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Consumer Information

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As per requirements set forth by the Florida Legislature in HB 221 and HB 1175, Jackson Health System has provided the following information to patients and other visitors.

Health Insurance

Insurance CompanyLink
6 Degrees Transplant www.6degreeshealth.com/#story
Active Care Management www.active-care.ca
Aetna www.aetna.com
Allianz TIC Select www.allianz-assistance.ca/en/
AllNation Insurance Company www.gbg.com/#/Home
Ambetter www.ambetter.sunshinehealth.com/
American Health Holding www.americanhealthholding.com/
American Pioneer Health Plans www.amerpion.com
Amerigroup Florida, Inc. www.amerigroupcorp.com
Assist Card International www.assistcard.com
AvMed www.avmed.org
AXA Assistance USA www.axa-assistance.us
Beacon Health Strategies www.beaconhealthstrategies.com/  
Best Doctors Insurance www.bestdoctorsinsurance.com/df/en/
Better Health www.betterhealthflorida.com
Care Management Network a.k.a. Canadian Medical Network www.canadianmedicalnetworks.com
CarePlus Health Plans www.careplushealthplans.com 
Carnival Cruise Lines jobs.carnival.com/article/employeebenefits
Catholic Hospice http://www.catholichealthservices.org/
Cenpatico Behavioral www.cenpatico.com/
Childrens Medical Services (managed by South Florida Community Care Network (SFCCN)) www.floridahealth.gov/AlternateSites/CMS-Kids
ChoiceCare Network https://www.choicecarenetwork.com/
Cigna www.cigna.com
Cigna Behavioral apps.cignabehavioral.com/home.html 
CIGNA Lifesource (Transplant) cignalifesource.com/transplant-network/index.html 
Citrus Health Network www.citrushealth.org/#/help 
Clear Health Alliance www.clearhealthalliance.com/index.html 
Comprehensive Behavioral Care www.cbhcare.com/ 
ComPsych www.compsych.com/ 
Concordia Behavioral Health www.concordiabh.com/ 
CorVel www.corvel.com/ 
Coventry Health Care chcflorida.coventryhealthcare.com 
Dimension Health Plans www.dimensionhealth.com/
Dr. Colin Plotkin & Sons Consulting www.plotkinconsulting.com/ 
Federal Assist www.road-america.com/ 
First Health firsthealth.coventryhealthcare.com/ 
Florida Blue www.floridablue.com/
Florida Health Administrators www.fhatpa.com/aboutus.htm 
Florida Health Solutions HMO Company www.fhshmo.com
Freedom Health www.freedomhealth.com/medicaid/resources 
Galaxy Health Network www.galaxyhealth.net/ 
Global Excel Management www.globalexcel.com/ 
Global Health Claim Services www.globalhealthclaims.com/ 
Global Maritime Medical Management globalm3.com/ 
Global Medical Management www.gmmi.com/ 
Health Management Network www.hma-inc.com/welcome/index.html 
Health Systems International us-hsi.com/hsi/default.aspx 
Healthsun Health Plans www.healthsun.com/
Heritage Summit Healthcare www.summitholdings.com/wc/
Horizon Behavioral horizonbehavioral.com/home
Humana www.humana.com
Humana Military www.humanamilitary.com/
Integrated Health Plan www.ihplan.com/
Interlink Health Services interlinkhealth.com/
International Health Insurance a.k.a. BUPA http://www.bupasalud.com/asistencia-eeuu
International Healthcare Administrator n.k.a. Lynkpay iha-assist.com/default.asp
Leon Medical Centers www.leonmedicalcenters.com
Life Trac www.lifetracnetwork.com/Default.aspx
Lifesynch www.lifesynch.com/about/company_information/contact_us.asp
Liga Contra Cancer www.ligacontraelcancer.org/
Magellan Behavioral Health www.magellanhealth.com/home.aspx
Magellan Complete Care https://www.magellancompletecareoffl.com/fl-site/specialty-plan/welcome.aspx
Marriot International www.marriott.com/marriott/aboutmarriott.mi
Medex www.medexassist.com/
Medica Healthcare www.medicaplans.com
Mental Health Network (MHNet) www.mhnet.com/
Molina Healthcare of Florida www.molinahealthcare.com/members/fl/en-US/Pages/home.aspx
Multiplan www.multiplan.com/
Neighborhood Health Partnership (NHP) www.neighborhood-health.com
New Directions Behavioral Health www.ndbh.com/
Optum - United Behavioral Health www.optum.com
OPTUM Healthcare www.myoptumhealthcomplexmedical.com/gateway/public/welcome.jsp
Positive Healthcare Partners positivehealthcare.net/florida/phc
Preferred Care Partners www.mypreferredcare.com/en/home.aspx
Prestige Health Choice www.prestigehealthchoice.com
Private Healthcare Systems www.phcs.com
PsychCare (now Beacon Health Options) www.beaconhealthoptions.com
Quality Health Management www.qhmanagement.com/
Redbridge Network & Healthcare www.redbridge.cc/
Rockport Community Network www.rockporthealthcare.com/
Sanus Health www.sanushealth.com/
Simply Healthcare Plans www.simplyhealthcareplans.com
South Florida Community Care Network www.sfccn.org
Speciality Care Management www.specialtycm.com/
Star Healthcare Network www.starhealthcarenet.com/
Summit Health Plan www.coventry-medicare.coventryhealthcare.com/coventry-health-care-of-florida/
Sunshine State Health Plan www.sunshinehealth.com
Three Rivers www.trpnppo.com/
United Healthcare Plans of Florida www.uhc.com
USA Medical Services (d/b/a BUPA) www.bupalatinamerica.com
USA Senior Care www.usamco.com
ValueOptions www.valueoptions.com
Vitas Healthcare www.vitas.com
VUMI - National Healthcare Solutions www.nationalppo.com
Wellcare HMO of Florida www.wellcare.com/en/Florida

