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:
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
Aetna Better Health
CMS Title XIX & XXI (Sunshine Effective 10/1/21)
Sunshine Health (Wellcare/Staywell merged to Sunshine effective 10.01.2021)
United Healthcare (Volusia County)
BCBS Florida- Health Options HMO, Blue Options PPO, Simply Blue HMO
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.