Insurance Plans

    Last updated March 26, 2020

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'
Bright Health Medicare Advantage HMO NEW
Champ VA
Cigna HealthSpring Medicare Advantage NEW
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
Railroad Medicare
Sunshine Health Medicare Advantage 
Tricare East (formerly: Tricare South)
Tricare For Life
Veterans Administation "VA" NEW
Wellmed Payer ID "WELM2" (See specific plans in the AARP listing above)


Commercial Plans 

(call for details on specific plans)

Blue Cross Blue Shield 'National Brand'
Bright Health EPO and HMO NEW
Coventry HealthCare
Empire Plan
Florida Blue
Florida Memorial Health Network
Golden Rule
Key Benefit Administrators
Medical Services "Oscar" NEW
PHCS Financial Group
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
GHI (New York) as Primary
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

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
IBA Liefshield National Insurance Company   →  Subject to self-pay for service
Sunshine Health Medicaid
United Healthcare Dual Complete (HMO)
United Healthcare M+