 

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Health Care Industry Billing Practices

Prospective patients should be aware that services may be provided in a Jackson Health System hospital by a healthcare practitioner who may separately bill the patient. Healthcare practitioners who provide services in Jackson Health System hospitals may or may not participate with the same health insurers or HMOs as the health system. Prior to receiving services at a Jackson hospital, prospective patients should contact the healthcare practitioner who will provide services in the hospital to determine which health insurers and HMO plans that practitioner participates in as a network provider or preferred provider. In accordance with HB 221, the names, mailing addresses, and telephone numbers of those healthcare providers and medical practice groups that Jackson contracts with to provide services in our hospitals is available below.

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Hospital Based Provider Groups

The following provider groups are contracted to provide services within our hospital settings. Please contact them directly for billing information, a list of health plans they patricipate in, and other provider questions.

Jackson Memorial Hospital

For Jackson Memorial Main Hospital, hospital based physicians are covered by University of Miami

SpecialtyGroup
Name
Tax I.D.Contact PersonPhone NumberBusiness AddressBilling Address
Multiple UHealth - University of Miami Health System     (305) 243-4000 1295 NW 14th St, Miami, FL 33136  

 

Jackson North Medical Center

SpecialtyGroup
Name
Tax I.D.Contact PersonPhone NumberBusiness AddressBilling Address
Anesthesiology Sheridan Health Corporation 59-0971075 Mauricio Lemoine (954) 838-2704 1613 N. Harrison Parkway Bldg. C, Sunrise, FL,33323 1613 N. Harrison Parkway Bldg. C, Sunrise, FL,33323
Emergency Medicine Duval Emergency Group (subsidiary of Schumaker Group) 27-1036057 Tammy Rice (866) 507-1196 ext 2500 Do their own billing  
      Erin Briggs, Rep for Florida Region (337) 354-1209    
      Lisa Falk,,VP Compliance & Contracting (337) 354-1221    
             
Neonatal-Perinatal Medicine University of Miami 59-2579927 Dr. Hernando Lluberes/Aleida Name (305) 585-6408 160 NW 170th Street, N. Miami Beach, FL,33169 P.O. Box 016960, Miami, FL 33101
Pathology University of Miami 65-0808324 Yu, Hon-Chiu, M.D. (800) 423-9662 160 NW 170th Street, N. Miami Beach, FL,33169 P.O. Box 025483, Miami, FL,33102
Radiology - Inpatient Apexx Radiology of South Florida, LLP   Peter N. Swischuk (305) 654-5221 160 NW 170th Street, N. Miami Beach, FL,33169 4581 Weston Rd Weston, Suite 327, FL 33331-3141
Radiology - Outpatient Apexx Radiology of South Florida, LLP   Peter N. Swischuk (305) 654-5221 160 NW 170th Street, N. Miami Beach, FL,33169 4581 Weston Rd Weston, Suite 327, FL 33331-3141

 

Jackson South Community Hospital

SpecialtyGroup
Name
Tax I.D.Contact PersonPhone NumberLocation of ServiceBilling Address
Anesthesiology University of Miami 59-2579824 Dr. David Lubarsky (305) 243-6347 1500 NW 12th Ave., JMT 11 Floor W, Miami, FL 33136 P.O. Box 025810, Miami, FL 33102
Neonatal-Perinatal Medicine University of Miami 59-2579927 Dr. Hernando Lluberes/Aleida Name (305) 585-6408 9333 SW 152nd Street, Miami, FL 33157 P.O. Box 016960, Miami, FL 33101
Pathology University of Miami 59-2695890 Josh Yelen (305) 243-2683 1611 NW 12th Ave., ET 2nd Floor, Miami, FL,33136 870 U.M Gables 1 Tower, 1320 S. Dixie Highway Coral Gables, FL 33146
Radiology - Inpatient Century Radiology 46-0910272 Dr. Alex Alonso/Complete Medical Billing Service (954) 432-0578    
Radiology - Outpatient Century Radiology 46-0910272 Dr. Alex Alonso/Complete Medical Billing Service (954) 432-0578    
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Financial Assistance Policy

Information on the hospital’s financial assistance policy, including the application process, payment plans and discounts can be found here.

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Charity Policy

Information on the Charity Policy at Jackson Health System can be found here.

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Collection Policy & Procedures

Information on collection procedures can be found here.

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Care Quote

Jackson Health System's Care Quote program provides free price estimates for healthcare services at Jackson facilities. More and more insurance plans require out-of-pocket spending by the patient.

Prices for medical services can vary significantly, even for the exact same procedure in the same area, with the same equipment. Jackson will empower you with information to make an informed decision about your care. Unlike traditional price estimators, which rely on averages, our service checks patients' actual insurance information to provide highly accurate quotes based on their insurance plan design, deductibles, coinsurance, and more. This information will also be useful to patients who don't have health insurance and want to research cash prices.

For a list of Frequently Asked Questions about our program, click here.

To get your free estimate, simply fill out the form here or give us a call at 305-585-CARE (2273) . You will receive your quote within 3 business days.

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AHCA's Consumer Website

Please visit AHCA’s consumer website, www.floridahealthfinder.gov for consumers to access health-related data, quality measures and other statistics disseminated by AHCA.

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