pharmacy services servicios de farmacia

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pharmacy services servicios de farmacia
305-262-1610
TABLE OF CONTENTS / TABLA DE CONTENIDO
Membership Agreement / Acuerdo de Membrecia..........................................................7
Welcome Letter / Carta de Bienvenida...............................................................................8
Terms and Conditions / Términos y Condiciones.............................................................9
How to Use Your Card? / ¿Cómo usar su tarjeta?..........................................................10
Primary and Specialist Physicians / Medicos Primarios y Especialistas ....................11
Gynecology & Obstetrics / Ginecologia y Obstetricia....................................................18
Pediatrics / Pediatria..........................................................................................................19
Primary and Specialist Providers Fees / Precios de los servicios medicos
primarios y especialistas...................................................................................................22
Medical Centers / Centros Medicos..................................................................................23
Specialist Physicians Locations / Direcciones de los Medicos Especialistas.............27
Neurological Studies Fees / Precios de los estudios neurologicos..............................32
Urgent Care Centers / Centros de Cuidados de Urgencia.............................................36
Dental Services / Servicios Dentales................................................................................38
General Dentistry Fees / Precios de los servicios de Odontologia General.................40
Dental Specialties Fees / Precios de los Servicios Dentales por Especialidad...........43
Optical Services / Servicios Opticos................................................................................44
Optical Sevices Fees / Precios de los Servicios Opticos...............................................46
Clinical Laboratories / Laboratorios Clinicos..................................................................47
Laboratory Services Fees / Precios de los Servicios de Laboratorio...........................49
Diagnostic and Radiology Centers / Centros de Diagnostico y Radiologia.................54
Diagnostic Services Fees / Precios de los Servicios de Diagnostico...........................57
Perinatal Medicine / Medicina Perinatal...........................................................................61
Hearing Aids/ Suplementos Auditivos.............................................................................61
Ancillary Services / Servicios Auxiliares........................................................................62
Durable Medical Supplies / Equipos Medicos Duraderos..............................................62
Orthopedic Supplies/ Suplementos Ortopedicos...........................................................62
Transportation/ Transportacion........................................................................................64
Home Health and Physical Therapy / Servicios a domicilio y Terapia Fisica....................65
Alternative Medicine / Medicina Alternativa....................................................................66
Diabetes Supply Services / Suplementos para la Diabetes...........................................67
Pharmacy Services / Servicios Farmaceuticos...............................................................68
Pharmacy Services Fees / Precios de los Servicios de Farmacia.................................71
Cosmetology Services Fees / Precios de los Servicios de Cosmetologia...................76
Disclaimer of Liability
In consideration of the monthly payment fees to be paid to Med Plan by you or on your behalf, Med Plan agrees
to arrange for the delivery of health care services in accordance with and subject to the terms of the Agreement
entered into between you or on your behalf, and Med Plan. Med Plan, in so arranging for the delivery of health care
services and supplies, does not directly provide these services nor supply them. Rather, Independent Contractors
provide these services and supplies. The health care providers listed in this directory are not employees or agents
of MedPlan. MedPlan shall not be liable for any negligent act or omission committed by any of the providers listed
in this directory, or any of their employees or agents who may, from time to time provide medical services to you.
MedPlan expressly disclaims any agency relationship, actual or implied, with any health care provider. MedPlan
does not exercise any control or direction over the medical judgement or clinical decisions of any health care
provider listed in this directory and does not interfere with the physician patient relationship between you and any
health care provider. It is important for you to know when you enroll in MedPlan that the continued participation of
any one doctor, hospital or other provider cannot be guaranteed.
This directory is current as of date of publication. Some plan providers may have been added or removed from this
list after this directory was printed. To get the most up-to-date information about MedPlan providers in your area,
you can visit www.floridamedplan.com or call our Customer Service Department at 305-262-1610, Monday through
Friday, 9:00 am to 6:00 pm.
The fact that a provider is listed does not guarantee that they are still in the network or accepting new patients. The
“Plan Providers” listed in this directory have agreed to provide you with your health care coverage at fixed discounted
from their usual and customary pricing rate. Members are limited to only those providers that are affiliated to the
MedPlan Network of Providers. Participating physicians and other providers listed in this directory or on our website
www.floridamedplan.com are not agents, employees or partners of MedPlan or any of its subsidiaries. MedPlan is
not a medical services provider, a medical insurance plan nor an HMO. MedPlan does not control nor endorse the
judgement or clinical treatment recommendations made by the physicians or other providers listed in our directory, or
in our website www.floridamedplan.com nor those that you chose to select. All MedPlan providers are independent
contractors. You may go to any of our plan providers listed in this directory; however some services may require a
prescription or medical treatment plan provided by a licensed medical physician. If you have been going to one plan
provider, you are not required to continue going to that same provider.
Providers are independent.
Providers are listed in this directory by the type of provider: Primary Care Physicians (PCP), Family Medicine,
Specialists, Urgent Care Centers, Diagnostic Centers, Laboratory, Pharmacy, Optical, Dental, and Durable Medical
Equipment providers.
Within each provider type, providers are lsited by COUNTY. You can also visit www.floridamedplan.com or call
Customer Care Department at 305-262-1610.
Our providers are paid on a contracted discount fee-for-service basis by you at the time the service is rendered.
If you use Non-Plan providers, understand that Non-Plan providers are not part of MedPlan network. In that case,
you will have to pay the provider their usual and customary fees which are significantly higher than the contracted
rate MedPlan has with its in-network providers. care or services you get from non-plan providers will NOT be
covered. MedPlan services are limited to the counties that MedPlan has providers and services contracted in. Any
services provided outside MedPlan service areas will not be at the contract price.
You have the right to get timely access to plan providers and to all discounts covered by the plan. Timely access
means that you can get appointments and services within a reasonable period of time. You have the right to get full
information from your providers when you go for medical care. You have the right to participate fully in decisions
about your healthcare. You have the right to refuse care.
MedPlan does not limit its members from visiting any provider contracted by MedPlan. You can visit any provider
or service without any limitation or need for referral. MedPlan does however recommend that the member choose
a primary care physician from our directory to be the gate keeper or central coordinator for all referrals to specialist
and services.
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This insures that the member’s service ordered or more importantly that the member is not
prescribed medication that can be contraindicated to another medication ordered by an unknown provider.
Also please note due to the nature of health care delivery systems it is sometimes necessary to have a written
prescription or medical treatment plan in order to have services rendered by certain MedPlan providers. These
services are Pharmacy, Durable Medical Equipment, Laboratory Services, Physical Therapy and Diagnostic
Radiology services. Please visit your Primary Care Provider or Specialist to get the proper treatment orders
before visiting any MedPlan support service providers listed above. Services such as Dental and Optical can
be accessed directly by the member at anytime without providing notification to your PCP. Please note that any
medical emergency should be directed to the nearest Urgent Care Center or local Hospital Emergency Room.
The following directory is constantly changing and is therefore subject to change without notice. For current and
update providers information please visit our website: www.floridamedplan.com
Excepción de responsabilidad civil.
MedPlan, en consideración al pago de su membrecía, está de acuerdo en ofrecerle el acceso a la red de proveedores
establecida que prestan sus servicios a nuestros miembros. MedPlan coordinará su primera cita con el proveedor
que usted elija dentro del directorio. MedPlan no asigna a ningún proveedor. Es responsabilidad del miembro elegir
el médico que le prestará los servicios. MedPlan no ofrece los servicios médicos directamente, sino a través de
proveedores independientes que proveen estos servicios y sus suplementos. Los proveedores que aparecen en
este directorio no son empleados o agentes de MedPlan. Los empleados o agentes de MedPlan no deben ser
responsables legalmente por alguna negligencia o acto de omisión cometida en cualquier momento por algún
proveedor que aparezca en este directorio. MedPlan específicamente no se responsabiliza en ningún momento y
no tiene ninguna relación de agencia con ningún proveedor médico. MedPlan no ejerce ningun control o dirección
respecto a un criterio médico o decisión clínica de algún proveedor del directorio ni interfiere en la relación entre
el paciente y su médico. Es importante que al convertirse en miembro de Med Plan, la persona sepa que no se le
garantiza la continua participación de un doctor, hospital, u otro proveedor.
Este directorio está vigente desde el día en que fue publicado. Es muy posible que a partir de ese dia se hayan
agregado o eliminado de la lista algunos proveedores. Para obtener una información actualizada de los proveedores
en su area, visítenos en www.floridamedplan.com o llame a nuestro Departamento de Servicio al Cliente, al 305262-1610, de Lunes a Viernes de 9:00 am a 6:00 pm.
El hecho de que un proveedor se encuentre en la lista no garantiza que todavía se encuentre en la red o que
participe consultando nuevos pacientes. Los proveedores listados en este directorio han acordado en proveerles a
los miembros de Med Plan sus servicios de cuidado a su salud con una tarifa fija que representa un Ahorro sobre la
tarifa regular. Usted puede ir a cualquiera de nuestros proveedores en este directorio y no necesita ser referido por
el médico primario que le atiende para visitar a un especialista dentro de la red, pero algunos de estos servicios,
como son los exámenes de laboratorio, radiología o diagnóstico sí requieren de una referencia por parte del
doctor que le ordena el examen o procedimiento. Si usted ha ido a uno de nuestros proveedores y no se siente
satisfecho con sus servicios, usted no está en la obligación de seguir visitándolo. Los miembros están limitados
a los proveedores que están afiliados a la red de MedPlan. Los proveedores participantes en este directorio o en
www.floridamedplan.com no son agentes, empleados o socios de MedPlan, ni ninguno de sus subsidios. MedPlan
no es un proveedor de servicios médicos, ni tampoco un plan de seguros médicos ni un HMO. MedPlan no apoya
los diagnósticos ni los tratamientos médicos dados por los proveedores participantes en la red de MedPlan listados
en este directorio, ni en www.floridamedplan.com, ni los proveedores escogidos por nuestros miembros.
Los proveedores son independientes.
Los proveedores en este directorio han sido clasificados según tipo de proveedor: Doctores primarios(PCP),
Medicina familiar, Especialistas, Centros de cuidados de urgencia, Centros de terapia física, Centros de diagnóstico,
Laboratorios, Cuidado médico en el hogar, Farmacias y Equipos médicos. Cada especialidad ha sido clasificada
en sus respectivos condados. Visítenos en www.floridamedplan.com o llámenos al Departamento de atención al
cliente al 305-262-1610.
Nuestros proveedores tienen que ser pagados por usted a la hora de recibir sus servicios. MedPlan tiene varios
tipos de acuerdos contractuales con los proveedores que son comunes en los planes médicos.
Si usted usa un proveedor que no forma parte de la red de MedPlan, usted no recibirá la tarifa negociada y tendrá
que pagar la tarifa completa que exija ese proveedor. Los descuentos de MedPlan no se aplican si usted viaja fuera
de las areas de servicios.
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Usted tiene derecho al acceso de la red de nuestros proveedores y a todos los descuentos disponibles en el plan.
Esto significa que usted puede obtener citas y servicios en un tiempo razonable. Usted tiene derecho a recibir de
su proveedor toda la información referente a su cuidado o tratamiento médico, a participar completamente en las
decisiones sobre su salud, y al derecho de rehusar su tratamiento médico.
MedPlan no limita a sus miembros a visitar a cualquier proveedor que pertenezca a su red. Usted puede visitar
a cualquier proveedor o servicio sin ningún tipo de limitación o necesidad de derivación. MedPlan recomienda,
sin embargo, que el miembro elija un médico de atención primaria de nuestro directorio para ser el coordinador
central para todas las derivaciones al especialista y servicios.
Esto asegura que los servicios de los miembros se coordinen y el miembro reciba la atención
médica adecuada con el pleno conocimiento de su PCP. Esto evitará la duplicación de los servicios solicitados,
o más importante aún, que al miembro no se le prescriba un medicamento que puede estar contraindicado con
otro medicamento ordenado por un proveedor desconocido. Tambien tenga en cuenta que debido a la naturaleza
de los sistemas de prestación de asistencia sanitaria, a veces es necesario tener una prestación escrita o plan
de tratamiento médico a fin de que los servicios prestados por determinados proveedores de MedPlan estén
prescritos correctamente. Estos servicios son Farmacia, Equipo médico duradero, Laboratorio, Radiología
diagnóstica, Terapia física, etc. Visite a su proveedor de atención primaria o especialista para obtener las órdenes
de un tratamiento adecuado antes de visitar cualquier proveedor de los antes mencionados.
El siguiente directorio está sujeto a modificaciones constantes y puede cambiar sin previo aviso. Para más
información actualizada visítenos en www.floridamedplan.com
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MEMBERSHIP AGREEMENT
MED PLAN LLC
Attn: Compliance Department
7200 NW 7th ST, Suite 100
Miami, Fl. 33126
For assistance and plan information call: 305-262-1610. or plan information, to change your method of payment, to
add family members or for any other assistance please call the customer service number located on the back of your
membership card. All documents contained herein (i.e. Terms and Conditions and Member Benefits) are hereby attached
to and made a part of the Membership Agreement. Disclosures:
1. This plan is not a health insurance policy.
2. This plan provides discounts at certain health care providers for medical services.
3. This plan does not make payments directly to the providers of medical services.
4. The plan member is obligated to pay for all health care services but will receive a discount from those
health care providers who have contracted with the discount plan organization.
Terms and Agrements:
To terminate or cancel the member agreement please call the number above or send a written cancellation notice to
the Discount Medical Plan Organization at the address provided above. This agreement will not be cancelled for nonpayment. If the discount medical plan organization cancels a membership for any reason other than nonpayment of
fees by the member, the discount medical plan organization shall make a pro rata reimbursement of all periodic charges
to the member. If you cancel for any reason within 30 days after the effective date, you will receive a full refund of paid
membership fee,
excluding the one-time application fee.
Legal Notice:
Med Plan is not an insurance company. Med Plan offers discounts on some health providers for their medical services.
Med Plan does not make direct payments to the providers of medical services. The members of Med Plan are required to
pay for all the health care services, but will have a discount on the health providers contracted.
ACUERDO DE MEMBRECIA
Para asistencia e información sobre el plan por favor llame al 877-334-1634. Para información del plan, para cambiar la
forma de pago, para agregar miembros de la familia o cualquier otro tipo de asistencia llame al Departamento de Atencion al cliente situado en la parte superior de su tarjeta de membrecia: 305-262-1610.
Todos los documentos incluidos (beneficios de los miembros, términos y condiciones de estos) se mostrará en estas
páginas y forma parte del Acuerdo de Membrecía. Para cancelar su membrecía, por favor llame al número indicado
anteriormente y envíe una notificacion con su puño y letra explicando los motivos de su cancelación al Departamento de
Servicio al Cliente de MedPlan.
Por favor envíe las tarjetas de membrecía de cada miembro junto con la carta de cancelación, esta carta debemos recibirla antes de los 30 días despues que se afilió a la Compañía.
Este acuerdo puede ser cancelado por no pagar su mensualidad. Si el Departamento de Servicios al Cliente de MedPlan
cancela su membrecía por cualquier razón que no sea el pago de su mensualidad MedPlan le hará el reembolso con la
suma de los días no utilizados.
Proceso de cancelación:Si usted cancela su membrecía por cualquier razón dentro de los 30 días siguientes a la fecha
de efectividad, usted recibirá un rembolso completo de su pago, excepto la cuota de inscripción de $30.00.
Aviso Legal
Med Plan no es un seguro médico. Med Plan proporciona descuentos con los proveedores de la salud que han sido
contratados. Med Plan no efectúa pagos directamente a los proveedores de los servicios médicos. Los miembros de
Med Plan están obligados a pagar por todos los servicios Médicos, pero recibirán un descuento de los provedores de
salud que han sido contratados.
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WELCOME
We are pleased to welcome you to Med Plans Premier Plus benefits program.
You can enjoy savings on your health care needs by using your new membership card,
which is enclosed in your new member packet.
We help in caring for your health and your family.
For your convenience we have enclosed with your membership kit a complete
directory of all Med Plans contracted participating providers. Our Member Services
Department is also available during business hours to assist you in locating additional
providers in your area. Just call our toll-free number located on the back of you
membership card, or you may go to the internet at www.floridamedplan.com at any
time day or night. If your favorite provider is not already on our program, you may
nominate them to Members Services for additional follow-up.
Please keep in mind that your membership is NOT insurance, so it is simple and easy
to use. You can begin using Med Plans complete list of services immediately as many
times as needed without need of prior approvals. When you present your card with your
ID to a participating provider you will have immediately access to the exclusive pricing
Med Plan members receive at time of service.
We also understand that your family’s health is your number one priority, so all legal dependents you have enrolled as part
of your plan will receive their own card that they need to take with them to access the same pricing and services.
If for any reason you are not satisfied with this program or are having problems in accessing services, pleased call the
number on the back of your card for prompt response to any issue.
We encourage our new members to please take a moment to familiarize yourself with the instructions in this booklet so that
you can better understand how Med Plan works and what is required to access the different services.
Please remember the more informed you are, the better your experience with Med Plan will be and the more often you will
take advantage of the tremendous serves and exclusive pricing that Med Plan offers you. Remember your Health is the
most precious gift you have. Let Med Plan help protect it.
BIENVENIDOS
Nos complace darle la bienvenida a un programa de beneficios de primer nivel. Puede disfrutar de ahorros en sus
necesidades de salud mediante el uso de su nueva tarjeta de membrecía, que se incluye en su paquete de nuevo
miembro.
Le ayudamos en el cuidado de su salud y la de su familia
Para su comodidad, le proporcionamos una guía de proveedores contratados por Med Plan que incluyen, direcciones
y números de teléfono. Nuestro Departamento de Servicios también está disponible durante horas de oficina para
ayudarle a encontrar proveedores en su área y ayudarlos a conseguir una cita o usted puede visitar nuestro sitio Web:
www.floridamedplan.com a cualquier hora del día o llamar al (305) 262-1610 en horas laborables.
Si su Doctor favorito no pertenece a nuestra Red, usted puede llamar a Med Plan al Departamento de Relación con
proveedores y nosotros lo vamos a contactar, haciendo todo lo posible por lograr que se una a nuestra Red y continúe
brindándole los servicios que usted se merece a través de nuestro Plan Médico.
Med Plan en ningún caso le garantiza el resultado de esta Gestión.
Por favor, tenga en cuenta que su membrecía NO ES UN SEGURO MEDICO, por lo que es simple y fácil de usar. Usted
puede usar la tarjeta inmediatamente y tantas veces como sea necesario. Al presentar su tarjeta a usted se le aplicará
inmediatamente la tarifa de descuento en el momento de la compra o servicio.
En Med Plan, sabemos que la salud de su familia es su prioridad. Todos los dependientes legales podrán utilizar su
tarjeta de membrecía, o solicitar tarjetas adicionales en caso de pérdida para usted o algún miembro de la familia con
su propio nombre sin costo alguno, simplemente llamando al Departamento de Servicios al cliente. Si por alguna razón
usted no está satisfecho con este plan, llame al número en la parte posterior de su tarjeta para su reclamo.
¡PORQUE SU SATISFACCION ESTA GARANTIZADA!
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TERMS AND CONDITIONS
1 - Primary member is defined as the person who is responsible for the monthly payments for membership fees and is
of legal age. The primary member, spouse, and all legal dependents listed on the enrollment application can access the
services and exclusive pricing at Med Plan Contracted service providers.
2 - Participating provider may be added or removed from the respective network in which they are associated with. These
changes are made in best interest of our members. Updated Provider information will be made available online at www.
floridamedplan.com
3 - Companies contracted to provide benefits and services in this program are not a licensed insurer, health maintenance
organization (HMO), or any other underwriters of healthcare services. No portion of any provider fees will be reimbursed or
otherwise paid.
4 - The exclusive Med Plan pricing contained herein may not be used in conjunction with any other medical plan or discount
program. All listed or quoted prices are current prices from participating providers and subject to change without notice.
From time to time, certain providers may offer products and /or services to the general public at prices lower than the prices
available through this program. In such event, members will be charged the lowest price.
5 - Providers are subject to change without notice and programs may vary in some states. This is a discount membership
program only, not insurance, and may be discounted or modified at anytime.
6 - Savings are based upon the provider’s normal fees. Actual savings will vary depending upon location and specific
services or products purchased.
7 - This discount medical plan does not warrant professional services, nor is it responsible for the quality of care provided
by participating providers.
8 - (30) Day Money Back Guarantee: If you cancel for any reason within 30 days, you will receive a full refund. Nonrefundable
one time fees will be disclosed at time of application.
9 - All applicable limitations, exclusions and exceptions of the discount medical plan benefits are listed with each benefit
description.
TERMINOS Y CONDICIONES
1 - El titular es definido como miembro principal, siendo el responsable de los pagos mensuales y debe ser mayor de edad.
Dicho titular, el cónyuge y todos los dependientes legales adicionales contaran automáticamente con los mismos beneficios
que se ofrecen en el plan.
2 - En cualquier momento, un proveedor participante puede ser eliminado de la red de Med Plan. Estos cambios se realizan
para beneficio de nuestros miembros. Usted encontrará esta información acualizada en el sitio web www.floridamedplan.
com
3 - Las compañías proveedoras de servicios asociadas a nuestro plan no son aseguradoras, organizaciones de la salud
(HMO) o evaluadores de servicios de salud. Cualqueir honorario que usted les pague a estas compañías no le será
reembolsado.
4 - Los descuentos que figuran en este documento no pueden ser utilizados en combinación con cualquier otro plan de
descuento médico o programa de descuentos. Todos los precios cotizados son los precios actuales de los proveedores
participantes y están sujetos a cambios sin previo aviso. De vez en vez, algun proveedor puede ofrecer productos y / o
servicios al público en general a precios inferiores a los precios disponibles en este programa. En tal caso, se cobrará el
precio más bajo.
5 - Los proveedores están sujetos a cambios sin previo aviso, los programas pueden variar en algunos términos. Este es un
programa de membrecía de descuentos, no un seguro medico, y puede ser cancelado o modificado en cualquier momento.
6 - Los ahorros se basan en las tasas normales del proveedor. Los ahorros reales variarán dependiendo de la localización
de los servicios específicos o productos comprados.
7 - Este plan médico de descuentos no ofrece garantía por la calidad de los servicios profesionales brindados por los
proveedores participantes.
8 - Garantía de Reembolso por 30 Días: Si cancela por cualquier razón en un plazo de 30 días, usted recibirá un reembolso
completo de su mensualidad. Tasa no reembolsable se revelará en el momento de aplicación.
9 - Las limitaciones, exclusiones o excepciones que apliquen dentro este plan médico de descuentos se enumeran en la
descripción de cada servicio.
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HOW TO USE YOUR MEMBERSHIP CARD
1. Keep your membership card with you at all times so it will be easily accessible to present at provider locations. Please
note that you must present your membership card so that the status of you membership can be verified before services are
provided and to qualify for Med Plan exclusive price at contracted provider locations.
2. When visiting your Physician and or Specialist you must present your Med Plan membership card with a picture ID so that
your eligibility can be verified at time of your visit to receive the exclusive pricing offered to Med Plan members
3. Med Plan has sent all persons covered in your plan their own membership cards. Each card has its own ID number
and must be shown to the provider so that the status of you membership can be verified before services are provided. If
the dependent is a minor then it is the responsibility of the “minors” parent or legal guardian to accompany the minor to all
provider visits and services.
4. To locate participating providers in your area, please refer to the Provider Directory provided in your “Membership Kit”.
This directory contains information on all Med Plan contracted providers including pricing for all covered services. Since
providers and services are being added monthly, Med Plan has created a website for our members to view all of their
membership information which includes updates and new services. To access this information online please call Med
Plans “Member Service Department” and ask for them to email you your username and password. For additional provider
locations, call the appropriate number on the back of your card or visit: www.floridamedplan.com
5. Please remember that Payment for all services must be made directly to the provider at time of service.
6. If you have any questions on how to use your membership, call our Member Services departments at the toll-free number
listed on your card for prompt, friendly service.
7. We are located at 7200 NW 7th street Suite 100, Miami FL 33126
(305) 262-1610. Our Offices are open Monday through Friday
9:00 a.m. to 5:00 p.m.
COMO USAR SU TARJETA DE MIEMBRO
Cuando usted visite a un proveedor (Ejemplo: Médico general o Especialista) usted deberá presentar su tarjeta de miembro
con una identificación con fotografía (ID) para que su elegibilidad pueda ser verificada en el momento de solicitar sus
servicios y pueda beneficiarse de las tarifas preferenciales exclusivas que aplican únicamente a los miembros de MedPlan.
Cuando usted visite a proveedor participante usted pagará una tarifa fija preferencial que ha sido establecida para los
miembros de MedPlan. Las Tarifas establecidas aparecen en este libro que ha sido incluido dentro del paquete de membrecía
que usted recibió. Por favor refiérase a la sección que corresponda dentro de este directorio.
Todos los servicios prestados en el consultorio de un médico de atención primaria o especialista usted lo pagará directamente
en el momento de recibir los servicios.
Solo los médicos y demás proveedores de la red que brindan sus servicios a nuestros miembros, honraran las tasas
establecidas. Los proveedores de la red tienen en su poder las mismas tarifas que usted tiene, esto le asegura que lo que
usted pagará no puedan ser alterados.
MedPlan no le asigna ningún proveedor, usted es libre de elegir dentro del directorio. La información detallada para localizar
a un proveedor, dirección, número telefónico, tarifa etc. se encuentra dentro del directorio médico que usted recibió. Usted
puede obtener esta información en cualquier momento visitando nuestra página web:
www.floridamedplan.com
Para coordinar su primera cita con un proveedor de la red usted puede elegir cualquiera de las siguientes opciones:
a) Llame directamente al proveedor que usted haya elegido.
b) Llame a nuestro departamento de atención al cliente al (877) 334-1634 y solicite que se le coordine la cita con el
doctor que usted haya elegido. En ese caso tenga a mano el nombre del doctor para que la asistencia sea efectiva
y rápida en función de sus necesidades.
Nos encontramos en 7200 NW 7th street Suite 100, Miami FL 33126
(305) 262-1610.
Nuestras oficinas estan abieras de Lunes a Viernes de 9:00 a.m. to 5:00 p.m.
10
PRIMARY PHYSICIANS AND SPECIALISTS
All services rendered at your primary care physicians office or Specialist will be paid directly to the provider at fix rates that
are completely disclosed inside this book. These prices are exclusive to Med Plan members and represent an average
savings of 70% percent off the Providers Usual and customary fees.
All prices cover service provided at your Physicians office which can include, routine X-rays, EKG’s, Ultrasounds and many
other services. Services vary from provider to providers depending on equipment each Physician or Specialist practice
elects to provide. It’s unlimited the access to Primary Care and Specialist Visits. No prior approval is needed.
Physician and Specialists address and phone numbers are located inside your Membership kit or on our website www.
floridamedplan.com. To schedule an appointment please call the provider you have chosen from the directory. If you need
assistance or cannot find a provider near you please call our Customer Service Department for assistance at 305-262-1610.
Only approved and contracted Med Plan Physicians and Specialists will honor the exclusive prices as
defined in the Pricing Guide included in your membership kit.
Any Diagnostic studies, Laboratory test, Prescription Medication or services ordered by a Med Plan contracted Physician or
Specialist must be performed or completed by a Med Plan approved and contracted provider. This will insure that the service
and its price are within the scope of the agreements Med Plan has in place with its approved service providers
If you need assistance in coordinating these services please feel free to contact our Customer Service Department at 305262-1610.
Note: If your favorite physician is not already a participating provider, Call our Provider Relation Department to nominate him
or her. Have the physicians name, address, and telephone number available when you call.
