Memorial Healthcare System Contracted Health Insurers and Networks
Contracted Health Insurers as of September 1, 2020
Click on the Health Insurer’s name for direct access to Health Insurer’s website.
HMO / PPO / POS / Medicare HMO / Medicare PPO / Aetna Better Health
Excludes Medicare PFFS
|Allianz Global Assistance||International|
|Amerigroup||Healthy Kids / Long Term Care
||Excludes Medicaid & Medicare
|AXA Assistance USA, Inc.
|Axis Services Inc.||International
Beacon Health Strategies, LLC
|Better Health, LLC
|CMN Global Inc. (CMN)
f/k/a Canadian Medical Network
|CarePlus||Services only at Memorial Hospital Pembroke or Memorial Pembroke 24/7 Care Center
||Excludes all other Memorial Facilities
|Cenpatico Behavioral Health
|Choice Medical Management
||Excludes Health Spring
|CIGNA Behavioral Health
|Community Care Plan (CCP)
|Concordia Behavioral Health
|Coventry / First Health
||PPO & Workers' Compensation
|Desjardins Financial Security
|Employer's Choice Network
|Florida Community Care||Medicaid|
|Florida Health Administrators
||PPO & Workers' Compensation
|Focus Healthcare Mgmt
|Gallagher Bassett Services||Worker's Compensation|
|Global Health Claim Services
|Guardian Life of Caribbean||International|
|HealthSun Health Plans||Medicare|
|Heritage Summit Healthcare of Florida
|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|
|JIPA Network, LLC||International|
|Longevity Health Plan||Medicare|
|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|
|Oscar Insurance Company of Florida||Exchange||Excludes Medicare|
|Prestige Health Choice
|Prime Health Services, Inc.||Workers' Compensation|
|Quality Health Management||International|
|Rockport Healthcare Group||Workers' Compensation|
|Simply Healthcare Plans||Medicare / Medicaid / Clear Health Alliance|
|Solis Health Plans||Medicare|
|Star Healthcare Network, Inc.||International|
|Sunshine Health Plan||Medicaid / Child Welfare Plan / Ambetter||Excludes Healthy Kids|
|Three Rivers Provider Network (TRPN)||PPO & Workers' Compensation|
|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
|World Secure Assistance||International|
|World Travel Protection||International|
|Worldwide Managed Care Partners
The Health Insurer website links are provided for your convenience and in accordance to Florida Statute 395.301.
- 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, 2020
|Networks||Participating Products||Excluded Products|
|Beech Street/Viant1||PPO & Workers' Compensation|
|Private Healthcare Systems (PHCS)1||PPO|
1The following companies administer network services.
Contracted Transplant Networks as of September 1, 2020
|Aetna Institutes of Excellence (AIE)||Pediatric Heart (*COE)
|Cigna Lifesource Transplant Network||Pediatric Heart (*COE), Adult Heart|
|OptumHealth Care Solutions Transplant Network||Pediatric Heart (*COE), Adult Heart (*COE), BMT (*COE), Adult Kidney, Pediatric Kidney|
*Center of Excellence (COE)
The Health Insurers and Networks listed above are contracted as of September 1, 2020. 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.