Referral from PCP is Not Required for these plans:

• AARP Medicare Advantage Choice
• AARP Medicare Supplement Plans
• Lppo-AARP Medicare Advantage From Uhc Fl-0017 (Ppo)
• Lppo-AARP Medicare Advantage From Uhc Fl-0026 (Ppo)
• Lppo-AARP Medicare Advantage From Nc-003 (Ppo)
• Lppo-AARP Medicare Advantage Giveback from Uhc Sc-2
• Rppo-AARP Medicare Advantage Choice
• Rppo-AARP Medicare Advantage Choice Plan 2
• Rppo-AARP Medicare Advantage Patriot no Rx Fl-Ma01

Referral from PCP is Not Required for these plans:

• Aetna Choice Point of Service II (CP2)
• Aetna Choice POS II
• Aetna Medicare Premiere Plus (as out-of-network-plans has benefits)
• Aetna Signature (PPO) from Allied
• AHF Choice POS II
• AHF Aetna Choice POS II
• AHF Open Access Aetna Health Network Only (HMO)
• AHF Open Access Aetna Health Network Only (HMO)
• HSA Open Access MC
• Aetna Medicare Premier (PPO) - as out of network
• Aetna Medicare Explorer Premier (PPO) - as out of network
• Aetna Signature Administrator PPO
• INNEUROCO-Aetna Choice POS II
• MA PPO ESA 10 SHBP
• Medicare (C04) ESA PPO
• OA Managed Choice POS
• OA Managed Choice POS HDHP
• Open Access Aetna Health Network Option
• Open Access Aetna Select (Most plans)
• Open Access Elect Choice (Most Plans)
• Open Access MC
• Open Access MC (POS) - Manage Choice POS
• Medicare (V03) PPO - as out of network

Referral from PCP Is Required for these plans:

• Aetna Medicare Assure Plus
• Aetna Medicare Credit (HMO)
• Aetna Medicare FL Dual Select
• Aetna Medicare FL Select (HMO)
• Aetna Medicare Select
• Aetna Select

We are Not Participating with these plans:

• 000001-EX-FL HMO Silver CSR 94% - South Standard
• Aetna Better Health
• Aetna Medicare Choice (HMO-POS)
• Bronze 4 Advanced
• HMP Silver S Market Exchange Plan
• MPPR Adv Plan
• Silver 5 Advanced Aetna Network
• Silver S Aetna Network of Doctors & Hospitals
• Triple S Advantage
• WebTPA-Signature Administrators

Referral from PCP is Not Required for these plans:

• With Networks: PHCS, BCBS, or AETNA
• PPO-DOS (PHCS)

Referral from PCP is Not Required for these plans:

• 64011FO AmeriHealth Kenneth
• AHC - APTC AC NEXT FL SILVER SIGNATURE 94
• AmeriHealth Caritas Next
• AmeriHealth Caritas Next Broze Classic
• Bronze
• Silver Elite
• Silver Signature
• PHC - Amerihealth Florida TANF/AFDC

Referral from PCP is Not Required for these plans:

• 305 Concepts Holdings LLC - Choice
• Achieve HSAQ LK416-LG23
• AGRO Holdings, Inc-Choice CM425-LG23
• Anchor Towing & Marine Transpo-Achieve LH540-LG23
• Balance C32 73% VAD
• Blue Access PPO
• Broward County Bar Assoc-Flex S400-SG23
• City of Sunrise HMO IN 4090
• CWC Transportation, LLC-Choice CM245-LG23
• Electrical Supplies Inc-Achieve LH540-LG23
• Entrust Silver Standard
• Empower MG225
• Empower MS400-IN24
• Essen C5 Exp VAD
• Federal Employee-Standard Option HMO 6563-2024-ML5
• FL ENH Silver 94% Core
• FL Secure C20 Std VAD Core
• FL Sidewalk Solutions-HMO SBC5776 SG12
• Focus Group (HMO)
• Iglesia Doral Jesus-Flex G020-SG22 (PPO)
• Jaxi Builders, Inc-Aim LH607-LG24
• JHS Select Network HMO 3995
• JHS Select Network HMO 4077
• Martinez Distributors Corp-Choice CM020-LG23 POS
• MBC Select Advantage HMO
• MDC High Option HMO Redesign IN 3591
• MDC POS Option Redesign IN 3592
• MDC Select HMO 3575
• Medicare Advantage Access POS Broward
• Medicare Advantage One HMO Broward
• Memorial Same Day Surgery-Achieve HSAQ LK 416-LG23
• Miami-Date County HMO Advantage IN 3867
• Miami-Dade County POS Advantage IN 3869
• Miami-Dade County Select Advantage HMO 3688
• PCPPO
• Perko, Inc-Aim
• Perez Trading HMO
• Perez Trading Compay-AIM LH550-LG24
• Plenia Health Corporation-Elect G020-GHT22 (_Select)
• Pulmonary Physicians-LG Achieve HMO 7316
• State of Florida Standard HMO
• Wil Shipping LLC-Elite B100-SG24

