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HCA Florida Healthcare and Aetna

As of August 1, 2021, many HCA Florida Healthcare facilities may no longer be participating providers in the Aetna Medicare Advantage, Commercial and Exchange network.

We are working very hard right now to prevent this from happening, we certainly understand how unsettling this prospect may be for you and assure you we are actively negotiating in good faith to reach an agreement with Aetna. Our goal is to reach a compromise with Aetna so you and your loved ones can continue to have the convenient access you expect at our 49 hospital campuses and other sites of care throughout Florida.

If a compromise cannot be reached by July 31, 2022, our facilities will no longer be part of the Aetna provider network. This means that as a Aetna member, effective August 1, 2022, you may either not have coverage for non-emergency medical services at our facilities, or you may be required to pay higher out-of-network co-pays and deductibles for those services.

You may still be able to receive in-network coverage from Aetna in certain circumstances, including:

  • Treatments previously authorized by Aetna
  • Prenatal care, delivery and postpartum care past 24 weeks
  • Treatment of terminal illness
  • Treatment of disability or acute condition if the treating physician believes not continuing care at our hospital could cause harm.

Whether or not we are able to reach an agreement with Aetna, all patients, including those with Aetna insurance, are always to receive emergency services at our hospitals.

We remain firmly dedicated to providing healthcare services to support the health and Wellness of the people in our community, anywhere you happen to be.

Thank you for your understanding and for the privilege of caring for you and your family.


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Frequently Asked Questions

Yes. Regardless of what happens with the Aetna negotiations, everyone with Aetna insurance still has access to all of our facilities for emergency services. Our facilities, physicians and nurses are here for anyone who needs help in an emergency.

If a new agreement is not reached, then as of August 1, 2022, our facilities will no longer be part of the Aetna provider network. This means that patients with Cigna insurance may either not have coverage for non-emergency medical services at our facilities, or Aetna may require them to pay higher out-of-network co-pays and deductibles for those services. Emergency care, of course, is always available regardless of insurance plans.

You will need to contact your physician’s office directly.
If you have Aetna insurance, the delivery of your baby will be covered if you are at least 24 weeks pregnant as of August 1, 2022.
As far as we know, you will be able to continue any treatment you have already started this year at our hospital that was previously authorized by Aetna. You may wish to contact Aetna directly to find out if we can continue to provide the next phases of your treatment planned for after August 1, 2022.
Yes. We have an agreement with Aetna that does not expire on August 1, 2022 for the ambulatory surgery center, PSG practices, urgent care centers, imaging and cancer centers.
Yes. Our Medical Advantage contract is impacted by our current negotiation.
Yes. If a new agreement is not reached, then as of August 1, 2022, our hospital campuses will no longer be part of the Aetna Medicare Advantage, Commercial and Exchange network. This means that patients with Aetna Medicare Advantage, Commercial and Exchange insurance may either not have coverage for non-emergency medical services at our hospitals, or Aetna may require them to pay higher out-of-network co-pays and deductibles for those services. Emergency care, of course, is always available regardless of insurance plans.

Insurance Coverage

The HCA Florida Healthcare family of facilities are in-network with a number of major insurance providers, including:

Beacon Health Strategies

  • Behavioral Health Network

Better Health

  • Healthy Kids
  • Medicaid HMO

Bright Health Plan

  • Health Insurance Exchange

Careplus

  • Medicare HMO/PPO

CareWorks Managed Care Services (f/k/a Rockport Health)

  • Worker's Comp

Compsych

  • Behavioral Health Network

Concordia

  • Behavioral Health Network

CorVel

  • Worker's Comp

Devoted Health Plan of Florida

  • Medicare HMO/PPO

Evolutions Healthcare Systems

  • Commercial PPO

First Health

  • Commercial PPO
  • Worker's Comp

Florida Blue (BCBS)

  • myBlue
  • Blue Care
  • Blue Options
  • Blue Select
  • Commercial PPO/HMO
  • Medicare HMO/PPO

Florida Community Care

  • Medicaid HMO

Florida Health Care Plan

  • Medicare HMO/PPO

Freedom Health

  • Healthy Kids
  • Medicaid HMO
  • Medicare HMO/PPO

Humana

  • Commercial PPO/HMO
  • Medicaid HMO
  • Medicare HMO/PPO
  • Premier

Humana Behavioral Health (f/k/a Lifesynch)

  • Behavioral Health Network

Humana Tricare

  • Tricare

Longevity Health Plan

  • Medicare HMO/PPO

Magellan

  • Behavioral Health Network (all products)
  • Medicaid HMO (a/k/a Magellan Complete Care)

Molina

  • MarketPlace
  • Medicaid HMO
  • Medicare HMO/PPO

Multiplan

  • Commercial PPO

New Directions

  • Behavioral Health Network

Optimum Healthcare

  • Medicare HMO/PPO

Oscar Insurance Company of Florida

  • Health Insurance Exchange

PHCS

  • Commercial PPO

Plotkin Health

  • International PPO

Prime Health

  • Commercial PPO
  • Worker's Comp

Quality Health Management

  • International PPO

Simply Health Care Plans

  • Clear Health Alliance
  • Healthy Kids
  • Medicaid HMO
  • Medicare HMO/PPO

Solis Health Plans

  • Medicare HMO/PPO

Sunshine Health

  • Allwell
  • Ambetter
  • Behavioral Health Network
  • Medicaid HMO
  • Medicare HMO/PPO

Ultimate Health Plan

  • Medicare HMO/PPO

United Behavioral Health (UBH-Optum)

  • Behavioral Health Network
  • Medicaid HMO/PPO
  • Medicare HMO/PPO

United Healthcare

  • Commercial PPO/HMO
  • Healthy Kids
  • Medicaid HMO
  • Medicare HMO/PPO
  • Worker's Comp

WellCare/Healthease/Staywell

  • Behavioral Health Network
  • Children's Medical Services
  • Healthy Kids
  • Medicaid HMO
  • Medicare HMO/PPO
Because plan enrollments/providers change often, we encourage you to contact your healthcare provider if your health plan is not identified.