Aetna Standard Plans
Aetna Affordable Health Choices®
Aetna Select℠
Aetna Voluntary Plans
Managed Choice® POS
Open Choice® PPO
QPOS®
Aetna Open Access Plans
Aetna Choice® POS II (Open Access)
Aetna Health Network Only℠ (Open Access)
Aetna Health Network Option℠ (Open Access)
Aetna Select℠ (Open Access)
Elect Choice® EPO (Open Access)
Managed Choice® POS (Open Access)
Aetna HealthFund Plans
Aetna Choice® POS (Aetna HealthFund®)
Aetna Choice® POS II (Aetna HealthFund®)
Aetna HealthFund® Aetna Health
Network Only℠ (Open Access)
Aetna HealthFund® Aetna Health
Network Option℠ (Open Access)
Aetna Open Access® Elect Choice® EPO (Aetna HealthFund®)
Aetna Open Access® Managed Choice® POS (Aetna HealthFund®)
Open Access Aetna Select℠ (Aetna HealthFund®)
Open Choice® PPO (Aetna HealthFund®)
Aetna Medicare Plans*
Aetna Medicare Choice (HMO-POS) - H1609-028
Aetna Medicare Premier (PPO) - H5521-033
AvMed Commercial & Marketplace Plans
Avmed - HMO - 1
Avmed - HMO - 2
City of Sunrise HMO
City of Sunrise HMO Out of Area
City of Sunrise POS
City of Sunrise POS Out of Area
Federal Employees - G100 HMO
Greater Health Trust - Elect
Greater Health Trust - Elite
Greater Health Trust - Elite Choice
Greater Health Trust - Focus
Greater Health Trust - Flex
Individual/Family Empower POS
Individual / Family Engage HMO
Individual MarketPlace / Entrust Plans
Individual MarketPlace / Entrust Virtual
JHS Jackson First HMO
JHS POS
JHS POS Out of Area
JHS Select HMO
JHS Standard HMO
JHS Standard HMO Out of Area
Large Group Employee - Achieve HMO
Large Group Employee - Agility POS
Large Group Employee - Choice POS
Large Group Employee - Empower POS
Large Group Employee - Engage HMO
MDC First Choice Advantage HMO
MDC High Option HMO
MDC High Option HMO Out of Area
MDC High Option HMO Redesign
MDC High Option HMO Redesign Out of Area
MDC Jackson First HMO
MDC POS
MDC POS Out of Area
MDC POS Redesign
MDC POS Redesign Out of Area
MDC Select Advantage HMO
MDC Select HMO
MDC-Advantage HMO
MDC-Advantage HMO Out of Area
MDC-Advantage POS
MDC-Advantage POS Out of Area
Santa Fe Healthcare Choice POS
Santa Fe Healthcare HDHP HMO 1
Santa Fe Healthcare HMO 1
Santa Fe Healthcare HDHP HMO 2
Santa Fe Healthcare HMO 2
Small Group Employee - Achieve HMO
Small Group Employee - Agility POS
Small Group Employee - Choice POS
Small Group Employee - Elect HMO
Small Group Employee - Elite Choice POS
Small Group Employee - Elite POS
Small Group Employee - Empower POS
Small Group Employee - Engage HMO
Small Group Employee - Flex POS
Small Group Employee - HMO (KYP)
Small Group Employee- Focus HMO
State of Florida HDHP HMO
State of Florida HMO
AvMed Medicare Plans
Medicare Advantage - Access
Medicare Choice HMO
Medicare Circle HMO
Medicare One HMO 2024
Blue Cross Blue Shield PPO, Anthem PPO: Out-of-State Plans
BCBS FEP
Florida Blue Commercial & Marketplace Plans
BlueCare
BlueCare with Pediatric Vision
BlueCare with Pediatric Vision and Dental
BlueChoice
BlueOptions
BlueOptions Health & Dental - Health
BlueOptions Hospital Surgical Plus
BlueOptions Temporary Insurance
BlueOptions with Pediatric Vision
BlueOptions with Pediatric Vision and Dental
BlueSelect
BlueSelect Hospital Surgical Plus
BlueSelect Temporary Insurance
BlueSelect with Pediatric Vision
BlueSelect with Pediatric Vision and Dental
Preferred Patient Care
SimplyBlue
myBlue Connected Care
myBlue Connected Care with Adult Dental
myBlue with Pediatric Vision
myBlue with Pediatric Vision and Adult Dental
myBlue with Pediatric Vision and Dental
Florida Blue Medicare Plans
BlueMedicare Choice (Regional PPO)
BlueMedicare Classic (HMO)
BlueMedicare Classic (HMO) Miami-Dade
BlueMedicare Classic Plus (HMO)
BlueMedicare Complete (HMO D-SNP)
BlueMedicare Group PPO (Employer PPO)
BlueMedicare Patriot (PPO)
BlueMedicare Premier (HMO)
BlueMedicare Premier (HMO) Miami-Dade
BlueMedicare Saver (HMO)
BlueMedicare Saver (HMO) with Level 1
BlueMedicare Select (PPO)
BlueMedicare Value (PPO)
BlueMedicare Value (PPO) with Level 1
CarePlus Health Plans
CareOne Plus (HMO)
CareFree Platinum (HMO)
CareFree (HMO)
CareComplete Platinum (HMO C-SNP)
CareBreeze Platinum (HMO C-SNP)
CareNeeds Platinum (HMO D-SNP)
CareNeeds Plus (HMO D-SNP)
Cigna Healthcare Commercial Plans
Cigna SureFit South Florida
Central Florida Network
CIGNA HealthCare of Florida, Inc. - South Florida HMO/Network
CIGNA HealthCare Seamless Network - Florida
Open Access Plus, OA Plus, ChoiceFund OA Plus with CareLink
Open Access Plus, OA Plus, ChoiceFund OA Plus
PPO, Choice Fund PPO
NALC
APWU
Cigna Medicare Plans
Only these Doctors are In-Network: Dr. Greenblatt Dr. Barcena, Dr. Demorizi, Dr.
