Patient Resources

The following is a list of some of the insurance carriers that we currently accept. Please call our office for verification should your insurance carrier not be listed below.

• Anthem BCBS

• Aetna HMO/PPO/POS/EPO

• Aetna Better Health –( MMA Medicaid Plan)

• Aetna Better Health – Kidcare - CHIP

• Aetna CVS – (Market Place – Exchange)

• Amerigroup (Known as Simply Healthcare)

• Aetna Meritain (all plans accepted - Not Including GULF COAST SMH restricted Network

• BCBS Network Blue, Traditional

• Beech Street

• Cigna HMO/PPO

• Cigna Allegiance (including John Hopkins EHP)

• Cigna Allied

• Cigna NALC

• Cigna Great West

• Coventry

• Evolutions PPO

• Florida Blue

• Freedom – NO longer accepted

• Great-West Healthcare

• Humana (Commercial)

• Meritain

• Medicaid MMA Plans (Managed by Simply Healthcare, UHC community, AetnaBetterHealth)

• Multiplan

• My BLUE Networks (Market Place – Exchange - Bronze, Gold, Silver, Select )

• Oscar Health (Market Place – Exchange)

• PHCS

• Simply HealthCare (MMA Medicaid Plan)

• Simply Kidcare – CHIP – Florida Heathy Kids

• United HealthCare (UHC) Commercial HMO/PPO Plans/ Golden Rule

• United Healthcare –(GEHA, Oxford, UMR, Surest, Harvard Pilgrim) Except Freedom Health

• United Healthcare - UHC Community plan – (MMA Medicaid Plan)

If your insurance is not listed, please CALL our Office at 941-755-7000.

Billing Your Insurance

Our billing is directly linked to the electronic medical record system (EMR). Please make sure to bring your most updated insurance card every time you visit our office. The information on the card must be up to date and valid for the date of the appointment. Some healthcare carriers require a primary care provider (PCP).

Before your appointment, it is your responsibility to make sure that the name of one of our pediatricians or the name of APC Pediatrics is printed on the front of the card under PCP. If unsure, you may call your healthcare insurance or our office prior to your appointment. This pre-planning will ensure that by the time of your appointment your waiting time will be minimal and you will only be financially responsible for the co-pay, deductibles and/or the balance being charged to your healthcare plan.

If you are enrolled in a healthcare plan that we accept, you should become very familiar with the specifics of your coverage, exclusions, deductibles, and co-payments for sick and well visits. You are ultimately responsible for any and all charges incurred. The amount of the co-payment and deductibles are determined by your healthcare carrier or insurance administrator and will be collected at the time of your registration for the appointment (Check-In).

After your visit, your child may be anxious to return home or perhaps restless when receiving an immunization. By collecting the co-payment and deductible at the time of the registration, you are able to immediately leave the office when your child's appointment ends. You may stop at the Check Out window to schedule your next appointment. Feel free to call us later, if your appointment becomes in conflict with your schedule, and we will be more than happy to accommodate your needs.

The Check Out window will have printed educational information that your pediatrician has recommended for you to follow. If prescriptions were ordered you may pick them up at the check-out window. In addition, please feel free to ask our staff to fax your prescription to the pharmacy of your choice, and you’ll be able to pick up your prescription on the way home avoiding the drop-off process.

We are happy to provide requested forms, such as proof of physicals, vaccine, sports physicals, FMLA paperwork, etc...

Please note that there is a nominal fee per form request. Please contact our office to request a form.