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.
Health Insurance Marketplace Open Enrollment
Open enrollment for the Health Insurance Exchange/Marketplace for coverage typically opens in November. When choosing a health plan, be sure visits to your physicians and hospital of choice are covered under the plan. Click here for more information
Health Insurance We Accept
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:
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.
4630 Woodland Corporate Blvd.
Tampa, FL 33614
Aetna Signature Administrators
Exchange - QHP
P.O. Box 61010
Virginia Beach, VA 23466
Florida Healthy Kids
8930 NW 39th Ave.
Gainesville, FL 33156
(all outpatient services require a pre-authorization)
Beech Street (Multiplan)
25500 Commer Centre Dr.
Lake Forest, CA 92630-8855
(We no longer accept Multiplan insurance as of Oct. 31, 2017.)
Blue Cross & Blue Shield of Florida (BCBS)
532 Riverside Ave.
Jacksonville, FL 32231
Exchange - QHP - Blue Options and Blue Care
BCBS BlueSelect: Sarasota Memorial and Blue Cross & Blue Shield (BCBS) of Florida are in a dispute regarding Sarasota Memorial’s participation status as to BlueSelect health plans. BCBS of Florida has taken the position that Sarasota Memorial Hospital is not a participating provider for members of its BlueSelect health plans. Sarasota Memorial disagrees.
(SMH does not participate in Blue Preferred Medicare HMO or Blue Preferred Medicare HMO SNP Alignment Healthcare Products.)
Cigna HealthCare of Florida
2701 North Rocky Point Dr.,
Tampa, FL 33607
Exchange - QHP - Local Plus
NOTE: Our contract with Cigna is set to expire October 15, 2019.
If we cannot reach a new agreement before that date, SMH will become out-of-network providers in Cigna’s commercial/employer group plans. For more information, click here
Compass Health Systems
1065 NE 125 St.,
Miami, FL 33161
Coventry Healthcare/First Health
6720 B Rockledge Dr.,
Bethesda, MD 20817
P.O. Box 151137
Tampa, FL 33684
(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
P.O Box 988
Lakeland, FL 33802-0988
(All services require a pre-authorization.)
Humana (See Note Below)
PO Box 14601
Lexington, KY 40512
NOTE: Humana contract terminated March 31, 2019.
For more information, click here
. As of April 1, 2019, Sarasota Memorial is an out-of-network provider for Humana commercial/employer, Medicaid, Exchange & Medicare HMO & HMO/PPO.
Magellan Behavioral Health
6180 Hixson Pike
Molina Healthcare (formerly Integral Health Plan)
8300 NW 33rd St.
Doral, FL 33122
2140 8th St.
Mandeville, LA 70471
(We no longer accept Multiplan/PHCS insurance as of Oct. 31, 2017.)
Prestige Health Choice
P.O. Box 7367
London, KY 40742
Florida Healthy Kids
* Note: Prestige will no longer offer a Medicaid plan in our area after Jan. 1, 2019.
Red Card Payer Alliance (NON-PAR)
(We do not accept any insurance with this logo on its card.)
Rockport Healthcare Group
280 Wekiva Springs Rd., #102
Longwood, FL 32779
9250 West Flagler St.
Miami, FL 33174
Clear Health Alliance Medicaid HMO
(We do not participate in the Better Health product)
1323 W. Busch Blvd.
Tampa, FL 33612
Florida Healthy Kids
Sunshine State Health Plan
P.O. Box 3070
Farmington, MO 63640
(We do not participate in Healthy Kids or Ambetter products.)
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
9009 Corporate Lake Dr.
Tampa, FL 33634
Exchange - QHP - Compass
(We do not participate in the Medicaid HMO product.)
USA Managed Care
916 South Capital of Texas Hwy.
Austin, TX 78746
240 Corporate Blvd.
Norfolk, VA 23502