Contracted Plans – Commercial

• Aetna HMO and QPOS Plans. PCP Referrals Required
• Aetna PPO and POS Plans
• Allegience
• Allsavers (A UHC Healthchoice Product)
• Ambetter (A Market Place Plan)
• Anthem BCBS
• AVMED
• BCBS – All Out of State Plans
• CIGNA HMO, PPO, POS – HMO Needs Paper Referral from PCM
• FHHS – Florida Hospital/Advent Health Plan
• Florida Blue Traditional HMO – Referral Not Required
• Florida Blue My Blue – Prefix VMYH Requires a Referral
• Florida Blue Pro
• Golden Rule (A UHC Choice Plus Plan)

• HealthFirst Health Plan
• Humana HMO – PCP Referral Required
• Humana Premier HMO – No Referral Required
• Humana PPO
• HCPS/Multiplan
• Meritain
• Oscar – Market Place Plan
• Prestige
• Prime Health Services
• Tricare Standard and Prime – Need PCM Referral
• Tricare Select
• UMR (Part of UHC Choice Plus)
• UHC Commercial Plans
• VA – Veterans Administration

Contracted Plans – Medicare Advantage

• Aetna Coventry HMO – No Longer Needs Referral
• Aetna Medicare PPO/HMO. HMO Requires PCM Referral
• Allwell MCR HMO –  Check to See if Referral is Required
• Florida Blue Medicare PPO and HMO. HMO Requires PCM Referral
• Freedom Health MCR HMO – Needs PCM Referral
• Humana Pro
• Humana Gold Plus – Needs PCM Referral

• Longevity PPO
• CarePlus HMO – Requires PCM Referral
• Optimum Health Care – Requires PCM Referral
• Oscar – No Referral Required
• Optim Healthcare – Requires PCM Referral
• Simply Healthcare Medicare
• United WellMed HMO and PPO – HMO Needs PCM Referral

Contracted Plans – Medicaid

• Aetna Better Health Medicaid
• Florida Medicaid
• Florida Medicaid Share of Cost
• StayWell – Needs PCM Referral

• Simply Medicaid – Needs PCM Referral
• Sunshine State Plans
• Hillsborough City Assistance – Needs Referral from the PCM via KEPRO

• Baycare Health System Plans
• BrightHealth
• CIGNA “Local” Plans
• Devoted Health Plan

• Humana Medicaid
• UHC Medicaid
• UHC Medicare/AARP PPO/HMO Plans – PPO Can be Seen with Higher OOP Expense