Insurance Plans

Contracted Health Insurers as of February 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
Allianz Global Assistance International  
AmeriHealth Caritas Florida, Inc. f/k/a Prestige Health Choice
AvMed HMO/Select/Exchange/Medicare  
AXA Assistance USA, Inc.
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
Carisk Behavioral Health f/k/a Concordia Behavioral Health
Behavioral Health
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

See Aetna

Desjardins Financial Security
Devoted Health Medicare HMO  Medicare PPO
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
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
World Secure Assistance International
Worldwide Managed Care Partners

The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301.

Please know:

  1. Services may be provided in the hospital by the facility as well as by other healthcare practitioners who may separately bill the patient;
  2. 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;
  3. 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 February 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 February 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 (*COE), Pediatric Kidney, Adult Kidney and BMT
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 and Pediatric Kidney
OptumHealth Care Solutions Transplant Network Pediatric Heart (*COE), Adult Heart, BMT (*COE), Adult Kidney (*COE), Pediatric Kidney

*Center of Excellence (COE)

The Health Insurers and Networks listed above are contracted as of February 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.

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