Patient Center Insurance & Financial

Insurance Carriers

Important Notice

As a patient, it is in your best interest to know if your plan is contracted with your chosen medical providers. We encourage you to contact your insurance plan for verification and to understand your plan benefits and your responsibility for any deductibles, co-insurance, and co-payment amounts prior to any visit. This list is not meant to be all-inclusive. Riverchase Dermatology may not be at the highest benefit level or participate in every product offering from the health plans listed below.  We recommend contacting your insurance company providing them with the name of your provider and our Tax ID No. 59-3651253 for verification purposes.

Commercial Plans

Accepted in all counties including Collier, Lee, Charlotte, Sarasota, DeSoto, Manatee, Pinellas, Hillsborough, Pasco, Miami-Dade, Broward, Palm Beach. Provider participation varies.

  • Aetna PPO, POS, EPO, HMO – excluding Medicaid, Prime HMO
  • BCBS PPO, POS, EPO
  • Cigna PPO, POS, EPO, HMO – excluding Disney, Local Plus & Leon HealthSprings
  • Humana PPO, POS – excluding HUMx, Corenet & Value
    Tricare East
  • Multiplan Medicare Advantage
  • MultiPlan/PHCS
  • United Healthcare PPO, POS, HMO – excluding OneNet & River Valley
  • US Dept. of Veterans Affairs, Community Care Network (CCN) – must be referred by the VA

Medicaid Plans

Accepted in North Naples, Central Naples, Downtown Naples, Colonial Square Naples, Naples Healthpark, Marco Island, Bonita Springs, Fort Myers South, Fort Myers West, Fort Myers Forum, Cape Coral, Englewood, Sarasota, Venice, North Port Commons, North Port Bobcat & Sun City Center only. Provider participation varies.

  • Aetna Healthy Kids
  • Staywell WellCare Medicaid Replacement

Medicare/Medicare Advantage Plans

Accepted in all counties including Collier, Lee, Charlotte, Sarasota, DeSoto, Manatee, Pinellas, Hillsborough, Pasco, Miami-Dade, Broward & Palm Beach. Provider participation varies.

  • Aetna Medicare Advantage PPO
  • Avmed Medicare Advantage PPO
  • BCBS Medicare Advantage PPO
  • Freedom Health Medicare Advantage HMO
  • Medicare Part B
  • Optimum Health Medicare Advantage HMO
  • United Healthcare Medicare Advantage HMO, including WellMed plans
  • United Healthcare Medicare Advantage PPO, including WellMed plans

Region Specific Plans

Accepted in certain counties/locations. Provider participation varies.

