Jane Dotson
Orlando Health Network is the largest and most well-established provider network in its locality and is also ranked among the largest and highest-performing networks nationwide. Orlando Health has partnerships with several insurance companies, including Sunshine Health, UnitedHealthcare, and Simply Medicaid. The topic to be discussed here is what insurance Medicaid plan Orlando Health accepts.
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What You'll Learn
Orlando Health Network Insurance Plans
The Orlando Health Network is one of Central Florida's most comprehensive healthcare networks, offering a wide range of insurance plans to its patients. Since its launch, the network has saved its patients and insurance plans over $495 million in healthcare spending, demonstrating its commitment to delivering a patient-centred experience. Today, the Orlando Health Network manages the care of more than 340,000 individuals in value-based contracts, making it one of the largest and most well-established provider networks in the region.
The network has cultivated relationships with a diverse range of payer partners, ensuring that patients have access to high-quality healthcare options. Among the accepted insurance plans are the Orlando Health Team Member Health Plan, Prime Health Services, Private Healthcare Systems (PHCS) - Commercial PPO Only, and Rockport Healthcare Group (CareWorks). Orlando Health Network also accepts Medicaid and Medicare plans, including Sunshine Health Medicaid, UnitedHealthcare Medicaid, and Solis Health Plans Medicare Advantage.
For those seeking exclusive offerings, the Orlando Health Network has partnered with Aetna Whole Health to provide an exclusive ACO partnership spanning the broader Orlando marketplace. Additionally, the Disney Orlando Health Cast Advantage HMO is offered for individuals in the broader Central Florida marketplace. These partnerships further enhance the comprehensive nature of the Orlando Health Network's insurance offerings.
The network also caters to a range of specific needs, such as travel insurance through Travel Insurance Services International and military healthcare through Tricare - Humana Military. With its extensive list of accepted insurance plans, the Orlando Health Network strives to make quality healthcare accessible to a diverse patient population. By accepting a wide range of insurance plans, the network ensures that individuals from various backgrounds can access the healthcare services they require.
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$43.71 $49
Aetna Whole Health exclusive ACO partnership
Orlando Health and Aetna have announced an accountable care collaboration and the introduction of Aetna Whole Health, a new commercial health care product. This collaboration will offer employers a healthcare model that improves quality, efficiency, and patient experience, while also controlling costs.
Aetna Whole Health will be available to fully insured and self-funded employers with more than 100 employees in Lake, Orange, Osceola, and Seminole counties, as well as employers with 5-100 employees. Members will have access to highly coordinated care from approximately 2,700 providers, including more than 400 primary care physicians and 2,300 specialists, eight hospitals, and nearly a dozen urgent care centres and walk-in clinics.
The agreement features a new payment model that rewards providers for meeting quality, efficiency, and patient satisfaction measures. This includes the percentage of Aetna members who receive recommended preventive care and screenings, better management of patients with chronic conditions, reductions in avoidable hospital readmission rates, and reductions in emergency room visits.
Aetna Whole Health health benefit and insurance plans contain exclusions and limitations. Each benefit plan defines which services are covered, which are excluded, and which are subject to dollar caps or other limits. Members and their providers need to consult the member's benefit plan to determine if there are any exclusions or other benefit limitations.
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Orlando Health Team Member Health Plan
The Orlando Health Network is the largest and most well-established provider network in its locality and is considered one of the largest and highest-performing networks in the nation. The network manages the care of more than 340,000 covered lives in value-based contracts across many payer populations. Since 2013, it has cultivated relationships with payor partners with an increasing focus on delivering a patient-centred experience.
The Orlando Health Team Member Health Plan is one of the exclusive offerings of the Orlando Health Network. This plan is for Orlando Health team members and dependents. The Orlando Health Network has saved its patients and their insurance plans more than $495 million in healthcare spending. The insurance companies partnered with Orlando Health have reported higher quality care and better patient satisfaction outcomes compared to local, regional, and national peer groups.
