Los hospitales y clínicas del Sistema de Salud de la Universidad de Miami aceptan todos los productos de seguro de indemnización (médico principal tradicional), Champus, Compensación para trabajadores, Medicare y Medicaid. El sistema de salud y sus médicos también tienen contratos con varias organizaciones de salud administrada (HMO/PPO).
Traiga toda la información del seguro, incluidas las tarjetas del seguro, cuando venga a su cita. Muchas compañías de seguros médicos, así como las HMO, requieren una autorización previa para los servicios médicos. Consulte con su compañía de seguros o médico de atención primaria para obtener una autorización previa, si es necesario, antes de la fecha de su cita.
Para obtener más información sobre asuntos de seguros o para averiguar si su plan de salud en particular cubre el tratamiento en UHealth, comuníquese con nosotros a uno de los siguientes números:
- Instituto Oftalmológico Bascom Palmer: 305-326-6167
- Facturación del hospital: 305-243-2900
- Médicos’ Facturación: 305-243-2900
- Centro Integral de Cáncer Sylvester: 305-689-7079
- Torre UHealth: 305-689-3923
También puede comunicarse con su plan de salud para determinar si los médicos de UHealth están incluidos en la lista de proveedores.
Commercial Plans
Insurance Exchange (HIX)
| Plan de salud | Médicos | Hospital |
|---|---|---|
| AmeriHealth Caritas Next (HIX) | Sí | Sí |
| BCBS of FL (All products except SELECT Plans) | Sí | Sí |
| Molina - Market Place | Sí | Sí |
| Oscar Health | Sí | Sí |
| Sunshine-AMBETTER (Premier Network) | Sí | Sí |
| UnitedHealthcare HIX | Sí | Sí |
Medicare Advantage
| Medicare Advantage | Service Area | Plan Offering Name | UMMG Primary Care | UMMG Specialty Care | UMHC |
|---|---|---|---|---|---|
| Aetna Medicare HMO | Miami Dade | Aetna Medicare Select (HMO) Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare Dual Select (HMO D-SNP) Aetna Medicare Full Dual Select (HMO D-SNP) Aetna Medicare Dual Select (HMO D-SNP) |
No | Sí | Sí |
| Broward | Aetna Medicare Select (HMO) Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare Dual Select (HMO D-SNP) Aetna Medicare Full Dual Select (HMO D-SNP) Aetna Medicare Select Extra (HMO-POS) Aetna Medicare Dual Select (HMO D-SNP) |
No | Sí | Sí | |
| Palm Beach | Aetna Medicare Select (HMO) Aetna Medicare Chronic Care (HMO C-SNP) Aetna Medicare Dual Select (HMO D-SNP) Aetna Medicare Full Dual Select (HMO D-SNP) Aetna Medicare Select Extra (HMO-POS) Aetna Medicare Dual Select (HMO D-SNP) |
No | Sí | Sí | |
| Aetna Medicare PPO | Broward | Aetna Medicare Eagle Giveback (PPO) | Sí | Sí | Sí |
| Palm Beach | Aetna Medicare Signature (PPO) Aetna Medicare Signature Extra (PPO) Aetna Medicare Eagle Giveback (PPO) Aetna Medicare Premier (PPO) |
Sí | Sí | Sí | |
| Freedom Medicare HMO | Palm Beach | Freedom VIP Care (HMO C-SNP) Freedom VIP Savings (HMO C-SNP) Freedom VIP Savings COPD (HMO C-SNP) Freedom Savings Plan (HMO) Freedom Medicare Plan Rx (HMO) Freedom Medi-Medi Partial (HMO D-SNP) Freedom Medi-Medi Full (HMO D-SNP) |
No | Sí | Sí |
| Broward | Freedom VIP Savings (HMO C-SNP) Freedom VIP Savings COPD (HMO C-SNP) Freedom Medi-Medi Partial (HMO D-SNP) Freedom Medi-Medi Full (HMO D-SNP) |
No | Sí | Sí | |
| Humana Medicare HMO | Miami Dade | Humana Gold Plus H1036-054C (HMO) Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Gold Plus Lung (HMO C-SNP) Humana USAA Honor Giveback (HMO) Humana Gold Plus Giveback H1036-305 (HMO) Humana Dual Integrated (HMO D-SNP) Humana Fully Integrated H1036-280 (HMO D-SNP) Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) |