Referral from PCP is Required for these plans:

• AvMed Entrust Bronze 650-ON24
• AvMed Entrust Silver 300 D+V-ON24
• AvMed Entrust Silver Standard 94%-ON25
• Avmed Entrust Silver 550 94%-ON24
• Entrust Silver 300 Dental+Vision 87% AV-oN23
• Entrust Silver Standard 94% AV-ON23
• Entrust Silver Standard 94%-ON25
• FL Balance Std Core
• Medicare Advantage Choice
• missing this one***
• Medicare Advantage Choice HMO Miami-Dade
• Medicare Advantage Circle HMO Broward
• Medicare Advantage Circle HMO Miami-Dade
• Medicare Advantage PremiumSaver Broward

We are Not Participating with these plans:

• JHS Jackson First Network HMO
• MDC First Choice Advantage HMO

Referral from PCP is Not Required for these plans:

• Alliance Healthcare Services Shared Advantage PPO
• Anthem Blue Access PPO
• Basic
• BC PPO Exclusive
• BC PPO Incentive
• BCBS PPO HDHP Med/Surg
• BCBS Point of Service (PPO)
• Blue Access PPO
• Blue Access PPO BCBS United Wisconsin
• Blue Card PPO
• Blue HPN
• Blue Options
• Blue Preferred (PPO)
• BlueCare All Copay (HMO)
• BlueCare All Copay 16252
• BlueCare Bronze
• BlueCare Elect Deductible
• BlueCare Everyday Health
• BlueCare Everyday Health 14353
• BlueCare HSA Compatible 129
• BlueCare Lower Premium (HMO)
• BlueCare Predictable Cost
• BlueCare Silver (HMO)
• BlueChoise Adv
• BlueMedicare Choice (Regional PPO)
• BlueMedicare Value (PPO)
• BlueOptions All Copay
• BlueOptions Bronze
• BlueOptions Everyday Health
• BlueOptions HSA Compatible (PPO)
• BlueOptions Lower Premium
• BlueOptions Platinum
• BlueOptions Predictble Cost
• BlueSelect All Copay
• Blue Select Bronze
• BlueSelect Bronze 1449
• Blue Network P
• Blue Select Gold
• Blue Select Platinum
• BlueSelect Silver
• BlueSelect Silver 1443BV
• BlueSelect Silver (HSA)
• CDHP Ca Generic Hlth Savings Acct
• CDHP in Health Savings Account (PPO)
• CDHP in Health Reimburse Acct (PPO)
• CMG Mortgage Inc DBA CMG Finncial ASO PPO
• Colorado Blue Classic PPO
• Consumer Driven Health Plan, Rx and Hearing - Family
• Diect POS
• Empire Prism PPO
• EPO NY
• Exclusive Provider Organization Medical (EPO)
• FEP Blue Focus
• FL PPO Altnet Networkblue 10P0
• Full PPO Combine Deductible
• Full PPO Split Deductible 20 500 80 60
• GA POS BlueChoise OA (Anthem BCBS)
• Geoblue
• HPN Without Tiers
• HPN Without Tiers (Designated Providers-EPO)
• HSA3.0/Preferred
• In Blue Access PPO
• Independent Administrators
• Med Adv (PPO)
• Med/Surg - PPO
• National Blue High Performance Netwwork PPO
• NetworkBlue (PPO)
• Nevada Blue Secure PPO
• Non-Union PPO
• PCPPO
• Personal Choice PPO Non Flex Med/Surg 2001
• Platinum Tandem PPO 250 15 Offex
• Point of Service 10
• Point of Service R61
• PPO-Advantage Blue
• PPO-Preferred Blue PPO Saver
• PPO PrudentBuyer IncentiveE
• PPO Blue HDPH BD (Preferred Provider Org)
• PPO Gold Preferred Offx M/S
• PPO Prudent Buyer Classic
• Preferred Blue PPO
• Preferred Care
• Preferred Care Blue
• Preferred Provider Option Medical
• Preferred Provider Option Plus Medical
• Preferred Provider_Ord (PPO)
• Premera Blue Cross Self-Funded Exp Shared Ded Plan
• Provider Organization
• Self-Funded HDHP Heritage
• Self-Funded Exp Shared Ded Plan
• Self-Funded Exp Standard Plan
• Silver Classic CSR 200
• SimplyBlue All Copay
• SimplyBlue Everyday Health
• SimplyBlue Everyday Health 19853
• SimplyBlue HSA PPO
• Simply Blue Predictable Cost
• Solution PPO
• Standard (Federal Employee Program)
• Tandem PPO
• Tutor Perini Corporation ASO PPO

