Types of Insurances Accepted

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We take a lot of insurance. Some of the private insurances that I can think of off the top of my head are Blue Cross, AvMed, Aetna, United Healthcare, Signa, Florida Hospital, those are some of the private insurances. For the Medicaid HMOs, we also take that as well. We take straight Medicaid. Some of the Medicaid HMOs that we accept are Amerigroup, Prestige, Sunshine, Staywell, United Medicaid, those are the ones that we take.

We participate with most major insurance companies, including Florida Medicaid and Healthy Kids programs. However, each company offers many different plans. First Choice Pediatrics may not participate in each and every one.

We recommend that you contact your insurance company, prior to making your appointment:

  • To verify that we are a participating provider on your specific plan.
  • To verify if your plan requires you to select a Primary Care Provider (PCP). If so, verify your First Choice Pediatrics Physician is the assigned PCP.
  • To verify your co-payment for primary care and specialty services.
  • To verify if you have a deductible and request an estimate regarding your out-of-pocket costs for the office visit.

Please contact our Billing Department if you have any other questions at 407-249-1234

Currently, First Choice Pediatrics accepted insurance plans:

Commercial Plans

AdventHealth CIN – Employees have Health First Insurance – No Direct Contract with Health First is needed since PA is contracted with Advent CIN. Third Party Administrator is Aetna.

Aetna – HMO, PPO, POS, QPOS, Select, First Health

AvMed – Non-Par for Flex

Baptist Health Quality Network – Employee Plan (Aetna and UHC)

BCBS Florida – PPC, PPS, Network Blue, Blue Options, Health Options, myBlue, Blue Select, BeHealthy Florida/Truli for Health

Cigna – all commercial, includes Local Plus

Dimension – Evolutions, Global Excel, AXA HAA PP, Medipac, USA Managed Care, Sanus Health, PPO Network

Humana – HMO, POS, PPO, EPO, Humana Medical Plan & Traditional Plans

Imagine Health (Effective 4/1/21)

Multiplan – Beechstreet, PHCS

Partners Direct Health (Effective 3/15/21)

Point Comfort Underwriters

Tricare (Humana Military)

United Healthcare – HMO, PPO, Options PPO, NHP, Golden Rule, UHC One, Nexus, Bind, UHC Heritage Plus

Medicaid Plans

Aetna Better Health

CMS Title XIX & XXI (Sunshine Effective 10/1/21)

Humana

Medicaid

Simply Healthcare

Sunshine Health (Wellcare/Staywell merged to Sunshine effective 10.01.2021)

United Healthcare (Volusia County)

Exchange Products

AvMed- Entrust

BCBS Florida- Health Options HMO, Blue Options PPO, Simply Blue HMO

Molina Marketplace

Bright Health (Non-Par for Super Plan)

Oscar Insurance Company

Sunshine Ambetter – Select, Balanced, Essential, Secure ONLY

FULL PAYMENT FOR ALL COPAYS, DEDUCTIBLES AND NON-COVERED SERVICES ARE EXPECTED AT THE TIME OF YOUR APPOINTMENT.

ALL SERVICES WILL BE BILLED TO YOUR INSURANCE. THE PATIENT IS RESPONSIBLE FOR ALL CHARGES APPLIED TO THEIR COPAY, DEDUCTIBLE AND NON-COVERED SERVICES BY THEIR INSURANCE.

If your insurance company is not on the list, please contact the office for further information on eligibility.

We recommend that you review your insurance policy and contact your insurance company before your exam to determine which services are covered by your insurance plan, and what information must be provided to your insurance company.

Please bring your insurance identification cards and claim or referral forms with you when you visit our office. We will be happy to answer any questions you have at that time.

As a courtesy to our patients, we will fill out and submit a standard AMA 1500 insurance claim form to your insurance company. It’s the patient’s responsibility to ensure their account is paid in full within ninety days; otherwise the account will be referred to a collection agency that can possibly affect your credit. If your insurance plan requires that you make a co-payment, that amount will be collected in the office at the time of the visit.

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Our Locations

We have multiple locations for your convenience.

Semoran Location

1651 N. Semoran Blvd.
Orlando, FL 32807
Link to Map

MON & TUES 8:00am-6:45pm
WED-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SAT 8:00am-12:00 Noon
SUN Closed

Metrowest Location

1601 Park Center Dr., Ste 6B
Orlando, FL 32835
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SAT 8:00am-12:00 Noon
SUN Closed
 

Alafaya Location

1561 S. Alafaya Trail, Ste 400
Orlando, FL 32828
Link to Map

MON 8:00am-6:45pm
TUES-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SAT 8:00am-12:00 Noon
SUN Closed

Sanford Location

1403 Medical Plaza Drive, Ste 104
Sanford, FL 32771
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed
 

LOOP Location

3274 Greenwald Way N.
Kissimmee, FL 34741
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SAT 8:00am-12:00 Noon
SUN Closed

Kissimmee-Poinciana Location

1975 South John Young Pkwy, Ste 204
Kissimmee, FL 34741
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed
 

Oviedo Location

1884 W. CR-419, Ste 1000
Oviedo, FL 32765
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

Winter Springs Location

501 W. SR 434
Winter Springs, FL 32708
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

Deltona Location

596 Courtland Blvd.
Deltona, FL 32738
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

Winter Garden Location

1327 Winter Garden Vineland Rd., Suite 120
Winter Garden, FL 34787
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

Dr. Phillips Location

7051 Dr. Phillips Blvd, Ste 7
Orlando, FL 32819
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

Longwood Location

181 Sabal Palm Dr.
Longwood, FL 32779
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

NOW OPEN!
Lake Nona Location

10105 Clear Vista St., Ste B
Orlando, FL 32832
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

NOW OPEN!
Apopka Location

200 N. Park Ave., Ste A
Apopka, FL 32703
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

NOW OPEN!
Lee Vista Location

6447 S. Chickasaw Trail
Orlando, FL 32829
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

NOW OPEN!
Melbourne Location

199 S Wickham Rd
Melbourne, FL 32904
Link to Map

MON-FRI 8:00am-5:00pm
LUNCH 12:15pm-1:15pm
SUN Closed

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