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Health Insurance

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Health Insurance

The four Central Florida practice locations of Pediatric Cardiology Consultants—located in Orlando, Port Orange, Tavares and Viera, Florida—accept most major forms of health insurance. However, we recommend that you contact your provider directly to ensure that Pediatric Cardiology Consultants is contracted with them, as provider relationships can change, affecting co-pays and coverage. Below is a list of accepted health insurance providers and plans.

Insurance Provider

Plan Type

Aetna

EPO (Elect Choice)

Global Transplant

Golden Medicare

MC (Managed Choice)

PPO (Open Choice)

Select Choice (HMO)

AmeriGp

PHP  (Medicaid)

PHP (Healthy Kids)

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

Cigna

HealthCare of Florida

Open Access Plus

POS Open Access

PPO

Community Care Network

All Plan Types Accepted

Evolutions

All Plan Types Accepted

First Health Network

All Plan Types Accepted

Florida First

HMO

PPO

Florida Hospital Care Advantage (All Plans)

All Plan Types Accepted

Florida Hospital Healthcare System

(FHHS)

Non Risk

Non Risk Accountable

Non Risk Beech St

Non Risk MultiPlan

Non Risk PHCS PPO

Non Risk PpoNext

Risk

Florida Hospital Waterman Healthcare System (FHWHS)

 

Non-Risk

Risk

Florida Memorial Health Network (FMHN)

Non Risk BCE Emergis

Non Risk City of Daytona Beach

Non Risk DBCC/Volusia County

Non Risk Interplan Health Group

Non Risk Multiplan

Non Risk PHCS

Non Risk ProAmerica

Non risk Radiology Associates

Non Risk

Risk

Fortified

PPO

Health First

HMO

Humana

Commercial

HMO (Medicare)

PFFS (Medicare)

PPO (Medicare)

EPO

POS

PPO

SmartNet PPO

Medicaid

All Plan Types Accepted

Medicare

All Plan Types Accepted

NPPN

(Coalition America's National Preferred Provider Network)

PPO/Coalition America

Prestige

Medicaid HMO

 

Sunshine State Health Plan

All Plan Types Accepted

UnitedHealthcare

Evercare HMO

Healthy Kids

HMO

Medicaid

Medicare Secure Horizons

POS

PPO

WellCare Health Plan

Medicare

WellCare Healthease

Medicaid

WellCare/Staywell

Medicaid

Filing Insurance Claims

A member of the Pediatric Cardiology Consultants medical team will gladly file a health insurance claim if the plan is one that our practice currently accepts. In the event we are not contracted with a specific plan or you are a self-pay patient, financial arrangements can be made with our Billing Manager. 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 Pediatric Cardiology Consultants or Florida Hospital Medical Group will be sent directly to the responsible party once the insurance provider covers their amount).