Insurance Plans
Memorial Healthcare System Contracted Health Insurers and Networks
Contracted Health Insurers as of September 1, 2024
Click on the Health Insurer’s name for direct access to Health Insurer’s website.
|
Health Insurers |
Participating Products |
Excluded Products |
|---|---|---|
| Aetna | HMO/PPO/POS/Medicare HMO/Medicare PPO/Aetna Better Health | Excludes Medicare PFFS |
| Align Senior Care Florida, Inc. | Medicare | |
| Allianz Global Assistance | International | |
| AmeriHealth Caritas Florida, Inc. f/k/a Prestige Health Choice |
Medicaid/LTC/Exchange/Medicare HMO and PPO | |
| AvMed | HMO/Select/Exchange/Medicare | |
| AXA Assistance USA, Inc. |
International | |
| Axis Services Inc. | International |
|
| Beacon Health Strategies, LLC f/k/a Psychcare | Behavioral Health | |
| Blue Cross Blue Shield | See Florida Blue | |
| CareWorks Managed Care Services, Inc. f/k/a Rockport Healthcare Group | Workers' Compensation | |
| Choice Medical Management |
Workers' Compensation |
|
| CIGNA | HMO/PPO/Florida Exchange |
Excludes Medicare |
| Community Care Plan (CCP) |
All Products | |
| CorVel | Workers' Compensation |
|
| Coventry / First Health |
PPO & Workers' Compensation |
|
| Coventry |
See Aetna |
|
| Desjardins Financial Security |
International | |
| Doctors HealthCare Plans | Medicare | |
| Employer's Choice Network |
Worker's Compensation | |
| Employers Health Network | Memorial Health Assurance | |
| Evernorth Behavioral Health f/k/a CIGNA Behavioral Health |
Behavioral Health |
|
| Florida Blue (Blue Cross Blue Shield/Health Options) | HMO/PPC/Traditional Blue/BlueSelect/Medicare HMO/Medicare PPO/Workers' Compensation/myBlue/Simply Blue | Excludes Medicare PFFS, Miami Dade Blue |
| Florida Community Care | Medicaid | |
| Florida Health Administrators |
PPO & Workers' Compensation |
|
| Focus Healthcare Mgmt |
Workers' Compensation | |
| Freedom Health |
Medicaid | Excludes Medicare |
| Gallagher Bassett Services | Worker's Compensation | |
| Global Health Claim Services |
International | |
| Global Reach Health | International | |
| GMMI (Global Medical Management) | International | |
| Gold Kidney Health Plan | Medicare | |
| Guardian Life of Caribbean | International | |
| Health Options | See Florida Blue | |
| HealthSun Health Plans | Medicare | |
| Heritage Summit Healthcare of Florida |
Workers' Compensation | |
| Humana | HMO/EPO/PPO/POS/Medicare HMO/Medicaid/Tricare |
Excludes Medicare PPO, Medicare PFFS |
| Humana Veterans Healthcare Services | All Products | |
| Independent Living Systems (ILS) | Long Term Care | |
| Longevity Health Plan | Medicare | |
| Lucet f/k/a New Directions Behavioral Health | Behavioral Health | |
| Magellan Health Services | Behavioral Health | |
| Managed Health Network | Behavioral Health | |
| Mental Health Associates | Behavioral Health | |
| Molina | Medicaid/Molina Marketplace | Excludes Medicare |
| National Healthcare Solutions | International | |
| Neighborhood Health Partnership | All Products | |
| Oscar Insurance Company of Florida | Exchange | |
| Plotkin Consulting | International | |
| Preferred Care Network | Medicare | |
| Preferred Care Partners | Medicare | |
| Prime Health Services, Inc. | Workers' Compensation | |
| Quality Health Management | International | |
| Simply Healthcare Plans | Medicare/Medicaid/Clear Health Alliance | |
| Solis Health Plans | Medicare | |
| Star Healthcare Network, Inc. | International | |
| Staywell | See Wellcare | |
| Sunshine Behavioral Health f/k/a/ Cenpatico Behavioral Health |
Behavioral Health |
|
| Sunshine Health Plan | Medicaid/Child Welfare Plan/Ambetter | Excludes Healthy Kids |
| TourMed | International | |
| Tricare (Humana) | All Products | |
| United Behavioral Health | Behavioral Health | |
| United Healthcare | HMO/EPO/PPO/Medicaid/Medicare HMO/Medicare PPO | Excludes Medicare PFFS |
| Wellcare | Medicaid/Medicare | Excludes Healthy Kids |
| Woodall & Broome, Inc. | Workers' Compensation | |
| World Medical Care |
International |
|
| World Secure Assistance | International | |
| Worldwide Managed Care Partners |
International |
The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301.
