Referral from PCP is Not Required for these plans:

• AARP Medicare Advantage Choice
• Lppo-AARP Medicare Advantage From Uhc Fl-0026 (Ppo)
• Rppo-AARP Medicare Advantage Choice
• Rppo-AARP Medicare Advantage Choice Plan 2
• AARP Medicare Supplement Plans

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 Signature Administrator PPO
• INNEUROCO-Aetna Choice POS II
• MA PPO ESA 10 SHBP
• Medicare (C04) ESA PPO
• Open Access Aetna Health Network Option
• Open Access Aetna Select (Most plans)
• Open Access Elect Choice (Most Plans)
• Open Access MC (POS) - Manage Choice POS
• Medicare (V03) PPO

Referral from PCP Is Required for these plans:

• Aetna Medicare Assure Plus
• Aetna Medicare Select
• Aetna Select

We are Not Participating with these plans:

• 000001-EX-FL HMO Silver CSR 94% - South Standard
• Aetna Better Health as Primary
• Cleveland Clinic's Open Access Aetna Select
• HMP Silver S Market Exchange Plan
• Silver S Aetna Network of Doctors & Hospitals
• WebTPA-Signature Administrators

Referral from PCP is Not Required for these plans:

• Bronze plans
• Silver Elite
• Others

Referral from PCP is Not Required for these plans:

• Achieve HSAQ LK416-LG23
• AGRO Holdings, Inc-Choice CM425-LG23
• Anchor Towing & Marine Transpo-Achieve LH540-LG23
• Blue Access PPO
• Broward County Bar Assoc-Flex S400-SG23
• Electrical Supplies Inc-Achieve LH540-LG23
• Empower MS400-IN24
• 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)
• JHS Select Network HMO 3995
• JHS Select Network HMO 4077-2024
• Martinez Distributors Corp-Choice CM020-LG23 POS
• MBC Select Advantage HMO
• MDC High Option HMO Redesign IN 3591 2024
• MDC POS Option Redesign IN 3592 2024
• MDC Select HMO 3575
• Medicare Advantage Access POS Broward
• Medicare Advantage One HMO Broward_2024
• 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_10054804_5010374_3010730
• 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
• Entrust Silver 300 Dental+Vision 87% AV-oN23
• Entrust Silver Standard 94% AV-ON23
• 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

Referral from PCP is Not Required for these plans:

• Alliance Healthcare Services Shared Advantage PPO
• Anthem Blue Access PPO
• Basic
• BC PPO Exclusive
• BCBS PPO HDHP Med/Surg
• BCBS Point of Service (PPO)
• Blue Access PPO
• Blue Options
• Blue Preferred (PPO)
• BlueCare All Copay (HMO)
• BlueCare Bronze
• BlueCare Elect Deductible
• BlueCare Everyday Health
• 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
• Blue Select Gold
• Blue Select Platinum
• BlueSelect Silver
• BlueSelect Silver (HSA)
• Ca Generic Hlth Savings Acct
• CDHP in Health Savings Account (PPO)
• CDHP in Health Reimburse Acct(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)
• FL PPO Altnet Networkblue 10P0
• GA POS BlueChoise OA (Anthem BCBS)
• HPN Without Tiers
• HPN Without Tiers (Designated Providers-EPO)
• HSA3.0/Preferred
• Med Adv (PPO)
• Med/Surg - PPO
• National Blue High Performance Netwwork PPO
• NetworkBlue (PPO)
• Nevada Blue Secure PPO
• Non-Union PPO
• Personal Choice PPO Non Flex Med/Surg 2001
• Point of Service 10
• Point of Service R61
• PPO-Advantage Blue
• PPO-Preferred Blue PPO Savier
• 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
• Simply Blue Predictable Cost
• Solution PPO
• Standard (Federal Employee Program)
• 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 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

Referral from PCP is Not Required for these plans:

• Blue Choice Advantage - PPO

We no longer participating with CarePlus.

