Lopital ak klinik University of Miami Health System yo aksepte tout pwodwi asirans (gwo asirans medikal tradisyonèl yo), Champus, Konpansasyon Travayè, Medicare, ak Medicaid. Sistèm sante a ak doktè li yo gen kontra tou ak plizyè òganizasyon swen kowòdone (HMO / PPO).
Tanpri pote tout enfòmasyon asirans, tankou kat asirans, lè ou vini nan randevou ou. Anpil konpayi asirans medikal, ak HMO, mande pou otorizasyon davans pou sèvis medikal. Tanpri konsilte avèk konpayi asirans ou oswa doktè swen prensipal ou pou jwenn yon otorizasyon davans, si sa nesesè, anvan dat randevou ou.
Pou plis enfòmasyon konsènan zafè asirans oswa pou konnen si plan sante patikilye ou kouvri tretman nan UHealth, tanpri kontakte nou nan youn nan nimewo sa yo:
- University of Miami Hospital and Clinics: 305-689-5511
- Bascom Palmer Eye Institute: 305-326-6167
- Faktirasyon Lopital: 800-617-7086
- Faktirasyon Doktè: 305-326-6340
- Sylvester Comprehensive Cancer Center: 305-243-1000
Ou ka kontakte tou plan sante ou pou detèmine si doktè UHealth yo fè pati pwofesyonèl swen sante yo.
Commercial Plans
Insurance Exchange (HIX)
| Plan Sante | Doktè | Lopital |
|---|---|---|
| AmeriHealth Caritas Next (HIX) | Wi | Wi |
| BCBS of FL (All products except SELECT Plans) | Wi | Wi |
| Molina - Market Place | Wi | Wi |
| Oscar Health | Wi | Wi |
| Sunshine-AMBETTER (Premier Network) | Wi | Wi |
| UnitedHealthcare HIX | Wi | Wi |
Medicare Advantage
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Aetna Medicare (HMO/PPO) | Wi | Wi |
| Aetna Medicare Assure HMO | Wi | Wi |
| Aetna Medicare Select HMO | Wi | Wi |
| AvMed Medicare (HMO) | Wi | Wi |
| Freedom Health Medicare (HMO) | Wi | Wi |
| Humana Medicare (HMO) | Wi | Wi |
| Preferred Care Network Medicare HMO | Wi | Wi |
| Preferred Care Partners Medicare (HMO) | Wi | Wi |
| Prominence Plan Sante | Wi | Wi |
| Solis Plan Santes | Wi | Wi |
| 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 | Wi | Wi |
| 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 | Wi | Wi | |
| 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 | Wi | Wi | |
| Aetna Medicare PPO | Broward | Aetna Medicare Eagle Giveback (PPO) | Wi | Wi | Wi |
| Palm Beach | Aetna Medicare Signature (PPO) Aetna Medicare Signature Extra (PPO) Aetna Medicare Eagle Giveback (PPO) Aetna Medicare Premier (PPO) |
Wi | Wi | Wi | |
| 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 | Wi | Wi |
| 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 | Wi | Wi | |
| 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 | Wi | Wi |
| 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 | Wi | Wi | |
| 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 | Wi | Wi | |
| Optimum Healthcare Medicare HMO | Palm Beach | Optimum Emerald Partial (HMO D-SNP) Optimum Emerald Full (HMO D-SNP) |
No | Wi | Wi |
| Broward | Optimum Platinum Plan (HMO) Optimum Gold Rewards Plan (HMO) Optimum Emerald Partial (HMO D-SNP) Optimum Emerald Full (HMO D-SNP) |
No | Wi | Wi | |
| 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) |
Wi (UM Assigned Providers Only) |
Wi | Wi |
| 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) |
Wi (UM Assigned Providers Only) |
Wi | Wi | |
| Prominence Health Medicare HMO | Palm Beach | Prominence Plus (HMO) Prominence Giveback (HMO) Prominence Extra Help (HMO) |
Wi | Wi | Wi |
| Solis Plan Santes 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 | Wi | Wi |
| 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 | Wi | Wi | |
| 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 | Wi | Wi |
Medicaid
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Aetna Medicaid (HMO) | Wi | Non |
| Aetna FL Healthy Kids | Wi | Wi |
| Clear Health Alliance SNP Medicaid (HMO) | Wi | Non |
| Community Care Plan | Wi | Wi |
| Florida Community Care (FCC) Medicaid (HMO) | Wi | Wi |
| Humana Medicaid (HMO) | Wi | Wi |
