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 Company
Link
6 Degrees Transplant
Active Care Management
Aetna
Allianz TIC Select
AllNation Insurance Company
American Health Holding
American Pioneer Health Plans
Amerigroup Florida, Inc.
Assist Card International
AvMed
AXA Assistance USA
Beacon Health Strategies
Best Doctors Insurance
Better Health
Care Management Network a.k.a. Canadian Medical Network
CarePlus Health Plans
Cenpatico Behavioral
Childrens Medical Services (managed by South Florida Community Care Network (SFCCN))
ChoiceCare Network
Citrus Health Network
Comprehensive Behavioral Care
ComPsych
Concordia Behavioral Health
CorVel
Coventry Health Care
Dimension Health Plans
Dr. Colin Plotkin & Sons Consulting
Federal Assist
Florida Blue
Florida Health Administrators
Florida Health Solutions HMO Company
Galaxy Health Network
Global Excel Management
Global Health Claim Services
Global Maritime Medical Management
Global Medical Management
Health Management Network
Health Systems International
Healthsun Health Plans
Heritage Summit Healthcare
Horizon Behavioral
Humana
Humana Military
Integrated Health Plan
Interlink Health Services
International Health Insurance a.k.a. BUPA
International Healthcare Administrator n.k.a. Lynkpay
Leon Medical Centers
Leon Medical Centers
Liga Contra Cancer
Magellan Behavioral Health
Magellan Complete Care
Medica Healthcare
Mental Health Network (MHNet)
Multiplan
Neighborhood Health Partnership (NHP)
New Directions Behavioral Health
Optum – United Behavioral Health
Positive Healthcare Partners
Preferred Care Partners
Prestige Health Choice
Private Healthcare Systems
PsychCare (now Beacon Health Options)
Quality Health Management
Redbridge Network & Healthcare
Rockport Community Network
Sanus Health
Simply Healthcare Plans
South Florida Community Care Network
Speciality Care Management
Star Healthcare Network
Sunshine State Health Plan
Three Rivers
United Healthcare Plans of Florida
USA Medical Services (d/b/a BUPA)
USA Senior Care
ValueOptions
Vitas Healthcare
VUMI – National Healthcare Solutions
Wellcare HMO of 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

Specialty
Group
Name
Phone Number
Business Address
Multiple
UHealth – University of Miami Health System
(305) 243-4000
1295 NW 14th St, Miami, FL 33136

 

 

 

Jackson North Medical Center

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

Jackson South Medical Center

Specialty
Group Name
Tax I.D.
Contact Person
PhoneNumber
Business Address
Billing Address
Specialty
Anesthesiology
Group Name
University of Miami
Tax I.D.
59-2579824
Contact Person
Dr. David Lubarsky
Phone Number
(305) 243-6347
Business Address
1500 NW 12th Ave., JMT 11 Floor W, Miami, FL 33136
Billing Address
P.O. Box 025810, Miami, FL 3310
Specialty
Neonatal-Perinatal Medicine
Group Name
University of Miami
Tax I.D.
59-2579927
Contact Person
Dr. Hernando Lluberes/Aleida Name
Phone Number
(305) 585-6408
Business Address
9333 SW 152nd Street, Miami, FL 33157
Billing Address
P.O. Box 016960, Miami, FL 33101
Specialty
Pathology
Group Name
University of Miami
Tax I.D.
59-2695890
Contact Person
Josh Yelen
Phone Number
(305) 243-2683
Business Address
1611 NW 12th Ave., ET 2nd Floor, Miami, FL,33136
Billing Address
870 U.M Gables 1 Tower, 1320 S. Dixie Highway Coral Gables, FL 33146
Specialty
Radiology – Inpatient
Group Name
Century Radiology
Tax I.D.
46-0910272
Contact Person
Dr. Alex Alonso/Complete Medical Billing Service
Phone Number
(954) 432-0578
Business Address
Billing Address
Specialty
Radiology – Outpatient
Group Name
Century Radiology
Tax I.D.
46-0910272
Contact Person
Dr. Alex Alonso/Complete Medical Billing Service
Phone Number
(954) 432-0578
Business Address
Billing Address

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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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Charge Master Introduction

Like all American hospitals, Jackson Health System maintains a “charge description master,” or chargemaster, which lists every service or supply that can be billed to a patient’s account. Jackson posts this document in compliance with federal regulations, but it is not an effective way to estimate what you will pay for medical care at Jackson.

Why not? Insurance companies, Medicare, and Medicaid all negotiate different rates for services. Moreover, patients generally only pay a portion of those rates through deductibles, co-payments, or co-insurance, while the insurance company, Medicare, or Medicaid pays the balance. Patients without coverage may be eligible for charity care, payment plans, or cash discounts.

Jackson proudly provides free, confidential, customized price quotes for hundreds of our most popular services through our CareQuote program. Click here: www.jhsmiami.org/CareQuote/ for more information about CareQuote or to start the process now.

Information on the hospital’s charge description master can be found here.

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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