MEDICOS PRIMARIOS Y ESPECIALISTAS
Todas las tasas aplican a los servicios prestados en la oficina de los médicos que pueden incluir, rutina de Rayos X,
electrocardiogramas, ecografías y muchos otros servicios. Los servicios pueden estar disponibles o no, dependiendo el
equipo médico o especialista que usted pueda elegir. Tenga en cuenta que no todos reúnen las mismas condiciones de
equipamiento dentro de su consulta médica. Usted cuenta con visitas médicas ilimitadas y además tendrá la libertad de
visitar a cualquier médico especialista sin la necesidad de ser referido por su médico primario.
Cualquier estudio de Diagnóstico, Examen de Laboratorio, Medicamentos recetados u otro servicio deberá ser indicado
por un proveedor que haya sido aprobado o contratado por MedPlan. Esto asegura que el servicio que usted va a recibir
y la tasa que va a pagar esta dentro de los acuerdos que MedPlan ha establecido con los proveedores de la red. Si usted
necesita ayuda para coordinar estos servicios por favor contacte a nuestro departamento de servicio al cliente (877) 3341634.
Nota: Si su doctor favorito aun no es participante de nuestra red y desea que se integre para que pueda continuar con sus
servicios y adaptar nuestras tarifas preferenciales, por favor contacte a nuestro departamento de Relación con Proveedores
y ofrezca información precisa del doctor (Nombre, Dirección y Teléfono de su oficina) nosotros nos sentiremos complacidos
en contactarlo a mayor brevedad posible y lo invitaremos a que se una a nuestra Red.
11
Primary Care Physicians / Médicos Primarios
12
Miami - Dade
Andres Cazau, M.D.
(General Practice)
(Med Plan Clinic)
7200 N.W. 7th St #202
Miami, Fl. 33126
Phone: (305) 267-7784
Price 1st Visit: $40.00
Price Follow Up. $20.00
Esperanza A. Nuñez, M.D.
(General Practice)
(Glez and Gonzalez Medical Center)
3804 NW 167th Street
Opalocka, Fl. 33054
Phone: (305) 624-2700
Price 1st Visit: $40.00
Price Follow Up. $20.00
John Padron, M.D.
(General Practice)
(Opa Medical Center)
1865 NE 163th Street
North Miami, Fl. 33162
Phone: (305) 948-9958
Price 1st Visit: $40.00
Price Follow Up. $20.00
Juan C. Romero, M.D.
(General Practice)
(C&I Medical Center)
13903 NW 67th Ave #440
Miami Lakes, Fl. 33014
Phone: (305) 824-0880
Price 1st Visit: $40.00
Price Follow Up. $20.00
Mara De Garcia, M.D.
(General Practice)
(C&I Medical Center)
13903 NW 67th Ave #440
Miami Lakes, Fl. 33014
Phone: (305) 824-0880
Price 1st Visit: $40.00
Price Follow Up. $20.00
Armando Segui, M.D.
(General Practice)
(Ambert Medical Center)
15495 Eagle Nest Ln, Suite 100
Miami Lakes, Fl. 33016
Phone: (305) 556-0021
Price 1st Visit: $40.00
Price Follow Up. $20.00
Felix A. Rodriguez, M.D.
(General Practice)
(American Family Health Center)
2150 W. 68th St, Suite 102
Hialeah, Fl. 33018
Phone: (305) 231-8996
Price 1st Visit: $40.00
Price Follow Up. $20.00
Miguel A. Chamah, M.D.
(General Practice)
1800 West 68th St, Suite 127
Hialeah, Fl. 33014
Phone: (305) 820-0903
Price 1st Visit: $40.00
Price Follow Up. $20.00
Humberto Hernandez, M.D.
(General Practice)
1435 West 49th Place, Ste 604
Hialeah, Fl. 33012
Phone: (305) 231-3151
Price 1st Visit: $40.00
Price Follow Up. $20.00
Gilda de la Calle, M.D.
(General Practice)
1435 West 49th Place Suite 400-B
Hialeah, Fl. 33012
Phone: (305) 823-5730
(305) 823-5738
Price 1st Visit: $40.00
Price Follow Up. $20.00
Odalys Frontela, M.D. F.A.C.P
(General Practice)
801 West 48th St, Suite A
Hialeah, Fl. 33012
Phone: (305) 698-7172
Price 1st Visit: $40.00
Price Follow Up. $20.00
Johspercer Anchinihm, M.D.
(Family Practice)
(Felicidad Medical Center)
4410 West. 16th Ave. # 55
Hialeah, Fl. 33013
Phone (305) 824-8559
Price 1st Visit: $40.00
Price Follow Up. $20.00
Lucky Flores, M.D.
(General Practice)
(Elite Health & Rehabilitation)
6450 West. 21 Ct, Suite 200
Hialeah, Fl. 33016
Phone: (305) 698-0806
Price 1st Visit: $40.00
Price Follow Up. $20.00
Conchita Jackson, M.D.
(General Practice)
(Vida Health Centers)
881 E 2nd Ave
Hialeah, Fl. 33010
Phone: (305) 882-1100
Price 1st Visit: $40.00
Price Follow Up. $20.00
Maray Rocher, M.D.
(General Practice)
87 E 49 ST
Hialeah, Fl. 33013
Phone: (786) 536-5001
Price 1st Visit: $40.00
Price Follow Up. $20.00
Juan C. Sarol, M.D.
(General Practice)
87 E 49 ST
Hialeah, Fl. 33013
Phone: (786) 536-5001
Price 1st Visit: $40.00
Price Follow Up. $20.00
Juan J. Salinas, M.D.
(General Practice)
4212 W 16 Ave
Hialeah, Fl. 33012
Phone: (305) 821-5525
Price 1st Visit: $40.00
Price Follow Up. $20.00
Primary Care Physicians / Médicos Primarios
Miami - Dade
Viviana Pérez, M.D.
(General Practice)
4410 West. 16 ave Suite 26
Hialeah, Fl. 33012
Phone: (305) 822-8883
Price 1st Visit: $40.00
Price Follow Up. $20.00
Amado Viera, M.D.
(General Practice)
777 East 25th St. Suite 118
Hialeah, Fl. 33013
Phone: (305) 835-0438
Price 1st Visit: $40.00
Price Follow Up. $20.00
Ausberto Hidalgo, M.D.
(Family Practice)
5590 W 20 Ave # 101
Hialeah, Fl. 33016
Phone: (305) 827-3303
Price 1st Visit: $40.00
Price Follow Up. $20.00
Edgar N Escobar, M.D.
(General Practice)
(Florida Care Health Center)
11300 NW 87th Court, Suite 141
Hialeah Gardens, Fl. 33018
Phone: (305) 364-8600
Price 1st Visit: $40.00
Price Follow Up. $20.00
Mayre Urdaneta, M.D.
(General Practice)
8060 NW 155th Street Ste 201
Miami Lakes, Fl. 33016
Phone: (305) 826-0606
Price 1st Visit: $40.00
Price Follow Up. $20.00
Gretell Trullenque, M.D.
(General Practice)
(Acevedo Medical Group)
2525 NW 54th St.
Miami, Fl. 33142
Phone: (305) 633-9090
Price 1st Visit: $40.00
Price Follow Up. $20.00
Lucky Flores, M.D.
(General Practice)
5881 NW 151 St, Suite 127
Miami Lakes, Fl. 33014
Phone: (305) 827-0208
Price 1st Visit: $40.00
Price Follow Up. $20.00
Abraham A. Benchabatt, M.D.
(General Practice)
MD Health Care and Rehabilitation
7975 NW 154 St, Suite 200
Miami Lakes, Fl. 33016
Phone: (305) 822-2824
Price 1st Visit: $40.00
Price Follow Up. $20.00
Hector Rodriguez, M.D.
(General Practice)
(Acevedo Medical Group)
2525 NW 54th St.
Miami, Fl. 33142
Phone: (305) 633-9090
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jorge Martinez, M.D.
(General Practice)
(St. John Medical Center)
161 NW 29th St
Miami, Fl. 33127
Phone: (305) 576-0231
Price 1st Visit: $40.00
Price Follow Up. $20.00
Juan Delgado, M.D.
(Family Practice)
(St. John Medical Center)
161 NW 29th St
Miami, Fl. 33127
Phone: (305) 576-0231
Price 1st Visit: $40.00
Price Follow Up. $20.00
José Gil, M.D.
(General Practice)
(Davila Medical Center)
782 NW 42th Ave # 348
Miami, Fl. 33126
Phone: (305) 441-2760
Price 1st Visit: $40.00
Price Follow Up. $20.00
Valdemir Santos, M.D.
(General Practice)
(All Future Medical Center)
3237 NW 7 St # 101
Miami, Fl. 33125
Phone: (305) 805-6903
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jesús J. Cid, M.D.
(General Practice)
(Medical Counsulting Center)
759 NW 22 ave
Miami, Fl. 33125
Phone: (305) 649-0492
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jesús J. Cid, M.D.
(General Practice)
711 NW 23 ave # 301
Miami, Fl. 33125
Phone: (305) 643-4797
Price 1st Visit: $40.00
Price Follow Up. $20.00
Baudilio Cuzco Prieto, M.D.
(General Practice)
(Complete Medical Care)
630 NW 33th Ave
Miami, Fl. 33125
Phone: (305) 649-6378
Price 1st Visit: $40.00
Price Follow Up. $20.00
Yamile Porro, M.D.
(General Practice)
(Private Medical Center)
10 NW 42th Avenue, Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jose Pena, M.D.
(General Practice)
(Private Medical Center)
10 NW 42th Avenue, Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $30.00
Price Follow Up. $20.00
13
Primary Care Physicians / Médicos Primarios
14
Miami - Dade
Conchita Jackson, M.D.
(General Practice)
(Private Medical Center)
10 NW 42th Avenue, Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $30.00
Price Follow Up. $20.00
Mauricio Vargas, M.D.
(General Practice)
(Private Medical Center)
10 NW 42th Avenue, Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $30.00
Price Follow Up. $20.00
Mario Palomino, M.D.
(General Practice)
(Private Medical Center)
10 NW 42th Ave, Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $30.00
Price Follow Up. $20.00
Gamaliel Mattos, M.D.
(General Practice)
4001 NW 97 ave #101
Doral, Fl. 33178
Phone: (305) 418-2233
Price 1st Visit: $40.00
Price Follow Up. $20.00
Johanne Zephir, M.D.
(General Practice)
(7th Ave. Medical Plaza)
10071 NW 7 ave
Miami, Fl. 33150
Phone: (305) 403-7777
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jon Hemstreet, M.D.
(General Practice)
(7th Ave. Medical Plaza)
10071 NW 7 ave
Miami, Fl. 33150
Phone: (305) 403-7777
Fax: (305) 403-7700
Price 1st Visit: $40.00
Price Follow Up. $20.00
William Suarez, M.D.
(General Practice)
(Penalver Clinic Medical Group)
971 NW 2 ST
Miami, Fl. 33128
Phone: (305) 545-7737
Price 1st Visit: $40.00
Price Follow Up. $20.00
Guillermo Somodevilla, M.D.
(General Practice)
(Penalver Clinic Medical Group)
971 NW 2 ST
Miami, Fl. 33128
Phone: (305) 545-7737
Price 1st Visit: $40.00
Price Follow Up. $20.00
Leonardo Marquez, M.D.
(General Practice)
J.O. Medical Center, Inc.
42 NW 27th Avenue, Suite 303
Miami, Fl. 33125
Phone: (305) 642-7704
Price 1st Visit: $40.00
Price Follow Up. $20.00
Luis E. De Armas, M.D.
(General Practice)
11373 W Flagler St. # 212
Miami, Fl. 33174
Phone: (305) 220-7730
Fax (305) 220-7703
Price 1st Visit: $40.00
Price Follow Up. $20.00
Lucky Flores, M.D.
(General Practice)
(Micnady Medical Office)
8820 SW 24 St
Miami, Fl. 33165
Phone: (786) -391-0264
Price 1st Visit: $40.00
Price Follow Up. $20.00
Mario R. Villoch, M.D.
(General Practice)
(AV Medical Center)
2075 SW 27 ave Suite 101
Miami, Fl. 33145
Phone: (305) 856-6081
Price 1st Visit: $40.00
Price Follow Up. $20.00
Pedro R. Caro, M.D.
(General Practice)
Varadero Medical Center
5850 West Flagler ST
Miami, Fl. 33144
Phone: (305) 263-9590
Fax: (305) 263-9657
Price 1st Visit: $40.00
Price Follow Up. $20.00
Julian Guerrero, M.D.
(General Practice)
8370 W. Flagler St, Suite 120
Miami, Fl. 33144
Phone: (305) 222-8365
Price 1st Visit: $40.00
Price Follow Up. $20.00
John A. Padron, M.D.
(General Practice)
8370 W. Flagler St, Suite 120
Miami, Fl. 33144
Phone: (305) 222-8365
Price 1st Visit: $40.00
Price Follow Up. $20.00
Maria L. Margolles, M.D.
(General Practice)
(Varadero Medical Center)
5850 W. Flagler St
Miami, Fl. 33144
Phone: (305) 263-9590
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jorge L. Santander, M.D.
(General Practice)
(Leda Medical Center, Inc)
6621 SW 8th ST
Miami, Fl. 33144
Phone (305) 262-4801/03
2nd Phone: (305) 262-4840
Price 1st Visit: $40.00
Price Follow Up. $20.00
Mara E. de Garcia, M.D.
(General Practice)
(R and R Medical Center)
2272 SW 7 St
Miami, Fl. 33135
Phone: (305) 541-2191
Price 1st Visit: $40.00
Price Follow Up. $20.00
Primary Care Physicians / Médicos Primarios
Miami - Dade
Maria Lourdes Zeno, M.D.
(General Practice)
Best Medical Care, Inc
920 SW 82th ave
Miami, Fl. 33144
Phone: (305) 262-3999
Price 1st Visit: $40.00
Price Follow Up. $20.00
Aurelio A. Ortiz, M.D.
(General Practice)
1313 SW 1th Street.
Miami, Fl. 33135
Phone: (305) 541-8448
Price 1st Visit: $40.00
Price Follow Up. $20.00
Valdemir Santos, M.D.
(General Practice)
(ACN Physician Group)
7490 SW 23 ST #201
Miami, Fl. 33155
Phone: (786) 953-8221
Price 1st Visit: $40.00
Price Follow Up. $20.00
Shirley P. Jimenez, P.A.
(General Practice)
(Leda Medical Center, Inc)
6621 SW 8th ST
Miami, Fl. 33144
Phone (305) 262-4801/03
2nd Phone: (305) 262-4840
Price 1st Visit: $40.00
Price Follow Up. $20.00
Hugo Romeu, M.D.
(General Practice)
(ABC Medical Group)
1393 SW 1th ST Suite 320
Miami, Fl. 33135
Phone: (305) 644-0977
Price 1st Visit: $40.00
Price Follow Up. $20.00
Gilda de la Calle, M.D.
(General Practice)
421 SW 107th Avenue
Miami, Fl. 33174
Phone: (786) 360-4219
Fax: (786) 360-4217
Price 1st Visit: $40.00
Price Follow Up. $20.00
Isabel K. Yague, M.D.
(General Practice)
(Selecta Physical Therapy)
1393 SW 1st street # 415
Miami Fl. 33135
Phone: (786) 953-6735
Price 1st Visit: $40.00
Price Follow Up. $20.00
Abdón S. Borges, M.D.
(General Practice)
8300 SW 8th St. Suite 105
Miami, Fl. 33144
Phone: (305) 446-8236
Fax: (305) 448-7830
Price 1st Visit: $40.00
Price Follow Up. $20.00
Ramon Pichardo, M.D.
(General Practice)
(Selecta Physical Therapy)
1393 SW 1st street # 415
Miami Fl. 33135
Phone: (786) 953-6735
Price 1st Visit: $40.00
Price Follow Up. $20.00
Alberto Gonzalez-Gomez, M.D.
(General Practice)
7968 SW 8th ST
Miami, Fl. 33144
Phone: (786) 332-2093
Price 1st Visit: $40.00
Price Follow Up. $20.00
Adolfo R. Martínez, M.D.
(General Practice)
8480 SW 8th Street.
Miami, Fl. 33144
Phone: (305) 264-1131
Fax:(305) 264-1134
Price 1st Visit: $40.00
Price Follow Up. $20.00
Rogelio O. Bardiñas, M.D.
(General Practice)
747 Ponce de Leon Blv # 700
Coral Gables, Fl. 33134
Phone: (305) 441-9700
Price 1st Visit: $40.00
Price Follow Up. $20.00
Josefina Hernández, M.D.
(General Practice)
8480 SW 8th Street.
Miami, Fl. 33144
Phone: (305) 264-1131
Fax:(305) 264-1134
Price 1st Visit: $40.00
Price Follow Up. $20.00
Hilda M Brito M.D.
(General Practice)
12260 SW 8th Street, Suite 224
Miami, Fl. 33184
Phone: (305) 220-6917
Price 1st Visit: $40.00
Price Follow Up. $20.00
Myriam Lacayo, M.D.
(General Practice)
The Children Medical Center Group, Inc
8300 SW 8 St, Suite # 302
Miami, Fl. 33144
Phone: (305) 225-4434
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Julio C. Rosales, M.D.
(General Practice)
(Hammocks Medical Center)
15122 SW 72th Street
Miami, Fl. 33193
Phone: (305) 383-3848
Price 1st Visit: $40.00
Price Follow Up. $20.00
Lazaro Martinez. M.D.
(General Practice)
9600 SW 8 St, Suite 30
Miami, Fl. 33174
Phone: (786) 312-0333
Price 1st Visit: $40.00
Price Follow Up. $20.00
Juan Blemil Fdez. M.D, P.A.
(General Practice)
13303 SW 42th Street
Miami, Fl. 33175
Phone: (305) 227-6497
Price 1st Visit: $40.00
Price Follow Up. $20.00
15
Primary Care Physicians / Médicos Primarios
16
Miami - Dade
Jorge L. Santander, M.D.
(General Practice)
4080 SW 84 ave Suite D
Miami, Fl. 33155
Phone (305) 223-1140
Price 1st Visit: $40.00
Price Follow Up. $20.00
Rodolfo Vega, M.D.
(General Practice)
(Vega Medical Center)
3720 SW 107 ave
Miami, Fl. 33165
Phone: (305) 554-4270
Price 1st Visit: $40.00
Price Follow Up. $20.00
Carlos E. Aguilar, M.D.
(General Practice)
(Panamerican Sports Medicine
Institute of miami)
3850 SW 87 ave Ste 201
Miami, Fl. 33165
Phone: (305) 227-3350
Price 1st Visit: $40.00
Price Follow Up. $20.00
Alicia Chilito, M.D.
(General Practice)
(Panamerican Sports Medicine
Institute of miami)
3850 SW 87 ave Ste 201
Miami, Fl. 33165
Phone: (305) 227-3350
Price 1st Visit: $40.00
Price Follow Up. $20.00
Eduardo Almaguer, M.D.
(General Practice)
330 S.W 27th Ave # 404
Miami, Fl. 33135
Phone: (305) 644-9798
Price 1st Visit: $40.00
Price Follow Up. $20.00
Julio C. Rosales, M.D.
(General Practice)
Kendall Medical Plaza
11880 SW 40 St # 120
Miami, Fl. 33175
Phone: (305) 225-7330
Price 1st Visit: $40.00
Price Follow Up. $20.00
Florence Faucauld, M.D.
(Family Practice)
11010 SW 88th Street, Ste 104
Miami, Fl. 33176
Phone: (305) 595-1122
Price 1st Visit: $40.00
Price Follow Up. $20.00
Francisco Macias, M.D.
(General Practice)
(Miami Community Health Center)
2324 SW 8 St
Miami, Fl. 33135
Phone: (305) 643-0535
Price 1st Visit: $40.00
Price Follow Up. $20.00
Ramon A. Pichardo, M.D.
(General Practice)
(Medical Health and Research Inc)
6854 W Flagler St
Miami Fl. 33144
Phone: (786) -310-7697
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Rolando Padro, M.D.
(General Practice)
15439 SW 137th Avenue
Miami, Fl. 33177
Phone: (305) 259-5570
Price 1st Visit: $40.00
Price Follow Up. $20.00
Jorge L. Garcia, M.D.
(General Practice)
(Caribe Medical Center of
Homestead)
26799 S. Dixie Hwy
Naranja, Fl. 33032
Phone: (305) 258-6070
Price 1st Visit: $40.00
Price Follow Up. $20.00
Maria C. Cubillas, M.D.
(General Practice)
27543 S. Dixie Hwy
Homestead, Fl. 33032
Phone: (305) 246-0047
Price 1st Visit: $40.00
Price Follow Up. $20.00
John G. Gutleber, M.D.
(General Practice)
139 N.E 15th Street
Homestead, Fl. 33033
Phone: (305) 247-1213
Fax: (305) 247-5701
Price 1st Visit: $40.00
Price Follow Up. $20.00
Maria Delgado, M.D.
(General Practice)
(Homestead Medical Clinic, M.D)
125 N.E 8th St, Suite 6
Homestead, Fl. 33030
Phone: (786) 243-1909
Price 1st Visit: $40.00
Price Follow Up. $20.00
Eduardo Medrano, M.D.
(General Practice)
(All Family Care Inc.)
38 Northwest 8th Street
Homestead, Fl. 33030
Phone: (305) 246-0460
Price 1st Visit: $40.00
Price Follow Up. $20.00
Rafael A. Ubeda, M.D.
(Family Practice)
(Leal Medical Center LLC)
925 NE 30 Terr # 206
Homestead, Fl. 33033
Phone: (305) 246-1265
Price 1st Visit: $40.00
Price Follow Up. $20.00
Josefa L. Binker, M.D.
(Family Practice)
70 NW 8 St
Homestead, Fl. 33030
Phone: (305) 242-5225
Price 1st Visit: $40.00
Price Follow Up. $20.00
Primary Care Physicians / Médicos Primarios
Broward
Silvia Soto, M.D.
(General Practice)
(Miramar Medical Center)
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Oli Mendez, M.D.
(General Practice)
(Miramar Medical Center)
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Elsa Pichardo Matos, M.D.
(General Practice)
(Sunset Strip Medical Center)
4269 N.W 88 ave
Sunrise, Fl. 33351
Phone: (954) 578-0200
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Stacy H. Katz, M.D.
(General Practice)
(Broward Medical Center of Davie)
255 SE 14 St Suite C-1
Ft. Lauderdale, Fl. 33316
Phone: (954) 321-9826
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Eugene Gregorie, M.D.
(General Practice)
4141 NW 5th Street, Ste 100
Plantation, Fl. 33317
Phone: (954) 486-6866
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Yaneth Trujillo, M.D.
(General Practice)
2300 North Commerce Park Way
Suite 301
Weston, Fl. 33326
Phone: (954) 436-8036
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Johnjairo Catano, M.D.
(General Practice)
7300 W. Menab Rd Suite 112
Tamarac, Fl. 33321
Phone: (954) 718-3752
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Controlled Substance
Call for a Schedule
Karen Gaynair, M.D.
(General Practice)
4900 West Oakland Park Blv #202
Lauderdale Lakes, Fl. 33313
Phone: (954) 730-7993
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Mark Leeds, D.O. PA.
(General Practice)
3500 Hollywood Blvd
Hollywood, Fl. 33021
Phone: (954) 239-6060
Mon-Fri 9am to 5pm
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Controlled Substance
Call for a Schedule
Edward Buonopane, M.D.
Carolyn Zaumeyer MSN, ARPN
(General Practice)
(Womens Awareness)
4540 N. Federal Hwy
Fort Lauderdale, Fl. 33308
Phone: (954) 791-4475
Fax: (954) 791-5652
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Emmauel Eloi, M.D.
(General Practice)
(Sunshine Medical &
Chiropractic Care Inc)
3500 N. State Rd Suite # 211
Lauderdale Lakes, Fl. 33319
Phone: (954) 766-4233
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Mario Litano, M.D.
(General Practice)
(Total Medical LLC)
5409 N. State Rd Suite # 7
Tamarac, Fl. 33319
Phone: (954) 733-3339
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Mario Litano, M.D.
(General Practice)
(Total Medical LLC)
12177 Pembroke Rd
Pembroke Pines, Fl. 33025
Phone: (954) 436-0555
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Marcos Zaragona, M.D.
(General Practice)
Vanguard Medical Group
603 N. Flamingo Road Suite #150
Pembroke Pines, Fl. 33028
Phone: (954) 436-6660
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Kishov Sheth, M.D.
Vanguard Medical Group
(General Practice)
100 NW 82 ave Suite # 401
Plantation, Fl. 33324
Phone: (954) 370-9402
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Shyne Golin, M.D.
Vanguard Medical Group
(General Practice)
100 NW 82 ave Suite # 401
Plantation, Fl. 33324
Phone: (954) 370-9402
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Jeanne - Elyse Cedeño, M.D.
(General Practice)
(Children and Adults)
1601 N. Palm ave, Suite 102 B
Pembroke Pines, Fl. 33026
Phone: (754) 273-6278
Fax: (954) 374-6954
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
17
Primary Care Physicians / Médicos Primarios
Palm Beach
Bob M. Gairaj, M.D.
(General Practice)
(Boca Family Practice)
7280 West Palmetto Park Rd Suite # 104
Boca Raton, Fl. 33433
Phone: (561) 391-6552
Fax: (561) 391-6285
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Paul Murry, M.D.
(General Practice)
(Boca Family Practice)
7280 West Palmetto Park Rd Suite # 104
Boca Raton, Fl. 33433
Phone: (561) 391-6552
Fax: (561) 391-6285
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Pedro Sanchez, DO.
(General Practice)
(Basic Gynecology)
(Vital Care Medical Center)
2188 Jog Road
Green Acres, Fl. 33415
Phone: (561) 439-0850
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Mon-Fri 9 am to 8 pm
Sat 9 am to 1 pm
Alfred G. Salas, M.D.
(General Practice)
(Internal Medicine, Geriatrics)
(Vital Care Medical Center)
2188 Jog Road
Green Acres, Fl. 33415
Phone: (561) 439-0850
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Mon-Fri 9 am to 8 pm
Sat 9 am to 1 pm
Rafael Ubeda, M.D.
(General Practice)
(Basic Gynecology)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Jose E. Blandon, M.D.
(General Practice)
(Basic Gynecology)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Alfonso Ramirez, M.D.
(General Practice)
(Basic Gynecology)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Marco Fabregas, M.D.
(General Practice)
(Basic Gynecology)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Primary Care Physicians / Médicos Primarios
Lee
Varghese E. Mathai, M.D.
(General Practice)
(Region Medical Center)
3900 Broadway Unit 1 Bldg A
Fort Myers, Fl. 33976
Phone: (239) 288-5413
Fax: (239) 288-5418
Price 1st Visit: $ 40.00
Price Follow Up: $ 20.00
Gynecology & Obstetrics / Ginecología y Obstetricia
Esperanza A. Nuñez M.D. (OB)-(GYN)
(Glez. and Glez. Medical Center)
3804 NW 167th Street.
Opa-Locka, Fl. 33054
Phone: (305) 624-2700
Price 1st Visit: $60.00
Price Follow Up. $40.00
18
Conchita Jackson, M.D.(GYN))
(Private Medical Center)
10 NW 42 Ave Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $50.00
Price Follow Up. $40.00
Miami - Dade
Ramon Hechavarria, M.D.(GYN)
(Private Medical Center)
10 NW 42 Ave Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $50.00
Price Follow Up. $40.00
Gynecology & Obstetrics / Ginecología y Obstetricia
Miami - Dade
Matias Guerra M.D. (OB-GYN).
(ST. John Medical Center)
161 NW 29th Street
Miami, Fl. 33121
Phone: (305) 576-0231
Price 1st Visit: $60.00
Price Follow Up. $40.00
Tomas Seville, M.D. (OB-GYN).
