Insurance Plans
Memorial Healthcare System Contracted Health Insurers and Networks
Contracted Health Insurers as of September 1, 2024
Click on the Health Insurer’s name for direct access to Health Insurer’s website.
The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301.
Please know:
- Services may be provided in the hospital by the facility as well as by other healthcare practitioners who may separately bill the patient;
- 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;
- 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 September 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 September 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, Adult Kidney and BMT (*COE) |
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, Adult Heart, BMT (*COE), Adult Kidney (*COE), Pediatric Kidney |
*Center of Excellence (COE)
The Health Insurers and Networks listed above are contracted as of September 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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