No | Sí | Sí |
| Broward | Humana Gold Plus H1036-065C (HMO) Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Gold Plus Lung (HMO C-SNP) Humana USAA Honor Giveback (HMO) Humana Gold Plus Giveback H1036-305 (HMO) Humana Dual Integrated (HMO D-SNP) Humana Fully Integrated H1036-280 (HMO D-SNP) Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) |
No | Sí | Sí | |
| Palm Beach | Humana Gold Plus H1036-062C (HMO) Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Gold Plus Lung (HMO C-SNP) Humana USAA Honor Giveback (HMO) Humana Gold Plus Giveback H1036-305 (HMO) Humana Dual Integrated (HMO D-SNP) Humana Fully Integrated H1036-280 (HMO D-SNP) Humana Gold Plus SNP-DE H1036-077A (HMO D-SNP) Humana Gold Plus SNP-DE H1036-304 (HMO D-SNP) |
No | Sí | Sí | |
| Optimum Healthcare Medicare HMO | Palm Beach | Optimum Emerald Partial (HMO D-SNP) Optimum Emerald Full (HMO D-SNP) |
No | Sí | Sí |
| Broward | Optimum Platinum Plan (HMO) Optimum Gold Rewards Plan (HMO) Optimum Emerald Partial (HMO D-SNP) Optimum Emerald Full (HMO D-SNP) |
No | Sí | Sí | |
| Preferred Care Network Medicare HMO (UnitedHealthcare company) |
Miami Dade | UHC MedicareMax Complete Care FL-30 (HMO C-SNP) UHC MedicareMax Medicare Advantage FL-0028 (HMO) UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP) UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) |
Sí (UM Assigned Providers Only) |
Sí | Sí |
| Broward | UHC MedicareMax Complete Care FL-30 (HMO C-SNP) UHC MedicareMax Medicare Advantage FL-0029 (HMO) UHC MedicareMax Dual Complete FL-Y6 (HMO-POS D-SNP) UHC MedicareMax Dual Complete FL-V3 (HMO D-SNP) UHC MedicareMax Dual Complete FL-D4 (HMO D-SNP) |
Sí (UM Assigned Providers Only) |
Sí | Sí | |
| Prominence Health Medicare HMO | Palm Beach | Prominence Plus (HMO) Prominence Giveback (HMO) Prominence Extra Help (HMO) |
Sí | Sí | Sí |
| Solis Plan de saluds Medicare HMO | Miami Dade | Solis Wellness Plan (HMO C-SNP) Solis Healthy Living Plan (HMO) Solis Wellness Giveback Plan (HMO C-SNP) Solis Guardian Plan (HMO D-SNP) Solis Balanced Plan (HMO C-SNP) |
No | Sí | Sí |
| Broward | Solis Healthy Living Plan (HMO) Solis Wellness Plan (HMO C-SNP) Solis Wellness Giveback Plan (HMO C-SNP) Solis Guardian Plan (HMO D-SNP) |
No | Sí | Sí | |
| Palm Beach | Solis Healthy Living Plan (HMO) Solis Wellness Plan (HMO C-SNP) Solis Wellness Giveback Plan (HMO C-SNP) Solis Guardian Plan (HMO D-SNP) |
No | Sí | Sí |
| Medicare Advantage | Service Area | Plan Offering Name | UMMG Primary Care | UMMG Specialty Care | UMHC |
|---|---|---|---|---|---|
| Freedom Medicare HMO | Broward | Freedom VIP Savings (HMO C-SNP) Freedom VIP Savings COPD (HMO C-SNP) Freedom Medi-Medi Partial (HMO D-SNP) |
No | Sí | Sí |
| Palm Beach | Freedom VIP Care (HMO C-SNP) Freedom VIP Savings (HMO C-SNP) Freedom VIP Savings COPD (HMO C-SNP) Freedom Savings Plan (HMO) Freedom Medicare Plan Rx (HMO) Freedom Medi-Medi Partial (HMO D-SNP) |
No | Sí | Sí | |
| HealthSun Medicare HMO | Miami Dade | HealthSun HealthAdvantage Plan (HMO) HealthSun VitalCare (HMO C-SNP) HealthSun MediMax (HMO) HealthSun HealthAdvantage Plus (HMO) HealthSun MediSun Extra (HMO D-SNP) HealthSun MediSun Full Dual Extra (HMO D-SNP) |
Sí | Sí | Sí |