Jimenez-Carcamo, Dr. Dunn, Dr. Erwin, Dr. Perloff, Dr. Leef, Dr. Bejar, Dr. Soto, Dr.
Ghitelman, Dr. Van Assche, Dr. Martel and Dr. Chu.
Cigna Courage Medicare (HMO)
Cigna Preferred Medicare (HMO & Group plans)
Cigna Preferred Savings Medicare (HMO)
Cigna Primary Medicare (HMO)
Cigna TotalCare (HMO D-SNP)
Cigna TotalCare Plus (HMO D-SNP)
Devoted Health Plans
Devoted ESSENTIALS Miami-Dade (HMO)
Devoted CORE Miami-Dade (HMO)
Devoted PREMIUM Florida (HMO)
Doctors Healthcare Plans
DrMax (HMO) H4140-001
DrPlus (HMO D-SNP) H4140-002
DrValue (HMO) H4140-005
DrSelect (HMO) H4140-012 - Referral Required - New for 2024!
DrFlex (HMO D-SNP) H4140-013 - Referral Required - New for 2024!
DrExtraCare (HMO C-SNP) H4140-004 - Referral Required - New for 2024!
Humana Commercial Plans
National EPO
HumanaPPO
Humana Preferred PPO
Humana/ChoiceCare Network PPO HMO
Humana/ChoiceCare+ Network PPO
National POS - OpenAccess
HumanaPreferred POS - OpenAccess
HumanaOpen Access EPO
HumanaOpen Access Plus EPO
HMO Select
HMO Premier
National POS - OpenAccess Plus
OpenAccess HMO Broward Schools ChoicePOS
Humana Medicare Plans
HumanaChoice Florida (PPO)
HumanaChoice Florida (PPO D-SNP)
HumanaChoice (Regional PPO)
Humana Gold Plus (HMO)
Humana Gold Plus (HMO D-SNP)
Humana Gold Plus (HMO C-SNP)
Humana USAA Honor (HMO)
Humana Gold Plus Lung (HMO C-SNP)
Humana Fully Integrated (HMO D-SNP)
Medicare PPO/Employer PPO Plus
Medicare PPO 24
HumanaGoldChoice Ntwk PFFS 24
Natl Medicare HMO/SNP-Travel24
Employer HMO24
Humana Medicare HMO24
Fully Integrated HMO24
Humana Medicare Conviva
Leon Medicare Plans
MEDICARE Part B
OSCAR - EPO Plans
Simple - Bronze, Silver, Gold
Classic - Bronze, Silver, Gold
Elite - Bronze, Silver, Gold
Preferred Care Network of Florida Plans
UHC MedicareMax Complete Care FL-0030 (HMO C-SNP)
UHC MedicareMax Medicare Advantage FL-D004 (HMO D-SNP)
UHC MedicareMax Medicare Advantage FL-0028 (HMO)
Preferred Care Partners Plans
UHC Preferred Dual Complete FL-D001 (HMO D-SNP)
UHC Preferred Complete Care FL-0003 (HMO C-SNP)
UHC Preferred Medicare Advantage FL-0001 (HMO)
Prominence Health Plan*
SOLIS Health Plans
Solis Guardian Plan (D-SNP)
Solis Wellness Plan (C-SNP)
Solis Healthy Living Plan (HMO)
TRICARE/Humana Military TRICARE
TRICARE Select
TRICARE Prime*
TRICARE For Life
UnitedHealthcare (UHC) Commercial Plans*
FL INDIVIDUAL EXCHANGE BENEFIT PLAN
UHC NEXUSACO R/RB/RP HMO
UHC NEXUSACO OA EPO
UHC CHARTER PLUS
UHC CHARTER BALANCED
UHC NEXUSACO NR/NRB EPO
NHP POS OPEN ACCESS
SELECT HMO/SELECT + (00-H)
UHC DOCTORS PLAN / PLUS HMO
NHP HMO NO DIRECT ACCESS
UHC NEXUSACO OA POS
UHC DOCTORS PLAN EPO
NHP HMO OPEN ACCESS
UHC DOCTORS PLAN PLUS POS
SELECT EPO (00-E)
CHOICE EPO (50-E)
NHP EPO DIRECT ACCESS
UHC NEXUSACO R/RB EPO
CHOICE HMO/CHOICE +HMO (50-H)
CHOICE PLUS POS (50-P)
UHC NEXUSACO RP POS
UHC CHARTER
NHP POS NO DIRECT ACCESS
PPO (00-O)
UHC NEXUSACO NRP POS
UHC NEXUSACO OA/OAP HMO
NHP EPO GATED
UHC NEXUSACO NR/NRB/NRP HMO
SELECT PLUS-POS (00-P)
Other Plans that use the UnitedHealthcare Provider Network:
