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Managed care organizations that contract with Health First

Glossary of common managed care terms 

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Know Before You Go

It is a good idea to contact your insurance company and familiarize yourself with important information before you seek non-emergent services.

Knowing how your insurance company will pay for the services you receive and whether the facility or physician is a participating provider will help avoid unexpected costs later. It is each patient's responsibility to know their insurance contract and which providers participate with their insurance plan.

If you have any questions or concerns regarding what insurance carriers or networks Health First has entered into a contractual relationship with, please call our customer service department 321-434-5400.

For your convenience, you may also contact us via e-mail at info@health-first.org.


Accepted Insurances

Health First Hospitals: Please click on each category to view accepted insurances.

Hospitals

Affordable Care Act

CIGNA (LocalPlus) cigna.com
Coventry ONE CoventryOne.com
Florida Blue (BlueCare & Blue Choice) FloridaBlue.com
Health First Health Plans (Individual Health-First.org/health_plans/
United HealthCare (Compass, Navigate, CORE) UHC.com

Behavioral Health

Magellan Behavioral Health (Palm Bay Hospital and HFMG Hospitalists only) www.magellanhealth.com

Commercial (Excluding Medicaid and Medicare)

Aetna Aetna.com
ChoiceCare ChoiceCareNetwork.com
*Viera Hospial is not contracted
CIGNA cigna.com
Coventry CoventryHealthCare.com
FirstHealth FirstHealth.com
Florida Blue (Blue Care, Blue Choice, Blue Options and Indemnity) FloridaBlue.com
HealthChoice HealthChoiceOrlando.org
Health First Health Plans Health-First.org/health_plans/
HealthSmart HealthSmart.com
Liberty Health Share LibertyHealthShare.org
MutliPlan/PHCS MultiPlan.com
United HealthCare UHC.com

County Programs

Brevard Health Alliance - BHA
Florida Breast & Cervical Cancer Early Detection Program - FBCCEDP
Primary Access To Healthcare - PATH
Space Coast Early Steps

Government

Brain and Spinal Cord Injury, Florida Department of
Champ VA
Disney Cruise Lines (Maritime law)
Humana Military (Tricare) HumanaMilitary.com
Medicare cms.gov
Medicaid ahca.myFlorida.com
Point Comfort
Tricare For Life Tricare.mil/tfl
VA Choice VA.gov
Vocational Rehabilitation, Florida Department of

Medicaid - Managed Medical Assistance (MMA)

AmeriGroup AmeriGroup.com
Molina MolinaHealthcare.com
Prestige PrestigeHealthChoice.com
United HealthCare UHC.com

Medicaid - Specialty

Magellan Complete Care MagellanCompleteCareOffl.com
Ped-I-Care Pedicare.Pediatrics.ed.ufl.edu
Simply Health Plans/Clear Health Alliance ClearHealthAlliance.com
SunShine Health Plans SunShineHealth.com

Medicare Advantage (Medicare Replacement)

Health First Health Plans Health-First.org/health_plans/

Workers Compensation

Aetna Aetna.com
CorVel Corvel.com
Coventry CoventryHealthcare.com
Heritage Summit SummitHoldings.com
MultiPlan/PHCS MultiPlan.com
Prime Health Services PrimeHealthServices.com
Rockport RockportHealthcare.com

Health First Medical Group: Please click on each category to view accepted insurances.

Medical Group

Affordable Care Act

Florida Blue (BlueCare & Blue Choice)
CIGNA (LocalPlus)
Coventry ONE
Health First Health Plans (Individual)
United HealthCare (Compass, Navigate, CORE)

Behavioral Health

Aetna Behavioral Health (Palm Bay Hospital and HFMG Hospitalists only)
CIGNA Behavioral Health (Palm Bay Hospital and HFMG Hospitalists only)
Magellan Behavioral Health (Palm Bay Hospital and HFMG Hospitalists only)
Optum Behavioral Health (Palm Bay Hospital and HFMG Hospitalists only)

Commercial (Excluding Medicaid and Medicare)

Aetna
ChoiceCare
CIGNA
Coventry
First Health
Florida Blue (Blue Care, Blue Choice, Blue Options and Indemnity)
Health First Health Plans
HealthSmart
Liberty Health Share
MutliPlan/PHCS
United HealthCare

County Programs

Brevard Health Alliance - BHA
Florida Breast & Cervical Cancer Early Detection Program - FBCCEDP

