Welcome Florida Providers!
Participating Plans
- Ambetter from Sunshine Health (Marketplace)
- Children's Medical Services Health Plan (Medicaid)
- Sunshine Health MMA (Medicaid)
- Sunshine Health—Pathway to Shine (Medicaid)
Resources for You
Thank you for being part of our network of eye care professionals. For the most up-to-date, detailed information, we encourage you to join our provider network and register for our Eye Health Manager, where you can check member eligibility, vision benefits, plan specifics, and clinical policies, in addition to submitting authorizations and claims.
You also can call our IVR system for automated member eligibility verification 7 days a week, 24 hours a day. Or speak with one of our knowledgeable team members by calling our Provider Services line Monday through Friday, 8 a.m. to 8 p.m. local time.
Ambetter from Sunshine Health (Marketplace)
Ambetter Health: Health Insurance Marketplace plans for individuals and families who may not qualify for Medicaid or other government coverage.
Ambetter Health Solutions: Health Insurance Marketplace plans for those who receive a defined contribution from their employer to purchase individual health insurance, such as through Individual Coverage Health Reimbursement Arrangements (ICHRAs).
+ optional vision coverage for subscribers
Provider Services for Ambetter
Members: call the number on the back of your ID card or visit your plan's website.
Children's Medical Services Health Plan (Medicaid)
Wellcare operates Children's Medical Services Health Plan on behalf of the Florida Department of Health, serving children and adolescents with special healthcare needs. The plan provides a comprehensive system of care centered around each child’s unique needs.
Provider Services for Medicaid
Members: call the number on the back of your ID card or visit your plan's website.
Sunshine Health MMA (Medicaid)
Sunshine Health Managed Medical Assistance is a managed care plan providing Medicaid and enhanced benefits to Florida residents of all ages who qualify for Medicaid.
Provider Services for Medicaid
Members: call the number on the back of your ID card or visit your plan's website.
Sunshine Health—Pathway to Shine (Medicaid)
Sunshine Health is a Managed Care Organization (MCO) that has contracted with the State of Florida to provide covered health benefits for foster care beneficiaries under the Pathway to Shine program.
Provider Services for Pathway to Shine
Members: call the number on the back of your ID card or visit your plan's website.