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INSURANCE INFORMATION

As of January 1, 2025 we will no longer take Medicare Advantage plans.

At Eye Care Associates of Sarasota, our patients are at the center of everything we do and your trust is very important to us. Sharing information is one way that ensures we continue to be  trusted partners for your eye health needs. We want to inform you of some changes that will be taking place and the reasons behind these changes.

As of January 1, 2025 we will no longer take Medicare Advantage plans of any kind. We will continue to accept  Traditional Medicare with or without a secondary plan. Because you are an established patient, we will continue to accept your present plan for 2024.

Many retirees who enroll in a Medicare Advantage plan do so for the low-cost premiums and “extra benefits” they are promised. A sizable percentage of those retirees do not understand that they are signing over their Medicare benefits for Parts A & B to a private insurance company. 

Medicare advantage plans are not Medicare. These are private insurance companies who are paid a set amount by Centers for Medicare Services for each patient they enroll. The more people these private insurers sign up the more money they make from Medicare. Unfortunately, these companies do not pay physicians the same as Medicare would. The “extra benefits” these plans promise are paid for with additional co-insurance charges or denials for other care.

Over the past 2 years there has been an explosion of Medicare replacement plans, each one has its own rules and regulations. Some of these plans are regional, which means we could be out of network, others are hidden HMO’s and need prior authorizations and/or referrals. We can no longer keep up with the administrative burden that all these plans cause.

We are sorry for any inconvenience these changes may cause you. We appreciate your faith and trust in us and thank you for the opportunity to serve your healthcare needs.

 Please understand that it is YOUR responsibility to know how YOUR plan works, ie: if you need authorization or have out of network benefits, etc.


Medicare

We no longer accept         MEDICARE 
ADVANTAGE PLANS

We DO participate in Regular Medicare.

         
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Medicaid and Veteran's

Medicaid Plans

Full Medicaid w/ Gold card
Medically Needy/Share of Cost

We are out of network with Staywell, Prestige, Sunshine and Molina HMO’s, Freedom Health Dual and Optum
Veteran’s Services

Healthnet Federal Services =Need Authorization
Tricare For Life

Private Plans

                       
      
We are out of network with:
ALL United Healthcare Plans
   All CIGNA and UMR Plans
 Blue Cross/Blue Shield HMO’s, 
Anthem BCBS Private  
Blue Select Marketplace Plan
Golden Rule
Humana Gold Plus HMO.
Multiplan PPO, Multiplan Value Point 
Multiplan Health EOS, Beech Street
Av-Med Choice, Empower Plans, Engage Plans, all other Av-Med plans Equian Provider Network, Advantica, Optimum and Freedom Healthcare, ​​​​​​​
 Aetna Marketplace Plans    THESE NEED AUTHORIZATION FROM YOUR PCP          
Silver CoPay Savings Plus HMO
 Bronze CoPay Savings Plus HMO
Bronze HSA Savings Plus HMO
 Catasrophic Savings Plus HMO
Gold CoPay Savings Plus HMO
Silver CoPay Savings Plus HMO
 Aetna Private Plans
Bronze Ded Only HSA MC PD
 Aetna Classic 3500 PD
Silver CoPay 2950 Savings HMO
 Bronze CoPay Savings Plus HMO
Bronze HAS Savings Plus HMO 
Catastrophic Savings Plus HMO
Catastrophic MC PD Gold Savings Plus HMO
Aetna Open Access Network​​​​​​​         
 BCBS Private Plans 
Bllue Card PPO and EPO
Blue Options Traditional
​​​​​​​Blue Card Traditional
BCBS FEP (Federal)
BC Preferred Patient Care Temp Ins Protection 
Humana Private Plans
Humana PPO / POS / EPO/ HMO
Humana Traditional​​​​​​​
OTHER PLANS
Meritain
WebTPA  -needs authorization after 3 visits to same KIND of specialist
Manatee Health “Your Choice”
​​​​​​​Healthsmart Accel 
Healthsmart Preferred,
Healthsmart Payors Org-HPO
MultiPlan- May need Aurhorization
Multiplan Complimentary
Multiplan Limited Benefit Plan
Integrated Health Plans-Now Multi Plan  
PHCS
PHCS for practitioners
PHCS Healthy Directions
PHCS Savility PHCS Specific Services Plan
AV-Med JHS-Elite (may need auth) Av-Med MDC Elite (may need auth)
 
           
We do accept Self Pay patients.
      


PATIENT PAYMENTS
Security
We take precautions to protect your information. When you submit sensitive information via the website, your information is protected both online and offline. Wherever we collect sensitive information (such as credit card data), that information is encrypted and transmitted to GoEmerchant.com in a secure way.
You can verify this by looking for a lock icon in the address bar and looking for "https" at the beginning of the address of the Web page. While we use encryption to protect sensitive information transmitted online, we also protect your information offline. Only employees who need the information to perform a specific job (for example, billing or customer service) are granted access to personally identifiable information. We will not store your credit card information on this site. We do not advertise, use cookies or log data, nor will we  track or sell your information. The security of your Personal Information is important to us, but remember that no method of transmission over the Internet, or method of electronic storage, is 100% secure these days. While we strive to use commercially acceptable means to protect your Personal Information, we cannot guarantee its absolute security. If you prefer not to use this service, you can mail us a check or stop by the office to pay in person.
 If you feel that we are not abiding by this privacy policy, you should contact us immediately at 941-957-4216 or via email @ tschwartz@srqeyecare.com
PLEASE BE AWARE YOU WILL BE REDIRECTED TO RECTANGLE HEALTHCARE PAYMENTS.COM