Please know:
- Services may be provided in the hospital by the facility as well as by other healthcare practitioners who may separately bill the patient;
- Health care practitioners who provide services in the hospital may or may not participate with the same health insurers or health maintenance organization as the hospital;
- Prospective patients should contact the health care practitioner who will provide services in the hospital to determine which health insurers and health maintenance organizations the practitioner participates in as a network provider or preferred provider.
Contracted Networks as of September 1, 2024
| Networks | Participating Products | Excluded Products |
|---|---|---|
| Beech Street/Viant1 | PPO & Workers' Compensation | |
| Dimension Health | PPO | |
| Multiplan1 | PPO | |
| Private Healthcare Systems (PHCS)1 | PPO | |
| Three Rivers Provider Network (TRPN) | PPO & Workers' Compensation |
1The following companies administer network services.
Contracted Transplant Networks as of September 1, 2024
| Networks | Participating Products |
|---|---|
| Aetna Institutes of Excellence (AIE) | Pediatric Heart (*COE), Adult Heart (*COE), Adult Kidney (*COE), and BMT (*COE) |
| Blue Cross and Blue Shield Blue Distinction Centers for Transplant |
Adult Heart (*COE), Adult Kidney (*COE), Pediatric Heart (*COE), and BMT (*COE) |
| Cigna Lifesource Transplant Network | Pediatric Heart (*COE), Adult Heart, Adult Kidney, and BMT (*COE) |
| Emerging Therapy Solutions, Inc. (f/k/a LifeTrac) | Pediatric Heart (*COE), Adult Heart, Adult Kidney, Pediatric Kidney, and BMT |
| Health Value Management (aka Humana National Transplant Network Program) | Pediatric Heart, Adult Heart, BMT, Adult Kidney, Pediatric Kidney, and Pancreas |
| OptumHealth Care Solutions Transplant Network | Pediatric Heart, Adult Heart, BMT (*COE), Adult Kidney (*COE), and Pediatric Kidney |
*Center of Excellence (COE)
The Health Insurers and Networks listed above are contracted as of September 1, 2024. If your Health Insurer or Network is not listed above, Memorial Healthcare System is not under contract with your Health Insurer or Network.
To ensure that your Health Insurer or Network allows access to care at Memorial Healthcare System and to verify any benefit exclusions, please refer to the Member Services Department of your Health Insurer or Network and your plan coverage documents.
Health Insurer or Network members should contact the plan for specific product names associated with the participating products described above.
Memorial Healthcare System does not participate in some Medicare Supplement plans. Check with Medicare Supplement plan for its participating network.
Please note: Memorial Healthcare System will provide you with emergency medical care regardless of your plan.
Patient and Family Centered Care
We treat patients and family members as partners in healthcare.
It matters to you. It matters to us.
Quality and Safety Data for Memorial Healthcare System
Our goal is to provide our patients with the information they need to make informed choices for themselves and their families.
View Quality and SafetyYou have a Right to Know About Prices
We want to give you the information you need to make important healthcare decisions, including the costs of our services.
View PricingMyChart Portal
View test results, schedule follow-up appointments, request prescription refills and more.
Login or Sign-up to MyChart