Insurance Plans

Home » Insurance Plans

Insurance Plans

Insurance plans are subject to regulations of the insurance carrier or government agency that issues the insurance.

Patients are responsible for copays and coinsurance at the time of service with the exception of stand-alone Medicare/CMS yearly deductible with no secondary.

Patients with Medicare as a primary and Medicaid ‘Shared of Cost’ as a secondary may receive a balance bill if, according to their current plan specifications, they have not yet reached their monthly threshold of shared cost.

Medicare, Medicare Replacement and Military

  • “Red/White/Blue” MedicarePlan B
  • AARP Medicare Advantage Plan HMO-POS and PPO Payer ID “87726”
  • AARP Medicare Complete HMO Payer ID “WELM2”Plans H1045-030 & H1045-043
  • AARP United Healthcare The Villages Medicare Complete HMO Payer ID “WELM2”Plans H1045-025 & H1045-027
  • AARP MedicareComplete Choice PPO Payer ID “WELM2”Plans H2406-015 & H2406-016
  • AARP MedicareComplete Choice (Regional PPO) Payer ID “WELM2”Plan 7444-004
  • AARP MedicareComplete Choice Plan 2 (Regional PPO) Payer ID “WELM2”Plan R7444-003
  • AdventHealthDownload Flyer
  • Aetna Medicare HMO and PPO
  • Allwell Medicare Advantage 
  • Blue Cross Blue Shield ‘Medicare Advantage’
  • Bright Health Medicare Advantage HMO
  • CarePlus Health Plans
  • Champ VA
  • Cigna HealthSpring Medicare Advantage
  • Devoted Health Plan
  • EBMS
  • Florida Blue ‘Medicare Advantage’
  • Florida Health Care MedAdvantage RX Plus MPOS
  • Freedom Health
  • GEHA
  • Humana Gold HMO
  • Humana Medicare PPO and PFFS
  • Humana Military → Tricare East
  • Optimum
  • Railroad Medicare
  • Sunshine Health Medicare Advantage 
  • Tricare East (formerly: Tricare South)
  • Tricare For Life
  • United HealthCare Dual Complete Plan HMO-POS and PPO Payer ID “87726”
  • United HealthCare Florida Group Medicare Advantage PPO Payer ID “87726”
  • Veterans Administation “VA”
  • Wellcare
  • Wellmed Payer ID “WELM2”
  • WVHA: West Volusia Hospital AuthoritySee specific plans in the AARP listing above
  • United Healthcare Dual Complete (HMO)*
  • First Health
  • AARP Medicare Advantage Plans – Payer ID “87726” (HMO)

Commercial Plans call for details on specific plans

  • AdventHealthDownload Flyer
  • Aetna
  • Ambetter 
  • Blue Cross Blue Shield ‘National Brand’
  • Bright Health EPO and HMO
  • Cigna
  • Empire Plan
  • Excellus
  • Florida Blue
  • Golden Rule
  • Humana
  • Key Benefit Administrators
  • Medical Services “Oscar”
  • Multiplan
  • PHCS Financial Group
  • UMR
  • Unicare
  • United Healthcare
  • West Volusia Hospital Authority (WVHA)

Out of Network Accepted

Please note:If we accept an insurance plan out of network, we will bill your insurance company for our service. However, a higher deductible or a higher copay will apply. All services are subject to self-pay for service. Please contact the Billing Supervisor or the Referral Specialist for further information.

  • Avmed (needs preauth)We are working on a contract to accept patients in network
  • Florida Healthcare POS ‘No Referral Required’ 
  • Florida Healthcare Triple Options
  • GHI (New York) as Primary
  • Tricare’s (prime and select)

Insurances We Do Not Take

  • Aetna “LocalNet”
  • Anthem Blue Cross Blue Shield “Indiana State Medical Association”Subject to self-pay for service
  • Cigna “LocalNet”
  • Cigna “LocalPlus”
  • Coventry HealthCare
  • Florida Health Care HMOSubject to self-pay for service
  • Florida Health Care MedAdvantage HMO
  • Hawaii Mainland Administrators “First Health”Subject to self-pay for service
  • Health Smart
  • IBA Lifeshield National Insurance CompanySubject to self-pay for service
  • Medicaid
  • Molina
  • Staywell
  • Sunshine Health Medicaid
  • United Healthcare M+