Insurance Coverage and Out-of-Network Information

Accepted Insurance Plans

AFC Hallandale Beach accepts a wide range of insurance plans to ensure our patients can receive the care they need. Here is a list of major insurance providers we work with:

• Aetna
• Aetna CVS
• Aetna Better Health
• BCBS
• Medicare
• AARP Medicare Complete
• Medicaid
• Tri-Care
• OSCAR
• Humana
• Cigna
• UHC and its affiliates:
  • All Savers Insurance Company, UHC, Oxford Health, OptumRx, UMR, OptumHealth, U.S. Behavioral Health Plan, California (USBHPC), United Behavioral Health (UBH) or its affiliates. Preferred Care Partners, Golden Rule, Student Resources

Out-of-Network Policy

AFC Hallandale Beach is trying to get In-Network with all insurance companies in our area. Since we like to take care of all patients that come in. As a courtesy, we are giving special pricing to patients with out-of-network insurances.

The special pricing is $75 for an office visit (including 1 point-of-care test) or the patient’s actual co-pay, whichever is higher, instead of the $175 regular Self pay Tier 1 price.

AFC Hallandale Beach will collect payment for any additional tests or procedure at time of service. If the patient doesn’t have an applicable deductible, we will not balance bill the patient if their insurance does not reimburse us.

Please see the following example for this special pricing:

• The Patient pays a minimum Fee of $75 or their co-pay (whichever is higher) to see the provider. For example, if a patient has $80 UC co-pay, they will pay $80 instead of $75. If the patient has $15 co-pay, they will pay $75.
• What does the convenience fee include?
  • It includes 1 in-house test: strep, flu, covid or UA
  • Covid Test included: Rapid Antigen or Send Out PCR.
• The Medical Assistants will inform the patient if any additional services are needed and their costs. Example of additional services if needed:
  • X-Ray
  • Additional Point-of-Care tests
  • Therapeutic Injections
  • DME
  • EKG
• Why do we need your insurance information?
  • We will try to bill your insurance. If they reimburse us for the visit, you might get a credit. On the other hand, if the insurance does not reimburse us, we won’t balance bill you.
  • We need to have your insurance information to provide it to the send out labs (Quest or LabCorp) for any lab work needed. The lab will then bill the tests directly to your insurance.

Note: This offer does not apply to Patients with PPO insurances with Out-Of-Network benefits.