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Managed Care Plans

Shands 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 for treatment should verify network participation at time of scheduling appointment.

Managed Care Plans – Gainesville

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/EPO Open 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

Payors

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 health care is contracted with your managed care plan, please use our secure online form or call the Manager of Network Development at 352-265-8046.


Managed Care Plans – Jacksonville