Insurance Plans

Memorial Healthcare System Contracted Health Insurers and Networks

Contracted Health Insurance Exchange Plans for 2017

To enroll, or for more information visit Healthcare.gov

 

Contracted Health Insurers as of November 1, 2016

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

Excludes Medicare HMO, Medicare PPO, Medicare PFFS & Exchange Products

Allianz Global Assistance International  

American Maritime Officers

PPO

Amerigroup Healthy Kids / Long Term Care
Excludes Medicaid & Medicare
AvMed All Products
 
AXA Assistance USA, Inc.
International  
Axis Services Inc.  International
 
Better Health, LLC
Medicaid  
Blue Cross Blue Shield (now Florida Blue)
See Florida Blue
 
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)
Medicaid  
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 / Carelink
 
Desjardins Financial Security
International  
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 Health Administrators
PPO & Workers' Compensation
 
Focus Healthcare Mgmt
Workers' Compensation  
Freedom Health
Medicaid Excludes Medicare
Global Health Claim Services
International  
Health Options (now Florida Blue)
See Florida Blue
Heritage Summit Healthcare of Florida
Workers' Compensation
Humana HMO / EPO / PPO / POS / HumX /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
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
Prime Health Services, Inc. Workers' Compensation
Psychcare Behavioral Health
Quality Health Management International
Rockport Healthcare Group Workers' Compensation
Simply Healthcare Plans Medicaid/Clear Health Alliance Excludes Medicare
Star Healthcare Network, Inc. International
Sunshine Health Plan Medicaid/Child Welfare Plan Excludes Exchange and Health Kids products
Three Rivers Provider Network (TRPN) PPO & Workers' Compensation
TourMed International
Travel Insurance Coordinators International
Tricare (Humana) All Products
United Healthcare HMO / EPO / PPO / Medicaid / Medicare HMO / Medicare PPO / Compass Excludes Medicare PFFS
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:

  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 November 1, 2016 

 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.

The Health Insurers and Networks listed above are contracted as of November 1, 2016. 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 any Medicare Private Fee for Service Plans (PFFS).

Please note: Memorial Healthcare System will provide you with emergency medical care regardless of your plan.