Managed Care Plans

Shands HealthCare is contracted with the following managed care plans; however, some facilities may not participate with each plan.

This list is also not a guarantee of network participation with any payor. All patients desiring to access Shands HealthCare for treatment should verify network participation at time of scheduling appointment.

Aetna:
HMO/PPO, ASA, EPO, Behavioral Health

AvMed HMO/POS/EPO

Blue Cross Blue Shield of FL:
PPO/PPC, BlueChoice, Network Blue – Blue Options, Health Options HMO-Blue Care

Capital Health Plan HMO
& Behavioral Health

CIGNA Healthcare of FL:
HMO/Network/POS/PPO/EPOOpen Access Plus
HMO Open Access/ Network Open Access/ POS Open Access/Strategic Alliance

Humana:
HMO, POS, PPO, EPO & Indemnity, Commercial, UF-COM

United Healthcare of FL
(Oxford, Golden Rule, PacificCare)

UHC Healthy Kids

Worker Comp (WC) Payors
BCBSFL – OptaComp
Choice Managed Network
f/k/a Choice Medical Management
CorVel Healthcare
Heritage Summit – (HomeCare)
Veterans Health System

Transplant (TX) Payors
Aetna
American Health Holding
Blue Cross Blue Shield of FL:
(PPO/PPC /BlueChoice
Network Blue – Blue Options
Health Options HMO-Blue Care)
Cigna Lifesource
Coventry-SouthCare PPO
First Health Network PPO
Fringe Benefit Coordinators
Health First Health Plan
Humana National TX Network (NTN)
Interlink
LifeTrac
OptumHealth f/k/a URN (United)
Special Risk International (SRI)
Tethys

Other Contracted Payors:
Archbold Medical Center Employee Medical Plan
Averde Health PPO
ChoiceCare Network PPO/ASO/EPO
Circana Health Passport
Coventry-SouthCare PPO
Disney Cruise Line for its employees
Evolutions Healthcare PPO
First Health Network PPO
First Service Administrators TPA
Florida Health Care Plan HMO
Florida Hospital Healthcare System-TPA
Fringe Benefit Coordinators-TPA PPO
Health Choice PPO
Health Management Network PPO
Health First Health Plan HMO
Health Management Network PPO
Medical Partners of America (MPA) PPO Multiplan PPO (includes PHCS PPO)
NovaNet PPO
UMR (Shands Jax Employees-see United Health Care)
University Athletic Association for student athletes
Vista Health Plan HMO f/k/a Health plan Southeast: (Healthy Kids & Peds After Hours)
Volusia Health Network PPO

Behavioral Health Only Payors
LifeSynch
Mental Health Associates
PsychCare (AvMed members only)
United Behavioral Health

Government Payors
Alachua County Sheriff/ Prison Health Services
Alachua County Social Services
Camden County
Haven Hospice of North Central FL
Health Care District of Palm Beach County
Ped-I-Care

Medicaid Payors
First Coast Advantage (FCA) PSN
First Coast Advantage Central (FCAC) PSN
HealthEase/Wellcare (referral only)
Vista Health Plan–Buena Vista (referral only)

Medicare Advantage Payors
Capital Health Plan HMO & Transplants
Florida Health Care Plan HMO
Freedom Health
Health First Health Plans HMO
Humana Medicare Advantage
Optimum Healthcare
USA Senior Care Supplement
Vista Medicare-Summit (referral only)
WellCare

Information

For more information about this program or to see if Shands HealthCare is contracted with your managed care plan, please use our secure online form or call the Manager of Network Development at 352.265.8046.

Information

For Healthcare Professionals