Government

Champ VA
Disney Cruise Lines (Maritime law)
Humana Military (Tricare)
Medicare
Medicaid
Point Comfort (WICs only)
Tricare For Life
VA Choice

Medicaid - Managed Medical Assistance (MMA) | *For Specialist providers only

AmeriGroup
Molina
Prestige

Medicaid - Specialty | *For Pediatric Endocrinologist providers only

AmeriGroup
Choice Care
Molina
Ped-I-Care
Prestige Health Choice
SunShine Health Plans
United Healthcare

Medicare Advantage (Medicare Replacement)

Health First Health Plans

Workers Compensation | For Health First Now locations and select Orthopedic providers only

Aetna
CorVel
Coventry
Heritage Summit
MultiPlan/PHCS
Prime Health Services
Rockport

Health First Outpatient & Wellness Home Care: Please click on each category to view accepted insurances.

Outpatient & Wellness: Home Care

Affordable Care Act

Health First Health Plans (Individual)
United HealthCare (Compass, CORE and Navigate)

Commercial (Excluding Medicaid and Medicare)

ChoiceCare
HealthChoice
Health First Health Plans
HealthSmart
Liberty Health Share
MutliPlan/PHCS
United HealthCare

Government

Champ VA
Disney Cruise Lines (Maritime law)
Humana Military (Tricare)
Medicare
Medicaid
Tricare For Life

Medicaid - Managed Medical Assistance (MMA)

AmeriGroup
Molina
Prestige
United Healthcare

Third Party Agreement

 

Medicare Advantage (Medicare Replacement)

Health First Health Plans

Workers Compensation

CorVel
Heritage Summit
MultiPlan
Prime Health Services
Rockport

Health First Outpatient & Wellness Medical Equipment: Please click on each category to view accepted insurances.

Outpatient & Wellness: Medical Equipment

Affordable Care Act

Florida Blue (BlueCare and Blue Choice) (Care Centrix)
CIGNA (LocalPlus) (Care Centrix)
United Healthcare (Compass, CORE and Navigate)

Commercial (Excluding Medicaid and Medicare)

ChoiceCare
CIGNA (Care Centrix)
Florida Blue (Blue Care, Blue Choice, Blue Options and Indemnity) (Care Centrix)
HealthChoice
Health First Health Plans
HealthSmart
Liberty Health Share
MutliPlan/PHCS
United HealthCare

Government

Champ VA
Disney Cruise Lines (Maritime law)
Humana Military (Tricare)
Medicare
Medicaid
Tricare For Life

Medicaid - Managed Medical Assistance (MMA)

AmeriGroup
Molina
Prestige

Medicare Advantage (Medicare Replacement)

Health First Health Plans

Workers Compensation

CorVel
Heritage Summit
MultiPlan
Prime Health Services
Rockport

Third Party Agreement

 

Health First Outpatient & Wellness Hospice: Please click on each category to view accepted insurances.

Outpatient & Wellness: Hospice

Affordable Care Act

Aetna (Non QHP logo)
Florida Blue (BlueCare and Blue Choice)
CIGNA (LocalPlus)
Health First Health Plans
United Healthcare (Compass, CORE and Navigate)

Commercial (Excluding Medicaid and Medicare)

Aetna
ChoiceCare
CIGNA
Coventry/First Health
Florida Blue (Blue Care, Blue Choice, Blue Options and Indemnity)
HealthChoice
Health First Health Plans
HealthSmart
Liberty Health Share
MutliPlan/PHCS
United Healthcare

Government

Champ VA
Disney Cruise Lines (Maritime law)
Humana Military (Tricare)
Medicare
Medicaid
Tricare For Life

Medicaid - Managed Medical Assistance (MMA)

AmeriGroup
Molina
Prestige
United Healthcare

Medicaid - Long Term Care

American Eldercare
Coventry Independent Living Systems
SunShine Health Plans
United Healthcare

Medicare Advantage (Medicare Replacement)

Health First Health Plans

Workers Compensation

CorVel
Heritage Summit
MultiPlan/PHCS
Prime Health Services
Rockport

Health First Outpatient & Wellness Infusion: Please click on each category to view accepted insurances.

