Health Insurance Plans Accepted at Sarasota Memorial Locations
Below is information on the Medicare/Medicaid, private and other health insurance plans accepted at Sarasota Memorial Hospital-Sarasota Campus, Sarasota Memorial Hospital-Venice Campus, and our network of outpatient and urgent care centers. This list is subject to change at any time.
Confirm Coverage
Because health insurance coverage can differ from plan to plan, even under the same insurer, we highly recommend contacting your insurance company’s member services for information specific to your plan’s coverage and to confirm your plan’s in-network providers and facilities.
Except in emergency situations, using an out-of- network facility can result in a patient being responsible for a larger portion of a hospital bill.
Emergency Care
You have the right to seek emergency services and care anywhere they are provided, regardless of insurance.
In a medical emergency, patients may seek emergency care at any of our 3 ER locations - SMH-Sarasota, SMH-Venice or our freestanding North Port ER - regardless of insurance coverage or network status. In emergency situations, you should always go to the nearest ER - no authorization is needed, and a patient's financial responsibility is no higher if they go to an out-of-network hospital.
Health Plans We Accept
Unless indicated with a noted exception of "pending" or "excluded," the health insurance plans listed below are accepted at SMH-Venice, SMH-Sarasota and our network of outpatient and urgent care centers. This list is subject to change at any time.
Sarasota Memorial accepts traditional Medicare, supplemental plans and many Medicare Advantage plans. For more information, click here.
Aetna
4630 Woodland Corporate Blvd.
Tampa, FL 33614
Website: aetna.com
Aetna Signature Administrators
Commercial HMO
Commercial PPO
Marketplace/Exchange - QHP
International PPO
Medicare Advantage HMO, PPO, and POS
Workers Compensation
(We do not accept Limited Benefit Plans, Short Term Medical Plans or discount cards administered by Aetna.)
Alignment Health (Effective 1/1/2023)
1100 W. Town and Country Rd.
Suite 1600 Orange, CA 92868
Website: alignmenthealth.com
Medicare Advantage HMO/PPO
AmeriHealth Caritas (Effective 7/1/2023)
3875 West Chester Pike
Newtown Square, PA 19073
Website: amerihealthcaritas.com
Medicaid HMO
Long Term Care Plans
Florida Healthy Kids
AvMed
9400 S. Dadeland Blvd.
Miami, FL 33156
Website: avmed.org
Commercial PPO
(All outpatient services require a pre-authorization.)
Beacon Health Options (formerly Value Options)
240 Corporate Blvd.
Norfolk, VA 23502
Website: beaconhealthoptions.com
Behavioral Health
Commercial PPO and Empire Network only
Blue Cross & Blue Shield of Florida (BCBS)
532 Riverside Ave.
Jacksonville, FL 32231
Website: floridablue.com
Health Options HMO
Commercial NWB
Commercial PPO/PPC
Traditional PPO
Medicare HMO/PPO
Marketplace/Exchange - QHP: BlueOptions PPO, BlueCare HMO, myBlue HMO and BlueSelect
CareWorks (formerly Rockport Healthcare Group)
2500 Wilcrest Dr., Suite 203
Houston, TX 77042
Workers Compensation
Select locations (SMH-Venice Excluded)
Compass Health Systems
(Behavioral Health)
1065 NE 125 St., Suite 206
Miami, FL 33161
Website: compasshealthsystems.com
Behavioral Health
Community Care Plan (formerly SFCCN) (Effective 10/1/2023)
1643 Harrison Parkway, Suite H-200
Sunrise, FL 34239
Website: ccpcares.org
Medicaid HMO
Florida Healthy Kids
Coventry Healthcare/First Health
6720-B Rockledge Dr., Suite 800
Bethesda, MD 20817
Commercial HMO
Commercial POS
Commercial PPO
Workers Compensation (Enlyte Group)
Florida Community Care (Effective 8/1/2023)