| Broward | HealthSun VitalCare (HMO C-SNP) HealthSun HealthAdvantage Plan (HMO) HealthSun MediMax (HMO) HealthSun HealthAdvantage Plus (HMO) HealthSun MediSun Extra (HMO D-SNP) HealthSun MediSun Full Dual Extra (HMO D-SNP) |
Sí | Sí | Sí | |
| Palm Beach | HealthSun VitalCare (HMO C-SNP) HealthSun HealthAdvantage Plan (HMO) HealthSun MediSun Extra (HMO D-SNP) HealthSun HealthAdvantage Plus (HMO) HealthSun MediSun Full Dual Extra (HMO D-SNP) |
Sí | Sí | Sí | |
| Humana Medicare HMO | Miami Dade | Humana Gold Plus H1036-054C (HMO) Humana Gold Plus Giveback H1036-305 (HMO) Humana USAA Honor Giveback (HMO) Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Gold Plus Lung (HMO C-SNP) Humana Dual Select H1036-077 (HMO D-SNP) Humana Dual Select H1036-304 (HMO D-SNP) Humana Dual Integrated (HMO D-SNP) Humana Fully Integrated H1036-280 (HMO D-SNP) |
No | Sí | Sí |
| Broward | Humana Gold Plus H1036-065C (HMO) Humana Gold Plus Giveback H1036-305 (HMO) Humana USAA Honor Giveback (HMO) Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Gold Plus Lung (HMO C-SNP) Humana Dual Select H1036-077 (HMO D-SNP) Humana Dual Select H1036-304 (HMO D-SNP) Humana Dual Integrated (HMO D-SNP) Humana Fully Integrated H1036-280 (HMO D-SNP) |
No | Sí | Sí | |
| Palm Beach | Humana Gold Plus H1036-062C (HMO) Humana Gold Plus Giveback H1036-305 (HMO) Humana USAA Honor Giveback (HMO) Humana Gold Plus - Diabetes and Heart (HMO C-SNP) Humana Gold Plus Lung (HMO C-SNP) Humana Dual Select H1036-077 (HMO D-SNP) Humana Dual Select H1036-304 (HMO D-SNP) Humana Dual Integrated (HMO D-SNP) Humana Fully Integrated H1036-280 (HMO D-SNP) |
No | Sí | Sí | |
| Optimum Healthcare Medicare HMO | Palm Beach | Optimum Emerald Partial (HMO D-SNP) | No | Sí | Sí |
| Broward | Optimum Platinum Plan (HMO) Optimum Gold Rewards Plan (HMO) Optimum Emerald Partial (HMO D-SNP) |
No | Sí | Sí | |
| Prominence Health Medicare HMO | Palm Beach | Prominence Plus (HMO) Prominence Giveback (HMO) Prominence Diabetes and Heart Giveback (HMO C-SNP) Prominence Dual (HMO D-SNP) Prominence Extra Help (HMO) Prominence Meridian (HMO-POS) |
Sí | Sí | Sí |
| Simply Medicare HMO | Miami Dade | Simply Complete Platinum (HMO D-SNP) | Sí | Sí | Sí |
| Broward | Simply Complete Platinum (HMO D-SNP) | Sí | Sí | Sí | |
| Palm Beach | Simply Complete Platinum (HMO D-SNP) | Sí | Sí | Sí |
Medicaid
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Aetna Medicaid (HMO) | Sí | No |
| Aetna FL Healthy Kids | Sí | Sí |
| Clear Health Alliance SNP Medicaid (HMO) | Sí | No |
| Community Care Plan | Sí | Sí |
| Florida Community Care (FCC) Medicaid (HMO) | Sí | Sí |
| Humana Medicaid (HMO) | Sí | Sí |
| Molina Medicaid (HMO) | Sí | Sí |
| Simply Healthcare Medicaid (HMO) | Sí | Sí |
| Simply Healthcare FL Healthy Kids (HMO) | Sí | No |
| MOLINA CMS TITLE XIX | Sí | Sí |
| MOLINA CMS TITLE XXI | Sí | Sí |
| Sunshine Medicaid (HMO) | Sí | Sí |
| Sunshine FL Healthy Kids (HMO) | Sí | Sí |
| UnitedHealthcare Medicaid (HMO) | Sí | Sí |
Mental Health
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Aetna Behavioral Health | Sí | Sí |
| Carisk (fka Concordia Behavioral Health) | Sí | Sí |
| Evernorth Behavioral Health (fka Cigna Behavioral Health) | Sí | No |
| Humana Behavioral Health (fka LifeSynch) | Sí | Sí |
| United Behavioral Health (UBH) | Sí | No |
Dental
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Cigna Dental (HMO/PPO) | Sí | No |
| Delta Dental (HMO/PPO) | Sí | No |
