CMS yearly deductible with no secondary.)

Patients with Medicare as a primary and Medicaid 'Shared of Cost' as a secondary may receive a balance bill if, according to their current plan specifications, they have not yet reached their monthly threshold of shared cost.

 

 

Medicare, Medicare Replacement and Military


"Red/White/Blue" Medicare, also known as: Plan B
AARP Medicare Complete HMO Payer ID "WELM2" (Plans H1045-030 & H1045-043)
AARP United Healthcare The Villages Medicare Complete HMO Payer ID "WELM2" (Plans H1045-025 & H1045-027)
AARP MedicareComplete Choice PPO Payer ID "WELM2" (Plans H2406-015 & H2406-016)
AARP MedicareComplete Choice (REgional PPO) Payer ID "WELM2" (Plan 7444-004)
AARP MedicareComplete Choice Plan 2 (Regional PPO) Payer ID "WELM2" (Plan R7444-003)
Aetna Medicare HMO and PPO
Allwell Medicare Advantage 
Blue Cross Blue Shield 'Medicare Advantage'
Champ VA
Florida Blue 'Medicare Advantage'
Florida Health Care MedAdvantage RX Plus MPOS
Florida Memorial Care Advantage Medicare Plus D
Florida Memorial Care Advantage Medicare POS B
Florida Memorial Sunsaver
Freedom Health
Humana Gold HMO
Humana Medicare PPO and PFFS
Humana Military → Tricare East
Optimum
Railroad Medicare
Sunshine Health Medicare Advantage 
Tricare East (formerly: Tricare South)
Tricare For Life
Wellcare 
Wellmed Payer ID "WELM2" (See specific plans in the AARP listing above)

 

Commercial Plans 

(call for details on specific plans)

Aetna
Ambetter 
Blue Cross Blue Shield 'National Brand'
Cigna
Coventry HealthCare
Empire Plan
Excellus
Florida Blue
Florida Memorial Health Network
Golden Rule
Humana
Multiplan
PHCS Financial Group
UMR
Unicare
United Healthcare

 

Out of Network Accepted


Please note:  If we accept an insurance plan out of network, we will bill your insurance company for our service.  However, a higher deductible or a higher copay will apply.  All services are subject to self-pay for service.  Please contact the Billing Supervisor or the Referral Specialist for further information.

AARP Medicare Advantage Plans Payer ID "87726" (PPO only)
Avmed (needs preauth) → We are working on contract to accept patients in network
Florida Healthcare POS 'No Referral Required' 

Florida Healthcare Triple Options
GEHA
GHI
United Healthcare Dual Complete (PPO only)

 

Insurances We Do Not Take


AARP Medicare Advantage Plans Payer ID "87726" (HMO)
Anthem Blue Cross Blue Shield "Indiana State Medical Association"  →  Subject to self-pay for service
Blue Cross Bue Shield of Maryland "Care First"  →  Subject to self-pay for service
First Health →  Subject to self-pay for service
Florida Health Care HMO →  Subject to self-pay for service
Florida Health Care MedAdvantage HMO
Hawaii Mainland Administrators "First Health"   →  Subject to self-pay for service
Health Smart → We are working on contract to accept patients in network
IBA Liefshield National Insurance Company   →  Subject to self-pay for service
Key Benefit Administrators   →  Subject to self-pay for service
Medicaid
Molina
Sunshine Health Medicaid
United Healthcare Dual Complete (HMO)
United Healthcare M+
Veterans Administation "VA"