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