Medicare & Medicaid
All major Medicare Advantage plans
Traditional Medicare
Select plans — call to verify
HMO Medicare plan
Medicare HMO & Medicaid
HMO
HMO
HMO
Commercial Plans
HMO, EPO — accepted for primary care, psychiatry, and pediatrics
HMO, PPO, EPO
PPO
Select plans — call to verify
HMO, PPO, Gold Plus
Marketplace & Medicaid plans
Essential Care, Balanced Care, Secure Care — call to verify
Not taken
Select marketplace plans
Marketplace / ACA Plans
On-exchange plans
On-exchange plans
On-exchange plans
Workers' Compensation & Other
Not taking patients
Transparent flat-rate pricing
Based on income — ask our team
Please Note: Insurance plan participation may vary. Coverage and benefits depend on your specific plan. We recommend calling your insurance provider and our office to confirm in-network status before your visit. For self-pay patients, we offer transparent flat-rate pricing — ask our team for details.
Carriers We Accept
Explore your carrier's details
Each card opens the carrier's dedicated page with accepted plans, copays, and covered services in Doral.
In-Network Hub
In-Network Primary Care with Oscar, Aetna, Cigna, Humana & Medicare Advantage
Predictable copays, same-day eligibility verification, and coordinated referrals to in-network specialists. See how our in-network primary care works.
Understanding Health Insurance in Florida
Florida’s health insurance landscape includes employer plans, ACA Marketplace plans, Medicare, Florida Medicaid, and private options — each with different rules about which doctors are in-network. Here’s what every patient in Miami-Dade County should know before booking an appointment.
Verify Your Coverage — +1 305 209 0001Does Viva Medical Center accept Oscar Health insurance?
Yes. We accept Oscar Health HMO and EPO plans for primary care, psychiatry, and pediatrics at our Doral office. Oscar Health members can book same-day appointments, use telehealth, and receive bilingual care. Call (305) 209-0001 to verify your specific Oscar plan before your first visit.
HMO vs. PPO — What’s the difference?
HMO (Health Maintenance Organization) plans require you to choose a Primary Care Physician (PCP) and get referrals before seeing specialists. They generally have lower premiums. PPO (Preferred Provider Organization) plans give you more flexibility — you can see any in-network provider without a referral. Most plans we accept include both types.
What is an ACA Marketplace plan in Florida?
The Affordable Care Act (ACA) Marketplace — also called the Health Insurance Marketplace or Exchange — is where Floridians can purchase individual and family health insurance plans. Open Enrollment typically runs November 1 – January 15. Special Enrollment Periods are available after life events (job loss, marriage, birth). We accept several ACA Marketplace plans including Oscar, Molina, and Ambetter.
Does Florida Medicaid cover my visit?
Florida Medicaid eligibility depends on income, household size, age, and disability status. We accept select Medicaid plans — call us to confirm. Managed Medicaid plans like Simply Healthcare and Humana Medicaid are generally accepted.
What does ‘in-network’ mean for my plan?
In-network means Viva Medical Center has a contract with your insurance company to provide services at a negotiated rate. Out-of-network visits typically cost significantly more — or may not be covered at all. Always confirm in-network status with both your insurer and our office before your visit.
What if I don’t have insurance?
We offer transparent self-pay flat-rate pricing and membership plans designed for uninsured and underinsured patients. No insurance? No problem — call us or visit our Membership Plans page to see options.
Before You Book
Use these patient guides before your appointment
Insurance is only one part of getting ready. If this is your first visit, review what to bring and use the patient resources hub to find the right next step.
Covered Services
Medical services covered by most insurance plans
These are the services our insured patients use most frequently. Verify your specific coverage by calling (305) 209-0001.
Ready to book your visit?
Our team will verify your insurance and walk you through your benefits before your appointment.