Health Insurance Plans Accepted at Sarasota Memorial First Physicians Group

Below is information on the Medicare/Medicaid private and other health insurance plans accepted at Sarasota Memorial First Physicians Group. This list is subject to change at any time.


Confirm Coverage

Sarasota Memorial First Physicians Group may not be contracted with every product for every health insurer listed. We highly recommend contacting your insurance company’s member services for information specific to your plan’s coverage and to confirm your plan’s in-network providers.

Emergency Care

You have the right to seek emergency services and care anywhere they are provided regardless of insurance.
Your rights and protections against surprise medical bills – When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. For more information, click here.

Health Plans We Accept

Sarasota Memorial First Physicians Group accepts traditional Medicare, traditional supplemental plans and many Medicare Advantage plans. For more information, click here: https://www.smh.com/Medicare

 

Aetna
4630 Woodland Corporate Blvd.
Tampa, FL 33614
Website: aetna.com

Plans Accepted:
Aetna Signature Administrators
Commercial HMO
Commercial PPO
Marketplace/Exchange - QHP
International PPO
Medicare Advantage HMO
Medicare Advantage PPO
Medicare Advantage POS
Workers Compensation

Plans Not Accepted:
Limited Benefit Plans
Short Term Medical Plans
Discount Plans
Better Health Medicaid Plans

Blue Cross & Blue Shield of Florida (BCBS)
532 Riverside Ave.
Jacksonville, FL 32231
Website: floridablue.com

Plans Accepted:
Health Options HMO
Commercial Network Blue
Commercial PPO
Commercial Preferred Patient Care (PPC)
Traditional PPO
Medicare HMO (Specialists Only)
Medicare PPO (Specialists Only)
Marketplace/Exchange-QHP

Centene (Ambetter/Sunshine/Wellcare)
P.O. Box 3070
Farmington, MO 63640
Website: sunshinehealth.com 
Website: ambetterhealth.com
Website: wellcare.com

Plans Accepted:
Florida Sunshine-Child Welfare Specialty Plan
Florida Sunshine-Children’s Medical Services Health Plan
Florida Sunshine-HIV AIDS Specialty Plan
Florida Sunshine-Medicaid HMO
Florida Sunshine-Serious Mental Illness Plan
Florida Marketplace/Exchange-QHP: Ambetter
Medicare Advantage: Wellcare

Cigna
900 Cottage Grove Road
Bloomfield, CT 06002
Website: www.cigna.com

Plans Accepted:
Commercial HMO 
Commercial PPO 
International

Plans Not Accepted:
Limited Benefit Plans
Short Term Medical Plans
Discount Cards- Administered by Aetna

Community Care Plan
1643 Harrison Parkway, Suite H-200
Sunrise, FL 34239
Website: ccpcares.org

Plans Accepted
Florida Medicaid HMO

Coventry Healthcare/First Health
6720-B Rockledge Dr., Suite 800
Bethesda, MD 20817
Website: www.firsthealth.com

Plans Accepted:
Commercial PPO

Plans Not Accepted:
Limited Benefit Plan

Florida Community Care
4601 NW 77th Ave.
Miami, FL 33166
Website: fcchealthplan.com
 
Plans Accepted:
Florida Medicaid HMO
Medicare Advantage HMO
Medicare Advantage PPO

Freedom Health
P.O. Box 151137
Tampa, FL 33684
Website: freedomhealth.com

Plans Accepted:
Medicare Advantage HMO (Specialists Only)
Medicare Advantage PPO (Specialists Only)

Gulf Coast Provider Network (GCPN)/Gulf Coast Provider Select
1700 South Tamiami Trail
Sarasota, FL 34239
Website: gulfcoastprovider.net

Molina Healthcare
8300 NW 33rd St.
Doral, FL 33122
Website: molinahealthcare.com

Plans Accepted:
Florida Medicaid HMO
Florida Medicaid Healthy Kids
Florida Serious Mental Illness Plan
Florida-HIV AIDS Specialty Plan

Optimum Healthcare
P.O. Box 151137
Tampa, FL 33684
Website: youroptimumhealthcare.com

Plans Accepted:
Medicare Advantage HMO (Specialists Only)
Medicare Advantage PPO (Specialists Only)

Oscar Health Insurance
75 Varick St.
New York, NY 10013
Website: hioscar.com

Plans Accepted:
Marketplace/Exchange-QHP

Simply Healthcare
9250 West Flagler St.
Miami, FL 33174
Website: simplyhealthcareplans.com

Plans Accepted:
Florida Healthy Kids
Florida HIV AIDS Specialty Plan (Clear Health Alliance)
Florida Serious Mental Illness Plan
Florida Medicaid HMO
Medicare Advantage HMO
Medicare Advantage PPO

TRICARE East Region
P.O. Box 8923
Madison, WI 53707-8923
Humana Military Website: humanamilitary.com
Tricare Website: tricare.mil
Note: TRICARE provides several health plans for services members, military retirees and their families

Plans Accepted:
Tricare Prime
Tricare Select
Tricare For Life

Plans Not Accepted:
US Family Health Plan
 

United Behavioral Health (UHC/Optum)
11000 Optum Circle
Eden Prairie, MN 55344
Website: optum.com

Plans Accepted:
Commercial
Medicare Advantage
Medicaid
Marketplace/Exchange-QHP: UnitedHealthcare & Oscar Health (Behavioral Health)

UnitedHealthcare
3000 Bayport Dr., Ste 1170
Tampa, FL 33634
Website: myuhc.com

Plans Accepted:
Commercial HMO
Commercial PPO
Marketplace/Exchange-QHP: Compass
Medicare Advantage HMO
Medicare Advantage PPO
Surest

Plans Not Accepted:
Florida Medicaid HMO
Limited Benefit Plans
Discount Card
Short Term Benefit Plans
Freedom Life
 

Veteran’s Affairs Community Care Network (VACCN)
Optum Public Sector Solutions, Inc.
790 Shiloh Rd.
Plano, TX 75074
Website: va.gov

First Physicians Group may not be contracted with every product for every health insurer listed, nor at every FPG office location. Please call your health plan for specific information.

For billing questions, please call the Central Billing Office at (941) 917-2600.

For questions regarding Anesthesia billing, please call Prosper’s customer service number at (800) 645-4049.

Your rights and protections against surprise medical bills – When you get emergency care or get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing. For more information, click here.

Under the law, patients who do not have insurance or are not using insurance have the right to receive a “Good Faith Estimate” detailing the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment and hospital fees. For more information, click here.

Patient Portal

A password-protected Web portal that gives you 24-hour access to certain personal health information from your FPG medical record. For urgent requests, phone your doctor’s office.

Call 911 for emergencies.