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Insurance Accepted

ORTHO FLORIDA CONTRACTED INSURANCE CARRIERS

  • Aetna
    • Gated Health Benefit Products
      • HMO
      • QPOS
      • Elect Choice
      • POS
      • Aetna Choice POS II
      • Aetna Select
    • Non-Gated Health Benefit Product
      • Open Choice PPO
      • National Advantage
    • Aetna Medicare Advantage
      • Aetna Golden Medicare Plan
      • Aetna Golden Choice Plan
    • Aetna Align Networks (for physical therapy)
    • Includes Aetna FL W/C
  • Avmed (Some LOB’s require hospital affiliation)
    • Commercial HMO
    • Self-Funded
    • POS
    • Choice
    • Avmed Medicare Advantage (Dade & Broward Counties Only) (MCR assignment plans are driven by Dr’s hospital affiliation)
    • Healthcare Exchange: Engage & Empower
  • BCBS
    • (non-par with Blue Select HMO)
    • BCBS PPC / PPS (PPO)
    • BCBS POS
    • BCBS Health Options
    • BCBS Medicare Advantage
    • Simply Blue HMO (eff 1/1/20)
    • Healthcare Exchange
  • Care Plus (Optional)
  • CIGNA
    • Cigna Local Plus Network eff 7/1/18
    • Cigna OAP
    • Cigna PPO
    • Cigna HMO
    • Cigna Health Springs 95% (Pensacola Only) eff 6/18/18
    • Cigna Connect Network (FL EPO Connected/PBC) eff 1-1-20
  • Coventry
    • Commercial HMO
    • Commercial POS / Open Access
    • Self-Insured
    • PPO
    • Coventry Medicare Advantage
    • First Health Network
    • Carelink Healthcare Exchange
    • Includes Conventry W/C Network
  • Doctors Healthcare Plans(Broward & Dade)
  • Humana (Optional)
    • N/A for Pain Management
    • Commercial PPO
    • Commercial HMO
    • Commercial POS
    • Commercial EPO
    • Medicare PPO
    • Medicare POS
    • Medicare Network PFFS Plans
    • Medicare HMO (Excluded for Hillsborough, Pasco & Sarasota)
    • Humana Family – Medicaid HMO
    • Traditional Plans
    • Commercial HUMx Plans (South Florida “Only”)
    • NON-Par w/ Huaman Gold
  • Medica(Miami Dade County Only) eff 7/1/18 (Not for Pain Mgmt)
  • Medicare Part B
  • Medicare /Palmetto GBA of Alabama eff 3/1/18
  • MedIncrease
  • Memorial Health (Requires affiliation to any of the Memorial hospitals in Broward County)
  • Molina (Requires Medicaid affiliation)
    • Medicare Advantage (Molina Medicare Options)
    • MA-SNP (Medicare Options and Molina Medicare Options Plus)
    • Marketplace Plans
  • Multiplan(PHCS)
    • Includes W/C Network
  • Preferred Care Partners eff 4/1/18 (Not for Pain Mgmt)
  • Simply Healthcare(No MCR in Palm Beach County)
    • Medicare Advantage
    • Health Alliance
  • Tenet Advantage Health Network (Based on Tenet hospital affiliation in Palm Beach, Broward & Dade Counties)
  • UHC
    • Options PPO
    • UHC Medicare Advantage
    • Healthcare Exchange: Compass, Navigte & Core
  • Work Comp
    • Aetna FL WC
    • Choice/Genex Provider Network (Sports Medicine panels closed in Dade County)
    • Corvel FL WC
    • Coventry FL WC
    • Dimension WC
    • Encompass FL W/C – DBA Paradigm
    • Heritage/Summit FL WC (Requires malpractice. Bare sheets not accepted.)
    • Prime Health Services PHS Tier II FL WC
    • Procura
    • Multiplan FL WC
    • One Call WC – (Express MD FL) (Requires malpractice limits of 1M/3M. Not approving with (250K/750K)
    • One Net W/C/ UHC W/C
    • Rockport FL WC
    • Summit W/C

Provider’s may elect to continue to bill under own individual tax id:

  • Medicaid of Florida
  • Tricare
  • VA-Dpt of Vertan Affairs
  • Best Choice
  • Wellcare