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Medicare Advantage Plans

Open Enrollment for Medicare begins in October each year. The vast majority of Medicare Advantage plans are HMOs or PPOs that require you to get your care from a specific local provider network. It’s important to research your options carefully to ensure you receive the full benefits of your plan and care from the doctor and hospital of your choice. Please click here for more information.

The following list provides general information only and is subject to change at any time. Information is updated regularly, however, please refer to your provider directory to ensure that Sarasota Memorial Health Care System is a participating provider accepted by your insurance plan or contact your insurance company member services.

In addition to the following list, Sarasota Memorial accepts:

  • All original Medicare plans
  • Medicare Replacement/Advantage plans from Aetna, BeHealthy, Blue Cross and Blue Shield, Humana, and UnitedHealthcare
  • Most private "fee for service" health plans
  • All standard Medigap/Medicare supplemental plans (we are NOT an "in-network" provider for Medicare Select supplemental plans - see note below).

Note: Except for the four plans listed above, Sarasota Memorial is an out-of-network provider for Medicare Replacement/Advantage HMO, PPO, POS plans. Except in emergency situations, using an out-of-network facility can result in a patient being responsible for a larger portion of a hospital bill.

We also NOT a network provider for Medicare Select supplemental plans. Medicare Select members may choose Sarasota Memorial for their care, but depending on each plan's benefits, may be responsible for the Part A deductible for non-emergency hospital care. Check with your insurance company as some will, on a case-by-case basis, choose to pay that deductible when providers are not in its network.

Aetna
4630 Woodland Corporate Blvd.
Tampa, FL 33614
www.aetna.com

The Select HMO
The Value HMO
The Premier PPO

AmeriGroup 
PO Box 61010
Virginia Beach, VA 23466
www.amerigroupcorp.com

AvMed Health Plan
8930 NW 39th Avenue
Gainesville, FL 33156
www.avmed.com

BeHealthy America
6948 Professional Parkway East
Sarasota, FL 34240
www.behealthyus.com

Beech Street of California (MultiPlan)
25500 Commercentre Dr.
Lake Forest, CA 92630-8855
www.beechstreet.com

Blue Cross Blue Shield of Florida
532 Riverside Avenue
Jacksonville, FL 32231
www.bcbsfl.com

(Includes Medicare Replacement/Advantage Plans - does NOT include Blue Cross Select Plan or Medicare Select Supplemental Plan)

CIGNA Healthcare of FL 
2701 North Rocky Point Drive
Suite 800
Tampa, FL 33607
www.cigna.com

Compass Health Systems (Behavioral Health)
1065 NE 125 Street
Suite 409
Miami, FL 33161
www.compass.md/managedcare.htm

Coventry Health Care/First Health
6720 B Rockledge Drive
Suite 700
Bethesda, MD 20817
www.coventryhealthcare.com

Great West Healthcare
2701 North Rocky Point Drive
Suite 800
Tampa, FL 33607
www.cigna.com

Gulf Coast Provider Network and Gulf Coast Provider Select
1991 Main Street #147
Sarasota, FL 34236
www.gulfcoastprovider.net

HealthSmart (InterPlan Health Group)
222 West Las Colinas
Suite 600N
Irving, TX 75039
www.healthsmart.com

Heritage/Summit Healthcare, Inc. (worker's compensation)
Must call for claims address and authorization.
800-282-7644
www.summitholdings.com

Humana
PO Box 14601
Lexington, KY 40512
www.humana.com

Magellan Behavioral Health
6180 Hixson Pike Suite C-353
Hixson, TN 37343-3030
www.magellanhealth.com

Manatee Health Plan
Manatee Service Center
PO Box 1098
Bradenton, FL 34206
www.manateeyourchoice.com

MultiPlan (Integrated Health Plan, PHCS)
2140 8th Street Suite B
Mandeville, LA 70471
www.multiplan.com

Prestige
PO Box 7367
London, KY 40742
www.prestigehealthchoice.com

Rockport Healthcare Group (Workers Compensation)
280 Wekiva Springs Rd. #102
Longwood, FL 32779
http://rockporthealthcare.com

Sarasota Memorial Charter Health Plan
PO Box 99906
Grapevine, TX 76099-9706
(941) 917-8500
www.smhcharterplan.com

Staywell WellCare HMO, Inc. (Medicaid only)
1323 W. Busch Blvd.
Tampa, FL 33612
www.wellcare.com

Sunshine Health
PO Box 3070
Farmington, MO 63640
www.sunshinehealth.com/

Tricare
Humana Military Healthcare Services
PO Box 7031
Camden, SC 29020-7031
www.Humana-Military.com
www.mytricare.com

United Behavioral Health
2600 Douglas Road
Coral Gables, FL 33134
www.unitedbehavioralhealth.com

United Healthcare
9009 Corporate Lake Drive
Tampa, FL 33634
www.unitedhealthcare.com

(See note above - includes Medicare Replacement/Advantage Plans)

USA Managed Care Organization
916 South Capital of Texas Hwy
Austin, Texas 78746
www.usamco.com

Value OptionsBehavioral Health
240 Corporate Blvd.
Norfolk, VA 23502
www.valueoptions.com

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