Referral from PCP Is Required for these plans:

• Blue Card PPO Medical/Surgical
• BlueMedicare Classic (HMO)
• BlueMedicare Complete (HMO D-SNP)
• BlueMedicare HMO PLus
• BlueMedicare Premiere HMO
• BlueMedicare Premieer HMO Plus
• BlueOptions Lower Premium 03900 Chapter
• CMS Title XIX (19)
• myBlue Bronze
• myBlue Bronze 2129V
• myBlue Connected Care Bronze
• myBlue Connected Care Silver
• myBlue Gold
• myBlue Silver
• SimpleBlue Everyday Health (HMO)

We are no Participating in these plans:

• Any Medicre Advantage Plan

We no longer participating with CarePlus.

Referral from PCP is Not Required for these plans:

• Blue Choice Advantage - PPO

Referral from PCP is Not Required for these plans:

• Champ VA

Referral from PCP is Not Required for these plans:

• Choice Fund HRA Open Access Plus
• Cigna CS USA (PPO)
• Cigna Medicare
• Cigna SureFit
• Cigna Total Care Plus
• Cigna True Choice Medicare (PPO) CH PPO
• EPO Connect
• HSA Qualified HDHP
• NALC High Option Plan
• Open Access Plus
• Open Access Plus-CareLink (PPO/OAP)
• Health Maintenance Organization-Network (HMO)
• HSA Qualified HDHP
• Choice-Choice Fund HRA Open Access PlusFund HRA Open Access Plus
• Choice Fund HSA Open Access Plus
• Choice Fund LocalPlus
• Choice Fund LocalPlus IN
• Cigna Local Plus
• LocalPlus
• LocalPlus IN
• NALC Health Plan
• APWU Health Plan (American Postal Workers)
• Open Access Plus - In Network

Referral from PCP Is Required for these plans:

• Cigna Preferred Savings Medicare (HMO)
• Cigna TotalCare Plus
• Preferred Medicare HMO

We can see only for PPOs as out-of-network, as we are not participating in this insurance.

We are not participating in this insurance and does not have out-of-network benefits.

Some PPOs have out of network benefits. Contact us.

Referral from PCP is Not Required for these plans:

• Freedom VIP Savings HMO CSNP

Referral from PCP is Not Required for these plans:

• A United Healthcare PPO

Referral from PCP is Required for these plans:

• Freedom VIP Savings HMO CSNP

No Referral from PCP is Required for these plans:

• Curative plans (EPO, PPOx, PPO Max)
• Medishare

No Referral from PCP is Required for these plans:

• PPO plans through United Healthcare

Referral from PCP is Required for these plans:

• Freedom VIP Savings HMO CSNP

We are not participating in this Insurance - not out 0f network benefits.

No Referral from PCP is Required for these plans:

• Super Plus HMO-POS

No Referral from PCP is Required for these plans:

• Umbrella HSS (using United Healthcare Choice plan)

Referral from PCP is Required for all plans:

• All plans.
• Vital Care Plan 21

We are Not Participating with Humana plans; however, we accept Humana Gold MMA only when it is Secondary to Medicare and some other insurances. Please contact us.

We are Not Participating with Humana Tricare but will only be accept it as secondary to Medicare.

