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

Medicaid and Veteran's

Medicare Advantage and Private Plans

ALL HMO Plans

need authorization from your PCP

We are out of network with ALL CIGNA Plans and UMR

We are out of network for Aetna Medicare HMO- We can no longer accept any MEDICARE ADVANTAGE PLANS as of 1/1/2025

Aetna Medicare Advantage Plans

Aetna Essentials Plan PPO

Aetna Medicare Choice Plan PPO

Aetna Medicare Connect Plus PPO

Aetna Medicare Elite Plan PPO

Aetna Medicare Freedom Plan PPO

Aetna Medicare Gold Plan PPO

Aetna Medicare Innovation Choice Plan PPO

Aetna Medicare Platinum Plan PPO

Aetna Medicare Plus Plan PPO

Aetna Medicare Select Plan PPO

Aetna Medicare Standard Plan PPO

Aetna Medicare Value Plan PPO

Aetna Medicare SM PPO

Aetna Premier Plan PPO

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

We are out of network with UHC Charter and

Charter Balanced Plans as well as Medicare Advantage plans (as of 1/1/2025)

UHC Medicare Advantage Plans

AARP Medicare Complete HMO

AARP Medicare Complete Choice Plan 2 Reg PPO

AARP Medicare Complete Choice Essential Reg PPO

UHC Dual Complete RP One Reg PPO SNP

UHC Dual Complete LP HMO SNP

UHC Nursing Home Plan PPO SNP

UHC Assisted Living Plan PPO

UHC Private Plans

Navigate and HMO

Medica Choice wUHC Choice Plus

UHC Choicee and Choice HMO

Navigate Plus and Plus HMO

Navigate Balanced and HMO

UHC Choice Plus Harvard Pilgrim

UHC Core

UHC Heritage Plus

UHC Heritage Select POS/HMO/EPO

UHC Heritage Select Advantage

UHC Options and Options PPO

UHC Options PPO w/ Harvard Pilgrim

Passport Connect Options PPO

Passport Connect Choice /Choice Plus

UHC Select and HMO

UHC Select Plus

We are out of network Blue Cross/Blue Shield HMO’s,

Anthem BCBS Private and Blue Select Marketplace Plan. We will not accept Medicare Advantage plans after 1/1/2025

BC/BS Medicare Advantage Plans

Blue Medicare PPO and Group PPO

Blue Choice Blue Medicare Regional PPO

BCBS Private Plans

Bllue Card PPO and EPO

Blue Options Traditional

Blue Card Traditional

BCBS FEP (Federal)

BC Preferred Patient Care Temp Ins Protection

We are out of network for Humana Gold Plus HMO. We will not be accepting Medicare Advantage Plans after 1/1/2025

Humana Medicare Advantage Plans

Humana Medicare

Medicare Network PFFS Plan

Humana Dual Complete

Humana Private Plans

Humana PPO / POS / EPO/ HMO

Humana Traditional

OTHER PLANS

WebTPA -

needs authorization after 3 visits to same KIND of specialist

Manatee Health “Your Choice”

(Aetna Open Access Network)

Healthsmart Accel

Healthsmart Preferred,

Healthsmart Payors Org-HPO

MultiPlan- May need Aurhorization

Multiplan Complimentary

Multiplan Limited Benefit Plan

Integrated Health Plans-Now Multi Plan

We are out of network for Multiplan PPO, Multiplan Value Point plan,

Multiplan Health EOS, Beech Street

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 are out of network with Av-Med Choice, Empower Plans, Engage Plans, all other Av-Med plans

We do not participate in Equian Provider Network, Advantica, Optimum or Freedom Healthcare

PATIENT PAYMENTS

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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

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