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Health Insurance

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At McCarus Surgical Specialists for Women, we accept most major insurance plans. However, we believe it is important that patients check the list provided, as well as confirm the amount of coverage and plan specifics with their health insurance provider. Plan guidelines can change, effecting authorizations, deductibles, co-pays and other vital aspects. We advise all our patients to verify coverage directly with their insurance company.

Presently, McCarus Surgical Specialists for Women accepts the following health insurance plans:

Aetna

EPO (Elect Choice), MC (Managed Choice), PPO (Open Choice), Select Choice (HMO)

 

American Heritage Life

EPO, PPO

 

AvMed

HMO, POS, PPO

 

BlueCross BlueShield (BCBS)

Advantage 65 Select, Blue Care/HO, Blue Choice/PPC, Care Manager/HO HMO, Medicare and More, Network Blue/Blue Options, PPS

 

Champus

Champus/Tricare Approved

ChoiceCare Network

All plan types accepted

Cigna HealthCare of Florida

All plan types accepted

Cigna

Open Access Plus, POS Open Access, PPO

Community Care Network

All plan types accepted

CorVel

PPO

Evolutions

All plan types accepted

Florida Hospital Care Advantage
(All Plans)

(All Plans)

 

First Health Network

All plan types accepted

FloridaFirst

PPO

Focus

PPO

Food Lion

PPO

Fortified

PPO

Great West

HMO, POS, PPO

Health Choice

OCPS, OCPS Select EPO, PPO, Select EPO

 

Humana

Commercial, Medicare HMO, Medicare PFFS, Medicare PPO, EPO, POS, PPO, SmartNet PPO

 

Medicaid

All plan types accepted

Medicare

All plan types accepted

MultiPlan

PPO

National Provider Network

PPO

National Preferred Provider Network (NPPN)

PPO/Coalition America

 

Private Healthcare Systems

All plan types accepted

Prudential HealthCare

HMO (CHOICE), POS (Plus)

Railroad Medicare

All plan types accepted

SouthCare

PPO

UnitedHealthcare

Medicaid, Evercare HMO, HMO, Medicare Secure Horizons, POS, PPO

UP & UP

All plan types accepted

WellCare

 

WellCare/Staywell  (Medicaid), WellCare Health Plan (Medicare), WellCare HealthEase (Medicaid)

 

Filing Insurance Claims

A member of the McCarus Surgical Specialists for Women medical team will gladly file a health insurance claim if the plan is one that our practice currently accepts. It is very likely that any PPO plans that are considered out of network will be filed at a higher out-of-pocket rate. Any additional balances remaining after filing the insurance claim will be due upon completion of services (an invoice from McCarus Surgical Specialists for Women or Florida Hospital Medical Group will be sent directly to the patient once the insurance provider covers their amount).

It is the patient’s responsibility to provide us with current insurance plan information prior to services rendered in order for accurate billing of services to be filed. As a health care provider, our relationship is with our patients and as a team; we will continuously follow up on outstanding claims. At times, we may require the patient’s intervention to assist us and we appreciate the patient working with us in this regard.