MedicaidProvider Directory - Simply Healthcare Plans

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WELCOME TO SIMPLY HEALTHCARE PLANS! First, you need to pick a doctor. The Dr. will send you to a specialist if you need one. There are a lot of doctors to pick from. You should also pick a doctor for each member of your family. Next, make an appointment with your doctor. This will give him or her a chance to get to know your health. Remember, you do not want to wait until you are sick to pick a doctor. All of your health care is provided at your doctor’s office or through written referrals from your doctor. In an emergency call 9-1-1 or go to the nearest Hospital Emergency Room. Sometimes you may have a medical problem that is not really serious and your doctor’s office is closed. For those times you can use an Urgent Care service. Check this book or call 1-800-887-6888 for a list of offices. At Simply Healthcare Plans, we want to get to know you, so that we may give you the best care. The doctors in this directory do not work for Simply Healthcare Plans. Some doctors may not perform services based on religious or moral beliefs. Your handbook must be looked at to find out exact terms, coverage, limitations and exclusions. Note: The doctors and hospitals in this book are updated as of the day the book is printed. Sometimes new doctors are added to our plan or others may leave our plan. We advise that you call us or visit our website at www.simplyhealthcareplans.com to make sure that the doctor is in the Plan. 1
REFERRALS Your Primary Care Doctor is the doctor you will see first. If needed, he/she will send you to a specialist. They will work together for a treatment plan. SELF-REFERRALS The following specialty services do not need a referral from your doctor: Chiropractic Care You can pick any doctor from this section for up to 20 visits within a 12- month period. Dermatology Care You can pick any doctor from this section for up to 5 visits within a 12-month period. Podiatry You can pick any doctor from this section for an evaluation. If you need more treatments, surgery, or tests, authorization is needed. Gynecology You can pick any doctor from this section for the annual well-woman exam. Ask your doctor for a list of GYN’s. Any more visits require a referral. 2
Page 1: Where your health simply comes firs
Page 5 and 6: Table of Contents Pediatric Respira
Page 7 and 8: Participating Hospitals Hospital Ho
Page 9 and 10: Primary Care Providers Family Pract
Page 11 and 12: Primary Care Providers Family Pract
Page 13 and 14: Primary Care Providers General Prac
Page 15 and 16: Primary Care Providers Internal Med
Page 17 and 18: Primary Care Providers Internal Med
Page 19 and 20: Primary Care Providers Pediatrics P
Page 21 and 22: Primary Care Providers Pediatrics P
Page 23 and 24: Participating Specialists Allergy &
Page 25 and 26: Participating Specialists Dermatolo
Page 27 and 28: Participating Specialists Gastroent
Page 29 and 30: Participating Specialists Ob-Gyn Op
Page 31 and 32: Participating Specialists Ophthalmo
Page 33 and 34: Participating Specialists Ophthalmo
Page 35 and 36: Participating Specialists Optometry
Page 37 and 38: Participating Specialists Pediatric
Page 39 and 40: Participating Specialists Pulmonary
Page 41 and 42: Participating Specialists Vascular
Page 43 and 44: Ancillary Providers Ambulatory Surg
Page 45 and 46: Ancillary Providers Hearing Service
Page 47 and 48: Ancillary Providers Skilled Nursing
Page 49 and 50: Behavioral Health Inpatient Psychia
Page 51 and 52: Participating Pharmacies CVS Pharma
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Participating Pharmacies Medicine S
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Participating Pharmacies Sams Pharm
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Participating Pharmacies Wal-Mart P
Page 59 and 60:
Participating Pharmacies The Medici
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Participating Pharmacies Publix Pha
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MedicaidProvider Directory - Simply Healthcare Plans

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