Practice Policy Update regarding COVID-19

Insurance

What to Bring to Your Appointment

Please bring the following with you to your appointment or surgery:

  • Insurance card
  • Copies of x-rays or MRI scans related to your current condition
  • A referral number, if required, by your health insurance company.

Professional Fees

Our fees are based on the services performed by our physicians. Payment is expected at the time of your visit with us and can be made with cash, check, or MasterCard, Visa, American Express or Discover credit cards. Should payment be a cause of financial concern for you, arrangements can be made in advance with one of our patient account representatives.

Referrals

Some insurance companies require a referral from your primary care physician before seeing a specialist. If your insurance carrier requires a referral, please make sure you have obtained this referral number prior to your appointment.

Insurance Co-Payments and Deductibles

Our physician specialists have arrangements with several insurance plans for direct payment of your medical costs to Fort Lauderdale Orthopaedics & Sports Medicine. Because participation with insurance carriers changes periodically, please contact the office if your insurance carrier is not listed. Those insurance plans currently include:

ORTHO FLORIDA CONTRACTED INSURANCE CARRIERS

  • Aetna
    • Gated Health Benefit Products
      • HMO
      • QPOS
      • Elect Choice
      • POS
      • Aetna Choice POS II
      • Aetna Select
    • Non-Gated Health Benefit Product
      • Open Choice PPO
      • National Advantage
    • Aetna Medicare Advantage
      • Aetna Golden Medicare Plan
      • Aetna Golden Choice Plan
    • Aetna Align Networks (for physical therapy)
    • Includes Aetna FL W/C
  • Avmed (Some LOB’s require hospital affiliation)
    • Commercial HMO
    • Self-Funded
    • POS
    • Choice
    • Avmed Medicare Advantage (Dade & Broward Counties Only) (MCR assignment plans are driven by Dr’s hospital affiliation)
    • Healthcare Exchange: Engage & Empower
  • BCBS
    • (non-par with Blue Select HMO)
    • BCBS PPC / PPS (PPO)
    • BCBS POS
    • BCBS Health Options
    • BCBS Medicare Advantage
    • Simply Blue HMO (eff 1/1/20)
    • Healthcare Exchange
  • Care Plus (Optional)
  • CIGNA
    • Cigna Local Plus Network eff 7/1/18
    • Cigna OAP
    • Cigna PPO
    • Cigna HMO
    • Cigna Health Springs 95% (Pensacola Only) eff 6/18/18
    • Cigna Connect Network (FL EPO Connected/PBC) eff 1-1-20
  • Coventry
    • Commercial HMO
    • Commercial POS / Open Access
    • Self-Insured
    • PPO
    • Coventry Medicare Advantage
    • First Health Network
    • Carelink Healthcare Exchange
    • Includes Conventry W/C Network
  • Doctors Healthcare Plans(Broward & Dade)
  • Humana (Optional)
    • N/A for Pain Management
    • Commercial PPO
    • Commercial HMO
    • Commercial POS
    • Commercial EPO
    • Medicare PPO
    • Medicare POS
    • Medicare Network PFFS Plans
    • Medicare HMO (Excluded for Hillsborough, Pasco & Sarasota)
    • Humana Family – Medicaid HMO
    • Traditional Plans
    • Commercial HUMx Plans (South Florida “Only”)
    • NON-Par w/ Huaman Gold
  • Medica(Miami Dade County Only) eff 7/1/18 (Not for Pain Mgmt)
  • Medicare Part B
  • Medicare /Palmetto GBA of Alabama eff 3/1/18
  • MedIncrease
  • Memorial Health (Requires affiliation to any of the Memorial hospitals in Broward County)
  • Molina (Requires Medicaid affiliation)
    • Medicare Advantage (Molina Medicare Options)
    • MA-SNP (Medicare Options and Molina Medicare Options Plus)
    • Marketplace Plans
    • Medicaid
  • Multiplan(PHCS)
    • Includes W/C Network
  • Preferred Care Partners eff 4/1/18 (Not for Pain Mgmt)
  • Simply Healthcare(No MCR in Palm Beach County)
    • Medicare Advantage
    • Health Alliance
  • Tenet Advantage Health Network (Based on Tenet hospital affiliation in Palm Beach, Broward & Dade Counties)
  • UHC
    • Options PPO
    • UHC Medicare Advantage
    • Healthcare Exchange: Compass, Navigte & Core
  • Work Comp
    • Aetna FL WC
    • Choice/Genex Provider Network (Sports Medicine panels closed in Dade County)
    • Corvel FL WC
    • Coventry FL WC
    • Dimension WC
    • Encompass FL W/C – DBA Paradigm
    • Heritage/Summit FL WC (Requires malpractice. Bare sheets not accepted.)
    • Prime Health Services PHS Tier II FL WC
    • Procura
    • Multiplan FL WC
    • One Call WC – (Express MD FL) (Requires malpractice limits of 1M/3M. Not approving with (250K/750K)
    • One Net W/C/ UHC W/C
    • Rockport FL WC
    • Summit W/C

Provider’s may elect to continue to bill under own individual tax id:

  • Medicaid of Florida
  • Tricare
  • VA-Dpt of Vertan Affairs
  • Best Choice
  • Wellcare

Please note that very few insurance companies pay all the costs associated with your medical care. Most will have some type of deductibles, co-pays, or other guidelines. Nevertheless, the entire medical fee is your responsibility.

We do file insurance claims with most insurance carriers. However, our contract to provide your medical care is with you and not your insurance company. Therefore, you are responsible for full payment of your account with us for whatever your insurance does not cover. Not all insurance companies send your benefit payment directly to us. Consequently, you may be asked to pay for your office visits at the time of your appointment with us. All co-payments required by your insurance company should be paid at the time of your visit with us.

Work-Related Injuries

Insurance companies require that you report work-related injuries to your employer before you seek medical attention. All medical care and treatment must receive prior authorization by the employer or the workers’ compensation carrier.

Get your life back. Make an appointment with one of Broward County’s leading orthopaedic specialists by calling Fort Lauderdale Orthopaedics & Sports Medicine today at (954) 764-8033. Or make an appointment online using our convenient “Request an Appointment” form.

FLOASM1414 South East 3rd AvenueFort Lauderdale, FL 33316

Call: (954) 764-8033

Office Hours: Mon-Fri, 9:00 AM - 4:30 PM

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Credibility Links

  • The Arthroscopy Association of North America (AANA)
  • Broward County Medical Association
  • American Orthopaedic Society for Sports Medicine
  • Florida Orthopedic Society