(Holistic Medical Center)
5040 NW 7th street Suite 300
Miami Fl. 33126
Phone: (305) 448-8557 / 397-7230
Price 1st Visit: $60.00
Price Follow Up. $40.00
Remberto Santos, M.D.(OB) - (GYN)
(Penalver Clinic Medical Group)
971 NW 2 ST
Miami, Fl. 33128
Phone: (305) 545-7737
Price 1st Visit: $60.00
Price Follow Up. $40.00
Emilio Blanco, M.D. (OB) - (GYN)
(Vida Health Centers)
881 East 2nd ave
Hialeah Fl. 33010
Phone: (305) 882-1100
Price 1st Visit: $60.00
Price Follow Up. $40.00
Eduardo Lavado, M.D. (OB-GYN)
4160 W. 16 Avenue, Ste 406
Hialeah, Fl. 33012
Phone: (305) 822-4561
Price 1st Visit: $60.00
Price Follow Up. $40.00
Esperanza A. Nuñez M.D. (OB)-(GYN)
1840 W 49th ST Ste # 420
Hialeah, Fl. 33012
Phone: (305) 823-3000
Price 1st Visit: $60.00
Price Follow Up. $40.00
Julio A. Diaz-Jane, M.D. (OB) - (GYN)
4201 Palm Ave Suite 2A
Hialeah, Fl. 33012
Phone: (305) 822-8123
Price 1st Visit: $60.00
Price Follow Up. $40.00
Fernando Lora, M.D. (OB) - (GYN)
(Vital Medical Center)
8300 W Flagler, Suite 175
Miami, Fl. 33144
Phone: (305) 220-0300
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Rolando Padro, M.D. (OB) - (GYN)
15439 SW 137 Avenue
Miami, Fl. 33177
Phone: (305) 259-5570
Price 1st Visit: $60.00
Price Follow Up. $40.00
Carlos Verdeza, M.D. (GYN)
13780 SW 26th St Suite 203
Miami, Fl. 33175
Phone: (305) 553-8033
Price 1st Visit: $60.00
Price Follow Up. $40.00
Josefa L. Binker, M.D. (GYN)
70 NW 8 St
Homestead, Fl. 33030
Phone: (305) 242-5225
Price 1st Visit: $60.00
Price Follow Up. $40.00
Gynecology / Ginecología
Edward Buonopane, M.D.
(Womens Awareness)
4540 N. Federal Hwy
Fort Lauderdale, Fl. 33308
Phone: (954) 791-4475
Fax: (954) 791-5652
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Broward
Carolyn Zaumeyer MSN, ARPN
(Womens Awareness)
4540 N. Federal Hwy
Fort Lauderdale, Fl. 33308
Phone: (954) 791-4475
Fax: (954) 791-5652
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Pediatrics / Pediatría
Miami - Dade
Yamile Porro, M.D.
(7 and Up)
(Private Medical Center)
10 NW 42th Avenue, Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $40.00
Price Follow Up. $30.00
Olabisi Oyadiran, M.D.
99 NW 183 St, Suite 114
Miami Gardens, Fl. 33169
Phone: (305) 625-4100
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Miriam Estévez, M.D.
St. John medical Center
161 NW 29th ST
Miami, Fl. 33127
Phone: (305) 576-0231
(786) 230-6127
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Armando Segui, M.D.
(Ambert Medical Center)
15495 Eagle Nest Ln, Suite 100
Miami Lakes, Fl. 33016
Phone: (305) 305-556-0021
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Jorge L. Alsina, M.D.
4980 W. 10 Ave. Suite, 204
Hialeah, Fl. 33012
Phone: (305) 556-4447
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Ausberto Hidalgo, M.D.
5590 W 20 Ave # 101
Hialeah, Fl. 33016
Phone: (305) 827-3303
Price 1st Visit: $40.00
Price Follow Up. $30.00
19
Pediatrics / Pediatría
20
Miami - Dade
Armando Acevedo, M.D.
(Acevedo Medical Group)
2525 NW 54th Street.
Miami, Fl. 33142
Phone: (305) 633-9090
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Juan Del Sol, M.D.
(ST. John Medical Center)
161 NW 29th Street
Miami, Fl. 33127
Phone: (305) 576-0231
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Ivette Valle, M.D.
(ST. John Medical Center)
161 NW 29th Street
Miami, Fl. 33127
Phone: (305) 576-0231
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Eduardo Díaz, M.D.
5703 NW 7 ST
Miami, Fl. 33126
Phone: (305) 267-3462
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Jorge Cabrera, M.D.
(Penalver Clinic Medical Group)
971 NW 2 ST, Miami, Fl. 33128
Phone: (305) 545-7737
Price 1st Visit: $40.00
Price Follow Up. $30.00
Hilda M. Brito, M.D.
12260 SW 8th Street, Suite 224
Miami, Fl. 33184
Phone: (305) 220-6917
Price 1st Visit: $40.00
Price Follow Up. $30.00
Gloria López, M.D.
747 Ponce de Leon Blv, Ste 607
Coral Gables, Fl. 31334
Phone: (305) 443-2324
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Rodolfo Sidron, M.D.
7285 W Flagler St
Miami, Fl. 33144
Phone: (786) 388-9877
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Luis E. De Armas, M.D.
11373 W Flagler St. # 212
Miami, Fl. 33174
Phone: (305) 228-1919
Fax (305) 220-7730
Price 1st Visit: $40.00
Price Follow Up. $30.00
Johanne Zephir, M.D.
(7th Ave. Medical Plaza)
(0 and Up)
10071 NW 7 ave
Miami, Fl. 33150
Phone: (305) 403-7777
Price 1st Visit: $40.00
Price Follow Up. $30.00
John Hemstreet, M.D.
(7th Ave. Medical Plaza)
(0 and Up)
10071 NW 7 ave, Miami, Fl. 33150
Phone: (305) 403-7777
Fax: (305) 403-7700
Price 1st Visit: $40.00
Price Follow Up. $30.00
Otneil Hernandez, DNP, ARNP.
(Felicidad Medical Center)
4410 West. 16th Ave. # 55
Hialeah, Fl. 33013
Phone (305) 824-8559
Price 1st Visit: $40.00
Price Follow Up. $30.00
Pedro C. Reimon, M.D.
(Child Obesity Specialist)
13155 SW 42nd Street Ste 106
Miami Fl. 33175
Phone: (305) 220-1310
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Maria I. Delgado, M.D.
7815 SW 24th street, Suite 106
Miami, Fl. 33155
Phone: (305) 262-2467
Price 1st Visit: $40.00
Price Follow Up. $30.00
Rodolfo B. Ferretti M.D.
7765 SW 87 Avenue Suite 209
Miami, Fl. 33173
Phone: (305) 595-0429
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Lazaro de la C. Nunez, M.D.
(Medical Health and Research Inc)
6854 W Flagler St
Miami Fl. 33144
Phone: (786) -310-7697
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Myriam Lacayo, M.D.
The Children Medical Center Group, Inc
8300 SW 8 St, Suite # 302
Miami, Fl. 33144
Phone: (305) 225-4434
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Francisco Martinez, M.D.
15122 SW 72th ST
Miami, Fl. 33193
Phone: (305) 383-3848
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Dorses Goosby, M.D.
(Pediatric Ass. of Florida)
151 N.W 11th St. Ste E-202
Homestead, Fl. 33030
Phone: (305) 245-3220
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Alfredo Machado, M.D.
(Pediatric Ass. of Florida)
151 N.W 11th St. Ste E-202
Homestead, Fl. 33030
Phone: (305) 245-3220
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Milady Fernandez, M.D.
(All Family Care Inc.)
38 Northwest 8 Street
Homestead, Fl. 33030
Phone: (305) 246-0460
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Roberto Carpio, M.D.
(Caribe Medical Center of Homestead)
26799 S. Dixie Hwy
Naranja, Fl. 33032
Phone: (305) 258-6070
Price 1st Visit: $40.00
Price Follow Up. $30.00
Marta Delgado, M.D.
(Homestead Medical Clinic PA)
125 NE 8th St # 6
Homestead, Fl. 33030
Phone: (786) 243-1909
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Juan Ruiz, M.D.
8900 SW 24 ST #204
Miami, Fl. 33165
Phone: (305) 554-6666
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Pediatrics / Pediatría
Broward
Yuelice Villamar, M.D.
(Sacred Hearth Medical)
17901 N.W. 5 St. # 205
Pembroke Pines, Fl. 33029
Phone: (954) 392-0333
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Ausberto Hidalgo, M.D.
(Pines Professional Campus)
302 NW 179 St # 103
Pembroke Pines, Fl. 33029
Phone: (954) 442-8888
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Neelan Seth, M.D.
2929 University Dr.
Coral Spring, Fl. 33065
Phone: (954) 510-7900
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Emmauel Eloi, M.D.
(0 through 18 years old)
(Sunshine Medical & Chiropractic care Inc)
3500 N. State Rd Suite # 211
Lauderdale Lakes, Fl. 33319
Phone: (954) 766-4233
Fax: (954) 306-2056
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Pediatrics / Pediatría
Dibanni Vazquez, M.D.
(Pines Professional Campus)
302 NW 179 St # 103
Pembroke Pines, Fl. 33029
Phone: (954) 442-8888
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Palm Beach
Bradley J. Bradford, M.D.
(Pediatrics by the Sea)
285 SE 5th Ave
Delray Beach, Fl. 33483
Phone: (561) 272-8991
Fax: (561) 272-8985
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Pedro Sanchez, DO.
(11 and Up)
(Vital Care Medical Center)
2188 Jog Road
Green Acres, Fl. 33415
Phone: (561) 439-0850
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Mon-Fri 9 am to 8 pm
Sat 9 am to 1 pm
Jose E. Blandon, M.D.
(6 and Up)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Rafael Ubeda, M.D.
(6 and Up)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Alfonso Ramirez, M.D.
(6 and Up)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Marco Fabregas, M.D.
(6 and Up)
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
Pediatrics / Pediatría
Collier
Héctor Cordero, M.D.
1090 6th Ave N
Naples, Fl. 34102
Phone: (239) 213-9200
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Pediatrics / Pediatría
Lee
Varghese E. Mathai, M.D.
(Region Medical Center)
3900 Broadway Unit 1 Bldg A
Fort Myers, Fl. 33976
Phone: (239) 288-5413
Fax: (239) 288-5418
Price 1st Visit: $ 40.00
Price Follow Up: $ 30.00
21
22
MEDICAL CENTERS / CENTROS MEDICOS
MED PLAN
CLINIC
7200 N.W 7Th Street, Suite 202
Miami, Fl. 33126
305-267-7784
A Clinic For Our
MED PLAN MEMBERS
UNA CLINICA PARA NUESTROS MIEMBROS
Med/Plan members will receive
excellent health services
aimed at detecting and preventing
diseases by means of
PREVENTIVE
MEDICINE
Nuestros miembros cuentan
con excelentes servicios de
salud especialmente pensados
para detectar y prevenir a tiempo
enfermedades mediante la
MEDICINA PREVENTIVA
23
Medical Centers / Centros médicos
24
Miami - Dade
Private Medical Center.
(Medical Center Family)
10 NW 42th Ave. Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Services / Servicios:
General Medicine, Ginecology
Pediatric, Cardiology, Dermathology,
Internal Medicine, Minor Surgery,
Diagnostic Services, Holter
Monitors, Immigration Exams $60,
Work Physicals, Transportation (Call
the Clinic for the fee), Pharmacy.
Felicidad Medical Center
(Medical Center Family)
4410 West. 16th Ave. # 55
Hialeah, Fl. 33013
Phone (305) 824-8559
Services / Servicios:
General Medicine, Internal
Medicine, Loss Weight, Ultrasound
Laboratory, Physical Therapy.
Vida Health Medical Center.
(Medical Center Family)
881 East 2 ave
Hialeah, Fl. 33010
Phone: (305) 882-1100
Services / Servicios:
General Medicine, Surgery,
Angiology, Gastroenterology,
Gynecology and Psychiatry
Medical Counsulting Center.
(Medical Center Family)
759 NW 22 ave
Miami , Fl. 33125
Phone: (305) 649-0492
Services / Servicios:
General Medicine, .Ginecology
Physicial Therapy
Florida Care Health Center.
(Medical Center Family)
11300 NW 87th Court, Ste 141
Hialeah Gardens, Fl. 33018
Phone: (305) 364-8600
Fax: (305) 364-8604
Services / Servicios:
General Medicine
Complete Medical Care.
(Medical Center Family)
630 NW 33 Avenue
Miami, Fl. 33125
Phone: (305) 649-6378
Services / Servicios:
General Medicine
Acevedo Medical Group.
(Medical Center Family)
2525 NW 54th Street
Miami, Fl. 33142
Phone: (305) 633-9090
Fax: (305) 633-9383
Services / Servicios:
General Medicine
C&I Medical Center.
(Medical Center Family)
13903 NW 67th Ave #440
Miami Lakes, Fl. 33014
Phone: (305) 824-0880
Services / Servicios:
General Medicine
Gonzalez and Gonzalez.
(Medical Center Family)
3804 NW 167th Street.
Opa-Locka Fl. 33054
Phone: (305) 624-2700
Fax: (305) 624-3154
Services / Servicios:
General Medicine, Psychiatrist
Psiquiatry, Gynecology
Ambert Medical Center.
(Medical Center Family)
15495 Eagle Nest Ln Suite 100
Miami Lakes, Fl. 33016
Phone: (305) 556-0021
Services / Servicios:
General Medicine
Pediactrics
St. John Clinic Medical Center.
(Medical Center Family)
161 NW 29th Street.
Miami, Fl. 33127
Phone: (305) 576-0231
Services / Servicios:
General Medicine, Pediatric
Podiatric, Cardiovascular
Gynecology, Orthopedic
J.O. Medical Center.
(Medical Center Family)
42 NW 27 ave Ste 303
Miami, Fl. 33125
Phone: (305) 642-7704
Services / Servicios:
General Medicine
Opa Medical Center.
(Medical Center Family)
1865 NE 163th Street.
Miami, Fl. 33162
Phone: (305) 948-9958
Services / Servicios:
General Medicine
Gynecology and Minor Surgery
Holistic Medical Center
(Family Medicine)
5040 NW 7th Street, Suite 300
Miami, Fl. 33126
Phone: (305) 448-8557
Services / Servicios:
General Medicine, Gynecology
Ophthalmology
Hammocks Medical Center.
(Medical Center Family)
15122 SW 72 Street.
Miami Fl. 33193
Phone: (305) 383-3848
Services / Servicios:
General Medicine
Pediactrics
ACN Physician Group
7490 SW 23 St, Ste 201
Miami, Fl. 33155
Phone: (786) 953-8221
Services / Servicios:
General Medicine
Universal Community Mental Care.
(Medical Center Family)
928 SW 82 Ave.
Miami, Fl. 33144
Phone: (305) 265-5744
Fax: (305) 265-5745
General Medicine,
Internal Medicine
Psyquiatry, Neurology,
Pain Management,
Podiatry
Medical Centers / Centros médicos
Delgado Pediatrics After Hours PA.
(Medical Center Family)
7815 SW 24th Street, Suite 106
Miami, Fl. 33155
Phone: (305) 262-2467
Services / Servicios:
Pediactric
Anchor Medical Center.
(Medical Center Family)
12781 SW 40th St # H
Miami, Fl. 33175
Phone: (305) 229-3990
Fax: (305) 229-3880
Services / Servicios:
General Medicine
Miami Community Health Center
(Medical Center Family)
2324 SW 8 ST
Miami, Fl. 33135
Phone: (305) 643-0535
(305) 767-5635
Fax: (305) 642-9360
Services / Servicios:
General Medicine, Basic Ginecology
Podiatry.
All Family Care Inc.
(Medical Center Family)
38 NW 8th Street.
Homestead, Fl. 33030
Phone: (305) 246-0460
Services / Servicios:
General Medicine
Pediactrics
Pediatrics Ass. of South Florida.
151 N.W 11th Street, Suite E-202
Homestead, Fl. 33030
Phone: (305) 245-3220
Fax: (305) 247-5849
Services / Servicios:
Pediactrics
Homestead Medical Clinic PA.
(Medical Center Family)
125 NE 8th Street, Suite 6
Homestead, Fl. 33030
Phone: (786) 243-1909
Services / Servicios:
General Medicine
Pediactrics
Medical Centers / Centros médicos
Miami - Dade
ABC Medical Group.
(Medical Center Family)
1393 SW 1st Street, Suite 320
Miami Fl. 33135
Phone: (305) 644-0977
General Medicine,
Physical Therapy
Ophthalmology, Dental,
Podiatry, Optical
Broward
Emeril Health Medical Center.
4330 Sheridan Street, Suite 102
Hollywood, Fl. 33021
Phone: (954) 987-4455
Fax: (954) 964-7342
Services / Servicios:
Internal Medicine
Pines Care Medical Center,
LLC.
301 NW 103 Ave, # 235
Pembroke Pines, Fl. 33026
Phone: (954) 251-1497
Fax: (954) 404-9537
Services / Servicios:
General Medicine
Internal Medicine
Miramar Medical Center.
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Fax: (954) 639-7563
Services / Servicios:
Medicina Interna,
General Medicine, Rayos X
Cardiology, Endocrinology
Ultrasound
Sunset Strip Medical Center.
4269 N.W.88 ave
Sunrise Fl. 33351
Phone: (954) 578-0200
Services / Servicios:
General Medicine, Gynecology
Broward Medical Center of Davie.
255 SE 14 St Suite C-1
Ft. Lauderdale, Fl. 33316
Phone: (954) 321-9826
Fax: (954) 321-9660
Services / Servicios:
General Medicine
Urgent Care Center.
(UrgentMed)
2337 S. University Drive
Davie, Fl. 33324
Phone: 954-423-9234
Fax: (954) 423-9231
French, Italian & Creole
Services / Servicios:
General Medicine
Total Medical LLC
12177 Pembroke Rd
Pembroke Pines Fl. 33025
Phone: (954) 436-0555
Services / Servicios:
General Medicine,
Endocrinology
Total Medical LLC
5409 N. State Rd, Suite 7
Tamarac Fl. 33319
Phone: (954) 733-3339
Services / Servicios:
General Medicine
Pines Professional Campus
302 NW 179th St, Suite 103
Pembroke Pines Fl. 33029
Phone: (954) 442-8888
Services / Servicios:
Pediatrics
25
Medical Centers / Centros médicos
Pediatrics by the Sea
285 SE 5th ave
Delray Beach Fl. 33483
Phone: (561) 272-8991
Services / Servicios:
Pediatrics
Vital Care Medical Center
2188 Jog Rd
Green Acres Fl. 33415
Phone: (561) 439-0850
Services / Servicios:
General Medicine, Pediatrics,
Internal Medicine
Medical Centers / Centros médicos
Naples Health Care Inc.
Martha R. Fernandez, M.D.
(General Medicine & Gynecology)
4947 Tamiami Trail North Suite 206
Naples Fl. 34103
Phone: (239) 304-9290
SERVICES / SERVICIOS:
Multi Specialist Practice,
General Medicine, Gynecology
Podiatry, Physical Therapy
Naples Health Care Inc.
Angel Garcia, D.P.M.
(Podiatry)
4947 Tamiami Trail North Suite 206
Naples Fl. 34103
Phone: (239) 304-9290
SERVICES / SERVICIOS:
Multi Specialist Practice,
General Medicine, Gynecology
Podiatry, Physical Therapy
Medical Centers / Centros médicos
26
Del Prado Medical Center.
Martha R. Fernandez, M.D.
(General Medicine)
2500 Del Prado Blvd South
Cape Coral Fl. 33954
Phone: (239) 772-1194 / 1195
Services / Servicios:
Multi Specialist Practice
General Medicine,
Gynecology, Podiatry
Podiatría, Physical Therapy
Del Prado Medical Center.
Nelson Gonzalez, M.D.
(Podiatry)
2500 Del Prado Blvd South
Cape Coral Fl. 33954
Phone: (239) 772-1194 / 1195
Services / Servicios:
Multi Specialist Practice
General Medicine,
Gynecology, Podiatry
Podiatría, Physical Therapy
Del Prado Medical Center.
Calixto Garcia, M.D.
(Psychologist)
2500 Del Prado Blvd South
Cape Coral Fl. 33954
Phone: (239) 772-1194 / 1195
Services / Servicios:
Multi Specialist Practice
General Medicine, Psychologist
Gynecology, Podiatry
Podiatría, Physical Therapy
The Medical Center of Lehigh Acres.
1303 Homestead Rd. North, Suite 102
Lehigh Acres, Fl. 33936
Phone: (239) 303-2700
Services / Servicios:
General Medicine, Internal Medicine
Psychiatry, OB-GYN, Chiropractor
Laser Therapy, Therapeutic massage
Acupuncture and Radiology.
Palm Beach
Johnson Medical Service
2531 N. Dixie Hwy
Lakeworth Fl. 33460
Phone: (561) 582-0330
Services / Servicios:
General Medicine, Pediatrics,
Ophthalmology
Collier
Naples Health Care Inc.
Calixto Garcia, M.D.
(Psychologist)
4947 Tamiami Trail North Suite 206
Naples Fl. 34103
Phone: (239) 304-9290
SERVICES / SERVICIOS:
Multi Specialist Practice,
General Medicine, Gynecology
Podiatry, Physical Therapy
Lee / Cape Coral
Del Prado Medical Center.
Luis Martinez, M.D.
(Ginecology)
2500 Del Prado Blvd South
Cape Coral Fl. 33954
Phone: (239) 772-1194 / 1195
Services / Servicios:
Multi Specialist Practice
General Medicine,
Gynecology, Podiatry
Podiatría, Physical Therapy
SPECIALIST PHYSICIANS / ESPECIALISTAS
Angiology / Angiólogo
Abdón S. Borges, M.D.
8300 West Flagler St. Suite 105
Miami, Fl. 33144
Phone: (305) 446-8236
Price: 1st. Visit $ 80.00
Follow Up: $ 50.00
Miami-Dade
Abdón S. Borges, M.D.
3850 SW 87 ave # 305
Miami, Fl. 331165
Phone: (786) 558-5485
Fax: (786) 558-5486
Price: 1st. Visit $ 80.00
Follow Up: $ 50.00
Alergist /Alergista
Vicente A. Chavarria, M.D
1840 W. 49th Street, Suite 515
Hialeah, Fl. 33012
Phone: (305) 670-7006
Price: 1st. Visit $ 80.00
Follow Up: $ 50.00
Miami-Dade
Vicente A. Chavarria, M.D
7400 N. Kendall Dr., Suite 204
Miami, Fl. 33156
Phone: (305) 670-7006
Price: 1st. Visit $ 80.00
Follow Up: $ 50.00
Anesthesiology / Anestesiólogo
Miami-Dade
Manuel A. Barbeito, M.D.
(Pain Management)
(South Florida Institute of Pain
Management)
9370 Sunset Dr. Suite A-150
Miami, Fl. 33173
Phone: (305) 663-6681
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Cardiology / Cardiólogo
Miami-Dade
Mario R. Villoch, M.D.
(AV Medical Center)
2075 SW 27 ave #101
Miami, Fl. 33145
Phone: (305) 856-6081
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Francisco Dieguez, M.D.
1435 West 49 Place, Suite 500
Hialeah, Fl. 33012
Phone: (305) 575-1776
Fax: (305) 575-1780
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Michelle Malow, M.D.
(St. John Medical Center)
161 NW 29 Street.
Miami, Fl. 33127
Phone: (305) 576-0231
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Mauricio Vargas, M.D.
(7 years and Up)
(Private Medical Center)
10 NW 42 Ave Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Guido A. Perez, MD
(Cardiovascular Disease)
8756 SW 8 St,
Miami, Fl. 33174
(Phone: (305) 554-1819
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Melvin Martinez-Castrillon, M.D.
3661 South Miami Ave # 902
Miami, Fl. 33133
Phone: (305) 856-7636
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Cardiology / Cardiología
Mian Hasan, MD
603 N Flamingo Road #150
Pembroke Pine, Fl. 33028
(Phone: (954) 436-6660
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Broward
Maximo Fernandez, MD
603 N Flamingo Road #150
Pembroke Pine, Fl. 33028
Phone: (954) 436-6660
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Luis Tami, M.D.
(Miramar Medical Center)
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
27
Chiropractor / Quiropráctico
Aixa Goodrich, D.C.
7990 SW 117 Ave Suite 205
Miami, Fl. 33183
Phone: (305) 271-7447
Fax: (305) 271-7448
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Maria Del Campillo, DC.
3625 NW 82nd Ave. Suite 320
Doral, Fl. 33166
Phone: (305) 593-1555
Fax: (305) 593-1556
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Yolaris Garcia, DC.
11730 Biscayne Blv. #104
North Miami, Fl. 33181
Phone: (305) 981-0899
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Anthony Jones, DC.
MD Health Care and Rehabilitation
7975 NW 154 St # 200
Miami Lakes, Fl. 33016
Phone: (305) 822-2824
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Chiropractor / Quiropráctico
Miami - Dade
Dennis Kogut, DC.
9999 NE 2nd ave Ste # 303
Miami Shores, Fl. 33138
Phone: (305) 978-7680
Fax: (305) 757-6220
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Broward
Jan Scott Buchholz, D.C.
(Hands On Healthcare)
2901 West Oakland Park Blvd, Suite A-23
Ft. Lauderdale, Fl. 33311
Phone: (954) 731-8097
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Chiropractor / Quiropráctico
Lee
Charles Wolter, D.C.
(Region Medical Center)
3900 Broadway Unit 1 Bldg A
Fort Myers, Fl. 33976
Phone: (239) 288-5413
Fax: (239) 288-5418
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Cosmetic Surgery / Cirugía Cosmética
Constantine N. Kitsos, M.D.
(Board certified plastic surgeon)
(Seduction Cosmetic Center)
2500 NW 107 Ave #102
Doral, Fl. 33172
Phone: (305) 406-9055
(See price list, Page 94)
Camille Chavez, M.D.
(Board certified plastic surgeon)
(Seduction Cosmetic Center)
2500 NW 107 Ave #102
Doral, Fl. 33172
Phone: (305) 406-9055
(See price list, Page 94)
Patrick Abuzeni, M.D.
(Board certified plastic surgeon)
(Seduction Cosmetic Center)
2500 NW 107 Ave #102
Doral, Fl. 33172
Phone: (305) 406-9055
(See price list, Page 94)
Manuel Lopez Prieto, M.D.
(Board certified plastic surgeon)
(Seduction Cosmetic Center)
2500 NW 107 Ave #102
Doral, Fl. 33172
Phone: (305) 406-9055
(See price list, Page 94)
Miami - Dade
Horacio Leyva, M.D.
(Board Certified Plastic Surgeon)
(Seduction Cosmetic Center)
2500 NW 107 Ave #102
Doral, Fl. 33172
Phone: (305) 406-9055
(See price list, Page 94)
As a provider of Med Plan, Seduction Cosmetic Center will like to offer all MedPlan clients as of August 10, 2011 the Lap Band System at a promotional price of $8,500.00. This offer is only valid till December 31,2012.
Como proveedor de Med Plan, Seduction Cosmetic Center se complace en ofrecer a todos los miembros de Med Plan, a partir del
10 de Agosto de 2011, el sistema de banda gástrica por un precio promocional de $8,500.00. Esta oferta estará disponible solamente
hasta el 31 de Diciembre de 2012.
28
Dermatology / Dermatología
Jose E. Mendez, D.O.
1435 W 49 Place # 702
Hialeah, Fl. 33121
Phone: (305) 828-7504
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Jaime Garcia, M.D.
935 West 49 St #107
Hialeah, Fl. 33012
Phone: (305) 827-2268
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Maria Cartaya, M.D.
7805 Coral Way, Suite 131
Miami, Fl. 33175
Phone: (305) 261-4474
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Hector Wiltz, M.D.
