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Health Insurance Plans Accepted at Sarasota Memorial Locations

Below is information on the Medicare/Medicaid, private and other health insurance plans accepted at Sarasota Memorial Hospital-Sarasota Campus, Sarasota Memorial Hospital-Venice Campus, and our network of outpatient and urgent care centers. This list is subject to change at any time.

Confirm Coverage

Because health insurance coverage can differ from plan to plan, even under the same insurer, we highly recommend contacting your insurance company’s member services for information specific to your plan’s coverage and to confirm your plan’s in-network providers and facilities.

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.

Emergency Care

You have the right to seek emergency services and care anywhere they are provided, regardless of insurance. 

In a medical emergency, patients may seek emergency care at any of our 3 ER locations — SMH-Sarasota, SMH-Venice or our freestanding North Port ER — regardless of insurance coverage or network status. In emergency situations, you should always go to the nearest ER – no authorization is needed, and a patient’s financial responsibility is no higher if they go to an out-of-network hospital.   

Health Plans We Accept

Unless indicated with a noted exception of "pending" or "excluded," the health insurance plans listed below are accepted at SMH-Venice, SMH-Sarasota and our network of outpatient and urgent care centers. This list is subject to change at any time.

Sarasota Memorial accepts traditional Medicare, supplemental plans and many Medicare Advantage plans. For more information, click here.

4630 Woodland Corporate Blvd.
Tampa, FL 33614
Aetna Signature Administrators
Commercial HMO
Commercial PPO
Marketplace/Exchange - QHP
International PPO
Medicare Advantage HMO, PPO, and POS
Workers Compensation

(We do not accept Limited Benefit Plans, Short Term Medical Plans or discount cards administered by Aetna.)

Alignment Health (Effective 1/1/2023)
1100 W. Town and Country Rd.
Suite 1600 Orange, CA 92868
Medicare Advantage HMO/PPO

AmeriHealth Caritas (Effective 7/1/2023)
3875 West Chester Pike
Newtown Square, PA 19073
Medicaid HMO
Long Term Care Plans
Florida Healthy Kids

9400 S. Dadeland Blvd.
Miami, FL 33156
Commercial PPO
(All outpatient services require a pre-authorization.)

Beacon Health Options (formerly Value Options)
240 Corporate Blvd.
Norfolk, VA 23502
Behavioral Health
Commercial PPO and Empire Network only

Blue Cross & Blue Shield of Florida (BCBS)
532 Riverside Ave.
Jacksonville, FL 32231
Health Options HMO
Commercial NWB
Commercial PPO/PPC
Traditional PPO
Medicare HMO/PPO
Marketplace/Exchange - QHP: BlueOptions PPO, BlueCare HMO, myBlue HMO and BlueSelect

CareWorks (formerly Rockport Healthcare Group)
2500 Wilcrest Dr., Suite 203
Houston, TX 77042
Workers Compensation
Select locations (SMH-Venice Excluded)

Compass Health Systems 
(Behavioral Health)
1065 NE 125 St., Suite 206
Miami, FL 33161
Behavioral Health 

Community Care Plan (formerly SFCCN) (Effective 10/1/2023)
1643 Harrison Parkway, Suite H-200
Sunrise, FL 34239
Medicaid HMO
Florida Healthy Kids

Coventry Healthcare/First Health
6720-B Rockledge Dr., Suite 800
Bethesda, MD 20817
Commercial HMO 
Commercial POS 
Commercial PPO 
Workers Compensation (Enlyte Group)

Florida Community Care (Effective 8/1/2023)
4601 NW 77th Ave.
Miami, FL 33166
Medicaid HMO
Long Term Care Plus
Medicare Advantage HMO

Freedom Health
PO Box 151137
Tampa, FL 33684
Medicare Advantage HMO

Gulf Coast Provider Network (GCPN)/Gulf Coast Provider Select 
1700 South Tamiami Trail
Sarasota, FL 34239

Interplan Health Group (HealthSmart)
222 West Las Colinas Blvd., Suite 500N
Irving, TX 75039
Commercial PPO (SMH-Venice Excluded)
Workers Compensation (SMH-Venice Excluded)

Magellan Behavioral Health
855 SW 78th Ave.
Plantation, FL 33324
Summit Network 
Pinnacle Network 

Molina Healthcare
8300 NW 33rd St.
Doral, FL 33122
Medicaid HMO
Serious Mental Illness Plan

Optimum Healthcare
PO Box 151137
Tampa, FL 33684
Medicare Advantange HMO

Oscar Health Insurance
75 Varick St,
New York, NY 10013
Marketplace/Exchange – QHP 

Simply Healthcare (AKA AmeriGroup)
9250 West Flagler St.
Miami, FL 33174
Medicaid HMO
Clear Health Alliance Medicaid HMO
Medicare Advantage HMO/PPO/EPO/PFFS/C-SNP/D-SNP

(We do not participate in the Better Health product.)

Sunshine State Health Plan
P.O. Box 3070
Farmington, MO 63640
Child Welfare Specialty Plan
Children’s Medical Services Health Plan
Serious Mental Illness Plan
Medicaid HMO
Florida Healthy Kids Plan
Ambetter - Marketplace/Exchange - QHP
Wellcare - Medicare Advantage

TRICARE East Region 
P.O. Box 8923
Madison, WI 53707-8923
Humana Military Website:
Tricare Website:

United Behavioral Health (UHC/Optum)
11000 Optum Circle
Eden Prairie, MN 55344
Behavioral Health 

3000 Bayport Dr., Ste. 1170
Tampa, FL 33634
Commercial HMO 
Commercial PPO 
Exchange - QHP – Compass 
Medicare HMO/PPO
Surest (SOME Surest Plans may not cover certain services. Contact your plan directly to ensure that you have coverage for services.
Surest FLEX (ALL Surest Flex Plans may not cover certain services without first "buying up" coverage. Contact your plan directly to ensure that you have coverage for services.

(We do not participate in the Medicaid HMO product)

Sarasota Memorial does NOT accept: Short Term Benefit Plans administered by UnitedHealthcare or any plan that does not meet the minimum essential coverage requirements as stated by the Affordable Care Act (ACA). Commonly referred to as “Limited Benefit Plans” and “Discount Plans,” these types of plans are not regulated by the ACA; they are often listed on member insurance cards as ALL PremierChoice, Premier MED, Short Term Medical or TriTerm Medical. This may include policies/plans marketed as Freedom Life, US Health Group, or Golden Rule.


USA Managed Care (SMH-Venice Excluded)

4609 Bee Caves Road
Suite 200
Austin, TX 78746

Veteran's Affairs Community Care Network (VACCN)
Optum Public Sector Solutions, Inc.
790 Shiloh Rd.
Plano, TX 75074

Please note: Sarasota Memorial's freestanding ER in North Port is part of Sarasota Memorial Hospital-Sarasota Campus. It is not an urgent care center. Services and care provided at the facility are billed at hospital emergency department rates. Florida's Agency for Health Care Administration (AHCA) makes available data on hospital prices and performance at