| Molina Medicaid (HMO) | Wi | Wi |
| Simply Healthcare Medicaid (HMO) | Wi | Wi |
| Simply Healthcare FL Healthy Kids (HMO) | Wi | Non |
| Sunshine CMS (Title XIX) | Wi | Wi |
| Sunshine CMS (Title XXI) | Wi | Wi |
| Sunshine Medicaid (HMO) | Wi | Wi |
| Sunshine FL Healthy Kids (HMO) | Wi | Wi |
| UnitedHealthcare Medicaid (HMO) | Wi | Wi |
Mental Health
Dental
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Cigna Dental (HMO/PPO) | Wi | Non |
| Delta Dental (HMO/PPO) | Wi | Non |
| DentaQuest (ADI) | Wi | Non |
| Solstice Dental (HMO/PPO) | Wi | Non |
Vision
| Plan Sante | Doktè | Lopital |
|---|---|---|
| eyeQuest | Wi | Non |
| iCare Health Solutions | Wi | Non |
International
| Plan Sante | Doktè | Lopital |
|---|---|---|
| AXIS | Wi | Wi |
| DIKLA | Wi | Wi |
| EQUIAN (fka Health Systems International) | Wi | Wi |
| Europe Assistance/Global Corporate Solutions (fka Care Management Network) | Wi | Wi |
| Guardian Life (PPO) | Wi | Wi |
| Global Excel Mgt (PPO) | Wi | Wi |
| Global Health Claims Services | Wi | Wi |
| HAA Preferred Partners | Wi | Wi |
| International Kids Fund (IKF) | Wi | Wi |
| MDAbroad | Wi | Wi |
| Medicus | Wi | Wi |
| National Healthcare Solutions Inc. | Wi | Wi |
| Olympus Managed Healthcare | Wi | Wi |
| Quality Health Management | Wi | Wi |
| Sanus Health Corporation | Wi | Wi |
| Star Healthcare Network | Wi | Wi |
| VUMI | Wi | Wi |
| Worldwide Managed Care | Wi | Wi |
| WorlWide Seguros | Wi | Wi |
Workers Compensation
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Aetna | Wi | Non |
| Careworks (fka Rockport) | Wi | Wi |
| CorVel | Wi | Wi |
| Coventry First Health | Wi | Wi |
| Dimension | Wi | Wi |
| FCCI | Wi | Wi |
| Gallagher Bassett (MDCPS, FCSRMC) | Wi | Wi |
| Prime Health Services | Wi | Wi |
Transplant - Solid Organs
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Aetna/Coventry - Institutes of Excellence (IOE) | Wi | Jackson Memorial Lopital |
| BCBS of FL (Commercial plans exclude HIX Select) | Wi | Jackson Memorial Lopital |
| Cigna Life Source (Intracorp is part of Cigna Lifesource) | Wi | Jackson Memorial Lopital |
| Emerging Therapy Solutions (fka Life Trac) | Wi | Jackson Memorial Lopital |
| Humana National Transplant | Wi | Jackson Memorial Lopital |
| Interlink Health Services | Wi | Jackson Memorial Lopital |
| Molina | Wi | Jackson Memorial Lopital |
| Optum | Wi | Jackson Memorial Lopital |
Transplant - Adult Bone Marrow
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Aetna/Coventry - Institutes of Excellence (IOE) | Wi | Wi |
| BCBS of FL (Commercial plans exclude HIX Select) | Wi | Wi |
| Emerging Therapy Solutions (fka Life Trac) | Wi | Wi |
| Humana National Transplant | Wi | Wi |
| Interlink Health Services | Wi | Wi |
| Molina | Wi | Wi |
| Optum | Wi | Wi |
| Sunshine Medicaid HMO | Non | Wi |
Transplant - Pediatric Bone Marrow
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Aetna/Coventry - Institutes of Excellence (IOE) | Wi | Jackson Memorial Lopital |
| BCBS of FL (Commercial plans exclude HIX Select) | Wi | Jackson Memorial Lopital |
| Cigna Life Source (Intracorp is part of Cigna Lifesource) | Wi | Jackson Memorial Lopital |
| Emerging Therapy Solutions (fka Life Trac) | Wi | Jackson Memorial Lopital |
| Humana National Transplant | Wi | Jackson Memorial Lopital |
| Interlink Health Services | Wi | Jackson Memorial Lopital |
| Molina | Wi | Jackson Memorial Lopital |
| Optum | Wi | Jackson Memorial Lopital |
Miscellaneous
| Plan Sante | Doktè | Lopital |
|---|---|---|
| Community Health Partners (fka SWFPA) (PPO) | Wi | Non |
| Florida PACE | Wi | Wi |
| League Medical Concepts - Federal Inmates | Wi | Non |
| Medical Development In't (MDI) - Federal Inmates | Wi | Non |
| Naphcare - Federal Inmates | Wi | Wi |
| UHC/Optum VA CCN | Wi | Wi |
| Upper Keys Health Care Taxing Districs | Wi | Wi |