Referrals from PCP are not required for these plans:

• Self Funded (using BCBS PPO network)
• Independent Administrators

Referral from PCP is Not Required for most plans:

• Plans through PCHS

Referral from PCP is Not Required for these plans:

MEMORIAL MANAGE CARE PLANS:

• HDHP 100 Plan
• MIH Employee Plans - MCHP (PPO)
• MIH Employee Plans - MMCP-MHN
• MIH Employee Plans - MMCP-PBC
• Rx Commercial-RX Southern RXS MHS Employee RX Plan

COMMUNITY CARE PLAN:

• CCP-Medicaid - CCP-MMA
• CCP-Employee
• Community Care Plan - CCE EPO
• Community Care Plan - CCP (CCP Employee)
• SFCCN-MMA

Referral from PCP Is Required for these plans:

UNINSURED PATIENT FUNDING:

• MPC - PCC-A1
• MPC - PCC-A4
• MPC - PCC-B2
• MPC - PCC-C3
• MPC - PCC-D4

We are NOT Participating in these plans:

• Florida Community Care Medicaid

Referral from PCP is Not Required for most plans:

• Fraternal Order of Police Miami Lodge 20
• PHPA / AHL Health & Welfare Trust (using Aetna Choice POS II)
• Pediatric Associates | Acolade
• Short Term Medical Plan (using Aetna Open Choice PPO)

Referral is Not Required from PCP with these plans:

• SFL Balance C30 94% Core

Referral from PCP Is Required for these plans:

• Bronze
• Bronze 4
• Bronze 8
• Constant Care Silver (Marketplace plans)
• Core Care Bronze 4
• FL Balance C32 87% Value
• FL CMS Silver 94% Value
• Managed Medical Assistance (MMA)
• Silver
• Silver 12 100 with First 4 Primary Care Visits Free
• Silver 1 100
• Silver 1 150
• Silver 1 150 with Adult Vision Services
• Silver 9 100

We are Not Participating with these plans:

• All FL Specialty (Medicaid Plans)
• Managed medical Assistance (MMA) Benefit Plan

Referral is Not Required from PCP with these plans:

• Imagine 360
• Short Term

Referral from PCP is Required for these plans:

• Optimum Gold Rewards

Referral from PCP is Not Required for these plans:

• Bronze Elite Saver Plus
• Bronze Elite Deductible + PCP Saver Plus
• Silver 9 100
• Core Care Bronze 4
• FL Balance C32 87% Value
• FL CMS Silver 94% Value
• Gold Elite
• Gold Elite Deductible Saver Plus
• Oscar + Holy Cross + Memorial - with $1500 O-Card (HMO)
• Silver Classic Standard CSR 150
• Silver Classic CSR
• Silver Classic PCP Saver
• Silver Classic PCP Saver CSR 200
• Silver Elite CSR
• Silver Elite - Deductible Saver Plus
• Silver Simple PCP Saver
• Silver Simple PCP Saver CSR
• Silver Simple - Specialist Saver CSR

Referral from PCP is Not Required for these plans:

• PHCS Unlimited Benefit Plan
• Others

Referral from PCP is Not Required for these plans:

• PHP Medicare

Referral from PCP is Not Required for these plans:

• HMO-Preferred Choice Broward
• HMO-Preferred Choice Dade
• HMO-Preferred Medicare Assist (HMO D-SnpP)
• HMO-Preferred Special Care Miami-Dade (HMO C-Snp)
• HMO-Uhc Preferred Complete Care FL
• HMO-Uhc Preferred Dual Complete FL
• HMO-Uhc Preferred Dual Complete FL-V1

Referral is Required for these plans:

• HMO-Medicaremax (HMO
• HMO-Medicaremax Chronic (HMO C-Snp)
• HMO-Medicaremax Plus (HMO)
• HMO-Uhc Medicaremax Complete Care FL
• HMO-Uhc-Medicaremax Medicare Advantage FL
• HMO-Uhc Preferred Medicare Advantage Fl-0001 (HMO)

Plans doesn't cover Office visits to Specialists.

