Insurance Plans

Contracted Health Insurers as of May 1, 2025

Click on the Health Insurer’s name for direct access to Health Insurer’s website.

List of Health Insurers and Product Participation
Health Insurers Participating Products Excluded Products
Aetna HMO/PPO/POS/Medicare HMO/Medicare PPO/Aetna Better Health Excludes Medicare PFFS
Align Senior Care Florida, Inc.  Medicare  None
Allianz Global Assistance International None 
AmeriHealth Caritas Florida, Inc. f/k/a Prestige Health Choice
Exchange/Medicare HMO & PPO  None
AvMed HMO/Select/Exchange/Medicare  None
Axis Services Inc.  International
 None
Beacon Health Strategies, LLC f/k/a Psychcare Behavioral Health  None
Blue Cross Blue Shield See Florida Blue  None
CareWorks Managed Care Services, Inc. Workers' Compensation None
CIGNA HMO/PPO/Florida Exchange
Excludes Medicare
Community Care Plan (CCP)
All Products None
CorVel Workers' Compensation
None
Coventry / First Health
PPO & Workers' Compensation
None
Coventry

See Aetna

None
Desjardins Financial Security
International None
Doctors HealthCare Plans  Medicare  None
Employer's Choice Network
Worker's Compensation None
Employers Health Network  Memorial Health Assurance  None
Evernorth Behavioral Health f/k/a CIGNA Behavioral Health
Behavioral Health
None
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  None
Florida Health Administrators
PPO & Workers' Compensation
None
Freedom Health
Medicaid Excludes Medicare
Gallagher Bassett Services  Worker's Compensation  None
Global Health Claim Services
International None
Global Reach Health  International  None
GMMI (Global Medical Management)  International  None
Gold Kidney Health Plan  Medicare  None
Health Options See Florida Blue None
HealthSun Health Plans Medicare  None
Humana HMO/EPO/PPO/POS/Medicare HMO/Medicaid/Tricare
Excludes Medicare PPO, Medicare PFFS
Humana Veterans Healthcare Services All Products None
Longevity Health Plan Medicare None
Lucet f/k/a New Directions Behavioral Health  Behavioral Health  None
Magellan Health Services Behavioral Health  None
Managed Health Network Behavioral Health None
Molina Medicaid/Molina Marketplace Excludes Medicare
National Healthcare Solutions International None
Neighborhood Health Partnership All Products None
Oscar Insurance Company of Florida Exchange None
Plotkin Consulting International None
Preferred Care Network Medicare  None
Preferred Care Partners  Medicare  None
Prime Health Services, Inc. Workers' Compensation None
Quality Health Management International None
Simply Healthcare Plans Medicare/Medicaid/Clear Health Alliance None
Solis Health Plans Medicare None
Star Healthcare Network, Inc. International None
Staywell See Wellcare None
Sunshine Behavioral Health f/k/a/ Cenpatico Behavioral Health
Behavioral Health
None
Sunshine Health Plan Medicaid/Child Welfare Plan/Ambetter Excludes Healthy Kids
TourMed International None
Tricare (Humana) All Products None
United Behavioral Health Behavioral Health None
United Healthcare HMO/EPO/PPO/Medicaid/Medicare HMO/Medicare PPO Excludes Medicare PFFS
Wellcare Medicaid/Medicare Excludes Healthy Kids
World Medical Care
International
None
World Secure Assistance International None
Worldwide Managed Care Partners
International
None

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 May 1, 2025

Networks Participating Products
Dimension Health PPO 
Three Rivers Provider Network (TRPN) PPO & Workers' Compensation 

 

Contracted Transplant Networks as of May 1, 2025

Participating Transplant Networks
Networks Participating Products
Aetna Institutes of Excellence (AIE) Pediatric Heart (*COE), Adult Heart (*COE), Adult Kidney (*COE), BMT (*COE), Pancreas & SPK, and CAR-T
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, BMT (*COE), and CAR-T
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, Pediatric Kidney, and Pancreas
OptumHealth Care Solutions Transplant Network Pediatric Heart, Adult Heart, BMT (*COE), Adult Kidney (*COE), and Pediatric Kidney

*Center of Excellence (COE)

The Health Insurers and Networks listed above are contracted as of May 1, 2025. 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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