  • AdventHealth Commercial
    • Hillsborough county only
  • AdventHealth Medicare Advantage
    • Hillsborough county only
  • Allegiance Benefit Plan Management
    • Lee & Collier County only
  • Avmed Medicare Advantage HMO
    • Boca Raton & Deerfield Beach only
  • BayCare Medicare Advantage HMO
    • Sun City Center, Parrish, Zephyrhills, St. Petersburg & Tampa Palms only
  • BCBS HMO – excluding MyBlue plans except in Boca Raton & Deerfield Beach
    • All locations excluding Hialeah, Bal Harbour, Mercy Professional Suite 6006/6008, Pembroke Pines & Weston
  • BCBS Medicare Advantage HMO
    • All locations excluding Hialeah, Bal Harbour, Mercy Professional Suite 6006/6008, Pembroke Pines & Weston
  • Beechstreet
    • Venice, Sarasota, North Port Bobcat, North Port Commons, Parrish, Sun City, Zephyrhills, St. Petersburg, Tampa Palms, Clearwater, Pembroke Pines, Weston, Hialeah, Mercy Professional Suite 6008
  • Bright Health
    • Clearwater, St. Petersburg, Tampa Palms & Broward, Miami-Dade & Palm Beach counties only
  • Cigna Connect EPO
    • Collier, Palm Beach & Broward counties only
  • Cigna BayCare Commercial
    • Manatee, Hillsborough, Pasco & Pinellas counties only
  • Coalition America
    • Lee & Collier county only
  • Devoted Medicare Advantage HMO
    • Boca Raton & Deerfield Beach only
  • Doctors Healthcare Plan
    • Mercy Professional Suite 6006/6008 only
  • Evolutions PPO
    • Venice, Sarasota, North Port Bobcat, North Port Commons, Parrish, Sun City, Zephyrhills, St. Petersburg, Tampa Palms, Clearwater, Pembroke Pines, Weston, Hialeah, Mercy Professional Suite 6008
  • First Health
    • Lee & Collier County, Venice, Sarasota, North Port Bobcat, North Port Commons, Parrish, Sun City, Zephyrhills, St. Petersburg, Tampa Palms, Clearwater, Pembroke Pines, Weston, Hialeah, Mercy Professional Suite 6008
  • Great West
    • Venice, Sarasota, North Port Bobcat, North Port Commons, Parrish, Sun City, Zephyrhills, St. Petersburg, Tampa Palms, Clearwater, Pembroke Pines, Weston, Hialeah, Mercy Professional Suite 6008
  • Global Medical Management
    •  Lee & Collier county only
  • HealthSmart
    • Lee & Collier county, Venice, Sarasota, North Port Commons, North Port Bobcat, Parrish, Sun City, Zephyrhills, Englewood
  • Humana HMO – excludes HUMx, Corenet & Value
    • Staff plans in Hillsborough, Pinellas, Pasco, Manatee & Sarasota counties only
      •  All locations excluding Bal Harbour
  • Humana Medicare Advantage HMO
    •  All locations excluding Bal Harbour
  • Imagine Health
    • Broward, Miami-Dade & Palm Beach counties only
  • Innovatus Health-Web TPA
    • Collier & Lee counties only
  • Integrated Health
    • Venice, Sarasota, North Port Commons, North Port Bobcat, Parrish, Sun City, Zephyrhills, Englewood
  • Manasota Preferred Health
    • Venice, Sarasota, North Port Commons, North Port Bobcat, Parrish, Sun City, Zephyrhills, Englewood
  • Medica Medicare Advantage WellMed
    • Broward, Miami-Dade & Palm Beach counties only
  • Memorial Healthcare
    • Broward county only
  • Nova Healthcare
    • Lee & Collier county only
  • Oscar Health Commercial
    • Pembroke Pines, Weston, Tampa Palms, St. Petersburg, Clearwater
  • Oscar Health Medicare Advantage
    • Pembroke Pines, Weston
  • Preferred Care Partners Medicare Advantage HMO
    • Broward & Palm Beach counties only
  • Preferred Care Partners Medicare Advantage HMO WellMed
    • Broward, Miami-Dade & Palm Beach counties only
  • Prime Healthcare
    • Lee county only
  • Prominence Health
    • Palm Beach County only
  • Sarasota Memorial Health-Web TPA
    • Venice, Sarasota, North Port Commons, North Port Bobcat, Parrish, Sun City, Zephyrhills, Englewood, Sarasota
  • Simply Medicare Advantage HMO
    • Broward, Miami-Dade & Palm Beach counties only
  • Three Rivers
    • Venice, Sarasota, North Port Commons, North Port Bobcat, Parrish, Sun City, Zephyrhills, Englewood
  • WellCare Medicare Advantage
    • All locations excluding Pembroke, Weston, Hialeah, Mercy Professional Suite 6006/6008, Bal Harbour
Provider and service location restrictions apply.

Your benefit coverage for care is determined solely by your insurance company and is based on the provisions of your specific medical benefit plan. Please contact the member services department on the back of your insurance card to confirm your in-network access and benefit costs.

Contracted Plans

Riverchase Dermatology will accept assignment if we are a member of the contracted health plan.

Non-Contracted Plans

If your provider does not participate with the insurance carrier, payment is expected in full at time of service.

 

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