11760 SW 40th Street Ste 451
Miami Fl. 33175
Phone: (305) 227-9233
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Hector Wiltz, M.D.
(Eric W. Bussear M.P.H, PA-C)
151 NW 11 Street, Suite W-201
Homestead Fl. 33030
Phone: (305) 245-1332
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Josefa L. Binker, M.D.
70 NW 8 St
Homestead, Fl. 33030
Phone: (305) 242-5225
Price 1st Visit: $60.00
Price Follow Up. $40.00
Dermatology / Dermatología
Miami - Dade
Mauricio Vargas, M.D.
(Private Medical Center)
10 NW 42 Ave Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Hector Wiltz, M.D.
(Eric W. Bussear M.P.H , PA-C)
7400 N. Kendall Drive Suite 411
Miami Fl. 33156
Phone: (305) 670-0178
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Broward
Jose E. Mendez, M.D.
12600 Pembroke Road # 312
Miramar, Fl. 33027
Phone: (954) 431-7681
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Endocrinology / Endocrinología
Carlos Barrera, M.D.
7400 North Kendall Dr., Suite 617
Miami, Fl. 33156
Phone: (305) 670-0576
Price 1st Visit: $ 90.00
Price Follow Up: $ 75.00
Carlos Barrera, M.D.
151 NW 11th Street, Ste 102-B
Homestead, Fl. 33030
Phone: (305) 670-0576
Price 1st Visit: $ 90.00
Price Follow Up: $ 75.00
Endocrinology / Endocrinología
Emilio Castañeda
(Miramar Medical Center)
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Price 1st Visit: $ 90.00
Price Follow Up: $ 75.00
Alexander A. Miranda, M.D.
Juventus Medical Center, Inc.
1165 W 49th St # 208
Hialeah, Fl. 33012
Phone: (305) 512-5480
Price 1st Visit: $ 90.00
Price Follow Up: $ 75.00
Broward
Emilio E. Castaneda, M.D.
(Total Medical LLC)
12177 Pembroke Rd
Pembroke Pines, Fl. 33025
Phone: (954) 436-0555
Price 1st Visit: $ 80.00
Price Follow Up: $ 50.00
ENT / Otorrino
Miriam Lacayo, M.D.
(Otolaryngologist ENT / Otorrino)
7821 Coral Way Suite 104
Miami, Fl. 33155
Phone: (305) 261-1337
Fax: (305) 261-1997
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Miami - Dade
Miami - Dade
Maria T. llopiz, M.D.
(Otolaryngologist ENT / Otorrino)
330 SW 27 ave Suite 603
Miami Fl. 33155
Phone: (305) 649-5455
Price 1st Visit: $ 80.00
Price Follow Up: $ 50.00
29
Gastroenterology / Gastroenterólogo
Orlando Torres, M.D.
4791 W 4 ave
Hialeah, Fl. 33012
Phone: (305) 825-0500
Fax: (305) 825-5557
Servicios: All Included
Endoscopía $ 530.00
Colonoscopía $ 675.00
Sigmoidoscopía $ 400.00
Price 1st Visit: $60.00
Price Follow Up. $50.00
Juan Sarol, M.D.
(Vida Health Centers)
881 E 2nd ave
Hialeah, Fl. 33010
Phone: (305) 882-1100
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Internal Medicine / Medicina Interna
30
Miami - Dade
Juan C. Sarol, M.D.
87 E 49 St
Hialeah, Fl. 33013
Phone: (786) 536-5001
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Miami - Dade
Mayre Urdaneta, M.D.
8060 NW 155th Street Ste 201
Miami Lakes, Fl. 33016
Phone: (305) 826-0606
Fax: (305) 826-0630
Price 1st Visit: $60.00
Price Follow Up. $40.00
Madeline Castro, M.D.
(Penalver Clinic Medical Group)
971 NW 2 ST
Miami, Fl. 33128
Phone: (305) 545-7737
Price 1st Visit: $60.00
Price Follow Up. $40.00
Margarita del Val, M.D.
(MD Health Care and Rehabilitation)
7975 NW 154th St # 200
Miami Lakes, Fl. 33016
Phone: (305) 855-2824
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Mauricio Vargas, M.D.
(Private Medical Center)
10 NW 42 Ave Suite 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Felix A. Rodriguez, M.D.
(American Family Health Center)
2150 W. 68th Street, Suite 102
Hialeah, Fl. 33018
Phone: (305) 231-8996
Fax: (305) 231-8433
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Noel E. Lezama, M.D.
(Universal Comunity Mental Care)
928 SW 82 Ave.
Miami, Fl. 33144
Phone: (305) 265-5744
Fax: (305) 265-5745
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Humberto Hernandez, M.D.
(General Medicine)
1435 West 49th Place, Ste 604
Hialeah, Fl. 33012
Phone: (305) 231-3151
Price 1st Visit: $60.00
Price Follow Up. $40.00
Alejandro de la Cruz, M.D.
4118 W 12 Ave
Hialeah, Fl. 33012
Phone: (305) 824-8787
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Odalys Frontela, M.D. F.F.C.P
(General Medicine)
801 West 48th Street, Suite A
Hialeah, Fl. 33012
Phone: (305) 698-7172
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Otneil Hernandez, DNP, ARNP.
(Felicidad Medical Center)
4410 West. 16th Ave. # 55
Hialeah, Fl. 33013
Phone (305) 824-8559
Price 1st Visit: $60.00
Price Follow Up. $40.00
Gonzalo Gonzalez, M.D.
(Medical Health and Research Inc)
6854 W Flagler St
Miami Fl. 33144
Phone: (786) -310-7697
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Joseph Thevenin, M.D.
9635 SW 181 Terrace.
Miami, Fl. 33157
Phone: (305) 238-8561
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
José Padrón, M.D.
2601 SW 37 Ave, Suite 707
Miami, Fl. 33133
Phone: (305) 569-0010
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Mario R. Villoch, M.D.
(AV Medical Center)
2075 SW 27 ave #101
Miami, Fl. 33145
Phone: (305) 856-6081
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Ramses Vega, M.D.
3720 SW 107 ave
Miami, Fl. 33165
Phone: (305) 554-4270
Price: 1st. Visit $ 60.00
Follow Up: $ 40.00
Manuel Jimenez Rodriguez M.D.
The Wellness Clinic Center
15190 SW 136 ST, Suite 15
Miami, Fl. 33196
Phone: (305) 964-7689
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Roberto Sotolongo, M.D.
(Leal Medical Center LLC)
925 NE 30 Terr # 206
Homestead, Fl. 33033
Phone: (305) 246-1265
Price 1st Visit: $60.00
Price Follow Up. $40.00
Alfonso Garcia_Bello, M.D.
(Leal Medical Center LLC)
925 NE 30 Terr # 206
Homestead, Fl. 33033
Phone: (305) 246-1265
Price 1st Visit: $60.00
Price Follow Up. $40.00
Internal Medicine / Medicina Interna
Broward
Herbert Pardell, DO.
Emeril Health Medical Center
4330 Sheridan Street, Suite 102
Hollywood, Fl. 33021
Phone: (954) 987-4455
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Carlos Vallin, M.D.
Miramar Medical Center
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Emilio Castañeda, M.D.
Miramar Medical Center
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Santiago Cardenas ,M.D.
(General & Internal Medicine)
Pines Care Medical Center, LLC
301 NW 103 Ave, # 235
Pembroke Pines, Fl. 33026
Phone: (954) 251-1497
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Karen Prida, M.D.
(General & Internal Medicine)
Pines Care Medical Center, LLC
301 NW 103 Ave, # 235
Pembroke Pines, Fl. 33026
Phone: (954) 251-1497
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Jayner Moya, M.D.
(General & Internal Medicine)
Pines Care Medical Center, LLC
301 NW 103 Ave, # 235
Pembroke Pines, Fl. 33026
Phone: (954) 251-1497
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Emilio E. Castaneda, M.D.
Total Medical LLC
12177 Pembroke Rd
Pembroke Pines, Fl. 33025
Phone: (954) 436-0555
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Internal Medicine / Medicina Interna
Palm Beach
Alfred G. Salas, M.D.
(Internal Medicine, Geriatrics)
(Vital Care Medical Center)
2188 Jog Road. Green Acres, Fl. 33415
Phone: (561) 439-0850
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Mon-Fri 9 am to 8 pm
Sat 9 am to 1 pm
Nephrology / Nefrología
Guibel Perera, M.D.
10710 SW 38 St
Miami, Fl. 33165
Phone: (305) 392-1000
Price 1st Visit: $ 80.00
Price Follow Up: $ 50.00
Miami - Dade
Jorge L. Posada, M.D.
747 Ponce de Leon Blvd # 605
Coral Gables, Fl. 33134
Phone: (305) 445-4535
Price 1st Visit: $ 80.00
Price Follow Up: $ 50.00
Neurology / Neurología
James Gorelick, M.D.
351 NW Le Jeune Rd Suite 103
Miami Fl. 33126
Phone: (305) 642-4616
Fax: (305) 631-1419
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Gonzalo Quesada, M.D.
(Medical Health and Research Inc)
6854 W Flagler St
Miami Fl. 33144
Phone: (786) -310-7697
Price 1st Visit: $ 90.00
Price Follow Up: $ 75.00
Luis Garcia-Mayol, M.D.
747 Ponce de Leon Blvd # 605
Coral Gables, Fl. 33134
Phone: (305) 445-4535
Price 1st Visit: $ 80.00
Price Follow Up: $ 50.00
Miami - Dade
James Gorelick, M.D.
20700 West Dixie Hwy
Adventura Fl. 33180
Phone: (305) 642-4616
Fax: (305) 631-1419
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Martha Bustamante, M.D
(Pediatric Neurology)
4160 W. 16 Ave. Suite 100
Hialeah, Fl. 33012
Phone: (305) 826-5655
Price 1st Visit: $ 80.00 **
Price Follow Up: $ 50.00 **
31
Diagnostic Center of Neurological Studies
Neurology Mobile System Associates, Inc
7374 SW 93 ave, Suite 201
Miami, Fl. 33173
Phone: 305-270-7771
Fax: 305-270-7775
See procedures and prices of this center only in the chart below
PROCEDURE
DESCRIPTION
Soft-Tissue
Ultrasound
Cervical Soft Tissue
Spinal Canal & Contents
Extremities Leg / Arm
Neurological NCS Upper Motor
Studies
NCS Upper Motor + F-Wave
NCS Upper Sensory
NCS Lower Motor
NCS Lower Motor + F-Wave
NCS Lower Senory
EEG - Electroencephalogram
BAER - Brainstem Auditory Evoked Response
VER - Visual Evoked Response
VEP - Visual Evoked Potential
EMG - 1 Extremity
EMG - 2 Extremities
EMG - 3 Extremities
EMG - 4 Extremities
Orbucularis Ocull - Blink
Cardiac Studies Echo 2D M-Mode
Cardiac Doppler
Coloflow Doppler
EKG Holter
Electrocardiogram
Holter Monitor 24 hour (Global)
Vascular Studies Carotid Arterial Doppler
Carotid Arterial Duplex
Arterial Doppler (Bilateral)
Arterial Duplex (Bilateral)
Arterial Duplex (Unilateral)
Venous Doppler (Bilateral)
Venous Doppler (Bilateral)
Venous Duplex (Unilateral)
Small Parts
Testicular
Breast
Thyroid
Biophysical
Pelvic Complete
Bladder
Obstetric Complete
Abdominal
Abdominal Complete (2 or More)
Studies
Abdominal Limited (Only 1 organ)
Retro Complete (2 or More)
Retro Limited (Only one organ)
Ophthalmology / Oftalmología
32
Manuel Airala, M.D.
Marta Airala M.D.
(Laser & Cataract Institute)
202 East 49 Street.
Hialeah, Fl. 33013
Phone: (305) 558-7895
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Salomon Esquenazi, M.D.
(Laser & Cataract Institute)
202 East 49 Street.
Hialeah, Fl. 33013
Phone: (305) 558-7895
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
CPT
CODES
76536
76800
76880
95900
95903
95904
95900
95903
95904
95819
92585
92280
95930
95860
95861
95863
95864
95933
93307
93320
93325
93000
93230
93875
93880
93923
93925
93926
93965
93970
93971
76870
76645
76536
76856
76857
76805
76700
76705
76770
76775
Member
Fees
$100.00
$100.00
$100.00
$125.00
$125.00
$125.00
$125.00
$125.00
$125.00
$150.00
$125.00
$125.00
$125.00
$130.00
$180.00
$225.00
$275.00
$150.00
$150.00
$150.00
$100.00
$100.00
$90.00
$90.00
$100.00
$100.00
$100.00
$90.00
$90.00
$75.00
$75.00
$75.00
$70.00
$70.00
$70.00
$70.00
$70.00
$70.00
$70.00
Miami - Dade
Jorge J. Bacallao, M.D.
(Laser & Cataract Institute)
202 East 49 Street.
Hialeah, Fl. 33013
Phone: (305) 558-7895
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Ophthalmology / Oftalmología
Miami - Dade
Tomas Ugarte M.D.
(Ophthalmology)
900 West 49th Street, Ste 300
Hialeah, Fl. 33012
Phone: (305) 823-6525
Fax: (305) 823-6527
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Marta Airala, M.D.
(Laser & Cataract Institute)
2441 SW 37 Avenue.
Miami, Fl. 33145
Phone: (305) 442-0066
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Jonathan Leon-Rosen MD
(Laser & Cataract Institute)
2441 SW 37 Avenue.
Miami, Fl. 33145
Phone: (305) 442-0066
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Salomon Esquenazi, MD
(Laser & Cataract Institute)
2441 SW 37 Avenue.
Miami, Fl. 33145
Phone: (305) 442-0066
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Jorge J. Bacallao, M.D.
(Laser & Cataract Institute)
2441 SW 37 Avenue.
Miami, Fl. 33145
Phone: (305) 442-0066
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Osvaldo Caffa, M.D.
(Visionl Specialty Care)
9000 SW 87 Ct Suite 206
Miami, Fl. 33176
Phone: (305) 596-1717
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Osvaldo Caffa, M.D.
Rodrigo Belalcazar, M.D.
Jorge J. Bacallao, M.D.
(Vision Specialty Care)
7949 NW 2 St
Miami, Fl. 33126
Phone: (305) 263-9050
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Ophthalmology / Oftalmología
Palm Beach
Orthopedics / Ortopedia
Miami - Dade
Daniel Hernandez, PAC
(Johnson Medical Services)
2531 N Dixie Hwy
Lake Worth, Fl. 33460
Phone: (561) 582-0330
Fax: (561) 582-0339
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Alejandro de la Cruz, M.D.
(Orthopedic / Ortopédico)
4118 W 12 Ave
Hialeah, Fl. 33012
Phone: (305) 824-8787
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Carlos Roig, M.D.
(Orthopedic Medicine & Surgery)
(St. John Medical Center)
161 NW 29 Street,
Miami, Fl. 33127
Phone: (305) 576-0231
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Gustavo Torres, M.D.
(Orthopedic Medicine & Surgery)
900 West 49th Street, Suite 450
Hialeah, Fl. 33012
Phone: (305) 821-4020
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Ignacio Calvo, M.D.
(Orthopedic Medicine & Surgery)
777 East 25 Street, Suite 508
Hialeah, Fl. 33013
Phone: (305) 696-7772
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Arnaldo V. Lopez, M.D.
(Orthopedic Medicine & Surgery)
1545 S.W 1St Street, Suite 200
Miami, Fl. 33135
Phone: (305) 541-3230
Fax: (305) 541-1650
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Jose L Ponce de Leon, M.D.
(Orthopedic / Ortopédico)
3501 SW 107 ave
Miami, Fl. 33165
Phone: (305) 229-1227
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Ignacio Calvo, M.D.
(Orthopedic Medicine & Surgery)
1800 SW 27 Ave, Ste 400
Miami, Fl. 33145
Phone: (305) 856-7411
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
33
Podiatry / Podiatría
Luis Eiver, D.P.M
Hialeah Foot Center.
4410 West 16 Ave #53
Hialeah, Fl. 33012
Phone: (305) 558-7437
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Nguyen Phu, D.P.M.
3661 S. Miami Ave. Suite 309
Miami, Fl. 33133
Phone: (305) 854-6600
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Yanssel Delgado, D.P.M.
5590 W 20 Ave Suite # 404
Hialeah, Fl. 33016
Phone: (305) 819-9240 / 9239
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Richard Mallia, D.P.M.
(St. John Medical Center)
161 NW 29 Street.
Miami, Fl. 33127
Phone: (305) 576-0231
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Joaquin Fernandez, D.P.M.
605 SW 57 Avenue.
Miami, Fl. 33144
Phone: (305) 269-8223
Fax: (305) 262-0554
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Oscar Barreto, D.P.M.
(D.P.M., F.A.C.F.A.S).
7975 NW 154th Street, Ste 390
Miami Lakes, Fl. 33016
Phone: (305) 825-5633
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Juliette Perez, D.P.M.
(Perfect Feet Care Podiatry Center)
13651 SW 26th Street.
Miami, Fl. 33175
Phone: (305) 225-4277
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Flavia Inesta, D.P.M.
1797 SW 3 ave
Miami, Fl. 33129
Phone: (305) 856-4454
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Howard Umansky, D.P.M.
(Miami Community Health Center)
2324 SW 8 St
Miami, Fl. 33135
Phone: (305) 643-0535
Price 1st Visit: $60.00
Price Follow Up. $40.00
Victor Herrera, D.P.M.
(Private Medical Center)
10 NW 42 ave # 300
Miami, Fl. 33126
Phone: (305) 774-0742
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Francisco Perez Clavijo, D.P.M
(Caribe Medical Center of Homestead)
26799 S. Dixie Hwy
Naranja, Fl. 33032
Phone: (305) 258-6070
Price 1st Visit: $60.00
Price Follow Up. $40.00
Podiatry / Podiatría
Dominique Rameau, D.P.M.
2261 N. University Dr. # 201
Pembroke Pines, Fl. 33024
Phone: (754) 263-2522
Fax: (754) 263-2526
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Psychiatry / Psiquiatría
Evelyn Lopez Brignom, M.D.
(Adults and Children )
Miami Community Health Center
2324 SW 8 ST
Miami, Fl. 33135
Phone: (305) 643-0535 / (305) 767-5635
Fax: (305) 642-9360
Price 1st Visit: $60.00
Price Follow Up. $40.00
Jorge L. Garcia, M.D.
(Caribe Medical Center of Homestead)
26799 S. Dixie Hwy
Naranja, Fl. 33032
Phone: (305) 258-6070
Price 1st Visit: $60.00
Price Follow Up. $40.00
34
Miami - Dade
Broward
Miami - Dade
Carlos Pérez, M.D.
(Vida Health Centers)
881 E 2nd ave
Hialeah, Fl. 33010
Phone: (305) 882-1100
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Silvia R. Silva-Duluc, M.D.
(Healthy Connections CMHC, Inc)
2780 SW 37th ave, Suite 206
Miami, Fl. 33133
Phone: (305) 646-0112
Fax: 305-646-0113
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Psychology / Psicología
Mercedes Llenin, M.D.
5600 SW 135 Ave, Suite 116
Miami, Fl. 33183
Phone: (305) 387-7850
Price 1st Visit: $ 100.00
Price Follow Up: $ 75.00
Psychology / Psicología
Prince R. Drago, M.D.
(Healthy Connections CMHC, Inc)
2780 SW 37th ave, Suite 206, Miami, Fl. 33133
Phone: (305) 646-0112
Fax: 305-646-0113
Price 1st Visit: $ 100.00
Price Follow Up: $ 75.00
Miami - Dade
Broward
Maria Moncayo, M.D.
10406 Taft St
Pembroke Pines, Fl. 33138
Phone: (954) 436-3880
Price 1st Visit: $ 100.00
Price Follow Up: $ 75.00
Pulmonology / Neumología
Miami - Dade
Surgery / Cirugía
Miami - Dade
Humberto Hernandez, M.D.
(Pulmonary Medicine)
1435 West 49n Place #604
Hialeah, Fl. 33012
Phone: (305) 231-3151
Fax: (305) 885-5884
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Mauricio Vargas, M.D.
(Surgeon / Cirujano)
(Private Medical Center Inc).
10 NW 42nd Ave Ste 300
Miami Fl. 33126
Phone:(305) 774-0742
Fee: Florida Medicaid Rate
John Padron, M.D.
(Surgeon / Cirujano)
(OPA Medical Center)
1865 NE 163 Street
Miami, Fl. 33162
Phone: (305) 948-9958
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Fernando Lora, M.D.
(Surgeon / Cirujano General y Vascular)
(Vital Medical Center)
8300 W Flagler, Suite 175
Miami, Fl. 33144
Phone: (305) 220-0300
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Urology / Urología
Luis Sabogal, M.D.
(Urology / Urología)
1800 SW 27 Avenue, Suite 402
Miami, Fl. 33145
Phone: (305) 445-2404
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Eduardo Guzman, M.D.
(Urology / Urología)
1800 SW 27 Avenue, Ste 402
Miami, Fl. 33145
Phone: (305) 445-2404
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Luis F. Maggiolo, M.D.
(Urlogy / Urología)
747 Ponce de Leon Blvd # 502
Coral Gables, Fl. 33134
Phone: (305) 444-2858
Fax: 305-448-3346
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Rafael A. Auntun, M.D.
(Urology / Urología)
Best Medical Care
920 SW 82 ave
Miami, Fl. 33144
Phone: (305) 262 - 3999
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Jorge Alvarez Moreno, M.D.
(Surgeon / Cirujano)
(Vida Health Centers)
881 E 2nd ave
Hialeah, Fl. 33010
Phone: (305) 882-1100
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Miami - Dade
Juan B Suarez, M.D.
(Urology / Urología)
5450 SW 8th St #204
Miami, Fl. 33134
Phone: (305) 443-8041
Fax: (305) 444-2054
Price 1st Visit: $ 60.00
Price Follow Up: $ 60.00
35
URGENT CARE CENTERS
At Med Plans contracted Urgent Care Centers, you’ll find experienced professionals who firmly believe everyone deserves
access to affordable medical care.
If you or a family member is experiencing life-threatening illness or injury-such as major head trauma, chest pain, severe
abdominal pain, or loss of consciousness – you should go directly to an Emergency Room (ER). See the list below for
guidance on what situations require ER treatment.
• Falls from greater than 7 feet
• Loss of consciousness
• Infants less than 6 months of age or with a temperature greater than 103 degrees
• Pregnancy bleeding or complications
• Life-threatening allergic reactions
• Severe burns
• Severe choking (cannot breathe or talk)
• Severe abdominal pain
• Signs or symptoms of stroke or heart attack
• Amputation of a body part
• Near drowning
• Electrical shock
• Open or angulated fractures
CENTROS DE URGENCIAS
Med Plan tiene contratados “Centros de Cuidado de Urgencias” donde usted encontrará un servicio rápido, económico y
eficiente ofrecido por profesionales experimentados que creen firmemente que todos merecen tener acceso a la atención
médica.
Si usted o algún miembro de la familia está sufriendo una enfermedad potencialmente mortal o lesiones - como: Traumatismos
craneales importantes, Dolor torácico, Dolor abdominal intenso o pérdida de la conciencia debe ir directamente a una
sala de emergencias (ER). Vea la lista a continuación para obtener orientación sobre las situaciones que requieren un
tratamiento (ER).
• Caídas de más de 7pies de altura.
• Pérdida de conciencia.
• Los bebés menores de seis meses de edad o con una temperatura superior a 103 grados.
• Sangrado o complicaciones de embarazo.
• Reacciones alérgicas que puedan poner en peligro la vida
• Quemaduras graves
• Asfixia severa que le impide respirar o hablar
• Dolor abdominal severo
• Signos o síntomas de derrame cerebral o ataque al corazón
• Pérdida o desmembramiento de una parte del cuerpo
• Si usted está a punto de ahogarse
• Una descarga eléctrica
• Fracturas abiertas o anguladas
Urgent Care Centers / Centros de Urgencia
Med Clinic Inc.
9588 NW 41th St.
Miami Fl. 33178
Phone: (305) 477-4475
Fax: (305) 477-4487
Language: English / Spanish
HOURS OF OPERATION:
MON – FRI 10AM – 10:00PM
SAT – SUN 10:00AM – 10:00PM
36
MDD Medical Center.
(Urgent Care)
6905 NW 77 ave
Miami, Fl. 33166
Phone: (305) 884-1919
Fax: (305) 884-1969
HOURS OF OPERATION:
MON – FRI 10:00AM – 6:00PM
Miami - Dade
Elite Health & Rehabilitation.
6450 W. 21 Ct. Suite 200
Hialeah, Fl. 33016
Phone: (305) 698-0806
Fax: (305) 698-2325
Language: English / Spanish
HOURS OF OPERATION:
MON – FRI 8:AM – 6:00PM
SAT – 8:00AM – 2:00PM
Urgent Care Centers / Centros de Urgencia
South Florida Urgent Care
(Urgent Care)
5590 W 20 Ave # 101
Hialeah Fl. 33016
Phone: (786) -827-3303
HOURS OF OPERATION:
MON – FRI 8:00AM – 8:00PM
Miami - Dade
Campbell Urgent Care.
1855 NE 8th Street.
Homestead, Fl. 33033
Phone: (305) 242-8025
Fax: (305) 245-1839
HOURS OF OPERATION:
MON – FRI 8:00AM – 8:00PM
SAT – SUN 10:00AM – 4:00PM
Urgent Care Centers / Centros de Urgencia
Urgent Care Center.
(UrgentMed)
2337 S. University Drive
Davie, Fl. 33324
Phone: 954-423-9234
Fax: (954) 423-9231
Medicaid Rates after 5:00 PM.
HOURS OF OPERATION:
MON – FRI 9:00AM – 9:30PM
SAT – 9:00AM – 5:00PM
Broward
Pines Professional Campus
(Urgent Care)
302 NW 179 St # 103
Pembroke Pines, Fl. 33029
Phone: (954) 442-8380
HOURS OF OPERATION:
MON – FRI 9:00AM – 9:00PM
SAT-SUN 9:00AM – 6:00PM
URGENT CARE TIER PRICING
Tier One (Basic Visit) includes:
$60.00
• Any and all levels of service, including initial visits and established patient visits.
• Instant test(s) performed at the center.
- Urine dip.
- Instant strep
- Mono
- Flu
- Pregnancy
- Hemoccult
- Glucose
- HIV
Tier Two (Intermediate Visit) includes:
$120.00
• Tier One (Basic Visit) above PLUS
- X-Rays of single body area performed in the center.
- Injection of pain meds or antibiotics.
- Vaccine administration (vaccine charged as exclusion below)
- Venipuncture or specimen collection for any lab outside reference lab (lab test
charged as exclusion below)
Tier Three (Advanced Visit) includes:
• Tier Two (Intermediate Visit) PLUS
• Single procedures performed in the center including but not limited to:
- Nebulizer treatment
- Laceration repair.
- Burn dress/debride
- Foreign body removal
- Cast / Splint application
- IV Therapy
- EKG
$145.00
37
DENTAL SERVICES / SERVICIOS DENTALES
Med Plan Dental Providers are offering exclusive pricing to all our members consisting of:
•
Simple Cleanings that include Oral Examination, X-Rays, Topical anesthesia, for only $49 (Code 1110). For persons
under the age of 16 this service is provided for $35 (Code 1120). All minors will receive topical fluoride treatment
included with their cleaning.
•
Deep cleanings are offered for $75 per quadrant (Code 4341) which include oral examination, complete x-rays, and
anesthesia. This service does not include panoramic x-rays. All minors will receive topical fluoride treatment included
with their cleaning.
IF THE CLEANING PROCEDURE REQUIRES THE USE OF ARESTIN AS PART OF THIS SERVICE, THE PATIENT
WILL BE PROVIDED AN ALTERNATIVE ORAL ANTIBIOTIC AT A LESSER EXPEND.