GEHA
UnitedHealthcare All Savers Insurance
UnitedHealthOne/Golden Rule
UniteHealthcare Oxford
UMR
Surest
UnitedHealthcare Medicare Plans
UnitedHealthcare Group Medicare Advantage (PPO)
UHC Care Advantage FL-E001 (PPO I-SNP)
UHC Dual Complete FL-D003 (PPO D-SNP)
UHC Dual Complete FL-D005 (Regional PPO D-SNP)
AARP Medicare Advantage from UHC FL-0031 (Regional PPO)
AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO)
UnitedHealthcare Group Medicare Advantage (HMO)
UHC Nursing Home Plan EX-F006 (HMO-POS I-SNP)
UHC Dual Complete FL-Y001 (HMO-POS D-SNP)
UHC Nursing Home Plan FL-F001 (PPO I-SNP)
AARP Medicare Advantage from UHC FL-0026 (PPO)
WellCare Florida Medicare and PPO Plans
Wellcare All Dual (HMO D-SNP) - H1032
Wellcare Dual Access (HMO D-SNP) - H1032
Wellcare Dual Access Open (PPO D-SNP) - H5199
Wellcare Dual Liberty (HMO D-SNP) - H1032
Wellcare Dual Reserve (HMO D-SNP) - H1032
Wellcare Dual Select (HMO D-SNP) - H1032
Wellcare Giveback (HMO) - H1032
Wellcare No Premium (HMO) - H1032
Wellcare No Premium Open (PPO) - H5199
Wellcare Premium Enhanced Open (PPO) - H5199
Wellcare Specialty Giveback (HMO C-SNP) - H1032
Wellcare Specialty No Premium (HMO C-SNP) - H1032
WellMed Delegated Plans
(“WellMed” is printed on the front of the Insurance ID Card)
WellMed Preferred Care Network
UHC MedicareMax Medicare Advantage FL (HMO)
UHC MedicareMax Medicare Advantage FL (HMO D-SNP)
UHC MedicareMax Complete Care FL (HMO C-SNP)
WellMed Preferred Care Partners
UHC Preferred Medicare Advantage FL-0001 (HMO)
UHC Preferred Dual Complete FL-D001 (HMO D-SNP)
UHC Preferred Complete Care FL-0003 (HMO C-SNP)
UHC Preferred Medicare Advantage FL-002P (HMO)
UnitedHealthcare Medicare
UHC The Villages Medicare Advantage FL-0004 (HMO-POS)
AARP Medicare Advantage from UHC FL-0005 (HMO-POS)
UHC Complete Care Walgreens FL-0014 (HMO-POS C-SNP)
AARP Medicare Advantage from UHC FL-0016 (PPO)
AARP Medicare Advantage from UHC FL-0031 (Regional PPO)
AARP Medicare Advantage Patriot No Rx FL-MA01 (Regional PPO)
International PPO Plans with a US Provider Network (e.g., Aetna, Best Doctors, BCBS, Cigna, and UnitedHealthcare)*
Other PPO Networks that have Out-of-Network Benefits*
Other/Case Policies
CitiMed - Only Dr. Julio Barcena
Concentra - Only Boca Doctors
Miccosukee Indian Tribe
*Aetna: Does not take Aetna Medicare HMO plans
*Prominence Health: Only doctors at Boca Raton Office
*Tricare Prime: Must have PCP Referral
*UHC: There may be other plan names not listed that use the Choice plus network. Double-check with Authorization Department
*International & Other PPO: Contact Authorization Department for accurate coverage and benefit information
Note: Insurance plans that are currently under contract could change; please check with your insurance provider to verify that your plan is part of your provider network.
Updated 12/29/2023
Note: Health plans that are currently under contract could change; please check with your insurance provider to verify that your plan is part of your provider network.