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Memorial Healthcare System Contracted Health Insurers and Networks


Contracted Health Insurers as of July 15, 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

 

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) 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
– Inpatient 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
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 Humana and 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

 

Preferred Medical Plan HMO Excludes Medicare
Prime Health Services, Inc. Workers' Compensation

 

Psychcare Behavioral Health

 

Quality Health Management International

 

Rockport Healthcare Group Workers' Compensation

 

Star Healthcare Network, Inc International  
Simply Healthcare Plans Medicaid/Clear Health Alliance Excludes Medicare
Sunshine Health Plan Medicaid/Child Welfare Plan Excludes Exchange and Healthy 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 Secure Assistance International

 

World Travel Protection 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 July 15, 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 July 15, 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.