-------------------------------------------------------------------------------------------------------------------------------------------------------------Los proveedores de servicios dentales asociados a MedPlan están ofreciendo precios exclusivos a nuestros
miembros. Entre los más destacados están:
•
•
Limpieza Simple que incluye Examen Oral, Rayos X, Anesthesia, todo por el precio de $49.00 para adultos (Código
1110) y $35.00 para menores de 16 años (Código 1120). En el caso de los menores de 16 años se le incluye también
la aplicación de fluoride anticarie.
Limpieza Profunda en una dentadura completa por $75.00 el cuadrante (Código 4341). Si la dentadura está
incompleta el precio a pagar será de $60.00 (Código 4342). Dicha limpieza incluye Examen Oral, Rayos X (no
panorámicos), Anesthesia. En el caso de los menores de 16 años se le incluye también la aplicación de fluoride
anticarie.
•
EL USO DE ANTIBIOTICO ARESTIN EN EL PROCEDIMIENTO DE LA LIMPIEZA ES DECISION PERSONAL DEL
PACIENTE. EL PACIENTE TIENE COMO ALTERNATIVA EL USO DE OTRO ANTIBIOTICO RECOMENDADO POR
EL DENTISTA.
Dentistry / Odontología
Miami - Dade
Med Dental Associated Inc.
7200 NW 7St Suite 333
Miami, Fl. 33126
Phone: 305-264-0063
Fax: 305-264-0065
America Dental Clinic
3631 SW 87 Ave
Miami, Fl. 33165
Phone: (305) 485-8427
Fax: (305) 9485-8429
Maria J. Alvarez, DDS.
Dental Group of South Florida II
11336 SW 184 St
Miami, Fl. 33157
Phone: (305) 251-4262
Ernesto Quezada, DDS.
Dental Group of South Florida II
11336 SW 184 St
Miami, Fl. 33157
Phone: (305) 251-4262
Dentistry / Odontología
Life Dental Care Corp.
123 N Powerline Rd.
Derfield Beach, Fl. 33442
Phone: (954) 429-8840
Fax: 954-429-8842
Dentistry / Odontología
Mario Hernandez, DDS.
6815 South Dixie Hwy
West Palm Beach, Fl. 33405
Phone: (561) 585-5891
Fax: 561-586-6014
38
Hialeah Dental Care
4240 W 16 ave
Hialeah, Fl. 33012
Phone: (305) 823-1882
Broward
Pines Dental Care Inc.
302 NW 179 ave Suite 201-A
Pembroke Pines, Fl. 33029
Phone: (954) 450-9383
Fax: 954-450-9385
Pines Dental Care II
17868 NW 2 ST
Pembroke Pines, Fl. 33029
Phone: (954) 538-0047
Fax: 954-538-0924
Palm Beach
Med Plan LLC
Provider Agreement Adendum
SERVICIOS DENTALES DE LA OFICINA DENTAL
MED DENTAL ASSOCIATES, INC
7200 NW 7 ST, SUITE 333
MIAMI, FL 33126
PHONE: (305) 264-0063
FAX: (305) 264-0065
SERVICIOS DENTALES SOLO PARA NUEVOS PACIENTES DE MED PLAN
PRECIO
D 0150
EXAMEN DENTAL COMPLETO
$0.00
D 0210
FULL MOUTH X-RAYS
$0.00
$0.00
D 1110
D 2330
D 1201
D 1204
LIMPIEZA DENTAL SIMPLE
EMPASTE DE UNA SUPERFICIE ANTERIOR (CUBRE UN EMPASTE)
APLICACION DE FLUORURO PARA NINOS MENORES DE 16 ANOS
APLICACION DE FLUORURO PARA ADULTOS
D 7110 EXTRACCION SIMPLE (CUBRE UNA EXTRACCION)
$0.00
$0.00
$0.00
$0.00
SERVICIOS DENTALES OFRECIDOS SOLO EN ESTA CLINICA PARA PACIENTES DE MED PLAN
D 2330
D 2331
D 2332
D 2335
D 7110
D 3310
D 3320
D 3330
D 2952
D 2750
D 2740
D 4341*
D 4342
D 5110
D 5120
D 5213
D 5214
*
EMPASTE DE UNA SUPERFICIE ANTERIOR
EMPASTE DE DOS SUPERFICIES ANTERIOR
EMPASTE DE TRES SUPERFICIES ANTERIOR
EMPASTE DE CUATRO SUPERFICIES ANTERIOR
EXTRACCION SIMPLE
ROOT CANAL ANTERIOR (DENTISTA GENERAL)
ROOT CANAL BICUSPIDE (DENTISTA GENERAL)
ROOT CANAL MOLAR (DENTISTA GENERAL)
POSTE
PORCELANA FUNDIDA AL METAL (PFM)
PORCELANA COMPLETA
LIMPIEZA PROFUNDA POR CUADRANTE (de 4 o más dientes)
LIMPIEZA PROFUNDA POR CUADRANTE (de 1 a 3 dientes)
DENTADURA COMPLETA SUPERIOR
DENTADURA COMPLETA INFERIOR
DENTADURA PARCIAL DE METAL SUPERIOR
DENTADURA PARCIAL DE METAL INFERIOR
$45.00
$55.00
$65.00
$75.00
$60.00
$350.00
$450.00
$550.00
$120.00
$395.00
$450.00
$60.00
$45.00
$375.00
$375.00
$395.00
$395.00
LA LIMPIEZA PROFUNDA DE LOS CUATRO CUADRANTES TIENE UN COSTO DE $240.00
El costo de los procedimientos dentales que no aparecen en la lista anterior se encuentran en la lista de precios que aparece en las
páginas siguientes.
39
ADA CODES
D0120
D0140
D0150
D0160
D0170
D0180
D0210
D0220
D0230
D0240
D0250
D0260
D0270
D0272
D0330
D0340
D0350
D0460
D0470
40
D1110
D1120
D1201
D1203
D1204
D1310
D1320
D1330
D1351
D1510
D1515
D1520
D1525
D1550
D2330
D2331
D2332
D2335
D2391
D2392
D2393
D2394
D2410
D2420
D2430
D2510
D2520
D2530
D2542
D2543
D2544
D2610
D2620
D2630
D2642
D2643
D2644
D2650
D2651
D2652
D2662
D2663
D2664
D2710
GENERAL DENTISTRY FEES
DESCRIPTION
PERIODIC ORAL EXAM
LIMITED ORAL EVALUATION-PROBLEM FOCUSED
COMPREHENSIVE ORAL EVAL-NEW OR ESTABLISHED PATIENT
DETAILED & EXTENSIVE EVAL-PROBLEM FOCUSED
RE-EVALUATION-LIMITED, PROBLEM FOCUSED
COMPREHENSIVE PERIODONTAL EVALUATION
RADIOGRAPHY/DIAGNOSTIC DENTISTRY
X-RAY - INTRAORAL - COMPLETE SERIES (INCLUDING BITEWINGS)
X-RAY - INTRAORAL - PERIAPICAL FIRST FILM
X-RAY - INTRAORAL - PERIAPICAL EACH ADDITIONAL FILM
X-RAY - INTRAORAL - OCCLUSAL FILM
X-RAY - EXTRAORAL - FIRST FILM
X-RAY - EXTRAORAL - EACH ADDITIONAL FILM
X-RAY - BITEWING- SINGLE FILM
X-RAY - BITEWING - 2 FILMS
NOT TO BE TAKEN IF 274 WAS DONE W/IN PRIOR 6 MOS
PANORAMIC FILM
CEPHALOMETRIC FILM, NON-ORTHODONTIC
DIAGNOSTIC PHOTOGRAPHS
PULP VITALITY TEST
DIAGNOSTIC CASTS
PREVENTIVE DENTISTRY
ROUTINE PROPHYLAXIS ADULT (ONCE EVERY 6 MONTHS)
ROUTINE PROPHYLAXIS - CHILDREN UNDER 16 YRS (ONCE EVERY 6 MONTHS)
TOPICAL APPLICATION OF FLOURIDE FOR CHILDREN UNDER 16
TOPICAL APPLICATION OF FLOURIDE FOR CHILDREN UNDER 16
TOPICAL APPLICATION OF FLOURIDE FOR ADULTS
NUTRITIONAL COUNSELING FOR CONTROL OF DENTAL DISEASE
TOBBACO COUNSELING FOR CONTROL & PREVENTION OF ORAL DISEASES
ORAL HYGIENE INSTRUCTIONS
APPLICATION OF SEALANT PER TOOTH - CHILDREN UNDER 16
SPACE MAINTAINER - FIXED
SPACE MAINTAINER - FIXED
SPACE MAINTAINER - REMOVABLE
SPACE MAINTAINER - REMOVABLE
RE-CEMENTATION OF SPACE MAINTAINER
RESIN-BASED COMPOSITE - 1 SURFACE, ANTERIOR (EMPASTES)
RESIN-BASED COMPOSITE - 2 SURFACES, ANTERIOR (EMPASTES)
RESIN-BASED COMPOSITE - 3 SURFACES, ANTERIOR (EMPASTES)
COMPOSITED RESIN - 4 OR MORE SURFACES (EMPASTES)
RESIN - BASED COMPOSITE - 1 SURFACE, POSTERIOR (EMPASTES)
RESIN-BASED COMPOSITE - 2 SURFACES, POSTERIOR (EMPASTES)
RESIN-BASED COMPOSITE - 3 SURFACES, POSTERIOR (EMPASTES)
RESIN-BASED COMPOSITE - 4 OR + SURFACES, POSTERIOR (EMPASTES)
GOLD FOIL - 1 SURFACE
GOLD FOIL - 2 SURFACES
GOLD FOIL - 3 SURFACES
INLAY - METALLIC - 1 SURFACE
INLAY - METALLIC - 2 SURFACES
INLAY - METALLIC - 3 OR MORE SURFACES
ONLAY - METALLIC - 2 SURFACES
ONLAY - METALLIC - 3 SURFACES
ONLAY - METALLIC - 4 OR MORE SURFACES
INLAY - PORCELAIN/CERAMIC - 1 SURFACE
INLAY - PORCELAIN/CERAMIC - 2 SURFACES
INLAY - PORCELAIN/CERAMIC - 3 OR MORE SURFACES
ONLAY - PORCELAIN/CERAMIC - 2 SURFACES
ONLAY - PORCELAIN/CERAMIC - 3 SURFACES
ONLAY - PORCELAIN/CERAMIC - 4 OR MORE SURFACES
INLAY - RESIN - BASED COMPOSITE - 1 SURFACE
INLAY - RESIN - BASED COMPOSITE - 2 SURFACES
INLAY - RESIN - BASED COMPOSITE - 3 OR MORE SURFACES
ONLAY - RESIN - BASED COMPOSITE - 2 SURFACES
ONLAY - RESIN - BASED COMPOSITE - 3 SURFACES
ONLAY - RESIN - BASED COMPOSITE - 4 OR MORE SURFACES
CROWN - RESIN (INDIRECT)
Member Fees
NO CHARGE
$10.00
$20.00
NO CHARGE
NO CHARGE
$15.00
$30.00
$15.00
NO CHARGE
NO CHARGE
NO CHARGE
NO CHARGE
NO CHARGE
NO CHARGE
$25.00
$75.00
$20.00
$10.00
$25.00
$49.00
$35.00
NO CHARGE
NO CHARGE
$20.00
NO CHARGE
NO CHARGE
NO CHARGE
$15.00
$120.00
$175.00
$160.00
$250.00
$25.00
$60.00
$70.00
$80.00
$90.00
$60.00
$70.00
$80.00
$90.00
$75.00
$95.00
$125.00
$300.00
$320.00
$340.00
$325.00
$330.00
$355.00
$325.00
$350.00
$375.00
$395.00
$415.00
$445.00
$195.00
$250.00
$275.00
$250.00
$275.00
$290.00
$210.00
ADA CODES
D2720
D2721
D2722
D2740
D2750
D2751
D2752
D2780
D2781
D2782
D2783
D2790
D2791
D2792
D2799
D2910
D2920
D2930
D2931
D2932
D2933
D2940
D2950
D2951
D2952
D2953
D2954
D2955
D2957
D2960
D2961
D2962
D2970
D2980
GENERAL DENTISTRY FEES
DESCRIPTION
CROWN - RESIN WITH HIGH NOBLE METAL
CROWN - RESIN WITH PREDOMINNATLY BASE METAL
CROWN - RESIN WITH NOBLE METAL
CROWN - PORCELAIN/CERAMIC SUBSTRATE
CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL
CROWN - PORCELAIN FUSED TO PREDOMINANTLY BASE METAL
CROWN - PORCELAIN FUSED TO NOBLE METAL
CROWN - 3/4 CAST HIGH NOBLE METAL
CROWN - 3/4 CAST PREDOMINANTLY BASE METAL
CROWN - 3/4 CAST NOBLE METAL
CROWN - 3/4 PORCELAIN/CERAMIC
CROWN - FULL CAST HIGH NOBEL METAL
CROWN - FULL CAST PREDOMINANTLY BASE METAL
CROWN - FULL CAST NOBLE METAL
PROVISIONAL CROWN
RECEMENT INLAY
RECEMENT CROWN
PREFABRICATED STAINLESS STEEL CROWN-PRIMARY TOOTH
PREFABRICATED STAINLESS STEEL CROWN-PERMANENT TOOTH
PREFABRICATED RESIN CROWN
PREFABRICATED STAINLESS STEEL CROWN WITH RESIN WINDOW
SEDATIVE FILLING
CORE BUILDUP, INCLUDING ANY PINS
PIN RETENTION - PER TOOTH, IN ADDITION TO RESTORATION
CAST POST & CORE IN ADDITION TO CROWN
EACH ADDITIONAL CAST POST - SAME TOOTH
PREFABRICATED POST & CORE IN ADDITION TO CROWN
POST REMOVAL (NOT IN CONJUNTION WITH ENDODONTIC THERAPY)
EACH ADDITIONAL PREFABRICATED POST - SAME TOOTH
LABIAL VENEER (RESIN LAMINATE) - CHAIRSIDE
LABIAL VENEER (RESIN LAMINATE) - LABORATORY
LABIAL VENEER (PORCELAIN LAMINATE) - LABORATORY
TEMPORARY CROWN (FRACTURED TOOTH)
CROWN REPAIR/ When crown and/or bridgework exceeds six(6) consecutive units,
there will be an additional charge of $30.00 per unit.
ENDODONTICS SERVICES
Member Fees
$455.00
$405.00
$425.00
$595.00
$495.00
$495.00
$495.00
$530.00
$410.00
$520.00
$550.00
$699.00
$525.00
$580.00
$50.00
$25.00
$25.00
$95.00
$95.00
$95.00
$145.00
$40.00
$85.00
$20.00
$155.00
$105.00
$125.00
$30.00
$30.00
$205.00
$260.00
$425.00
$50.00
$95.00
D3110
D3120
D3220
D3221
D3230
D3240
D3310
D3320
D3330
D3331
D3346
D3347
D3348
D3950
PULP CAP-DIRECT (EXCLUDING FINAL RESTORATION)
PULP CAP-INDIRECT (EXCLUDING FINAL RESTORATION)
THERAPEUTIC PULPOTOMY (EXCLUDING FINAL RESTORATION)
PUPAL DEBRIDEMENT, PRIMARY AND PERMANENT TEETH
PUPAL THERAPY (RESORB FILLING) - ANTERIOR, PRIMARY
PUPLAM THERAPY (RESORBABLE FILLING) - POSTERIOR, PRIMARY
ROOT CANAL THERAPY - ANTERIOR
ROOT CANAL THERAPY - BICUSPID
ROOT CANAL THERAPY - MOLAR
TREATMENT OF ROOT CANAL OBSTRUCTION, NON-SURGICAL ACCESS
RETREAT, PREV RCT - ANTERIOR
RETREAT, PREV RCT - BICUSPID
RETREAT, PREV RCT - MOLAR
CANAL PREPARATION AND FITTING OF PREFORMED DOWEL OR POST
$25.00
$25.00
$75.00
$95.00
$80.00
$90.00
$395.00
$495.00
$595.00
$85.00
$495.00
$595.00
$695.00
$75.00
D4211
D4220
D4240
D4241
D4245
D4341
D4342
D4355
D4381
D4910
D5110
D5120
D5211
D5212
D5213
GINGIVECTOMY/GINGIVOPLASTY - 1 TO 3 TEETH, PER QUAD
GINGIVAL CURETTAGE PER QUADRANT EXCLUDING ROOT PLANNING
GINGIVAL FLAP PROCEDURE- 4 OR MORE
GINGIVAL FLAP PROCEDURE - 1 TO 3 TEETH PER QUAD
APICALLY POSITIONED FLAP
PERIODONTAL SCALING & ROOT PLANING - 4 OR MORE CONTIGUOUS TEETH
PERIODONTAL SCALING $ ROOT PLANING - 1 TO 3 TEETH, PER QUAD
FULL MOUTH DEBRIDEMENT TO ENABLE COMPREHENSIVE EVALUATION
LOCAL DELIVERY ANTIBIOTIC (ARESTIN)
PERIODONTAL MAINTENANCE
COMPLETE DENTURE - MAXILLARY BASIC
COMPLETE DENTURE - MANDIBULAR BASIC
MAXILLARY PARTIAL DENTURE - RESIN BASE (INCLUDING CLASPS)
MANDIBULAR PARTIAL DENTURE - RESIN BASE (INCLUDING CLASPS)
PARTIAL DENTURE - MAXILLARY CAST METAL - ACRYLIC
$50.00
$75.00
$325.00
$250.00
$150.00
$75.00
$60.00
$80.00
$30.00
$55.00
$495.00
$495.00
$450.00
$450.00
$575.00
PERIODONTICS SERVICES
41
GENERAL DENTISTRY FEES
ADA CODES
D5214
D5410
D5411
D5421
D5422
D5510
D5520
D5610
D5620
D5630
D5640
D5650
D5660
D5710
D5711
D5720
D5721
D5730
D5731
D5740
D5741
D5750
D5751
D5760
D5761
D5810
D5811
D5820
D5821
D5850
D5851
D5862
42
DESCRIPTION
PARTIAL DENTURE - MANDIBULAR VAST METAL - ACRYLIC
ADJUSTMENT - COMPLETE DENTURE - MAXILLARY
ADJUSTMENT - COMPLETE DENTURE - MANDIBULAR
ADJUSTMENT - PARTIAL DENTURE - MAXILLARY
ADJUSTMENT - PARTIAL DENTURE - MANDIBULAR
REPAIR BROKEN COMPLETE DENTURE BASE
REPLACE BROKEN TOOTH - COMPLETE DENTURE (EACH TOOTH)
REPAIR DENTURE RESIN BASE
REPAIR CAST FRAMEWORK
REPAIR OR REPLACE BROKEN CLASP
REPAIR BROKEN TEETH - PER TOOTH
ADD TOOTH TO EXISTING PARTIAL DENTURE
ADD CLASP TO EXISTING PARTIAL DENTURE
REBASE COMPLETE MAXILLARY DENTURE
REBASE COMPLETE MANDIBULAR CENTURE
REBASE MAXILLARY PARTIAL DENTURE
REBASE MANDIBULAR PARTIAL DENTURE
RELINE COMPLETE MAXILLARY DENTURE (CHAIRSIDE)
RELINE COMPLETE MANDIBULAR DENTURE (CHAIRSIDE)
RELINE PARTIAL COMPLETE MAXILLARY DENTURE (CHAIRSIDE)
RELINE PARTIAL COMPLETE MANDIBULAR DENTURE (CHAIRSIDE)
RELINE COMPLETE MAXILLARY DENTURE (LABORATORY)
RELINE COMPLETE MANDIBULAR DENTURE (LABORATORY)
RELINE PARTIAL MAXILLARY DENTURE (LABORATORY)
RELINE PARTIAL MANDIBULAR DENTURE (LABORATORY)
INTERIM COMPLETE DENTURE - MAXILLARY
INTERIM COMPLETE DENTURE - MANDIBULAR
INTERIM PARTIAL DENTURE - MAXILLARY
INTERIM PARTIAL DENTURE - MANDIBULAR
TISSUE CONDITIONING - MAXILLARY
TISSUE CONDITIONING - MANDIBULAR
PRECISION ATTACHMENT
PROSTHODONTICS - FIXED
D6210
D6211
D6212
D6240
D6241
D6242
D6245
D6740
D6750
D6751
D6752
D6780
D6781
D6782
D6783
D6790
D6791
D6792
D6930
D6950
D6970
D6971
D6972
D6973
D6975
PONTIC - CAST HIGH NOBLE METAL
PONTIC - CAST PREDOMINANTLY BASE METAL
PONTIC - CAST NOBLE METAL
PONTIC - PORCELAIN FUSED TO HIGH NOBLE METAL
PONTIC - PORCELAIN FUSED TO PREDOMINANTLY BASE METAL
PONTIC - PORCELAIN FUSED TO NOBLE METAL
PONTIC - PORCELAIN/CERAMIC
CROWN - PORCELAIN/CERAMIC
CROWN - PORCELAIN FUSED TO HIGH NOBLE METAL
CROWN - PORCELAIN FUSED TO PREDOMINANTLY BASED METAL
CROWN - PORCELAIN FUSED TO NOBLE METAL
CROWN - 3/4 CAST HIGH NOBLE METAL
CROWN - 3/4 CAST PREDOMINANTLY BASED METAL
CROWN - 3/4 CAST NOBLE METAL
CROWN - 3/4 PORCELAIN/CERAMIC
CROWN - FULL CAST HIGH NOBLE METAL
CROWN - FULL CAST PREDOMIANTLY BASED METAL
CROWN - FULL CAST NOBLE METAL
RECEMENT FIXED PARTIAL DENTURE
PRECISION ATTACHMENT
CAST POST & CORE ADDITION TO FIXED PARTIAL DENTURE RETAINER
CAST POST AS PART OF A FIXED PARTIAL DENTURE RETAINER
PREFABRICATED POST & CORE IN ADDITION TO FIXED PARTIAL DENTURE
CORE BUILD UP FOR RETAINER, INCLUDING PINS
COPING - METAL
D7110
D7140
D7310
D7320
D7510
D9215
SINGLE TOOTH EXTRACTION (EXTRACCION)
EXTRACTION OF ERUPTED TOOTH OR EXPOSED ROOT
ALVEOLOPLASTY WITH EXTRACTIONS - PER QUADRANT
ALVEOLOPLASTY WITHOUT EXTRACTIONS - PER QUADRANT
INCISION AND DRAINAGE OF ABSCESS - INTRAORAL SOFT TISSUE
LOCAL ANESTHESIA
ORAL SURGERY
Member Fees
$575.00
$20.00
$20.00
$20.00
$20.00
$75.00
$70.00
$50.00
$55.00
$55.00
$45.00
$65.00
$75.00
$195.00
$195.00
$175.00
$175.00
$85.00
$85.00
$65.00
$65.00
$150.00
$150.00
$110.00
$110.00
$250.00
$250.00
$250.00
$250.00
$55.00
$55.00
$150.00
$400.00
$400.00
$400.00
$400.00
$400.00
$400.00
$595.00
$595.00
$495.00
$495.00
$495.00
$530.00
$510.00
$520.00
$510.00
$495.00
$495.00
$495.00
$40.00
$150.00
$125.00
$125.00
$125.00
$95.00
$95.00
$70.00
$70.00
$95.00
$130.00
$55.00
NO CHARGE
GENERAL DENTISTRY FEES
ADA CODES
D9230
D9630
D9940
D9950
D9951
D9952
MISCELLANOUS SERVICES
ANALGESIA NITROUS OXIDE PER 1/2 hour
ORAL IRRIGATION/OTHER DRUGS/MEDICAMENT PER QUAD
OCCLUSAL GUARD
OCCLUSAL ANALYSIS - MOUNTED CASE
OCCLUSAL ADJUSTMENT - LIMITED
OCCLUSAL ADJUSTMENT - COMPLETE
Member Fees
$20.00
$10.00
$195.00
$75.00
$25.00
$150.00
DENTAL SPECIALTIES FEES
ADA CODES
ED3310
ED3320
ED3330
ED3346
ED3347
ED3348
ENDODONTICS
ROOT CANAL THERAPY - ANTERIOR
ROOT CANAL THERAPY - BICUSPID
ROOT CANAL THERAPY - MOLAR
RETREAT, PREV RCT - ANTERIOR
RETREAT, PREV RCT - BICUSPID
RETREAT. PREV RCT - MOLAR
PERIODONTICS
Member Fees
$695.00
$775.00
$925.00
$750.00
$825.00
$1,125.00
D4210
D4249
D4260
D4263
D4264
D4266
D4275
D7953
D7960
GINGIVECTOMY 4 OR + PER QUADRANT
CLINIC CROWN LENGTHEN - HARD TISSUE
OSSEOUS SURGERY 4 OR + PER QUADRANT
BONE REPLACE GRAFT - 1ST SITE/QU
BONE REPLACE GRAFT - EACH ADD/QU
GUIDED TISS REGEN-RESORB-PER
SOFT TISSUE ALLOGRAFT RB-PER
BONE REPL GRAFT RIDGE PRSV/SITE
FRENULECTOMY - SEPARATE PROCEDURE
D7210
D7220
D7230
D7240
D7241
D7250
D7285
D7286
EXTRACTION - SURGICAL/ERUPT TOOTH
EXTRACTION - IMPACTEDL/SOFT TISSUE
EXTRACTION - IMPACTEDL/PART BONY
EXTRACTION - IMPACTED/COMPLBONY (Cordales)
REMOV IMPACT - COMP BONY W/COMP
SURGIC REMOVL RESID TOOTH ROOT
BIOPSY OF ORAL TISSUE - HARD (BONE, TOOTH)
BIOPSY OF ORAL TISSUE - SOFT (ALL OTHER)
BIOPSY LAB
D8080
D8090
COMPREHENSIVE ORTHO, ADOLESCENT
COMPREHENSIVE ORTHO, ADULT
$3,490.00
$3,490.00
SURG PLACE IMPLANT, ENDOSTEAL
COMPLETED CROWN IMPLANT (IMPLANTE Y CORONA)
OVERDENTURE UPPER WITH 4 IMPLANTS
OVERDENTURE LOWER WITH 3 IMPLANTS
$1,200.00
$1,950.00
$4,650.00
$3,650.00
D6010
D6010/D6059
D0000
D0000
ORAL SURGERY
ORTHODONTICS
IMPLANTS
$450.00
$800.00
$900.00
$650.00
$500.00
$900.00
$1,200.00
$400.00
$500.00
$240.00
$300.00
$395.00
$450.00
$500.00
$250.00
$120.00
$95.00
$50.00
*The basic cleaning does not apply if you have any periodontal disease.
* The dental procedures not listed in your pricing list will apply to a discount of 25%. The dentists and specialists are
the only responsible parties for the treatment and its charges. Med Plan is not responsible for payments nor for orthodontics indications performed by the dentists or specialists associated with our plan.
*La limpieza simple no aplica si Usted tiene evidencia de enfermedad periodontal.
*A los procedimientos que no aparecen en su lista de precios se les aplicara un descuento del 25% de lo usual y razonable.
Los dentistas y especialistas son los unicos responsables por el tratamiento y precio del mismo. Med Plan no es responsable
por los pagos ni por las indicaciones odontologicas hechas por los dentistas y especialistas asociados a nuestro plan.
43
VISION CENTERS / CENTROS DE VISION
Our members will receive a comprehensive eye exam(s) with a $35 visit which includes:
• Vision Evaluation.
• Intraocular Pressure Evaluation to check for Glaucoma.
• Dilated Eye Exam to determine eye health and to look for disease such as high blood pressure and diabetes.