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)
• Choice-Choice Fund HRA Open Access PlusFund HRA Open Access Plus
• 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 are Not Participating with these plans:

• Cigna Local Plus
• LocalPlus
• LocalPlus IN

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

Referral from PCP is Not Required for these plans:

• Freedom VIP Savings HMO CSNP

No Referral from PCP is Required for these plans:

• PPO plans through United Healthcare

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.

We are Not Participating with Humana plans; however, we accept Humana Gold MMA when 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.

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
• Rx Commercial-RX Southern RXS MHS Employee RX Plan

COMMUNITY CARE PLAN:

• SFCCN-MMA (SFCCN)
• CCP-MMA (SFCCN)
• CCP-Employee

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

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 150
• 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 most plans:

• Fraternal Order of Police Miami Lodge 20
• PHPA / AHL Health & Welfare Trust (using Aetna Choice POS II)
• 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 8
• Constant Care Silver
• Core Care Bronze 4
• FL Balance C32 87% Value
• FL CMS Silver 94% Value
• Managed Medical Assistance (MMA)
• Silver

We are Not Participating with these plans:

• FL Specialty

Referral from PCP is Not Required for these plans:

• Gold Elite
• Bronze Elite Saver Plus
• Bronze Elite Deductible +PCP Saver Plus
• Gold Elite Deductible Saver Plus
• Oscar + Holy Cross + Memorial - with $1500 O-Card (HMO)
• Oscar Silver Classic Standard CSR 150
• Silver Classic CSR 150
• Silver Classic CSR 200
• Silver Classic PCP Saver
• Silver Classic PCP Saver CSR 200
• Silver Elite CSR 150
• Silver Elite Deductible Saver Plus
• Silver Simple PCP Saver
• Silver Simple PCP Saver CSR 150
• Silver Simple PCP Saver CSR 200
• Silver Simple Specialist Saver CSR 150

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-0003 (HMO C-Snp)
• HMO-Uhc Preferred Dual Complete Fl-D001 (HMO D-Snp)

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 H5471-077-000 Simply More (HMO)
• FL Simply Health Care Standard MMA Only Medicaid

Referral from PCP is Not Required for these plans:

• FL Balance C12 73%
• FL Balance C12 94%
• FL Balance C30 94% Core
• FL Balance C32 87% 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
• SMI SSI Non Dual
• SMI TANF
• SSI Dual
• SSI Non Dual (MMA)
• Sunshine MMA

Referral from PCP Is Required for these plans:

• CMS Title XIX (19)
• FL Balance C11 73% Value
• FL Balance C30 94% Value
• FL Balance C32 87% Value
• FL Balance C32 94% Value
• FL Elite Gold Std Core
• Medicaid LTC Non-Dual
• SSHP - LTC with HCBS Non Dual

We are Not Participating with these plans:

• FL Balance C30 94% Select (HMO)
• FL Balance C32 94% Select
• FL CMS Exp Bronze Sel Std Select
• FL CMS Silver 94% Select

Only on special cases pe-approved by Insurance.

Referral from PCP is Not Required for these plans:

• 23 Bb Mbrs Extra Space Management
• Choice
• Choice Plus
• Exchange Value (UH New York)
• FL PPO Altnet Networkblue 10P0
• HMO-Uhc Preferred Dual Complete Fl-D001 (HMO D-Snp)
• FL UnitedHealthcare Dual Complete Lpo H1889-002-0
• 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)
• Select Epo

Referral from PCP Is Required for these plans:

• HMO-Medicaremax Chronic (HMO C-Snp)
• 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:

• Fl Mma Tanf/ssi No Dental
• Uhc Silver-C Virtual First $0 Medical Ded 1
• Uhc Bronze Standard $9,100 Indiv Ded
• HMO Exchange (Marketplace)
• United Healthcare Community Plans

Referral from PCP is Not Required for these plans:

• UHP Administrators

Referral from PCP is Not Required for these plans:

• P In-Network (using UH 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)

Referral from PCP Is Required for these plans:

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