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Health Insurance Accepted

The following list is subject to change at any time. Please refer to your provider directory to ensure that Sarasota Memorial Health Care System is accepted by your insurance plan or contact your insurance company’s member services.In addition to the following list, Sarasota Memorial accepts:

  • All original Medicare plans
  • Medicare Replacement/Advantage plans from Aetna, Blue Cross and BlueShield, Humana, and United Healthcare
  • Most private, fee-for- service health plans
  • All standard Medigap/Medicare supplemental plans

 

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 note that we may not be in network with all plans for all payers. Please call your health plan for specific information. Except for the four plans listed above, Sarasota Memorial is an out-of- network provider for Medicare Replacement/Advantage HMO, PPO and 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 are 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, you may be responsible for the Part A deductible for non-emergency hospital care. Check with your insurance company, as some will pay that deductible when providers are not in network.

Aetna
4630 Woodland Corporate Blvd.
Tampa, FL 33614
Website
Aetna Signature Administrators
Commercial HMO
Commercial PPO
Exchange - QHP
International PPO
Mail Handlers
Medicare HMO/PPO
Workers Compensation

AmeriGroup
P.O. Box 61010
Virginia Beach, VA 23466
Website
Medicaid HMO
Florida Healthy Kids

AvMed
8930 NW 39th Ave.
Gainesville, FL 33156
Website
Commercial PPO
(all outpatient services require a pre-authorization)

Beech Street
25500 Commer Centre Dr.
Lake Forest, CA 92630-8855
Website
Commercial PPO
Workers Compensation

Blue Cross Blue Shield of Florida (BCBS)
532 Riverside Ave.
Jacksonville, FL 32231
Website
Health Options
Commercial NWB
Commercial PPO/PPC
Traditional PPO
Medicare HMO/PPO
Exchange - QHP - Blue Options and Blue Care (we do not participate in Blue Cross Select)
(we do not participate in Blue Preferred Medicare HMO and Blue Preferred Medicare HMO SNP Alignment Healthcare Products)

Cigna HealthCare of Florida
2701 North Rocky Point Dr.,
Suite 800
Tampa, FL 33607
Website
Behavioral Health
Commercial HMO
Commercial PPO
Exchange - QHP - Local Plus

Compass Health Systems
(Behavioral Health)

1065 NE 125 St.,
Suite 409
Miami, FL 33161
Website
Behavoiral Health

Coventry Healthcare/First Health
6720 B Rockledge Dr.,
Suite 700
Bethesda, MD 20817
Website
Commercial HMO
Commercial POS
Commercial PPO
Workers Compensation

Freedom Health
P.O. Box 151137
Tampa, FL 33684
Website
Medicaid HMO
(we do not participate in the Medicare HMO/PPO products)

Gulf Coast Provider Network (GCPN)/Gulf Coast Provider Select
1991 Main St. #147
Sarasota, FL 34236
Website

Heritage/Summit Healthcare
P.O Box 988
Lakeland, FL 33802-0988
Workers’ Compensation
(all services require a pre-authorization)
Website


Humana
PO Box 14601
Lexington, KY 40512
Website
Commercial HMO
Commercial PPO
Exchange - QHP (HumX)
Medicare HMO/PPO
Medicaid HMO

Magellan Behavioral Health
6180 Hixson Pike
Suite C-353
Hixson, TN
37343-3030
Website
Behavioral Health
Medicaid HMO

Molina Healthcare (formerly Integral Health Plan)
8300 NW 33rd St.
Doral, FL 33122
Website
Medicaid HMO

MultiPlan/PHCS
2140 8th St.
Suite B
Mandeville, LA 70471
Website
Commercial PPO

Prestige Health Choice
P.O. Box 7367
London, KY 40742
Website
Medicaid HMO
Florida Healthy Kids

Rockport Healthcare Group
280 Wekiva Springs Rd., #102
Longwood, FL 32779
Website
Workers Compensation
(Select Locations)

Simply Healthcare/Better Health
9250 West Flagler St.
Miami, FL 33174
Website
Medicaid HMO

Staywell WellCare
1323 W. Busch Blvd.
Tampa, FL 33612
Website
Medicaid HMO
Florida Healthy Kids

Sunshine State Health Plan
P.O. Box 3070
Farmington, MO 63640
Website
Medicaid HMO

Tricare Humana Military Healthcare Services
P.O. Box 7031
Camden, SC 29020-7031
Humana Military Website
Tri Care Website

United Behavioral Health (UHB/Optum)
2600 Douglas Rd.
Coral Gables, FL 33134
Website
Behavioral Health

United Healthcare
9009 Corporate Lake Dr.
Tampa, FL 33634
Website
Commercial HMO
Commercial PPO
Exchange - QHP - Compass
Medicare HMO/PPO
(we do not participate in the Medicaid HMO product)

USA Managed Care 
916 South Capital of Texas Hwy.
Austin, TX 78746
Website

Value Options
240 Corporate Blvd.
Norfolk, VA 23502
Website
Behavioral Health