• External eye health evaluation
Nuestros miembros recibirán un (1) examen ocular completo con un costo de $ 35.00 que incluye:
• Evaluacion de la vista - (Optometría)
• Evaluación de la Presión Intraocular para verificar evidencia de glaucoma.
• Dilatación de la pupila para determinar la salud y para identificar enfermedades tales como presión alta o diabetes.
• Evaluación externa para determinar la salud de los ojos.
Optical & Vision Centers / Centros Opticos
Miami - Dade
(SOUTH FLORIDA VISION). **
Harrold Forrest, O.D
James Hagen, O.D
Martha Alfonso, O.D.
(Navarro Pharmacy # 32)
366 East 4th Avenue.
Hialeah, Fl. 33010
Phone: (305) 888-9910
(SOUTH FLORIDA VISION). **
Martha Alfonso, OD.
Harrold Forrest, OD.
James Hagen OD.
(Navarro Pharmacy # 25)
11865-A SW 26th Street.
Miami, Fl. 33175
Phone: (305) 552-9100 / (305) 225-4004
(VISION CENTER OPTICA). **
Gerald D. Furnari O.D. F.A.A.O.
Robert L. Lofton O.D. F.A.A.O.
Patrick F. Vecchio O.D. F.A.A.O.
948 N. Krome Ave
Homestead Fl. 33030
Phone: (305) 247-2331
(TRIANGLE VISION CENTER.) ***
(Vision Center/ Optica)
1750 West 39 Place
Hialeah, Fl. 33012
Phone: (305) 490-3816
(OPTICA ARIAS). **
(Vision Center/ Optica)
9160 NW 122th Street, Suite 28
Hialeah Gardens , Fl. 33018
Phone: (305) 512-4408
(VISION CENTER OPTICA). **
Gerald D. Furnari O.D. F.A.A.O.
Patrick F. Vecchio O.D. F.A.A.O.
8501 SW 124 Ave # 109
Miami Fl. 33183
Phone: (305) 665-5712
(VISION SPECIALTY CARE) ***
(Vision Center/ Optica)
3373 W Flagler St
Miami, Fl. 33134
Phone: (305) 263-9050
(VISION SPECIALTY CARE) ***
(Vision Center/ Optica)
5190 NW 167 St Suite 109
Miami, Fl. 33014
Phone: (305) 263-9050
(VISION SPECIALTY CARE) ***
(Vision Center/ Optica)
8300 W Flagler Suite 206
Miami, Fl. 33126
Phone: (305) 263-9050
Optical & Vision Centers / Centros Opticos
(SOUTH FLORIDA VISION). **
Eric Dupuis, OD.
Christopher Boalding, OD.
Laurie Lesser, OD.
2551 South University Drive
Davie, Fl. 33324
Phone: (954) 370-5883
Fax: (954) 370-8799
(SOUTH FLORIDA VISION). **
Laura DeMarco, OD.
1666 East Oakland Park Blvd..
Ft. Luderdale Fl. 33334
Phone: (954) 566--1404
Fax: (954) 566-0291
Broward
(SOUTH FLORIDA VISION). **
Eric Dupuis, OD.
Christopher Boaldin, OD.
Robert Coppola, OD.
2900 W. Cypress Creek Rd. # 1
Ft. Lauderdale Fl. 33309
Phone: (954) 979-2191
Fax: (954) 979-8988
(SOUTH FLORIDA VISION). **
Mirian Faraq, OD.
Christopher Boaldin, OD.
Jerrold Mills, OD.
3181 North State Rd. # 7
Margate Fl. 33063
Phone: (954) 974-7695
Fax: (954) 974-4211
(SOUTH FLORIDA VISION). **
Christopher Boaldin, OD.
Harold Forrest, OD.
Laurie Lesser, OD.
12538 Pines Blvd.
Pembroke Pines, Fl. 33027
Phone: (954) 430-4030
(SOUTH FLORIDA VISION). **
Robert Coppola, OD.
Christopher Boaldin, OD.
1205 S. Powerline Rd.
Pompano Beach, Fl. 33069
Phone: (954) 977-6636
Fax: (954) 977-3822
Note: ( ** ) Evaluation includes Intraocular Exam to Detect Glaucoma, Diabetes and High Blood Pressure.
Nota: ( ** ) La evaluación incluye Examen Intraocular para verificar si hay Glaucoma, Diabetes y Presión Alta.
Note: ( *** ) Evaluation does NOT include Intraocular Exam to Detect Glaucoma, Diabetes and High Blood Pressure.
Nota: ( *** ) La evaluación NO incluye Examen Intraocular para verificar si hay Glaucoma, Diabetes y Presión Alta.
44
Optical & Vision Centers / Centros Opticos
Palm Beach
(SOUTH FLORIDA VISION). **
Ashley Nochomson, OD.
Karen Puchalski, OD.
Miriam Farag, OD.
9851- B South Military Trail.
Boynton Beach, Fl. 33436
Phone: (561) 742-8701
Fax: (561) 742-4212
(SOUTH FLORIDA VISION). **
Christopher Boaldin, OD.
143 N. Powerline Road
Deerfield Beach, Fl. 33442
Phone: (954) 429-9600
Fax: (954) 429-9956
(SOUTH FLORIDA VISION). **
Ronie Zaruches, OD.
143 N. Powerline Road
Deerfield Beach, Fl. 33442
Phone: (954) 429-9600
Fax: (954) 429-9956
(SOUTH FLORIDA VISION). **
Mitchell Biderman, OD.
Karen Puchalski, OD.
Lori Raynor, OD.
6618 West. Atlantic Ave.
Delray Beach, Fl. 33446
Phone: (561) 498-5007
Fax: (561) 496-3088
(SOUTH FLORIDA VISION). **
Mitchell Biderman, OD.
Christopher Boaldin, OD.
Lori Raynor, OD.
Ashley Nochomson, OD.
6266 S. Congress Ave. # 9
Lantana, Fl. 33462
Phone: (561) 966-9000
(SOUTH FLORIDA VISION). **
Karen Puchalski, OD.
Jason Aronson, OD.
2905-G N. Military Trail
West Palm Beach, Fl. 33409
Phone: (561) 684-5548
Fax: (561) 684-6229
Optical & Vision Centers / Centros Opticos
St. Lucie
(ST. LUCIE VISION CENTER). **
Mitchell Biderman, OD. **
10077 South Federal Hwy.
Port St. Lucie, Fl. 34952
Phone: (772) 398-3244
Fax: (772) 398-8090
Optical & Vision Centers / Centros Opticos
Ft. Myers
(VISTA VISION EYE CARE). **
12320 South Cleveland Ave.
Ft. Myers Fl. 33907
Phone: (239) 936-5591
Note: ( ** ) Evaluation includes Intraocular Exam to Detect Glaucoma, Diabetes and High Blood Pressure.
Nota: ( ** ) La evaluación incluye Examen Intraocular para verificar si hay Glaucoma, Diabetes y Presión Alta.
45
46
CLINICAL LABS / LABORATORIOS CLINICOS
Services Details
Over One thousand “1000” Lab tests available 80% of the tests are priced below $20.00.
Five Complementary Lab tests free for all Med Plan members and their family once a year. Included tests are:
• CBC.
• Comprehensive Metabolic Panel.
• Lipid Profile.
• TSH
• Urinalysis.
All Laboratories require that the tests being requested are ordered by a licensed healthcare professional that is authorized
to practice medicine in the State of Florida. The order must be written in a Physicians prescription or on the Laboratories
requisition form that is signed by the ordering physician.
All Laboratory results will be sent to the office of the Physician or Specialist that has ordered the test. This procedure is to
protect the confidential information regarding the outcome or the test results.
Detalles de los Servicios
De las pruebas de laboratorio disponibles, el 80% de su totalidad están bajo precios fijos.
MedPlan ha coordinado con sus laboratorios asociados que ofrecen precios preferenciales a nuestros miembros en varios
exámenes y además cinco (5) exámenes complementarios cada año sin costo alguno para usted.
• CBC.
• Panel metabólico completo.
• Perfil de lípitdos.
• TSH (Tiroides)
• Análisis de orina.
Todos los laboratorios requieren que los exámenes que se solicitan hayan sido previamente indicados por un profesional de
la salud con licencia que le autoriza a ejercer la práctica de la medicina en el Estado de la Florida. La indicación del examen
debe estar escrita en una receta médica o en su lugar en el formulario de solicitud establecida para los Laboratorios y
firmada por el médico que la indica.
Todos los laboratorios cumplirán el procedimiento legal establecido de confidencialidad del paciente y para proteger este
derecho enviaran los resultados de su/s examen a la oficina de su doctor.
Clinical Labs / Laboratorio Clínico
Complete Bio Solutions
7200 NW 7 ST # 202
Miami, Fl. 33126
Phone: (305) 267-7784
Veni puncture Fee: $10.00
Miami - Dade
Florida Reference Laboratory.
50 NW 15 ST # 103
Homestead, Fl. 33033
Phone: (305) 245-5188
Veni puncture Fee: Free
Florida Reference Laboratory.
4278 SW 71 ave
Miami, Fl. 33155
Phone: (305) 662-2626
Fax: (305) 667-5870
Veni puncture Fee: Free
Florida Reference Laboratory.
3150 Northside Drive, Building F
Key West, Fl. 33040
Phone: (305) 292-3231
Veni puncture Fee: Free
Florida Reference Laboratory.
8740 N. Kendall Dr. # 107 A
Miami, Fl. 33176
Phone: (305) 270-9944
Veni puncture Fee: Free
Complete Bio Solutions
10550 NW 77 Court
Hialeah, Fl. 33016
Phone: (305) 826-3072
Veni puncture Fee: $10.00
Complete Bio Solutions
5850 West Flagler ST
Miami, Fl. 33144
Phone: (305) 263-9590
Veni puncture Fee: Free
Complete Bio Solutions
3720 SW 107 ave
Miami, Fl. 33165
Phone: (305) 554-4270
Veni puncture Fee: $10.00
Complete Bio Solutions
8651 NW 56 ST
Miami, Fl. 33166
Phone: (305) 477-6520
Veni puncture Fee: $5.00
ECCO LAB GROUP
8370 W Flagler St Suite # 206
Miami, Fl. 33144
Phone: 305-220-3805
ANNUAL FREE PANELS (5 per member) AT ALL FLORIDA REFERENCE LABS
AND COMPLETE BIO SOLUTIONS LABS.
5 PANELES GRATIS AL ANO EN TODOS LOS FLORIDA REFERENCE LABS Y
COMPLETE BIO SOLUTIONS LABS.
47
Clinical Labs / Laboratorio Clínico
CM Lab, Inc.
9872 Pines Blvd.
Pembroke Pines, Fl. 33024
Phone: (954) 704-9116
Fax: (954) 704-8823
Language: English / Spanish
Refer to Fee Schedule
First Quality Lab*
11460 Interchange
Circle North
Miramar, Fl. 33025
Phone: (954) 430-4424
Language: English / Spanish
Refer to Fee Schedule
CM Lab, Inc.
2523 North State Road 7
Margate, Fl. 33063
Phone: (754) 224-4152
Fax: (954) 590-6551
Language: English / Spanish
Refer to Fee Schedule
Broward
Lab Test Discount
(Venipuncture only)
5311 NW 79 ave
Doral, Fl. 33166
Phone: (305) 646-1363
Fee $10.00 plus test price.
First Quality Lab and CM Lab will charge $10 for venipuncture.
First Quality Lab y CM Lab cobran $10.00 por la extraccion de
sangre
ANNUAL FREE PANELS (5 per member) ONLY AT “FIRST QUALITY LAB”
5 PANELES DE LABORATORIO GRATIS AL ANO SOLAMENTE EN “FIRST QUALITY LAB”
HOME LABORATORY SERVICES UP TO WEST PALM BEACH
FLEBOTOMIA A DOMICILIO HASTA WEST PALM BEACH
Clinical Labs / Laboratorio Clínico
Complete Bio Solutions (Only Venipuncture/Sólo extracción de sangre)
(Tuesdays 8:30 am to 1:00 pm)
(Martes 8:30 am - 1:00 pm)
4947 Tamiami Trail N Suite # 206
Naples, Fl. 34103
Phone: 239-304-9290
Clinical Labs / Laboratorio Clínico
Collier
Lee / Cape Coral
Venipuncture Center for Med Plan Members at a cost of $10.00 only on Mondays.
Centro habilitado para la extraccion de sangre a los miembros de Med Plan con un costo de $10.00. Este
servicio se ofrece sólo los Lunes.
Del Prado Medical Center.
2500 Del Prado Blvd South
Cape Coral Fl. 33954
Phone: (239) 772-1194 / 1195
Clinical Labs / Laboratorio Clínico
Orange
Venipuncture Center for Med Plan Members at a cost of $10.00
ECCO LAB GROUP
1130 South Semoran Blvd
Orlando, Fl. 32807
Phone: (407) 480-2938
ANNUAL FREE PANELS (5 per member) AT ALL ECCO LAB GROUP AND VENIPUNCTURE FOR $10.
Clinical Labs / Laboratorio Clínico
Venipuncture Center for Med Plan Members at a cost of $10.00
ECCO LAB GROUP
2801 Waters Ave Suite B-1
Tampa, Fl. 33614
Phone: (813) 932-9525
Contact: Nadina Rodriguez
ANNUAL FREE PANELS (5 per member) AT ALL ECCO LAB GROUP AND VENIPUNCTURE FOR $10.
48
Hillsborough
INDEPENDENT LABORATORY SERVICES FEE SCHEDULE
ANNUAL FREE PANEL FOR PATIENTS / ANALISIS GRATIS UNA VEZ AL AÑO
CBC
COMP. METABOLIC PANEL
TSH
LIPID PANEL
URINE
PATHOLOGY TEST / EXAMENES DE PATOLOGIA
TEST NAME
TEST CODE
PRICE
PAP SMEAR (slide)
9161
$12.00
PAP LIQUID SUREPATH
9142
$25.00
HUMAN PAPILOMA VIRUS hc2
1845
$38.00
CHLAMYDIA & GC DNA
5344
$25.00
CHLAMYDIA & GC DNA hc2
9193
$35.00
PAP PANEL (liquid pap+HPVhc2+chlamydia&GC hc2
9190
$99.00
All the Gynecology collections will cost $20.
Todas las colecciones ginecologicas tendran un costo de $20.
*The prices of the biopsies level (I-II-III-IV-V-VI) will be determined by the specimen
site, number of the specimens and any special stains required for the final diagnosis.
TEST CODE
PRICE
BIOPSY Level I - Gross only
9181
$30.00
BIOPSY Level II
9182
$40.00
BIOPSY Level III
9183
$65.00
BIOPSY Level IV
9184
$85.00
49
INDEPENDENT LABORATORY SERVICES FEE SCHEDULE
50
TEST NAME
AMYLASE
ACTH (ADRENOCORTICOTROPIC HORMONE)
AFP TUMOR MARKER
ALBUMIN
ALCOHOL IN URINE
ALDOLASE
ALKALINE PHOSPHATASE
ALLERGEN FOOD PANEL (ADULT) each allergen ($9)
ALLERGEN RESPIRATORY PANEL(SUB-TROPICAL) each allergen ($9)
ALLERGY PANEL PER ALLERGEN each allergen ($9)
ALPHA PHETO PROTEIN QUAD SCREEN
ALPHA PHETO PROTEIN TRIPLE SCREEN
ALT (SGPT)
AMIKACIN SERUM
AMMONIA
ANA
ANTIBODY SCREENING
ASO
AST (SGOT)
B-12 & FOLID ACID
B-12
BASIC METAB PANEL
BETA 2 MICROGLOBULIN
BILIRUBIN DIRECT
BILIRUBIN TOTAL
BIOPSY (see comments at the end)
BLEEDING TIME
BLOOD TYPE & RH
BNP
BUN
CBC
C3 COMPLEMENT
C4 COMPLEMENT
CA 125
CA 15-3
CA 19-9
CA 27-29
CALCIUM
CALCIUM IONIZED
CALCULUS (stone) ANALYSIS
CARBAMAZEPIN
CEA
CERULOPLASMIN
CHLAMYDIA & GC IN URINE
CHLAMYDIA & GC DNA
CHOLESTEROL
CK (CPK TOTAL)
CMV IgG
CMV IgM
COMPRENH. METABOLIC PANEL
COOMBS DIRECT
COOMBS INDIRECT
CORTISOL
C-PEPTIDE
CPK - MB (CREATINE KINASE MB FRACTION)
C-REACTIVE PROTEIN - QUANT
C-REACTIVE PROTEIN (CRP)
C-REACTIVE PROTEIN (CRP) ULTRASENSITIVE
CREATININE 24 HRS
CREATININE CLEARANCE
CREATININE SERUM
CULTURE & SENSIT
CYSTIC FIBROSIS
DEPAKENE (VALPROIC ACID)
DHEA (DEHYDROEPIANDROSTERONE
DHEA-S
TEST CODE
1106
7200
1274
8170
3525
1102
8160
7302
7304
1673
8260
8154
1695
1104
5200
4259
4201
8152
8794
7272
8118
1404
8149
8166
9181
4108
4200
1430
8142
4110
6115
6126
1462
1462
1463
1664
8172
2130
1318
3119
7214
6119
5346
5344
8146
8156
1353
5210
8112
4214
4215
7206
1431
6127
3595
4216
6657
2115
2127
8150
5145
6442
1938
7171
1655
PRICE
$6.00
$37.00
$15.50
$2.50
$12.00
$9.50
$2.50
$9.00
$9.00
$9.00
$82.00
$56.00
$8.00
$15.50
$12.50
$12.00
$11.50
$15.00
$8.00
$30.00
$12.50
$8.00
$16.50
$4.50
$4.50
$4.50
$18.00
$40.00
$5.00
$7.00
$20.00
$20.00
$19.50
$19.50
$19.50
$19.50
$4.50
$11.00
$27.00
$15.00
$19.50
$36.00
$60.00
$25.00
$4.50
$7.00
$14.50
$12.50
$9.00
$10.00
$10.00
$17.50
$15.00
$12.50
$12.50
$5.00
$12.50
$10.00
$9.50
$4.00
$14.00
$250.00
$14.00
$26.00
$26.00
INDEPENDENT LABORATORY SERVICES FEE SCHEDULE
TEST NAME
DIHYDROTESTOSTERONE DHT
D-DIMER
DILANTIN LEVEL
DRUG SCREEN IN URINE
ELECTROLYTE PANEL
EPSTEIN BARR VIRAL CAPSIDE ANTIGEN (VCA) IgG & IgM
EPSTEIN BARR VIRUS EARLY
EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IgG ANTIBODY
EPSTEIN BARR VIRUS NUCLEAR ANTIGEN IgM ANTIBODY
ERYTHROPOIETIN
ESTRADIOL
ESTRIOL
ESTROGEN TOTAL
ESR (SED RATE)
EYE CULTURE & SENSITIVITY
FERRITIN
FIBRINOGEN
FOLIC ACID
FREE T3
FREE T4
FSH
FSH&LH
FINE NEEDLE ASPIRATION
FTA AG
FUNGUS CULTURE
GAMMA GT (GGTP)
GC CULTURE
GENTAMYCIN
GLIADIN IgA, IgG
GLUCOSE 2 HRS P.P
GLUCOSE 2 HRS TOLERANCE TEST
GLUCOSE 3 HRS
GLUCOSE GRAY TUBE
GLUCOSE SERUM
GLYCOHEMOGLOBIN
H. PYLORI AB IgG
H.PYLORI AB IgM
H.PYLORI IN STOOL (ANTIGEN)
HAPTOGLOBULIN
HCG QUAL
HCG QUANT
HEMOGLOBIN A1C
HEMOGLOBIN ELECTROPHORESIS
HEMOGLOBIN/HEMATOCRIT
HEPATIC FUNCTION PANEL
HEPATITIS A IgM
HEPATITIS A TOTAL
HEPATITIS B CORE IgM ANTIBODIES
HEPATITIS B CORE TOTAL ANTIBODY
HEPATITIS Bs ANTIBODY
HEPATITIS Bs ANTIGEN
HEPATITIS C ANTIBODY
HEPATITIS PANEL ABC
HERPES CULTURE
HERPES I SELECT
HERPES SELT II IgG
HIV 1 & 2 SCREEN
HLA-B-27
HOMOCYSTEINE
HUMAN GROWTH HORMONE
HUMAN PAPILOMA VIRUS hc2
IgA (Immunoglobulin)
IgE (Immunoglobulin E)
IgG (Immunoglobulin)
IgM (Immunoglobulin M)
IMMUNOELECTROPHORESIS
TEST CODE
3126
3223
8200
1920
1632
1861
1902
5215
7226
7224
7227
4160
5145
7275
4223
7229
1603
7120
7228
7261
5220
5114
1116
5118
7232
1432
8180
8188
8189
8141
8140
6145
1295
1297
1294
6147
7282
7240
6145
6151
4132
8698
1376
1621
1799
1614
7237
7236
1711
2298
1716
1439
1440
1437
1398
1227
7238
1846
6140
7248
6142
6143
6160
PRICE
$26.50
$22.50
$15.00
$23.00
$6.50
$14.00
$14.00
$17.50
$17.50
$18.50
$22.00
$28.00
$22.00
$8.00
$12.00
$14.00
$22.00
$13.00
$7.00
$7.00
$17.00
$34.00
$69.00
$35.00
$35.00
$5.00
$35.00
$28.00
$80.00
$7.00
$13.00
$17.00
$3.50
$3.50
$9.00
$15.00
15.00
$43.00
$25.00
$7.00
$15.50
$9.50
$12.00
$12.00
$7.50
$11.50
$10.50
$11.50
$11.50
$11.00
$10.00
$13.50
$44.00
$35.00
$12.50
$18.50
$9.50
$70.00
$28.00
$16.00
$39.00
$9.00
$16.00
$9.00
$9.00
$21.50
51
INDEPENDENT LABORATORY SERVICES FEE SCHEDULE
52
TEST NAME
IMMUNOGLOBULIN IgG-A-M
INSULINE LEVEL
INSULINE LIKE GROWTH FACTOR I SOMATOMEDIN-C IgF1
IRON
IRON & IBC
LEAD BLOOD
L.E. SCREEN
LDH
LH
LIPASE
LIPID PANEL
LIPOPROTEIN A
LITHIUM
LIVER PROFILE I
MAGNESIUM SERUM
MEASLES ANTIBODY IgG
MEASLES ANTIBODY IgM
METANEPHRINE 24 HRS URINE
MICROALBUMIN 24 HRS URINE
MICROALBUMIN RANDOM
MITOCHONDRIAL TOTAL AUTOANTIBODIES
MONO TEST
MUMPS ANTIBODY IgG
MUMPS ANTIBODY IgM
MYCOPLASMA IgM TITER PNEUMONIAE ANTIBODY
MYCOPLASMA PNEUMONIAE ANTIBODY IgG, IgM
MYELIN BASIC PROTEIN (MBP) AUTOANTIBODIES
MYSOLINE (PRIMIDONE)
NEURONTIN (GABAPENTIN)
NICOTINE METABOLITE URINE
OBSTETRIC PANEL
OCCULT BLOOD PER SPECIMEN
OVA AND PARASITES
OXALATES - 24HRS
OXALATES - URINE RANDOM
PAP SMEAR
PAP LIQUID SUREPATH
PHENOBARBITAL
PHOSPHORUS
PLATELET COUNT
POTASIUM
POTASIUM IN URINE
PRE - ALBUMIN
PREGNANCY TEST IN URINE
PRIMIDONE
PROCAINAMIDE (PRONESTYL + NAPA)
PROGESTERONE
PROLACTIN
PROTEIN ELECTROPHORESIS
PROTEIN TOTAL 24HRS
PROTEIN TOTAL SERUM
PSA FREE & TOTAL
PSA SCREEN
PT
PTH INTACT
PTT
QUINIDINE
R A LATEX
RENAL FUNCTION PANEL
RENIN
RETIC COUNT
RH FACTOR (ONLY)
RHEUMATOID FACTOR
RUBELLA ANTIBODY IgG
RUBELLA ANTIBODY IgM
RPR
TEST CODE
6156
7250
1666
8162
8161
2160
3662
8158
7244
1126
6188
6165
2163
8158
2166
2362
2361
2169
1208
1209
5226
4213
1362
1317
1985
1363
1404
3162
1609
3198
8136
4320
4321
2173
2172
9161
9142
3155
8174
4149
8210
8223
2011
4330
3162
3163
7256
7252
6129
2305
8168
2216
1937
4254
1373
4253
2183
4257
8108
7258
4154
4202
4257
5230
1752
4272
PRICE
$27.00
$11.50
$30.00
$5.00
$8.50
$10.50
$10.00
$4.00
$19.50
$6.50
$9.00
$33.20
$7.00
$10.00
$6.50
$12.50
$12.50
$80.00
$35.00
$4.00
$55.00
$12.00
$12.50
$12.50
$60.00
$65.00
$90.00
$55.00
$50.00
$24.50
$45.23
$5.00
$9.00
$13.00
$13.00
$15.00
$25.00
$11.00
$4.00
$6.00
$4.00
$4.00
$7.00
$6.50
$15.00
$16.50
$26.00
$19.50
$10.00
$3.50
$5.00
$29.00
$15.00
$3.50
$35.00
$3.50
$14.50
$7.00
$8.00
$18.50
$4.00
$5.50
$6.00
$15.00
$15.00
$4.50
INDEPENDENT LABORATORY SERVICES FEE SCHEDULE
TEST NAME
RUBELLA ANTIBODY IgM
SED RATE
SEMEN ANALYSIS
SEROTONIN (5-HIAA)
SICKLE CELL SCREEN
SMOOTH MUSCLE ANTIBODY
SODIUM (U) 12 HRS
SODIUM (U) 24 HRS
SODIUM IN URINE
SODIUM SERUM
STONE ANALYSIS (KIDNEY)
STOOL CULTURE
T-3 FREE
T3 TOTAL
T3-UPTAKE
T4
TACROLIMUS (PROGRAF)
TESTOSTERONE
TESTOSTERONE FREE & TOTAL
THEOPHYLLINE
THIAMINE LEVEL (VITAMIN B1)
THROAT CULTURE
THYROGLOBULIN Abs SCREEN
THYROGLOBULIN QUANT.
THYROID II PANEL (TSH)
THYROID PEROXIDE AB (TPO)
THYROID STIMULATING IMMUNOGLOBULINS (TSI)
THYROXIDE BINDING GLOBULIN
TOBRAMYCIN
TORCH PANEL
TOXOPLASMA IgG
TRANSFERRIN
TRAZODONE
TREPONEMA PALLIDUM TOTAL ANTIBODIES (FTA)
TRIGLYCERIDES
TROPONIN I
TSH
URINALYSIS
URIC ACID
URINE CULTURE
URINE CYTOLOGY
VARICELLA ANTIBODY IgG
VITAMIN D25
VITAMIN D
VITAMIN B-6
VAGINAL CULTURE
VARICELLA ZOSTER ANTIBODY IgM
VITAMIN B-1 (THIAMINE)
VMA (VANILLYLMANDELIC ACID 24 HRS URINE)
VALPROIC ACID
VITAMIN B-12
WESTERN BLOT ANALYSIS
WET MOUNT
WBC IN STOOL
ZINC
TEST CODE
1752
4160
4331
2186
4161
1601
2334
2335
8221
8205
1318
5113
1603
7260
7105
7110
1282
7268
7269
3174
7175
5155
5202
1201
7121
5205
1389
1391
3185
8420
5236
6175
1798
5220
8148
8157
7264
4340
8144
5113
2772
1300
1301
1346
5156
2772
7175
2196
1938
7272
1833
4319
2199
PRICE
$15.00
$3.50
$50.00
$11.00
$6.00
$30.00
$4.50
$4.50
$4.50
$4.00
$27.00
$13.50
$7.00
$7.00
$6.00
$6.00
$16.00
$25.00
$27.50
$14.50
$6.00
$13.50
$16.00
$14.00
$29.00
$15.00
$12.50
$11.00
$16.00
$60.00
$15.00
$15.00
$70.00
$22.00
$6.00
$15.50
$14.00
$2.00
$3.00
$13.50
$25.00
$15.00
$33.50
$33.50
$14.00
$13.50
$15.00
$6.00
$12.50
$14.00
$15.00
$35.00
$4.00
$8.00
$11.50
53
DIAGNOSTICS / CENTROS DE DIAGNOSTICO
Services Details
Over 300 Diagnostic Tests available which include:
• Digital Mammography
• MRI
• CT Scans
• PET CT Scans
• Ultra Sound
• X-Rays
• Sleep Studies
All Diagnostic Centers requires that the tests being requested are ordered by a licensed healthcare professional that is
authorized to practice medicine in the State of Florida. The order must be written in a Physicians prescription or on the
Diagnostic Centers requisition form that is signed by a physician.
