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Health Insurance We Accept

The following list is subject to change at any time. Please refer to your provider directory to ensure that Sarasota Memorial Health Care System is accepted by your insurance plan or contact your insurance company's member services.In addition to the following list, Sarasota Memorial accepts:

Please note that we may not be in network with all plans for all payers. Please call your health plan for specific information. Except for the three plans listed above, Sarasota Memorial is an out-of- network provider for Medicare Replacement/Advantage HMO, PPO and POS plans. 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.

Medicare Advantage Plans

Medicare open enrollment for 2021 opened Oct. 15 and is now under way. The vast majority of Medicare Advantage plans are HMOs or PPOs that require you to get your care from a specific local provider network. It’s important to research your options carefully to ensure you receive the full benefits of your plan and care from the doctor and hospital of your choice.
 

Health Insurance Marketplace Open Enrollment

Open enrollment for the Health Insurance Exchange/Marketplace for coverage typically opens in November. When choosing a health plan, be sure visits to your physicians and hospital of choice are covered under the plan. Click here for more information.

We are not a network provider for Medicare Select supplemental plans. Medicare Select members may choose Sarasota Memorial for their care, but depending on each plan’s benefits, you may be responsible for the Part A deductible for non-emergency hospital care. Check with your insurance company, as some will pay that deductible when providers are not in network.

Aetna
4630 Woodland Corporate Blvd.
Tampa, FL 33614
Website
Aetna Signature Administrators
Commercial HMO
Commercial PPO
Exchange - QHP
International PPO
Medical Mutual of Ohio
Medicare Advantage HMO, PPO, and POS
Workers Compensation
(SMH does not accept the following plan types that may be administered by Aetna; Limited Benefit Plans, Short Term Medical Plans or discount cards.)

AmeriGroup (see Simply Healthcare)
P.O. Box 61010
Virginia Beach, VA 23466
Website
Medicaid HMO
Florida Healthy Kids

AvMed
9400 S. Dadeland Blvd.
Miami, FL 33156
Website
Commercial PPO
(all outpatient services require a pre-authorization)

Beacon Health Options (formerly Value Options)
240 Corporate Blvd.
Norfolk, VA 23502
Website
Behavioral Health

Blue Cross & Blue Shield of Florida (BCBS)
532 Riverside Ave.
Jacksonville, FL 32231
Website
Health Options HMO
Commercial NWB
Commercial PPO/PPC
Traditional PPO
Medicare HMO/PPO
Exchange - QHP: BlueOptions PPO, BlueCare HMO and myBlue HMO
BlueSelect

Bright HealthCare (Effective 1/1/2022)
800 Norman Center Dr.
Suite 1200
Minneapolis, MN 55437
Website
Exchange
Medicare HMO/PPO

Compass Health Systems
(Behavioral Health)

1065 NE 125 St.,
Suite 206
Miami, FL 33161
Website
Behavoiral Health

Coventry Healthcare/First Health
6720-B Rockledge Dr.,
Suite 800
Bethesda, MD 20817
Website
Commercial HMO
Commercial POS
Commercial PPO
Workers Compensation

Gulf Coast Provider Network (GCPN)/Gulf Coast Provider Select
1991 Main St. #147
Sarasota, FL 34236
Website

Interplan Health Group (HealthSmart)
222 West Las Colinas Blvd
Suite 500N
Irving, TX 75039
Website
Commercial PPO
Workers Compensation

Magellan Behavioral Health
855 SW 78th Ave.
Plantation, FL 33324
Website
Summit Network
Pinnacle Network

Molina Healthcare (formerly Integral Health Plan)
8300 NW 33rd St.
Doral, FL 33122
Website
Medicaid HMO

Oscar Health Insurance
75 Varick St,
New York, NY 10013
Website
Exchange

Red Card Payer Alliance (NON-PAR)
Red Card Payer Alliance Logo
(We do not accept any insurance with this logo on its card.)

Rockport Healthcare Group
50 Briar Hollow Ln. #515W
Houston, TX 77027
Workers Compensation
(Select locations)

Simply Healthcare (see AmeriGroup)
9250 West Flagler St.
Miami, FL 33174
Website
Clear Health Alliance Medicaid HMO
(We do not participate in the Better Health product)

Staywell WellCare
1323 W. Busch Blvd.
Tampa, FL 33612
Website
Children's Medical Services Health Plan
Medicaid HMO
Florida Healthy Kids
Serious Mental Illness

Sunshine State Health Plan
P.O. Box 3070
Farmington, MO 63640
Website
Child Welfare Specialty Plan
Medicaid HMO
(We do not participate in Ambetter products.)

TRICARE East Region
P.O. Box 8923
Madison, WI 53707-8923
Humana Military Website
Tri Care Website

United Behavioral Health (UHC/Optum)
11000 Optum Circle
Eden Prairie, MN 55344
Website
Behavioral Health

United Healthcare
3000 Bayport Dr., Ste. 1170
Tampa, FL 33634
Website
Commercial HMO
Commercial PPO
Exchange - QHP - Compass
Medicare HMO/PPO
* We do not participate in the Medicaid HMO product.

(SMH does not accept Short Term Benefit Plans administered by United Healthcare. Additionally, SMH does not accept plans that do not meet the minimum essential coverage requirements as stated by the Affordable Care Act ("ACA"). These plans are not regulated by the ACA and are commonly referred to as Limited Benefit Plans and Discount Plans. These types of plans are often identified on the member's insurance card using names like ALL PremierChoice, Premier MED, Short Term Medical, or TriTerm Medical. This may include policies/plans marketed as Freedom Life, Golden Rule or Bind.)

USA Managed Care 
5301 Southwest Parkway
Suite 425
Austin, TX 78735
Website

Vivida Health
6630 Orion Dr., Ste. 203
Fort Myers, FL 33912
Website
Medicaid HMO

 

Please note: Sarasota Memorial's freestanding ER in North Port is part of Sarasota Memorial Hospital. 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.