| DentaQuest (ADI) | Sí | No |
| Solstice Dental (HMO/PPO) | Sí | No |
Vision
| Plan de salud | Médicos | Hospital |
|---|---|---|
| eyeQuest | Sí | No |
| iCare Health Solutions | Sí | No |
International
| Plan de salud | Médicos | Hospital |
|---|---|---|
| AXIS | Sí | Sí |
| DIKLA | Sí | Sí |
| EQUIAN (fka Health Systems International) | Sí | Sí |
| Europe Assistance/Global Corporate Solutions (fka Care Management Network) | Sí | Sí |
| Guardian Life (PPO) | Sí | Sí |
| Global Excel Mgt (PPO) | Sí | Sí |
| Global Health Claims Services | Sí | Sí |
| HAA Preferred Partners | Sí | Sí |
| International Kids Fund (IKF) | Sí | Sí |
| MDAbroad | Sí | Sí |
| Medicus | Sí | Sí |
| National Healthcare Solutions Inc. | Sí | Sí |
| Olympus Managed Healthcare | Sí | Sí |
| Quality Health Management | Sí | Sí |
| Sanus Health Corporation | Sí | Sí |
| Star Healthcare Network | Sí | Sí |
| VUMI | Sí | Sí |
| Worldwide Managed Care | Sí | Sí |
| WorlWide Seguros | Sí | Sí |
Workers Compensation
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Aetna | Sí | No |
| Careworks (fka Rockport) | Sí | Sí |
| CorVel | Sí | Sí |
| Coventry First Health | Sí | Sí |
| Dimension | Sí | Sí |
| FCCI | Sí | Sí |
| Gallagher Bassett (MDCPS, FCSRMC) | Sí | Sí |
| Prime Health Services | Sí | Sí |
Transplant - Solid Organs
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Aetna/Coventry - Institutes of Excellence (IOE) | Sí | Jackson Memorial Hospital |
| BCBS of FL (Commercial plans exclude HIX Select) | Sí | Jackson Memorial Hospital |
| Cigna Life Source (Intracorp is part of Cigna Lifesource) | Sí | Jackson Memorial Hospital |
| Emerging Therapy Solutions (fka Life Trac) | Sí | Jackson Memorial Hospital |
| Humana National Transplant | Sí | Jackson Memorial Hospital |
| Interlink Health Services | Sí | Jackson Memorial Hospital |
| Molina | Sí | Jackson Memorial Hospital |
| Optum | Sí | Jackson Memorial Hospital |
Transplant - Adult Bone Marrow
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Aetna/Coventry - Institutes of Excellence (IOE) | Sí | Sí |
| BCBS of FL (Commercial plans exclude HIX Select) | Sí | Sí |
| Emerging Therapy Solutions (fka Life Trac) | Sí | Sí |
| Humana National Transplant | Sí | Sí |
| Interlink Health Services | Sí | Sí |
| Molina | Sí | Sí |
| Optum | Sí | Sí |
| Sunshine Medicaid HMO | No | Sí |
Transplant - Pediatric Bone Marrow
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Aetna/Coventry - Institutes of Excellence (IOE) | Sí | Jackson Memorial Hospital |
| BCBS of FL (Commercial plans exclude HIX Select) | Sí | Jackson Memorial Hospital |
| Cigna Life Source (Intracorp is part of Cigna Lifesource) | Sí | Jackson Memorial Hospital |
| Emerging Therapy Solutions (fka Life Trac) | Sí | Jackson Memorial Hospital |
| Humana National Transplant | Sí | Jackson Memorial Hospital |
| Interlink Health Services | Sí | Jackson Memorial Hospital |
| Molina | Sí | Jackson Memorial Hospital |
| Optum | Sí | Jackson Memorial Hospital |
Miscellaneous
| Plan de salud | Médicos | Hospital |
|---|---|---|
| Community Health Partners (fka SWFPA) (PPO) | Sí | No |
| Florida PACE | Sí | Sí |
| La Liga Contra el Cancer | Sí | Sí |
| League Medical Concepts - Federal Inmates | Sí | No |
| Medical Development In't (MDI) - Federal Inmates | Sí | No |
| Naphcare - Federal Inmates | Sí | Sí |
| UHC/Optum VA CCN | Sí | Sí |
| Upper Keys Health Care Taxing Districs | Sí | Sí |