Insurance Plans Memorial Healthcare System Contracted Health Insurers and Networks Contracted Health Insurance Exchange Plans for 2019 Florida Blue Molina Sunshine Health To enroll, or for more information visit Healthcare.gov Contracted Health Insurers as of January 2 , 2019 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 Aetna Better Health Excludes Medicare HMO, Medicare PPO, Medicare PFFS Allianz Global Assistance International Amerigroup Healthy Kids / Long Term Care Excludes Medicaid & Medicare AvMed All Products AXA Assistance USA, Inc. International Axis Services Inc. International Beacon Health Strategies, LLC f/k/a Psychcare Behavioral Health Better Health, LLC Medicaid Blue Cross Blue Shield (now Florida Blue) See Florida Blue CMN Global Inc. (CMN) f/k/a Canadian Medical Network International CarePlus Services only at Memorial Hospital Pembroke or MHP Urgent Care Center Excludes all other Memorial Facilities Cenpatico Behavioral Health Behavioral Health Choice Medical Management Workers' Compensation CIGNA All Products Excludes Health Spring CIGNA Behavioral Health Behavioral Health Community Care Plan (CCP) f/k/a South Florida Community Care Network (SFCCN) All Products Concordia Behavioral Health Behavioral Health CorVel Workers' Compensation Coventry / First Health PPO & Workers' Compensation Coventry Summit Services only at Memorial Hospital Pembroke or MHP Urgent Care Center Memorial Regional Hospital South - In Patient Rehab Only Excludes all other Memorial Facilities Coventry / Vista HMO / PPO / Healthy Kids / Medicare / Medicaid Desjardins Financial Security International Devoted Health Medicare Dimension Health PPO Florida Blue (Blue Cross Blue Shield/Health Options) HMO / PPC / Traditional / Network Blue / BlueSelect / Medicare HMO / Medicare PPO / Workers' Compensation / myBlue 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 International Guardian Life of Caribbean International Health Options (now Florida Blue) See Florida Blue 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 for Coventry only. JIPA Network, LLC International Magellan Health Services Behavioral Health/Magellan Complete Care Managed Health Network Behavioral Health Mental Health Associates Behavioral Health MMM of Florida f/k/a Health Advantage of Florida Medicare HMO Molina Medicaid / Molina Marketplace Excludes Medicare National Healthcare Solutions International Neighborhood Health Partnership All Products New Directions Behavioral Health Behavioral Health Olympus Managed Healthcare International Plotkin Consulting International Prestige Health Choice Medicaid Prime Health Services, Inc. Workers' Compensation Quality Health Management International Rockport Healthcare Group Workers' Compensation Simply Healthcare Plans Medicaid/Clear Health Alliance Excludes Medicare Solis Health Plans Medicare Star Healthcare Network, Inc. International Staywell See Wellcare Sunshine Health Plan Medicaid/Child Welfare Plan / Ambetter Excludes Healthy Kids Three Rivers Provider Network (TRPN) PPO & Workers' Compensation TourMed International Travel Insurance Coordinators 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 International World Secure Assistance International World Travel Protection International Worldwide Managed Care Partners International 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 January 2, 2019 Networks Participating Products Excluded Products Beech Street/Viant1 PPO & Workers' Compensation Multiplan1 PPO Private Healthcare Systems (PHCS)1 PPO 1The following companies administer network services. Contracted Transplant Networks as of January 2, 2019 Networks Participating Products Aetna Institutes of Excellence (AIE) Pediatric Heart Blue Distinction Centers for Transplant Pediatric Heart (COE) Cigna Lifesource Transplant Network Adult & Pediatric Heart OptumHealth Care Solutions Transplant Network Pediatric Heart The Health Insurers and Networks listed above are contracted as of January 2, 2019. 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. Memorial Healthcare System does not participate in any Medicare Private Fee for Service Plans (PFFS). Please note: Memorial Healthcare System will provide you with emergency medical care regardless of your plan.
