ADVANTAGE
CARE MEDICARE HMO-(METCARE)
BLUE
CROSS/SHIELD OF FLORIDA
PPO/POS
HEALTH OPTIONS-HMO
BLUE OPTIONS
HEALTHY KIDS
CBCA
HCA HOSPITAL EMPLOYEES-LRMC, SLMC,
RAULERSON EPO-NEEDS REF
CHAMPUS-TRICARE-MILITARY
INSURANCE-ADMINISTERED BY HUMANA
PRIME – HMO SIDE – ALL VISITS REQUIRE
REFERRALS FROM PCP
STANDARD - NO REFERRAL REQUIRED
TRICARE FOR LIFE-(WHEN MEDICARE IS
PRIMARY)
CIGNA
PPO
HMO
HUMANA
PPO/POS
PFFS
HMO
GHI
UNITED
HEALTHCARE-HMO/PPO ONLY-NO MEDICAID
PRODUCTS
SECURE HORIZONS-A UHC MCR REPLACEMENT
POLICY (PFFS)
WEB TPA
SLCSB, CITY FP, FP UTILITIES, AREMELLINI,
SLCTY, SLCFD
MARTIN MEMORIAL HOSPITAL EPO/PPO-SEE
SEPARATE PAGE
WELLCARE
MEDICARE HMO-MEDICARE PRODUCT ONLY
referral req’d effect 02-01-2007
MEDICAID
DIRECT REFERRALS FROM PRIMARY CARE
PHYSICIANS ONLY
MEDICARE
RAILROAD
MEDICARE
UNITED MINE
WORKERS MEDICARE
PARTICIPATING PROVIDER ORGANIZATION
NETWORKS
BEECHSTREET
FIRST HEALTH (includes CCN and now known as COVENTRY HEALTH CARE)
MULTIPLAN-effect
4-1-07 will also include some PHCS-CHECK
CARDS GREEN EMBLEM
We are participating in this 1 plan through the network of FL Otolaryngologists. It only entitles the patient to a discount-usually their co-pays do not apply. It is usually deductible & co-insurance.
Vocal Rehabilitation-Requires written voucher prior to services being administered.