All test results will be sent to the office of the Physician or Specialist that ordered the test. This procedure is to protect the
confidential information regarding your health.
Detalles de los Servicios
Más de trescientos (300) procedimientos de diagnóstico están disponible e incluyen:
• Mamografia Digital
• Tomografia computaizada
• CT Scans
• PCT Scans
• Ultrasonido
• Rayos X
• Estudios del sueno
Todos los Centros de Diagnóstico requieren que los exámenes que se solicitan hayan sido previamente indicados por
un profesional de la salud con licencia que le autoriza a ejercer la práctica de la medicina en el estado de la Florida.
La indicación del procedimiento debe estar escrita en una receta médica o en su lugar en el formulario de solicitud
establecida para los procedimientos de Diagnósticos y firmada por el médico que la indica.
Todos los laboratorios cumplirán el procedimiento legal establecido de confidencialidad del paciente y para proteger este
derecho enviaran los resultados de sus exámenes a la oficina del doctor que lo indicó.
Diagnostic Radiology / Centro de Diagnóstico
Digital Medical Diagnostic
41 Tamiami Canal Rd
Miami Fl. 33166
Phone: (305) 269-0833
Fax: (305) 269-0851
Digital Mammography
Mamografía digital
por sólo $50.00
CT Imaging Inc.
395 West 10 Street, Suite 2
Hialeah Fl. 33010
Phone: (305) 887-7562
Refer to Fee Schedule
Diagnostic Radiology / Centro de Diagnóstico
54
Miami - Dade
Eiber Radiology.
49 West 49th Street.
Hialeah, Fl. 33012
Phone: (305) 557- 0330
Fax: (305) 556-5133
Miami - Dade
Bay Imaging Group.
1755 NE 127th Street.
North Miami Fl. 33181
Phone: (305) 891-1900
Refer to Fee Schedule
Virtual Imaging Service.
3320 Palm Avenue.
Hialeah, Fl. 33012
Phone: (305) 596-9992
Refer to Fee Schedule
Transportation Available
Universal Imaging of Florida.
14462 Commerce Way.
Miami Lakes, Fl. 33016
Phone: (305) 821-8585
Refer to Fee Schedule
Transportation Available
Pinnacle Imaging
2390 NW 7 St, Suite 103
Miami, Fl. 33125
Phone: (305) 642-7388
Virtual Imaging.
(Sleep Studies / Estudio del Sueño)
9835 SW 72th Street, Suite 107
Miami, Fl. 33173
Phone: (305) 596-9992
Fax: (305) 779-9096
Precio: $500.00
Virtual Imaging Service.
7101 SW 99 Avenue, Suite 106
Miami, Fl. 33173
Phone: (305) 596-9992
Refer to Fee Schedule
Transportation Available
Diagnostic Radiology / Centro de Diagnóstico
Miami - Dade
Systems Associate Inc.
(Neurological Diagnostic)
Home and Office Service
7374 SW 93 Ave, Suite 201
Miami, Fl. 33173
Phone: (305) 270-7771
CMS Open MRI
9601 SW 40 St
Miami, Fl. 33165
Phone: (305) 227-2500
LifeStream Mobile.
9745 Sunset Drive, Suite 201
Miami, Fl. 33173
Phone: (305) 264-2021
Servicios móbiles a domicilio u
oficinas médicas.
Ultrasonido
Cargo por visita: $15.00
South Florida Perinatal Medicine.
6200 Sunset Drive, Suite 301
Miami, Fl. 33143
Phone: (305) 669-9521
(Llamar a Customer Service
para otras seis localizaciones)
Virtual imaging
692 N. Homestead Blvd, Ste 106
Homestead, Fl. 33030
Phone: (305) 596-9992
Lab Test Discount
5311 NW 79 ave
Doral, Fl. 33166
Phone: (305) 646-1363
Ultrasound Only
All X Ray Diagnostic Service, Corp
5040 NW 7 ST # 170
Miami, Fl. 33126
Phone: (305) 445-9462
Refer to Fee Schedule
Diagnostic Radiology / Centro de Diagnóstico
Diagnostic Professional, Inc.
7301 NW 4th Street #107
Plantation, Fl. 33317
Phone: (954) 449-7023
Fax: (954) 449-7027
Refer to Fee Schedule
Diagnostic Professional, Inc. 1799 West Oakland Park Blvd 105
Ft Lauderdale Fl. 33311
Phone: (954) 777-3466
Fax: (954) 777-3510
Refer to Fee Schedule
Diagnostic Radiology / Centro de Diagnóstico
Diagnostic Professional, Inc.
6808 N. State Road 7
Coconut Creek, Fl. 33073
Phone: (954) 570-5560
Fax: (954) 571- 5240
Refer to Fee Schedule
Broward Pet Imaging Center
4850 W. Oakland Park Blvd Suite 1A
Lauderdale Lakes, Fl. 33313
Phone: (954) 735-6330
Diagnostic Radiology / Centro de Diagnóstico
Broward
Diagnostic Professional, Inc.
10950 Pines Boulevard
Pembroke Pines, Fl. 33026
Phone: (954) 430-2044
Fax: (954) 430-2055
Refer to Fee Schedule
Broward
Bersa Mobil X Ray
7300 W Menab Rd Suite 112
Tamarac, Fl. 33121
Phone: (954) 515-7080
RX, Eco-Cardiac, Ultrasound EKG
Mobile Services / Servicio Movil
West Palm Beach
All X Ray Diagnostic Service, Corp
1800 Forest Hill Blvd Suite # A 1-2
West Palm Beach, Fl. 33406
Phone: (561) 318-5493
Language: English / Spanish
Refer to Fee Schedule
A1 Imaging Centers, LLC -- Florida Locations (MRI Only) (MRI solamente)
A1 Imaging of Boynton Beach
3795 Boynton Beach Blvd Ste. C
Boynton Beach, Fl. 33436
Phone: (561) 740-9305
Fax: (561) 740-9305
Services: Open MRI
A1 Imaging of Orange Park
1566 Kingsley ave
Orange Park, Fl. 32073
Phone: (904) 278-2128
Fax: (904) 278-2129
Services: Closed and Open MRI
A1 Imaging of Deerfield
1890 W. Hillsboro Blvd.
Deerfield Beach, Fl. 33442
Phone: (954) 429-8381
Fax: (954) 429-2705
Services: Open MRI
55
A1 Imaging Centers, LLC -- Florida Locations (MRI Only) (MRI solamente)
56
A1 Imaging of Ft. Lauderdale
5100 N federal Hwy, Ste 102
Ft. Lauderdale, Fl. 33308
Phone: (954) 202-3400
Fax: (954) 202-3448
Services: Open MRI
A1 Imaging of Pembroke Pines
8384 Pines Blvd
Pembroke Pines, Fl. 33024
Phone: (954) 450-4020
Fax: (954) 432-8674
Services: Open MRI
A1 Imaging of Orlando
500 N Semoran Blvd., Ste 103
Orlando, Fl. 32807
Phone: (407) 275-6072
Fax: (407) 275-7301
Services: Open MRI
A1 Imaging of Ocoee
9450 W. Colonial Dr. Ste 12
Ocoee, Fl. 34761
Phone: (407) 822-0999
Fax: (407) 822-0990
Services: Open MRI
A1 Imaging of St. Augustine
200 S. Park Blvd.,Ste 210
St. Augustine, Fl. 32086
Phone: (904) 819-0920
Fax: (904) 819-0299
Services: Open MRI
A1 Imaging of West Palm Beach
1117 N. Olive Ave #101
West Palm Beach, Fl. 33401
Phone: (561) 651-7410
Fax: (561) 651-7417
Services: Open MRI
A1 Imaging of Plantation
150 N. University Dr. Ste 110
Plantation, Fl. 33324
Phone: (954) 423-3674
Fax: (954) 916-0674
Services: Closed and Open MRI
A1 Imaging of Mandarin
3753 Cardinal Point Dr.
Jacksonville, Fl. 32223
Phone: (904) 636-5674
Fax: (904) 448-4674
Services: Open MRI
A1 Imaging of Cape Coral
1003 Del Prado Blvd., Unit 102
cape Coral, Fl. 33990
Phone: (239) 573-6333
Fax: (239) 573-8674
Services: Open MRI
A1 Imaging of Kissimmee
810 North John Young Pkwy
Kissimmee, Fl. 34741
Phone: (407) 847-6745
Fax: (407) 847-8749
Services: Open MRI
A1 Imaging of Ocala
301 SE 17th St., Unit 102
Ocala, Fl. 34471
Phone: (352) 622-7459
Fax: (352) 622-9238
Services: Open MRI
A1 Imaging of Aventura
20880 W. Dixie Hwy, Suite 111/106
North Miami Beach, Fl. 33180
Phone: (305) 933-9565
Fax: (305) 933-8105
Services: Closed and Open MRI
PROCEDURE
CPT
78306
78320
Bone Scan Whole Body
A9503
78300
78320
Bone Scan Limited
A9503
78315
78320
Bone Scan 3 Phase
A9503
78305
78320
Bone Scan Multiple Areas
A9503
Thyroid Scan Only
78010
A9516
Parathyroid Scan
78070
A9500
78001
78006
Thyroid 24 hours (Uptake)
A9528
Scan (Single)
78001
98007
Thyroid 24 hours (Uptake)
A9528
Scan (Multiple)
93015
78494
A9502
Muga Scan
78465
78478
78480
Liver Hemangioma W Flow and 78206
A9560
SPECT
Liver Hemangioma W Flow Flow
78202
A9537
Lung Perfusion Scan Quantitative 78580
A9540
CT ANGIOGRAPHY
PROCEDURE
CPT
CTA Head W & W/O
70496
CTA Neck W & W/O
70498
CTA Chest W & W/O
71275
CTA Pelvis W & W/O
72191
CTA Upper Ext W & W/O
73206
CTA Lower Ext W & W/O
73706
CTA Abdomen W & W/O
74175
CTA Abdomen Aorta lliofemoral 75635
Runoff to Lower Extremities
G0288
Q9967
NUCLEAR MEDICINE
MED PLAN PROCEDURE
$250.00
$250.00
$300.00
$250.00
$250.00
$250.00
$250.00
$250.00
$300.00
$300.00
$300.00
MED PLAN
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
$200.00
CPT
93015
78465
78478
Stress Test Cardiolite
78480
A9500
93015
78465
78478
Stress Test Thallium
78480
A9505
Multiple Renal Function W/Vascular
78709
A9562
flow W/Med laasix/capt
Renal Function W/O pharmalogical
78707
Renal Scan (morphology)
78700
W/Vascular flow
78701
A9540
Renal Scan W/O Vascular flow
78700
A9540
Renal Function W/Vascular flow W/O
78707
Med
A95562
Single Renal Function W?Vascuar flow 78708
A9562
W/Med lasix/capt
Gastric Emtying Study
78264
A9541
Hepabiliary Ductal System Gallbladder 78223
A9537
HIDA
Hepatobiliary (Hida)
78220
Liver and Spleen Study Static
78215
A9541
Liver Spect W/O Vascular Flow
78205
A9560
TO REPORT 3D TO ANY CT ADD
PROCEDURE
CPT
Render W/O Imag Postprocessing
76376
Render W Imag Postprocessing
76377
BONE DENSITOMETRY
DEXA Bone Density
77080
MED PLAN
$470.00
$450.00
$400.00
$400.00
$400.00
$225.00
$400.00
$400.00
$300.00
$300.00
$300.00
$300.00
$250.00
MED PLAN
$60.00
$60.00
$85.00
$200.00
57
58
58
59
60
60
PRECIOS DE MEDICINA PERINATAL
Ultrasound
76801
76802
76805
76810
76811
76812
76813
76814
76815
76816
76817
76818
76819
76820
76821
76830
76856
76945
76946
59000
59015
99211
99241
99242
99243
99244
99251
99252
99254
59025
AMNIO
CVS
1ST TRIMESTER
SCREENING
INTEGRATED
SCREENING
SEQUENTIAL
SCREENING
SFPM Rates
1st Tri<14 wks New
1st Tri each Add Gest w/76801
Complete Routine
Comp Routine each Add Gestw/76805
>1 Tri HighRisk Detailed Targ - New
>1 Tri HgRk Detailed Tgt eachAdd Gest w/76811
OB/US Nuchal Measurement I Gest
Nuchal Measurement each additional Gestation
Limited-quick look @1or more elements
Follow Up (re-eva org susp abnormal)
OB Transvag (use in addition to transadom code)
BPP w/NST
BPP w/out NST
Doppler UA
Doppler CA
Vag. Ultra (non-obstetrical purposes)
Pelvic TR
CVS Guidance
Amnio Guidance
Amnio
CVS
Minor 5 minute established
Minor 15 minute
Low 30 Min
Moderate 40 Min
Mod High 60 Min
Inpatient Consult 20 Min
Inpatient Consult 40 Min
Inpatient Consult 80 Min
NST
Includes Counceling, U/S, Guidance, Amnio
TWINS
Includes Counceling,U/S, Guidance, CVS
TWINS
Includes Counceling, 1st Trimester U/S, Labs
& Nuchal Translucency
TWINS
Includes Counceling, 1st Trimester U/S, NT
1st & 2nd Labs Included
TWINS
Includes Counceling, 1st Trimester U/S, NT
and first part Labs
TWINS
Member Fees
$240.00
$140.00
$245.00
$230.00
$415.00
$265.00
$230.00
$155.00
$175.00
$160.00
$230.00
$245.00
$230.00
$180.00
$225.00
$265.00
$225.00
$245.00
$230.00
$300.00
$370.00
$70.00
$125.00
$160.00
$210.00
$265.00
$115.00
$175.00
$280.00
$125.00
$1,645.00
$2,700.00
$1,665.00
$2,775.00
$805.00
$1,100.00
$900.00
$1,195.00
$825.00
$1,120.00
HEARING AIDS / SUPLEMENTOS AUDITIVOS
Belgica Mock
(Hearing Specialist)
(Crystal Clear Hearing)
11342 Quail Roost Drive
Miami, Fl. 33157
Phone: (305) 235-4035
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
Ali Asghar Danesh, M.D.
(Audiology))
1500 NW 10 Ave. Suite #104
Boca Raton, Fl. 33486
Phone: (561) 807-7873
Price 1st Visit: $ 60.00
Price Follow Up: $ 40.00
61
ANCILLARY SERVICES / SERVICIOS AUXILIARES
DURABLE MEDICAL SUPPLIES
Services Details
When ordering medical equipment you must have a valid prescription signed by a licensed and authorized healthcare
professional in the State of Florida indicating the supplies or equipment needed. You must present your Med Plan
membership card with a picture ID so that your eligibility can be verified before your supplies are delivered. In order to
receive the exclusive pricing offered to Med Plan members at contracted provider locations your monthly membership fee
needs to be current.
The durable medical supply offered to Med/Plan members are:
•
•
•
•
Wheel Chairs
Walkers
Hospital Beds
Oxygen Concentrators
Offered 80% savings off of Providers Usual and Customary Fees.
Unlimited Access to all Durable Medical Services.
SERVICIOS DE EQUIPOS MEDICOS
Detalles de los Servicios
Al pedir suministro de algún equipo médico debe tener una receta de prescripción válida firmada por su Doctor donde se
indique los suministros y equipos que necesita. Usted tendrá que presentar su tarjeta de miembro conjuntamente con una
identificación (ID) con foto para que su elegibilidad pueda ser verificada en el momento y pueda beneficiarse de las tarifas
preferenciales exclusivas que aplican únicamente a los miembros de MedPlan.
Entre los equipos medicos duraderos ofrecidos por Med/Plan estan:
•
•
•
•
Sillas de ruedas
Andadores
Camas de hospital
Concentradores de oxígeno
Estos servicios ofrecen un ahorro del 80% de descuento de los proveedores habituales y tarifas habituales.
Acceso ilimitado a todos los servicios de equipos medicos duraderos.
ORTHOPEDIC SUPPLIES / SUPLEMENTOS ORTOPEDICOS
Podortis Corp.
(Orthopedic Supplies)
5841 SW 8 St
Miami, Fl. 33144
Phone: (305) 446-2995
Fax: (305) 446-2996
62
L CODE
A5500 X 2
A5512 X 2
A5513 X 2
L3002 X 2
L5000 X 1
A6530 X 2
A6531 X 2
A6532 X 2
A6533 X 2
A6534 X 2
A6535 X 2
A6539 X 2
A6540 X 2
A6541 X 2
L4350 X 1
L4360 X 1
L4386 X 1
L4396 X 1
L3000 X 2
L3010 X 2
L3020 X 2
L1902 X 2
L1906 X 1
L1930 X 1
L1940 X 1
L1960 X 1
L8000 X 1
L8020 X 1
L8030 X 1
L1810 X 1
L1832 X 1
L1845 X 1
L1847 X 1
L0120 X 1
L0190 X 1
L0700 X 1
L0710 X 1
L1300 X 1
L0462 X 1
L0464 X 1
L0482 X 1
L0486 X 1
L0488 X 1
L0627 X 1
L0631 X 1
L1686 X 1
L2112 X 1
L2114 X 1
L2116 X 1
L2128 X 1
L2134 X 1
L3670 X 1
L3760 X 1
L3908 X 1
L3931 X 1
L3980 X 1
L3982 X 1
L3984 X 1
L3995 X 1
L8300 X 1
L8310 X 1
PROSTHETIC ORTHOTIC FEES
DESCRIPTION
Member
Fees
$100.80
$38.74
$57.82
$155.20
$129.96
$55.87
$62.30
$115.82
$73.33
$73.33
$77.40
$200.79
$200.79
$211.95
$57.13
$166.30
$107.73
$94.62
$337.56
$155.20
$155.20
$39.29
$83.91
$79.06
$215.34
$251.23
$26.13
$128.65
$139.15
$79.06
$531.35
$543.69
$348.25
$12.13
$281.30
$1,406.50
$1,552.00
$727.50
$518.99
$518.99
$933.85
OFF THE SHELF DIAB SHOE / ZAPATOS PARA DIABETICOS
DIAB MULTIDENSITY INSERTS / SOPORTES DE DIAB PREFAB
DIAB MULTIDENSITY CUSTOM INSERTS / SOPORTES DE DIABETICO
DIAB PLASTAZOTE CUSTOM INSERT / SOPORTES ACOMODATIVOS DE DIABETICOS
INSERT FOR MISSING TOES / SOPORTE PARA DEDOS AMPUTADOS
BELOW KNEE 18-30 COMRESSION STOCKING / MEDIAS PARA CIRCULACION A LA RODILLA 18-30
BELOW KNEE 30-40 COMRESSION STOCKING / MEDIAS PARA CIRCULACION A LA RODILLA 30-40
BELOW KNEE 40-50 COMRESSION STOCKING / MEDIAS PARA CIRCULACION A LA RODILLA 40-50
THIGH LENGTH 18-30 COMPRESSION STOCKING / MEDIAS PARA LA CIRCULACION AL MUSLO 18-30
THIGH LENGTH 30-40 COMPRESSION STOCKING / MEDIAS PARA LA CIRCULACION AL MUSLO 30-40
THIGH LENGTH 40-50 COMPRESSION STOCKING / MEDIAS PARA LA CIRCULACION AL MUSLO 40-50
WAIST LENGTH 18-30 COMPRESSION STOCKING / MEDIAS PARA CIRCULACION PANTY 18-30 MMHG
WAIST LENGTH 30-40 COMPRESSION STOCKING / MEDIAS PARA CIRCULACION PANTY 30-40 MMHG
WAIST LENGTH 40-50 COMPRESSION STOCKING / MEDIAS PARA CIRCULACION PANTY 40-50 MMHG
AIR CAST PREFAB
PNEUMATIC CAM WALKER PREFAB / BOTA DE MARCHA INMOVILIZADORA-NEUMATICA
REGULAR CAM WALKER PREFAB / BOTA DE MARCHA INMOVILIZADORA CORTA O LARGA
NIGTH SPLINT PREFAB
UCBL CUSTOM FOOT ORTHOTIC / SOPORTE A LA MEDIDA TIPO UCB
CUSTOM LONGITUDINAL ARCH SUPPORT / SOPORTE ARCO LONGITUDINAL
CUSTOM METATARSAL ARCH SUPPORT / SOPORTE LONGITUDINAL METATARSIANO
AFO GAUNLET PREFAB / AFO, APARATO PARA EL PIE TIPO GUANTE PREFAB
AFO FOR PPTD PREFAB / AFO, PARA ESTABILIZAR EL PIE PREFAB
AFO PLASTIC PREFAB
AFO CUSTOM FAB / AFO A LA MEDIDA
AFO POSTERIOR SOLID ANKLE CUSTOM / AFO A LA MEDIDA CON REFUERZO EN EL TOBILLO
MASTECTOMIE BRAS / AJUSTADOR DE MASTECTOMIA
BREAST PROSTHESIS MASTECTOMIE FORM FOAM / PROTESIS DE SENO DE FOAM
BREAST PROSTHESIS SILICONE OR EQUAL / PROTESIS DE SENO EN SILICONA
KO, ELASTIC WITH JOINTS PREFAB / RODILLERA SENCILLA PREFAB
KO, ADJUSTABLE KNEE JOINTS, RIGID SUPPORT, PREFAB /RODILLERA CON ARTICULACION PREFAB
KO, DOUBLE UPRIGHT, THIGH AND CALF, PREFAB
KO, DOUBLE UPRIGHT, AIR, PREFAB / RODILLERA CON AIRE, PREFAB
CERVICAL COLLAR, FOAM, PREFAB
CERVICAL COLLAR TAYLOR TYPES / COLLAR CERVICAL TIPO TAYLOR
CTLSO, MINERVA TYPE, CUSTOM / CTLSO, TIPO MINERVA, A LA MEDIDA
CTLSO, ANTERIOR/POSTERIOR CONTROL MINERVA TYPE, CUSTOM
SCOLIOSIS JACKET CUSTOM / SCOLIOSIS JACKET A LA MEDIDA
TLSO, TRIPLANAR, 3 PLASTIC SHELLS / TLSO, TRIPLANAR, 3 MODULOS PLASTICOS
TLSO, MODULAR SEGMENTED, 4 PLASTIC SHELLS / TLSO MODULAR SEGMENTADO, 4 PLASTICOS
TLSO,TRIPLANAR CONTROL, ONE PIECE RIGID PLASTIC SHELL / TLSO, CONTROL TRIPLANAR UNA
PIEZA RIGIDA PLASTICA
TLSO,TRIPLANAR CONTROL, TWO PIECES RIGID PLASTIC SHELL / TLSO, CONTROL TRIPLANAR, 2 $1021.88
PIEZAS RIGIDAS EN PLASTICO
TLSO,TRIPLANAR CONTROL, ONE PIECE RIGID PLASTIC SHELL
$227.53
LSO, SAGITAL CONTROL, RIGID PANELS / LSO, CONTROL SAGITAL PANELES RIGIDOS
$299.45
LSO, SAGITAL CONTROL, POSTERIOR EXTENDS, REDUCE LOAD
$747.83
HIP ORTHIOSIS, ABDUCTION CONTROL, PREFAB / APARATO DE CADERA, CONTROLA ABDUCTION
$539.08
AFO TIBIAL FRACTURE ORTHOSIS, SOFT, PREFAB / AFO, APARATO PARA FRACTURA TIBIAL SUAVE
$331.74
AFO TIBIAL FRACTURE ORTHOSIS, SEMI RIGID, PREFAB
$465.60
AFO TIBIAL FRACTURE ORTHOSIS, RIGID, PREFAB / APARATO PARA FRACTURA TIBIAL RIGIDO
$465.60
KAFO FEMORAL FRACTURE CAST ORTHOSIS, CUSTOM / KAFO, APARATO PARA FRACTURA FEMO- $976.31
RAL A LA MEDIDA
KAFO FEMORAL FRACTURE CAST ORTHOSIS SEMIRIGID, PREFAB / APARATO PARA FRACTURA FEM- $439.11
ORAL, SEMIRIGIDO, PREFAB
SO, (CANVAS AND WEBBING TYPE) PREFAB / CABESTRILLO DE BRAZO, PREFAB
$55.29
ELBOW ORTHOSIS, WITH ADJUSTABLE POSITION, PREFAB / APARATO DE CODO AJUSTABLE
$268.57
WRIST HAND ORTHOSIS PREFAB / MUNEQUERA PREFAB
$17.46
WRIST HAND FINGER ORTHOSIS PREFAB / MUNEQUERA CON DEDO GORDO PREFAB
$128.55
HUMERAL FRACTURE ORTHOSIS PREFAB / APARATO DE FRACTURA DE HUMERUS PREFAB
$121.25
RADIUS/ULNAR FRACTURE ORTHOSIS PREFAB
$218.25
WRIST FRACTURE ORTHOSIS PREFAB / APARATO DE FRACTURA DE MUNECA, PREFAB
$244.44
ADDIT FRACTURE SOCK OR EQUAL
$11.64
SINGLE ABDOMINAL BINDER / FAJA ABDOMINAL SENCILLA
$59.90
BILATERAL ABDOMINAL BINDER / FAJA ABDOMINAL BILATERAL
$161.26
63
64
Home Health Service
Miami - Dade / Broward
ALC Home Health.
Home Health Services
(Physical Therapy)
13275 SW 124 St.
Miami Fl. 33186
Phone: (305) 828-5310
Home Health Aid: $15.00 per Visit
RN: $ 29.00 per Visit
Physical Therapy: $80.00 per Visit
Occupational Therapy: $80.00 per Visit
Speech Therapy: $95.00 per Visit
HHA or CAN Visit: $15.00 per visit
C&O Home Healthcare Corp
(Home Health Services)
(Physical Therapy)
1100 West 29th street Suite H
Hialeah Fl. 33012
Tel: (305) 360-4104
Home Health Aid: $30.00 per Visit
Skilled Nursing: $45.00 per Visit
Physical Therapy: $80.00 per Visit
Occupational Therapy: $80.00 per Visit
Speech Therapy: $80.00 per Visit
Home Health Care.
Preferred Home Health Agency, Inc.
13903 NW 67 Avenue, Suite 420
Miami Lakes, Fl. 33014
Phone: (305) 231-4250
Language: English / Spanish
Home Health Aid: $ 30.00 per Visit
Skilled Nursing: $ 45.00 per Visit
Physical Therapy: $ 80.00 per Visit
Occupational Therapy: $ 80.00 per Visit
Speech Therapy: $ 80.00 per Visit
Capital Health Services Inc.