Referral from PCP Is Required for these plans:

• FL Simply Health Care Comprehensive LTSS (Non-Dual)
• FL H5471-076-000 Simply Complete Partial (HMO D-SNP)
• FL H5471-074-000 Simply Moore (HMO)
• FL H5471-077-000 Simply More (HMO)
• FL H5471-115-000 Simply Complete Platinum (HMO D-SNP)
• FL H5471-125-000 Simply Complete Platinum (HMO D-SNP)
• FL Simply Health Care Standard MMA Only Medicaid
• FL Specialty MMA Only Medicaid

Referral from PCP Is Not Required for this plan:

• PPO OPT1 Plan

Referral from PCP is Not Required for these plans:

• Balance C28 94% VAD
• CMS Gold Std (Standard Gold)
• CMS Exp Bronze Std (Standard Expanded Bronze)
• CMS Silver 94% (Core plan | Standard Siver)
• Enhanced Diabetes Care Silver with $0 Drug Options
• Essen C5 Exp
• Essen C940 Exp (Core)
• FL Balance C12 73%
• FL Balance C12 94%
• FL Balance C30 94% Core
• FL Balance C32 87% Core
• FL Balance C32 87% VAD (Core)
• FL Balance C32 94% Core
• FL Balance C32 94% VAD Core
• FL CMS Gold STD Value
• FL CMS Silver 94% Core
• FL CMS Silver 94% Value
• Medicaid LTC Non Dual
• Secure C20 Std VAD (Core)
• Secure C5 Std (Ambetter)
• SMI SSI Non Dual
• SMI TANF
• SSI Dual
• SSI Non Dual (MMA)
• Sunshine MMA
• TANF

Referral from PCP Is Required for these plans:

• CMS Title XIX (19)
• FL Balance (Value plans)
• FL CMS Silver (Value plans)
• FL Elite Gold Std Core
• Medicaid LTC Non-Dual
• SSHP - LTC with HCBS Non Dual

We are Not Participating with these plans:

• All Select HMO plans

We are not participating in this insurance.

Referral from PCP is Not Required for these plans:

• 23 Bb Mbrs Extra Space Management
• 24 Fi Fl All Mbrs A3000 Rx Plan 1 Bhafc Inc
• Choice
• Choice Plus
• Choice Plus Ppo Ca 2023 Cujq Mod
• Exchange Value (UH New York)
• FL PPO Altnet Networkblue 10P0
• HMO-Uhc Preferred Dual Complete Fl-D001 (HMO D-Snp)
• Indemnity
• FL UnitedHealthcare Dual Complete Lpo H1889-002-0
• Fl UnitedHealthcare Dual Complete Lppo Hide Full H
• FL UnitedHealthcare Dual Coplete Lppo Partial H18
• FL United Healthcare Dual Complete Lppo Qmb Only H1
• Golden Rule Dental Primary Plus (Year 1) Plan Ts3d
• Lppo-UnitedHealthcare Group Mediare Advantage (Ppo)
• Nhp HMO Access
• Nhp POS Access
• Nhp POS Access (Choice Plus)
• POS Choice Plus
• Select Epo
• Surest
• UnitedHealthcare Nexusaco Oap

Referral from PCP Is Required for these plans:

• HMO-Medicaremax Chronic (HMO C-Snp)
• HMO-Uhc Medicaremax Medicare Advantage FL (Hmo)
• HMO-Medicare Max Plus (HMO D-Snp)
• Nhp Aso Gated
• Gated HMO
• Nhp HMO
• Fl Unitedhealthcare Dual complete HMOPOS Full H104

We are Not Participating with these plans:

• Dental
• Fl Mma Dual W/medicare And Ltc Uhc Hcbs No Dental
• Fl Mma Tanf/ssi No Dental
• HMO Exchange (Marketplace)
• Uhc Silver-C Virtual First $0 Medical Ded 1
• Uhc Bronze Standard $9,100 Indiv Ded
• Uhc Bronze Copay Focus
• Uhc Bronze Copay Focus $0 Indiv Med Ded
• United Healthcare Community Plans

Referral from PCP is Not Required for these plans:

• UHP Administrators
• Int'l Options PPO (P-in-Network)

Referral from PCP is Not Required for these plans:

• P-In-Network (using UH Choice)
• Premiere Choice
• Select Health Plan

Referral from PCP Is Required Only for the Intitial Visit for these plans:

• Dual Access (HMO D-SNP) (H1032170000)
• Dual Liberty (HMO D-SNP (H1032176000)
• Giveback (HMO) (H1032195000)

Referral from PCP Is Required for these plans:

• All Dual (HMO D-SNP) (H1032124000)
• Dual Reserve (HMO D-SNP) (H1032202000)
• Giveback (HMO) (H103204000)
• No Premium (HMO) (H1032196000)
• Simple (HMO) (H1032237000)
• Specialty Giveback (HMO C-SNP) (H1032186000)

If using Cigna PPO network.

*No Referral from PCP Required for these plans:

• Plans Via PCHS Network