4601 NW 77th Ave.
Miami, FL 33166
Website: fcchealthplan.com
Medicaid HMO
Long Term Care Plus
Medicare Advantage HMO
Freedom Health
PO Box 151137
Tampa, FL 33684
Website: freedomhealth.com
Medicare Advantage HMO
Gulf Coast Provider Network (GCPN)/Gulf Coast Provider Select
1700 South Tamiami Trail
Sarasota, FL 34239
Website: gulfcoastprovider.net
Interplan Health Group (HealthSmart)
222 West Las Colinas Blvd., Suite 500N
Irving, TX 75039
Website: healthsmart.com
Commercial PPO (SMH-Venice Excluded)
Workers Compensation (SMH-Venice Excluded)
Magellan Behavioral Health
855 SW 78th Ave.
Plantation, FL 33324
Website: magellanassist.com
Summit Network
Pinnacle Network
Molina Healthcare
8300 NW 33rd St.
Doral, FL 33122
Website: molinahealthcare.com
Medicaid HMO
Serious Mental Illness Plan
Optimum Healthcare
PO Box 151137
Tampa, FL 33684
Website: youroptimumhealthcare.com
Medicare Advantange HMO
Oscar Health Insurance
75 Varick St,
New York, NY 10013
Website: hioscar.com
Marketplace/Exchange – QHP
Simply Healthcare (AKA AmeriGroup)
9250 West Flagler St.
Miami, FL 33174
Website: simplyhealthcareplans.com
Medicaid HMO
Clear Health Alliance Medicaid HMO
Medicare Advantage HMO/PPO/EPO/PFFS/C-SNP/D-SNP
(We do not participate in the Better Health product.)
Sunshine State Health Plan
P.O. Box 3070
Farmington, MO 63640
Website: sunshinehealth.com
Child Welfare Specialty Plan
Children’s Medical Services Health Plan
Serious Mental Illness Plan
Medicaid HMO
Florida Healthy Kids Plan
Ambetter - Marketplace/Exchange - QHP
Wellcare - Medicare Advantage
TRICARE East Region
P.O. Box 8923
Madison, WI 53707-8923
Humana Military Website: humanamilitary.com
Tricare Website: tricare.mil
United Behavioral Health (UHC/Optum)
11000 Optum Circle
Eden Prairie, MN 55344
Website: optum.com
Behavioral Health
UnitedHealthcare
3000 Bayport Dr., Ste. 1170
Tampa, FL 33634
Website: myuhc.com
Commercial HMO
Commercial PPO
Exchange - QHP – Compass
Medicare HMO/PPO
Surest (SOME Surest Plans may not cover certain services. Contact your plan directly to ensure that you have coverage for services.
Surest FLEX (ALL Surest Flex Plans may not cover certain services without first "buying up" coverage. Contact your plan directly to ensure that you have coverage for services.
(We do not participate in the Medicaid HMO product)
Sarasota Memorial does NOT accept: Short Term Benefit Plans administered by UnitedHealthcare or any plan that does not meet the minimum essential coverage requirements as stated by the Affordable Care Act (ACA). Commonly referred to as "Limited Benefit Plans" and "Discount Plans," these types of plans are not regulated by the ACA; they are often listed on member insurance cards as ALL PremierChoice, Premier MED, Short Term Medical or TriTerm Medical. This may include policies/plans marketed as Freedom Life, US Health Group, or Golden Rule.
USA Managed Care (SMH-Venice Excluded)
4609 Bee Caves Road
Suite 200
Austin, TX 78746
Website: usamco.com
Veteran's Affairs Community Care Network (VACCN)
Optum Public Sector Solutions, Inc.
790 Shiloh Rd.
Plano, TX 75074
Website: va.gov
Please note: Sarasota Memorial's freestanding ER in North Port is part of Sarasota Memorial Hospital-Sarasota Campus. It is not an urgent care center. Services and care provided at the facility are billed at hospital emergency department rates. Florida's Agency for Health Care Administration (AHCA) makes available data on hospital prices and performance at Pricing.FloridaHealthFinder.gov.