Holy Cross Hospital/Holy Cross Medical Group/POSC Commercial HMO/PPO Plans

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Dale Hodge
5 years ago
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1 Commercial HMO/PPO Plans The Following is a list of Commercial HMO & PPO Plans in which Holy Cross (HCH); Holy Cross HCMG) and the Physicians Outpatient Surgery Center () participate. AETNA HMO/PPO Y Y Y AETNA/COVENTRY HMO/PPO Y Y Y AVMED HMO Y Y Y CIGNA HMO/PPO Y Y Y COMMUNITY CARE PLAN (BRHPC & Broward County Government Employees) ACO Y Y Y EMPLOYERS HEALTH NETWORK ACO Y Y Y FLORIDA BLUE (BCBS) HMO/PPO Y Y Y HUMANA HMO/PPO Y Y Y INTERPLAN HEALTH GROUP HMO/PPO Y N Y* NEIGHBORHOOD HEALTH HMO Y Y Y UNITED HMO/PPO Y Y Y Updated 7/17/2018 by Kevin L. Graver * through Dimension

2 Marketplace Exchange Plans - Broward County SYNOPSIS: All Molina plans & all Florida Blue plans (except Blue Select) are participating (My Blue is par for &, but not ); Patients on a non-participating Plan with an out-of-network benefit can also be seen (however, patient will likely incur a higher out-of-pocket expense). NOTE: The Molina Exchange plans are currently only contracted for the and ; Agreements for the and Urgent Care/Imaging Centers are forthcoming.

3 Marketplace Exchange Plans - Palm Beach County SYNOPSIS: All Molina plans & all Florida Blue plans (except Blue Select) are participating (My Blue is par for &, but not ); Patients on a non-participating Plan with an out-of-network benefit can also be seen (however, patient will likely incur a higher out-of-pocket expense). NOTE: The Molina Exchange plans are currently only contracted for the and ; Agreements for the and Urgent Care/Imaging Centers are forthcoming.

4 Medicare Advantage Plans The Following is a list of Medicare Advantage Plans in which Holy Cross (HCH); Holy Cross HCMG) and the Physicians Outpatient Surgery Center () participate. AETNA HMO Y Y Y AETNA PPO Y Y Y AETNA/COVENTRY/VISTA HMO Y Y*** Y AVMED HMO Y Y Y FLORIDA BLUE (BCBS) * HMO/PPO Y Y Y FREEDOM HEALTH HMO Y N N HUMANA HMO Y N** Y HUMANA/CAREPLUS HMO Y N Y HUMANA PPO Y Y Y MEDICA HMO Y N Y PHYSICIAN HEALTH CHOICE HMO Y N N POSITIVE HEALTHCARE (AHF/Ryan White) HMO Y Y Y PREFERRED CARE PARTNERS HMO Y N Y SUMMIT HEALTH CARE HMO Y Y*** Y UNITED HEALTHCARE HMO/PPO Y Y Y USA CARE HMO Y N N * HCMG Physicians are par w/ Blue Medicare HMO Lifetime, but not Blue Medicare HMO My Time Plus; My Time is still offered in Palm Beach County & members enrolled in that can see HCMG Physicians In 2018, Lifetime & My Time will be known as Blue Medicare Classic or Classic Plus and My Time Plus will be Blue Medicare Premier. **Cardiovascular & Thoracic specialties only are contracted ***Specialists only

5 Managed Medicaid Plans* The Following is a list of Managed Medicaid Plans in which Holy Cross (HCH); Holy Cross (HCMG) and the Physicians Outpatient Surgery Center () participate. Plan Marketing Name County Better Health (Simply) Better Health Plan Standard Broward Y Y N Clear Health Alliance (Simply) Clear Health (HIV/AIDS) Specialty Broward Y Y N Clear Health Alliance (Simply) Clear Health (HIV/AIDS) Specialty Palm Beach Y Y N Humana Humana Health Plans Standard Broward Y N N Humana Humana Health Plans Standard Palm Beach Y N N Molina Health Plan Molina Health Plan Standard Palm Beach Y Y N Positive Healthcare Florida (AHF/Ryan White) Positive Health (HIV/AIDS) Specialty Broward Y Y N Sunshine State Health Plan Sunshine Health Plan Standard Broward Y Y N Sunshine State Health Plan Sunshine Health Plan (Child Welfare) Specialty Broward Y Y N Sunshine State Health Plan Sunshine Health Plan Standard Palm Beach Y Y N Sunshine State Health Plan Sunshine Health Plan (Child Welfare) Specialty Palm Beach Y Y N *Although HCMG is contracted w/ Medicaid & Managed Medicaid plans, not all physicians are enrolled in Medicaid to see Medicaid patients.

6 Workers Comp Plans The Following is a list of Workers Comp Plans in which Holy Cross (HCH); Holy Cross HCMG) and the Physicians Outpatient Surgery Center () participate. CORVEL WC Y Y Y COVENTRY WC Y Y Y DIMENSION WC Y Y Y HERITAGE SUMMIT WC Y Y Y PRIME HEALTH WC Y Y N PROCURA MGMT WC Y Y Y ROCKPORT WC Y Y Y

7 National Networks The Following is a list of National Networks in which Holy Cross (HCH); Holy Cross HCMG) and the Physicians Outpatient Surgery Center () participate. AETNA/COVENTRY/ASSURANT HEALTH Network Y Y Y DIMENSION Network Y Y Y FIRST HEALTH Network Y Y Y FLORIDA BLUE (BCBS) Network Y Y Y GREAT WEST (CIGNA) Network Y Y Y MULTIPLAN Network Y Y Y (MULTIPLAN) - BEECHSTREET Network Y Y Y (MULTIPLAN) - PHCS Network Y Y Y PPO NEXT Network Y N Y PRIME HEALTH Network Y Y N

8 International Plans The Following is a list of International Plans in which Holy Cross (HCH); Holy Cross HCMG) and the Physicians Outpatient Surgery Center () participate. AETNA/COVENTRY International Y Y Y AXA ASSISTANCE US International Y Y N AXIS International Y Y Y CMN GLOBAL International Y Y Y CORPORATE MEDICAL NETWORK (CMN) International Y Y Y DESJARDINS International Y Y Y DIMENSION International Y Y Y GLOBAL BENEFITS GROUP International Y Y N GLOBAL HEALTH SERVICES International Y Y Y GUARDIAN LIFE International Y Y N MORGAN WHITE International Y Y N NATIONAL HEALTHCARE SOLUTIONS International Y Y N OLYMPUS International Y Y Y PAYER FUSION International Y Y N PENFIELD MEDICAL International Y Y Y PLOTKINS CONSULTING International Y Y Y QUALITY HEALTH MANAGEMENT International Y Y Y SANUS International Y Y Y SELECT CARE WORLDWIDE International Y Y N STAR HEALTHCARE NETWORK International Y Y N SUNMED INTERNATIONAL International Y Y N UNITED/BUPA International Y Y Y US MARITIME CONSULTANTS International Y Y Y WW CONCIERGE HEALTHCARE SERVICES International Y Y Y

9 TRICARE VETERAN'S CHOICE Service Members/Families Y Y Y Service Members/Families Y Y Y

Holy Cross Hospital/Holy Cross Medical Group/POSC Commercial HMO/PPO Plans

Holy Cross Hospital/Holy Cross Medical Group/POSC Commercial HMO/PPO Plans Commercial HMO/PPO Plans The Following is a list of Commercial HMO & PPO Plans in which Holy Cross (HCH); Holy Cross (HCMG) and the Physicians Outpatient Surgery Center () participate. AETNA HMO/PPO Y