Specialty Eye Associates
BRAD D. SIMONS, MD, PHD, PA
AETNA: PPO (POS AND HMO WITH REFERRALS)
AMERIGROUP: PRIMARY PLUS NEEDS R #, SUMMIT CARE, MEDICAID
AVMED: COMMERCIAL/HMO NO REFERRAL
BEECHSTREET: PPO
BCBS: PPO, BLUE CHOICE , HEALTH OPTIONS (NEEDS EMI REF), MEDICARE ADVANTAGE PPO HEALTHY KIDS
BCBS (EMI HEALTH OPTIONS): ONLY KIDS AND ADULTS WITH STRABISMUS (EYE MUSCLE PROBLEM)
CMS (CHILDRENS MEDICAL SVS):
CHAMP VA: NO REFERRAL
CIGNA: PPO, POS, GOLDEN RULE AND HMO WITH REFERRAL
EMPLOYERS MUTUAL/WEBTPA MARTIN COUNTY: WITH REFERRAL
FIRST HEALTH: PPO
GREATWEST HEALTHCARE: PPO
HEALTH EASE MEDICAID: NEEDS REFERRAL WITH PREMIER
HEALTHY KIDS MEDICAID: MARTIN COUNTY AND NORTH
HUMANA: PPO, HMO WITH REFERRAL, MEDICAID, EPO (EXCEPT MEDICARE AND MEDICAID HMO’s)
MEDICAID, MEDIPASS & MEDIKIDS: NEED PROVIDER MEDICAID NUMBER
MEDICARE:
MOLINA HEALTH CARE (part of EMI/BCBS Health Options) PHCS/WEBTPA: PPO/M.MEM PTS NEEDS REF/SCHOOL BOARD OK PREMIER (PALM BEACH COUNTY): STAYWELL MEDICAID WELLCARE MEDICAID/MEDICARE
PREMIER (MARTIN COUNTY & NORTH): STAYWELL MEDICAID WELLCARE MEDICAID/MEDICARE HEALTHEASE MEDICAID PRIMARY PLUS: AMERIGROUP AVMED
SOUTH FLORIDA (SF) PREPAID: MEDIACCESS
STAYWELL: NEEDS REFERRAL WITH PREMIER
STAYWELL KIDS (Martin County/PSL county); WITH PREMIER
UNITED HEALTHCARE: OXFORD, PPO, UHC GOLDEN RULE, NEIGHBORHOOD HEALTH
(EXCEPT MEDICARE AND MEDICAID HMO’S & TENET HEALTHCARE---NON-PAR, OUT-OF-NET)
WEB/TPA: except MARTIN MEMORIAL (NON-PAR OUT-OF-NET)
WELL CARE ONLY: NEEDS REFERRAL WITH PREMIER
SOUTHCARE: FIREFIGHTERS
TRICARE AND TRICARE FOR LIFE: (NO TRICARE PRIME HMO)
DUE TO RESTRICTIONS SET FORTH BY THE INSURANCE COMPANIES WE ARE NOT ABLE TO PARTICIPATE IN THE FOLLOWING INSURANCES:
ADVANTAGE HEALTH CARE, FLORIDA KID CARE ONE SOURCE/CBCA
ANY QUESTIONS PLEASE DO NOT HESITATE TO CALL
INSURANCE AS OF JUNE 2010
561 747 EYES (3937)