Outpatient & Wellness: Infusion

Affordable Care Act

Aetna (Non QHP logo)
CIGNA (LocalPlus) (Care Centrix)
ChoiceCare
Commercial (Excluding Medicaid and Medicare)
Coventry ONE
First Health
Florida Blue (Blue Care and Blue Choice)
Health First Health Plans (Individual)
HealthSmart
MutliPlan/PHCS
United HealthCare (Compass, CORE and Navigate)

Commercial

Liberty Health Share

Government

Champ VA
Disney Cruise Lines (Maritime law)
Medicare
Medicaid
Tricare For Life

Medicare Advantage (Medicare Replacement)

Health First Health Plans

Medicaid - Managed Medical Assistance (MMA) Specialty

Ped-I-Care
Magellan
Simply Health Plans
SunShine Health Plans

Workers Compensation

Aetna
CorVel
Coventry
Heritage Summit
MultiPlan/PHCS
Prime Health Services
Rockport

Health First Joint Ventures (Melbourne Same Day Surgery Center): Please click on each category to view accepted insurances.

Joint Ventures (Melbourne Same Day Surgery Center)

Affordable Care Act

Aetna Aetna.com
Florida Blue (BlueCare & Blue Choice) FloridaBlue.com
CIGNA (LocalPlus) cigna.com
Health First Health Plans (Individual) Health-First.org/health_plans/
United HealthCare (Compass, Navigate, CORE) UHC.com

Commercial (Excluding Medicaid and Medicare)

Aetna Aetna.com
Choice Care ChoiceCareNetwork.com
CIGNA (LocalPlus) cigna.com
Coventry CoventryHealthCare.com
FirstHealth FirstHealth.com
Florida Blue (Blue Care, Blue Choice, Blue Options and Indemnity) FloridaBlue.com
Health First Health Plans Health-First.org/health_plans/
HealthSmart HealthSmart.com
Liberty Health Share LibertyHealthShare.org
MultiPlan MultiPlan.com
United HealthCare UHC.com

Government

Champ VA VA.gov
Humana Military (Tricare) HumanaMilitary.com
Medicare cms.gov
Medicaid ahca.myFlorida.com
Tricare For Life HumanaMilitary.com

Medicaid - Managed Medical Assistance (MMA)

HealthEase WellCare.com
StayWell Wellcare.com
United HealthCare UHC.com
WellCare Wellcare.com

Medicare Advantage (Medicare Replacement)

Florida Blue (Blue Choice Medicare and Blue Options Medicare) FloridaBlue.com
CarePlus HMO CarePlusHealthPlans.com
Humana HMO and PPO Humana.com
United HealthCare UHC.com
WellCare WellCare.com

Workers Compensation

Aetna Aetna.com
Coventry CoventryHealthCare.com
MultiPlan MultiPlan.com
Prime Health Services PrimeHealthServices.com

Health First Joint Ventures (Melbourne GI Center): Please click on each category to view accepted insurances.

Joint Ventures (Melbourne GI Center)

Affordable Care Act

Aetna (Non QHP logo) Aetna.com
Florida Blue (BlueCare and Blue Choice) FloridaBlue.com
CIGNA (LocalPlus) cigna.com
Health First Health Plans (Individual) Health-First.org/health_plans/
United HealthCare (Compass, Navigate and CORE) UHC.com

Commercial (Excluding Medicaid and Medicare)

Aetna Aetna.com
Choice Care ChoiceCareNetwork.com
CIGNA cigna.com
Coventry CoventryHealthCare.com
First Health FirstHealth.com
Florida Blue (Blue Care, Blue Choice, Blue Options and Indemnity) FloridaBlue.com
Health First Health Plans Health-First.org/health_plans/
HealthSmart HealthSmart.com
Liberty Health Share LibertyHealthShare.org
MultiPlan MultiPlan.com
United HealthCare UHC.com

Government

Champ VA VA.gov
Humana Military (Tricare) HumanaMilitary.com
Medicare cms.gov
Medicaid ahca.myFlorida.com
Tricare For Life HumanaMilitary.com

Medicaid - Managed Medical Assistance (MMA)

HealthEase WellCare.com
StayWell Wellcare.com
United HealthCare UHC.com

Medicare Advantage (Medicare Replacement)

Florida Blue (Blue Choice Medicare and Blue Options Medicare) FloridaBlue.com
Health First Health Plans Health-First.org/health_plans/
United HealthCare UHC.com
WellCare WellCare.com

Workers Compensation


Health First participates with and accepts all the Medicare Advantage insurance plans offered by Health First Health Plans. Most Health First providers do not participate with other Medicare Advantage insurance plans. However, Health First will accept other non-participating Medicare Advantage insurance plans under the following circumstances:

  • For all emergency related services
  • For all elective services provided the patient has appropriate out of network benefit coverage and is willing to pay the out of pocket amount
  • For all elective services that the non-participating Medicare Advantage insurance plan will authorize out of network