(Home Health Services)
85 Gran Canal Dr. Suite 201
Miami, Fl. 33144
Tel: (305) 261-3831
Home Health Aid: $ 34.00 per Visit
License Practice Nurse per Visit $27.00
Home Health AIDE per Visit $18.00
Physical Therapy
Holistic Nursing Care Agency
Home Health Services
7400 NW 7 St.
Miami Fl. 33126
Phone: 305-265-9618
Skilled Nursing: $30.00
Home health Aid: $15.00
Physical Therapy: $80.00
Occupational Therapy: $80.00
Speech Therapy: $80.00
HHA or CAN: $15.00
Miami - Dade
Claudius Galen Therapy Center
(Physical and Speech Therapy)
489 E Hialeah Drive #10
Hialeah, Fl. 33010
Phone: (786) 953-6302
Language: English/Spanish
Davila Medical Center
(Family Medicine)
782 NW 42 Av. Ste 318
Miami, Fl. 33126
Phone: (305) 441-2760
Fax: (305) 441-2760
Therapy for Nasiff
(Therapeutic Massage)
10025 SW 32 St.
Miami Fl. 33165
Phone: (786) 316 - 8152
Language: English / Spanish
Continental Rehabilitation Center Inc.
(Physical Therapy)
85 Gran Canal Dr. Suite 200
Miami, Fl. 33144
Tel: (305) 264-6688
Language: English / Spanish
Larskin Rehabilitation Center
(Physical Therapy)
3450 SW 137 ave
Miami Fl. 33175
Phone: (305) 228-2842
Language: English / Spanish
Sunrise Relax Health Care Corp.
(Physical Therapy)
636 SW 109 avenue
Miami Fl. 33174
Phone: (305) 221-8500
Language: English / Spanish
ABC Medical Group
(Physical Therapy)
1393 SW 1st St.Suite 320
Miami Fl. 33135
Phone: (305) 644-0977
Language: English / Spanish
The New City Medical Center
(Physical Therapy)
4118 W 12 Ave
Miami Fl. 33012
Phone: (305) 824-8787
Language: English / Spanish
Selecta Physical Therapy
(Physical Therapy)
1393 SW 1 St Suite #415
Miami, Fl. 33135
Phone: (786) 953-6735
Language: English/Spanish
Neuromusucular Physical Therapy Inc
(Physical Therapy)
7200 NW 7 St Suite 320
Miami, Fl. 33126
Phone: (305) 261-1171
Language: English/Spanish
Leal Medical Center, M.D.
(Physical Therapy)
925 NE 30 Terr # 206
Homestead, Fl. 33033
Phone: (305) 246-1265
65
CODES
97010
97010
97012
97014
97018
97026
97032
97034
97035
97039
97110
97112
97124
97139
97140
97140
E0217
E0218
97535
THERAPY SERVICES
SERVICIOS DE TERAPIA
Hot / Cold Pack
Ice / Cryo therapy
Mechanical Traction
E.M.S
Paraffin Bath
Infrared
E.M.S Attended
Contrast Bath
Ultrasound
Vibratory Massage
Therapeutic Exercise
Neuromuscular Re-Education
Massage
Hydro massage
Manual Therapy
Manual Traction
Water Circulating Cold
Water Circulating Hot
Self / Home Care
Alternative Medicine / Medicina Alternativa
Lab Test Discount
(Acupuncture)
5311 NW 79 ave
Doral, Fl. 33166
Phone: (305) 646-1363
Language: English / Spanish
Initial Visit (60 min) $60.00
Follow Up (45 min) $50.00
Services: Weight Management,
Pain Management, Depression,
Anexity, Insomnia, Allergy and
Respiratory Problems,
Muscle-skeletal treatments, etc
Member Fees
$12.00
$12.00
$33.34
$26.50
$18.40
$13.20
$34.16
$32.00
$27.50
$17.50
$57.00
$63.00
$47.00
$17.00
$65.00
$65.00
$91.00
$91.00
$41.00
Miami - Dade
Ines Valencia, M.D.
South Florida Rehabilitation & Wellness Center
(Acupuncture)
7990 SW 117 ave #205
Miami, Fl. 33183
Phone: (305) 271-7447
Initial Visit (60 min) $60.00
Follow Up (45 min) $50.00
Alternative Medicine / Medicina Alternativa
Broward
Miramar Medical Center
(Acupuncture)
11904 Miramar Parkway
Miramar, Fl. 33025
Phone: (954) 639-7560
Language: English / Spanish
Initial Visit (60 min) $60.00
Follow Up (45 min) $50.00
Services: Weight Management,
Pain Management, Depression,
Anexity, Insomnia, Allergy and
Respiratory Problems,
Muscle-skeletal treatments, etc
Magnet Therapy / Terapia Magnética
66
Panamerican Sports Medicine Institute of Miami
(Magnet Therapy)
3850 SW 87 ave Ste 201
Miami, Fl. 33165
Phone: (305) 227-3350
Consultation plus 4 sessions $80.00
Follow Up Sessions: $20.00 each
Miami-Dade
DIABETES SUPPLY SERVICES
DIABETES SUPPLY (CLEVER CHOICE PLUS SYSTEM)
Diabetes Supply (Clever Choice Plus)
Glucose Meter (Glucometro)
Test Strips
$2.50
$2.50
$14.99
Lancing Device
Box of 10 Lancets
Box of 50 strips
Services Details
Free Home Delivery.
Unlimited Access to all Diabetic Supplies.
When ordering diabetic supplies you must have a valid prescription signed by a licensed and authorized healthcare
professional in the State of Florida indicating the supplies needed.
Note: Free Delivery service is provided as a courtesy to Med Plan members but is subject to the Diabetes Medical Supply
provider ability and the distance to the Members pick up point. Please call the provider for more details.
SUPLEMENTOS PARA LA DIABETES
Detalles de los Servicios
Entrega gratis a domicilio.
Acceso ilimitado de todos los suministros para diabéticos.
Al pedir suministros para Diabetes o algún equipo médico debe tener una receta de prescripción válida firmada por su
Doctor donde se indique los suministros y equipos que necesita.
Nota: El servicio a domicilio es gratuito y se ofrece como una cortesía para los miembros de Med Plan, pero está sujeto a
la capacidad del proveedor de los suministros y la distancia donde se encuentre el miembro como punto de entrega. Por
favor, llame al proveedor para obtener más detalles.
Our Provider / Nuestro Proveedor:
DIRECT MEDS OF FLORIDA
Telf: 954-454-8118
Fax: 954-454-9898
Free Shipping Anywhere in the United States
67
PHARMACY SERVICES
Services Details
•
•
•
•
•
•
Exclusive Pharmacy Services in Miami Dade County with Navarro Pharmacy.
Rx Savings Plus program available for out of State Pharmacy services.
400 Medication Formulary of the most frequently used medications for $9.99 for 100 pills or tablets.
Over 65,000 medications offered at Florida MAC plus $3.73 for Dispensing.
Prescription Assistance Program available for most brand medications.
Home Delivery Program available to all Med Plan members.
When visiting your Pharmacy to fill a prescription you must have a valid prescription signed by a licensed and authorized healthcare
professional in the State of Florida.
Med Plans “Prescription Assistance Program” are services provided directly by the pharmaceutical medi cation manufacturer. These
programs are designed to help pay for the high cost of Brand medications that our members may not be able to afford. These “PAP”
programs can greatly reduce the cost of the medications or in some case the member can get their medication completely free. Med Plan
will help its members identify which programs are available and assist them in filling the necessary documents as part of our commitment
to our members.
Rx SavingsPlus Program is offered as an added value service which provides Med Plan members access to pharmacy services outside
of Med Plans Florida coverage area. Your membership kit contains a brochure with your “Rx SavingsPlus” card inside. You can use this
card outside of Florida at any Pharmacy as listed on the back of the brochure. Please note that pricing for medications under this program
differs from the Florida Pharmacy providers. For medication pricing under this program you can go to www.medplan.rxsavingsplus.com
to get specific cost. This service is only to be used if the member is outside the Med Plans Florida coverage area.
SERVICIOS DE FARMACIA
Detalles de los Servicios
•
•
•
•
•
•
Servicios exclusivos en el condado Miami Dade brindados por Navarro Pharmacy
Programa Rx Savings Plus disponible para los servicios de Farmacia fuera de la Florida.
400 medicamentos genéricos usados con más frecuencia a un costo de $ 9.99 por 100 pastillas.
Más de 65.000 medicamentos se ofrecen en Florida MAC además de $3.73 para la distribución.
Programa de asistencia de receta médica para todos los medicamentos (no genéricos).
Programa de entrega de medicamentos a domicilio para todos los miembros de Med Plan.
Para obtener algún medicamento pre-escrito por su Doctor, deberá presentar en la farmacia participante una receta válida firmada por
un medico licenciado y autorizado en el Estado de la Florida.
El Programa de Asistencia de receta médica es un servicio prestado directamente por el fabricante de medicamentos farmacéuticos.
Este programa está diseñado para ayudar a pagar el alto costo de los medicamentos no genéricos que nuestros miembros no pueden
pagar. Este programa puede reducir considerablemente el costo de los medicamentos o en algunos casos el miembro puede obtener sus
medicamentos completamente gratis. Med Plan ayudará a sus miembros a identificar los programas que están disponibles y los ayudará
a completar los documentos necesarios como parte del compromiso con sus miembros.
Rx Savings Plus se ofrece como un servicio de valor añadido que provee a los miembros el acceso a los servicios de farmacia fuera de
área de la Florida. Su paquete de membrecía contiene un folleto en su interior “Rx SavingsPlus”. Usted puede utilizar esta tarjeta fuera
de la Florida en cualquier farmacia como aparece en el reverso del folleto. Tenga en cuenta que los precios de los medicamentos dentro
de este programa se diferencian de los proveedores de farmacia locales de la
Florida.
Pharmacy / Farmacia
Navarro Discount Pharmacy.
(North Miami Lakes)
6410 NW 186 St.
Hialeah Fl. 33015
Phone: (305) 825-3386
Fax: (786) 621-1097
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
68
Miami - Dade
Navarro Discount Pharmacy.
(Miami Lakes)
16801 NW 67 Ave.
Miami Fl. 33015
Phone: (305) 822-9522
Fax: (305) 822-9775
Mon - Sun: 6:00 Am To 12:00 Am
Navarro Discount Pharmacy.
(Okeechobee)
2399 W 52 St.
Hialeah Fl. 33016
Phone: (305) 822-3385
Fax: (786) 621-0866
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Pharmacy / Farmacia
Miami - Dade
Navarro Discount Pharmacy.
(East Hialeah)
366 E 4 Ave.
Hialeah Fl. 33010
Phone: (305) 883-0852
Fax: (786) 621-0861
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Hialeah Palm)
3915 Palm Ave.
Hialeah Fl. 33012
Phone: (305) 822-2210
Fax: (786) 621-7863
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(West Hialeah)
3960 W 12 Ave.
Hialeah Fl. 33012
Phone: (305) 556-3117
Fax: (786) 621-0860
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Hialeah)
775 W 49 St. Suite 1
Hialeah Fl. 33012
Phone: (305) 823-0823
Fax: (305) 823-0030
Mon - Sun: 6:00 Am To 12:00 Am
Navarro Discount Pharmacy.
(Hialeah Gardens)
3141 W 76 St Suite 5
Hialeah Fl. 33018
Phone: (305) 231-8200
Fax: (305) 557-4707
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Flamingo Plaza)
4410 West 16 Ave.
Hialeah Fl. 33012
Phone: (305) 556-8585
Fax: (305) 824-9601
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
13250 Biscayne Blv.
North Miami , Fl. 33181
Phone: (305) 891-3551
Fax: (305) 891-3902
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Doral)
11402 NW 41 St # 127.
Doral Fl. 33178
Phone: (305) 471-8184
Fax: (305) 471-8189
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Miracle Mile)
93 Miracle Mile,
Coral Gables Fl. 33134
Phone: (305) 445-1059
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Ponce De Leon)
3949 SW 8 St.,
Miami Fl. 33134
Phone: (305) 444-7530
Fax: (305) 442-2805
Mon - Sun: 6:00 Am To 12:00 Am
Navarro Discount Pharmacy.
(Sunset)
10720 SW 72 St.,
Miami Fl. 33173
Phone: (305) 271-9909
Fax: (305) 412-1851
24 Hrs
Navarro Discount Pharmacy.
(Flagler)
5252 West Flagler St.
Miami Fl. 33134
Phone: (305) 442-9946
Fax: (305) 442-7320
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 10:00 Pm
Navarro Discount Pharmacy.
(Sweetwater)
10044 West Flagler St.
Miami Fl. 33174
Phone: (305) 223-3555
Fax: (305) 485-8037
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Little Havana)
1243 SW 8th St.
Miami Fl. 33135
Phone: (305) 854-8544
Fax: (305) 854-6463
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Hammocks)
14665 SW 104th St.
Miami Fl. 33186
Phone: (305) 752-0600
Fax: (305) 752-4272
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 10:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Country Walk)
13796 SW 152th St.
Miami Fl. 33177
Phone: (305) 256-9800
Fax: (786) 249-0014
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 10:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Westchester)
9686 SW 24th St.
Miami Fl. 33165
Phone: (305) 225-9307
Fax: (786) 621-0859
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Coral Way)
11865 SW 26th St.
Miami Fl. 33175
Phone: (305) 227-0023
Fax: (305) 227-3021
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(West Sunset)
15000 SW 72th St.
Miami Fl. 33193
Phone: (305) 387-1300
Fax: 305) 388-2310
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(East Flagler)
1601 West Flagler St.
Miami Fl. 33135
Phone: (305) 643-9762
Fax: (786) 621-5810
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(FIU)
12000 SW 8th St.
Miami Fl. 33184
Phone: (305) 225-8900
Fax: (305) 485-9009
Mon - Sun: 6:00 Am To 12:00 Am
69
Pharmacy / Farmacia
Miami - Dade
Navarro Discount Pharmacy.
(Sunny Isles)
18500 Collins Ave.
Sunny Isles Fl. 33160
Phone: (305) 792-4099
Fax: (305) 792-4492
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(North Shore)
631 71th St.
Miami Beach Fl. 33141
Phone: (305) 865-0075
Fax: (305) 865-1886
Mon - Sun: 6:00 Am To 12:00 Am
Navarro Discount Pharmacy.
(West Bird Rd)
14491 SW 42 St.
Miami Fl. 33175
Phone: (305) 229-1044
Fax: (305) 229-9039
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Navarro Discount Pharmacy.
(Galloway)
8760 SW 40 St.
Miami Fl. 33165
Phone: (305) 552-1498
Fax: (305) 559-3193
Mon - Sat: 8:00 Am To 10:00 Pm
Sun: 9:00 Am To 7:00 Pm
Presidente Pharmacy.
10845 SW 40th St
Miami, Fl. 33165
Phone: (305) 485-8888
President Pharmacy
11340 Quail Roost Drive
Miami, Fl. 33157
Phone: (305) 235-8244
Cardenas Pharmacy.
2741 Coral Way.
Miami, Fl. 33145
Phone: (305) 529-0003
Fax: (305) 529-1022
My Pharmacy of Homestead.
806 N. Krome Ave.
Homestead, Fl. 33030
Phone: (305) 247-6949
Fax: (305) 247-6072
Pro Pharmacy
11478 Quail Roost Drive
Miami, Fl. 33157
Phone: (305) 971-3388
Las Villas Pharmacy
716 W 29th ST
Hialeah, Fl. 33012
Phone: (305) 883-7476
Redondo Pharmacy Discount
19533 N.W 57 Ave.
Miami, Fl. 33055
Phone: (305) 625-0225
Pharmacy / Farmacia
Direct Meds of Florida
800 E. Hallandale Beach Blvd
Hallandale Beach Fl. 33009
Tel: (954) 454-8118
Fax: (954) 454-9898
Refer to Drug Pricing Fee Schedule
Home Delivery Service
Free Mail Order Delivery Service
Broward
Navarro Pharmacy
15895 Pines Blvd
Pembroke Pines Fl. 33028
Tel: (954) 251- 6270
Mon - Sun: 6:00 Am To 12:00 Am
Pharmacy / Farmacia
Palm Beach
Garcia Pharmacy
2525 N. Dixie Hwy
Lake Worth Fl. 33460
Phone: (561) 588-2252
Pharmacy / Farmacia
Cape Coral Express Pharmacy
4419 Del Prado Blvd North
Cape Coral Fl. 33904
Tel: (239) 574-8846
Fax: (239) 574-7080
Refer to Drug Pricing Fee Schedule
Home Delivery Service
Free Mail Order Delivery Service
70
Lee / Cape Coral
St. Jude Pharmacy
1202 N.E Pine Island Road Ste 1V
Cape Coral Fl. 33909
Tel: (239) 673-7777
Refer to Drug Pricing Fee Schedule
Home Delivery Service
Free Mail Order Delivery Service
71
72
73
74
75
Seduction Cosmetic Center
2500 NW 107 Ave # 102
Doral, Fl. 3172
Phone: 305-406-9055
COSMETIC PROCEDURES / TRATAMIENTOS ESTETICOS
Only Med Plan members can enjoy the following prices.
Los precios de los siguientes tratamientos son solo para miembros de Med Plan.
COSMETIC PLASTIC SURGERY AND TREATMENT LIST PRICE
PROCEDURES / PROCEDIMIENTOS
76
% DESC
Aumento de senos (Implantes de agua salina)
Aumento de senos (Implantes de silicona)
Levantamiento de senos (Implantes de agua salina)
Levantamiento de senos (Implantes de silicona)
Aumento de seno con Aeroplastia Saline
Aumento de seno con Aeroplastia Silicona
Levantamiento de senos sin implantes
Reduccion de senos (Hipertrofia)
Breast Aug w/Exchange Implants Saline
Aumento de senos con intercambio (Implantes de agua salina)
Aumento de senos con intercambio (Implantes de silicona)
Aumento de senos con intercambio de implantes encapsulados
MiniTummy Tuck (Mini-Abdominoplastia)
Tummy Tuck I (Abdominoplastia)
Tummy Tuck II (Abdominoplastia)
Tummy Tuck III (Abdominoplastia)
Lipoescultura
Lipoescultura + Transferencia de grasa
Lipo x Áreas (cada área) minimo 4 áreas
Lipo brazos (cada brazo)
Cirugía de brazos (los dos brazos)
Lipo interior de muslos
Lipo exterior de muslos
Lipo (papada) en combo
Lipo (papada) solamente
Cirugía de cuello surgery tipo “Z”
Cirugía de cuello tipo “Z” en combo
Levantamiento de cara
Levantamiento de cejas
Párpados (arriba y abajo)
Párpados (arriba)
Párpados (abajo)
Nariz (cartílago solamente)
Nariz (hueso + cartílago)
Láser rejuvenecimiento facial
Microdermabración
Implante de mentón
Otoplastia (orejas)
Rejuvenecimiento vaginal
Banda gástrica
Terapias
Levantamiento de torso por muslos
SPA TREATMENTS / TRATAMIENTOS DE SPA
Cavitation (10 secciones)
Cavitation (1 sección)
Masaje reductivo (10 secciones)
Masaje reductivo (1 sección)
Gimnasia pasiva (10 secciones)
Gimnasia pasiva (1 sección)
Levantamiento de glúteos (10 secciones)
Levantamiento de glúteos (1 sección)
Vacum Terapia (10 sections)
Vacum Terapia (1 section)
Mesotherapy (10 sections)
Mesotherapy (1 section)
Carboderm facial (1 section)
20
21
25
21
21
20
28
20
20
20
20
20
25
20
18
21
19
20
50
25
23
25
25
25
20
19
18
38
25
25
25
25
25
38
28
25
20
30
44
28
26
36
ORIGINAL
PRICE
$3,500
$4,900
$6,000
$7000
$4,800
$5,800
$5,500
$7,500
$4,200
$5,400
$4,900
$5,900
$3,300
$4,900
$5,500
$7,000
$3,700
$5,000
$600
$1,200
$3,900
$1,200
$1,200
$1,200
$3,000
$3,700
$1,700
$6,500
$4,000
$4,000
$2,000
$2,000
$4,000
$6,500
$3,500
$800
$2,500
$4,000
$4,500
$14,000
$750
$4,700
$1,200.00
$120.00
$700.00
$120.00
$400.00
$45.00
$400.00
$45.00
$450.00
$50.00
$800.00
$90.00
$70.00
MED PLAN
$2,800
$3,900
$4,500
$5,500
$3,800
$4,600
$4,000
$6,000
$3,400
$4,300
$3,900
$4,700
$2,500
$3,900
$4,500
$5,500
$3,000
$4,000
$300
$900
$3,000
$900
$900
$900
$2,400
$3,000
$1,400
$4,500
$3,000
$3,000
$1,500
$1,500
$3,000
$4,000
$2,500
$600
$2,000
$2,800
$2,500
$9,900
$550
$3,000
$750.00
$85.00
$500.00
$85.00
$300.00
$35.00
$300.00
$35.00
$350.00
$40.00
$650.00
$75.00
$55.00
COSMETIC PLASTIC SURGERY AND TREATMENT LIST PRICE
SPA TREATMENTS / TRATAMIENTOS DE SPA
Carboderm facial (10 sections)
Carboderm body ( 5 sections)
Carboderm body (10 sections)
Endermology (10 sections)
Yeso Therapies (1 section)
Parafango (10 sections)
Parafango (5 sections)
Plasma
Basic Facial
Facial Acne
Facial Oxígeno
Facial con radio frecuencia
Peeling
Collagen Hydra Gel Mask
Micro Dermabrasion (1 section)
Micro Dermabrasion (3 sections)
Micro Dermabrasion (5 sections)
Parafina treatment (10 sections)
Body Wrap (1 section)
Body Wrap (10 sections)
Radiofrequency (10 sections)
Radiofrecuency (5 sections)
Radiofrecuency (1 section)
Tratamiento de venas varicosas (1 section)
Tratamiento de venas varicosas (10 sections)
Package 10 Relax Massages (Full Body) Include Free Trigger Point or Neuromuscular
1 Relax Massage (Full Body) Include Free Trigger Point or Neuromuscular
Package 10 Swedish Massage Include Free Trigger Point or Neuromuscular
1 Swedish Massage Include Free Trigger Point or Neuromuscular
Post-Surgery Therapy (1 section)
Post-Surgery Therapy (5 section)
Post-Surgery Therapy (10 section)
Maquillaje permanente
Cejas
3 lineas
Linea inferior
Linea superior
Iluminacion
Delineado de labios
Wax
Eyebrows (Con pinza)
Eyebrows (between)
Upper Lip
Armpits
Full face (Brows Included)
Bikini Line
Full Bikini
Brazilian Bikini
Full Arms (w/hands)
Chest
Chest with Stomach
Stomach
Back with Shoulders
Full Legs (w/Toes)
Upper Legs
Lower Legs (w/Toes)
Toes
Laser Treatments / Tratamientos de Láser
Bigote (1 section)
Bigote (10 sections)
Chin / Barbilla (1 section)
Chin / Barbilla (10 sections)
Papada (1 section)
Papada (10 sections)
Patilla ( 1 section)
ORIGINAL
PRICE
$650.00
$750.00
$1,350.00
$550.00
$150.00
$950.00
$525.00
$300.00
$75.00
$75.00
$90.00
$120.00
$90.00
$25.00
$85.00
$225.00
$350.00
$650.00
$85.00
$750.00
$1,200.00
$550.00
$90.00
$40.00
$350.00
$750.00
$100.00
$750.00
$85.00
$100.00
$425.00
$750.00
MED PLAN
$500.00
$500.00
$1,100.00
$500.00
$100.00
$700.00
$400.00
$200.00
$50.00
$60.00
$70.00
$60.00
$70.00
$16.00
$65.00
$185.00
$260.00
$500.00
$60.00
$500.00
$900.00
$450.00
$60.00
$30.00
$250.00
$650.00
$70.00
$650.00
$70.00
$60.00
$375.00
$500.00
$200.00
$300.00
$130.00
$130.00
$130.00
$200.00
$150.00
$250.00
$90.00
$90.00
$90.00
$150.00
$15.99
$7.99
$9.99
$20.00
$52.99
$21.99
$29.99
$50.00
$36.99
$20.99
$36.99
$21.99
$35.00
$70.00
$35.00
$29.99
$15.00
$10.00
$5.00
$6.00
$15.00
$45.00
$18.00
$22.00
$40.00
$30.00
$15.00
$29.00
$16.00
$29.00
$55.00
$29.00
$25.00
$10.00
$30.00
$250.00
$55.00
$450.00
$75.00
$600.00
$40.00
$20.00
$170.00
$45.00
$400.00
$65.00
$500.00
$30.00
77
COSMETIC PLASTIC SURGERY AND TREATMENT LIST PRICE
Laser Treatments / Tratamientos de Láser
Patilla (10 sections)
Cara completa (1 section)
Cara completa (10 sections)
Axilas (1 section)
Axilas (10 sections)
Linea Alba (1 section)
Linea Alba (10 sections)
Muslo ( 1 section)
Muslo (10 sections)
Piernas ( 1 section)
Piernas (10 sections)
Piernas completas ( 1 section)
Piernas completas ( 10 sections)
Gluteos (1 section)
Gluteos (10 sections)
Bikini Line (1 section)
Bikini Line (10 sections)
Espalda de Hombre (10 sections)
Pecho Completo (1 section)
Pecho Completo (10 sections)
Bikini Completo (1 section)
Bikini Completo (10 sections)
Láser para manchas
Manos (1 section)
Manos (10 sections)
Pómulos (1 section)
Pómulos (10 sections)
Cara completa (1 section)
Cara completa (10 sections)
Antebrazo (1 section)
Antebrazo (10 sections)
Brazo (1 section)
Brazo (10 sections)
Laser Acne (1 section)
Laser Acne (10 sections)
PRODUCTOS
Botox (Regular) 40 unidades
Juvederm (1 jeringuilla)
Arnica
Lipocell
Kelocote
Latisse
Scarguard (para proteger heridas)
Procolagen
Cocoa Butter
ORO GOLD (CREMAS DE ORO)
50% Off Internet Price
INTERNET PRICE
Conjunto cuidado de los ojos
24K Oro Intenso
TRATAMIENTOS CON CREMAS
Peeling Profundo
Crema de dia
Crema de oro para rejuvenecer celulas
Crema de oro antienvejecimiento
Mascarillas de Oro
Facial
TRATAMIENTO DE VENAS
Una sección (una cada vez)
Paquete Seis (6) Tratamiento
Paquete Seis (8) Tratamiento
Paquete Seis (10) Tratamiento
Paquete Seis (12) Tratamiento
78
PRODUCTOS GENERICOS
ORIGINAL PRICE
$350.00
$150.00
$1,300.00
$50.00
$400.00
$40.00
$350.0
$200.00
$1,800.00
$150.00
$1,200.00
$350.00
$2,800.00
$70.00
$600.00
$80.00
$650.00
$2,200.00
$140.00
$1,200.00
$150.00
$1,300.00
MED PLAN
$250.00
$110.00
$1,000.00
$35.00
$300.00
$30.00
$250.00
$150.00
$1,300.00
$100.00
$900.00
$250.00
$2,300.00
$50.00
$400.00
$50.00
$450.00
$1,700.00
$85.00
$700.00
$110.00
$900.00
$45.00
$350.00
$40.00
$300.00
$100.00
$900.00
$75.00
$600.00
$90.00
$750.00
$75.00
$650.00
$35.00
$300.00
$30.00
$200.00
$80.00
$700.00
$65.00
$500.00
$70.00
$600.00
$60.00
$500.00
PRECIOS REGULARES
$350.00
$550.00
$30.00
$35.00
$70.00
$125.00
$70.00
$60.00
$25.00
MED PLAN
$325.00
$500.00
$25.00
$28.00
$60.00
$100.00
$60.00
$50.00
$18.00
$389.95
$249.00
$194.97
$124.97
$114.95
$112.95
$124.95
$299.95
$999.95
$75.00
$54.47
$56.47
$62.47
$149.97
$55.00 each
$50.00
$75.00
$450.00
$600.00
$750.00
$1020.00
$55.00
$330.00
$440.00
$550.00
$600.00

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