The Orlando Health Team Member Health Plan includes several insurance companies and services. These include Prime Health Services, Private Healthcare Systems (PHCS) - Commercial PPO Only, Rockport Healthcare Group (CareWorks), SimPlan - Mutual of Omaha, Simply Clear Health Alliance, Simply Florida Healthy Kids, Simply Medicaid, Simply Medicare Advantage, Solis Health Plans Medicare Advantage, Sunshine Health Medicaid, Tricare - Humana Military (Standard, Prime, Tricare for Life), Truli for Health, Ultimate Health Plans Medicare Advantage, UnitedHealthcare Commercial (excluding UnitedHealthcare Exchange and NHP), UnitedHealthcare Global, UnitedHealthcare Medicaid, UnitedHealthcare Medicare Advantage HMO and PPO, USA Managed Care Organization (USAMCO), Veterans Administration, Volusia Health Network, and Walt Disney World Worker's Compensation.
Orlando Health also offers the Disney Orlando Health Cast Advantage HMO for the broader Central Florida marketplace and the Aetna Whole Health exclusive ACO partnership spanning the broader Orlando marketplace.
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Commercial and Federal Insurance Contracts
Orlando Health accepts a wide range of commercial and federal insurance contracts. The following is a comprehensive list of the insurance plans accepted:
Commercial Insurance Contracts
- Aetna
- Florida Blue
- Cigna
- United Healthcare
- Disney
- Optum
- Bayfront Health Team Members
- Orlando Health Team Members
- Freedom Health, Inc.
- Healthchoice, Inc.
- Multiplan, Inc.
- United (Choice, Select, Options PPO, Neighborhood Health Plan, Golden Rule, HMO/PPO)
- Prime Health Services
- Private Healthcare Systems (PHCS) - Commercial PPO Only
- Rockport Healthcare Group (CareWorks)
- SimPlan - Mutual of Omaha
- Simply Clear Health Alliance
- Simply Florida Healthy Kids
- Solis Health Plans Medicare Advantage
- Sunshine Health Medicaid
- Travel Insurance Services International
Federal Insurance Contracts
- Medicare
- Medicaid
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UnitedHealthcare Medicaid
Orlando Health accepts UnitedHealthcare Medicaid. UnitedHealthcare offers low-cost or no-cost Medicaid plans, providing health insurance for low-income people, children, pregnant women, the elderly, and people with disabilities. The specific coverage and eligibility requirements for Medicaid vary from state to state, as it is managed by each individual state.
In Texas, for example, UnitedHealthcare offers the STAR plan, which covers all Texas Medicaid benefits and includes additional "value-added services" such as sports and school physicals for children. They also offer the STAR+PLUS plan, which covers adults with disabilities, seniors aged 65 and older, and women with breast or cervical cancer. This plan also includes "value-added services" such as allowances for vision and dental services.
UnitedHealthcare also offers Dual Special Needs plans (D-SNPs) in some states, which are designed for individuals who qualify for both Medicaid and Medicare. These plans often include more benefits and features than Original Medicare, at no extra cost. Additionally, they provide Individual & Family ACA plans in Texas, with Bronze, Silver, and Gold metal levels, giving customers reliable support from customer service experts.
To enrol in UnitedHealthcare Medicaid, individuals must apply through their state's Medicaid agency, as each state manages its own eligibility requirements and renewal processes. It is important to keep your contact information up to date with your state's Medicaid office, as they will contact you regarding your renewal deadline and process.
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Frequently asked questions
Orlando Health accepts a variety of insurance plans, including Medicaid.
Orlando Health also accepts insurance plans such as UnitedHealthcare Commercial, Tricare - Humana Military, and the Aetna Whole Health exclusive ACO partnership.
Yes, Orlando Health has exclusive insurance partnerships including The Aetna Whole Health exclusive ACO partnership and the Disney Orlando Health Cast Advantage HMO.
Orlando Health is a part of the Orlando Health Network, which is the largest provider network in the region.
