Is My Lakeland Regional Health Doctor in My Plan?

LRH Physician Group lists more than 400 physicians and providers in Polk County. Check your doctor by name; the hospital listing is not enough.

Short answer: check every doctor by name, not the health system

Check each doctor by name and location in your plan's 2027 provider directory, not just "Lakeland Regional Health." Then call the office (LRH primary care: 863.284.5000) with your plan ID.

Original Medicare lets you use any doctor or hospital that takes Medicare, anywhere in the U.S.; Medicare Advantage plans may require network providers for non-emergency care.

What LRH Physician Group is

LRH lists more than 400 physicians and providers across 40+ specialties and 35+ locations.

LRH Physician Group lists more than 400 physicians and providers, more than 40 specialties, and more than 35 locations.

How to check your LRH doctors in a 2027 plan

It depends on plan type. HMOs generally don't cover out-of-network care except emergencies; POS plans require a PCP referral for specialists; PPOs allow out-of-network care without a referral at extra cost. Check the plan's rules.

Medicare.gov tells shoppers to ask their doctors and pharmacies whether they are in network with the plan they are considering.

Medicare Open Enrollment runs October 15 to December 7 (plan must get the request by December 7). The Medicare Advantage Open Enrollment Period runs January 1 to March 31 for people already in a Medicare Advantage plan.

Network status can differ by plan; check the plan's provider directory before enrolling. Use the exact plan ID and coverage year, then call the facility billing office and write down the date and the person you spoke with.

Use how to keep your doctor when you change plans, keeping your doctor when you switch Medicare plans to gather names, locations, and prescriptions before you compare plans.

If your doctor isn't in the plan you want

With Original Medicare, any provider who takes Medicare. With Medicare Advantage, confirm each doctor in the plan's directory during AEP (Oct 15–Dec 7).

Medigap (Medicare Supplement Insurance) is extra insurance from a private company that helps pay your share of costs in Original Medicare.

Medicare: keeping your LRH doctor

Medicare marketing on this site is for Florida residents. Confirm hospital, doctor, and pharmacy participation with the plan and the office. Original Medicare and Medicare Advantage follow different network rules.

What to verify before you enroll

• Search Lakeland Regional Health Physician Group (primary care & specialists) and each doctor by name and location in the plan directory
• Confirm the exact plan ID and year with the billing office
• Check prescriptions and pharmacy separately from the facility listing
• Read urgent-care versus emergency-room cost sharing in the Summary of Benefits

Additional verified details

LRH primary care: 10+ locations across 5 cities (Auburndale, Lakeland, Lake Wales, Plant City, Winter Haven); appointments at 863.284.5000; primary care for ages 2+ and pediatrics from newborn to 17; online scheduling through MyChart for new and established patients.

LRH urgent care sites: Highland City, Kathleen Campus, Lake Gibson, Lake Miriam, Lake Wales, and Pablo Campus (863.284.6800).

HealthCare.gov: HMOs usually limit coverage to network doctors and generally don't cover out-of-network care except in an emergency; EPOs cover services only in network except emergencies; POS plans require a PCP referral to see a specialist; PPOs let you use out-of-network providers without a referral for an additional cost.

Nearby facilities

• Does Lakeland Regional Health Take My Insurance?
• What Should I Check Before LRH Hollis Cancer Center?
• Does Watson Clinic Urgent Care Take My Insurance?

Local coverage pages

• Lakeland coverage help

Related coverage questions

• how to keep your doctor when you change plans
• keeping your doctor when you switch Medicare plans
• HMO vs EPO vs PPO
• Medicare Advantage vs. Medicare Supplement

Common questions

Is My Lakeland Regional Health Doctor in My Plan?

Check each doctor by name and location in your plan's 2027 provider directory, not just "Lakeland Regional Health." Then call the office (LRH primary care: 863.284.5000) with your plan ID. Confirm the exact plan ID and coverage year before you rely on a directory listing.

How many providers are in LRH Physician Group?

Lakeland Regional Health lists more than 400 physicians and providers in more than 40 specialties at more than 35 locations, including 10 or more primary care offices in five cities.

Do I need a referral to see an LRH specialist?

It depends on your plan type. HMOs generally don't cover out-of-network care except in an emergency, POS plans require a referral from your primary care doctor to see a specialist, and PPOs let you use out-of-network providers without a referral for an additional cost. Check your plan's rules before you book.

Can I keep my LRH doctor if I switch Medicare plans?

With Original Medicare, you can see any provider who takes Medicare. With a Medicare Advantage plan, check each doctor in the plan's provider directory before you enroll, ideally during Open Enrollment, October 15 to December 7.

What to do next

David Huff, a licensed Florida health agent, can review Polk County doctors, facilities, and prescriptions against a specific Marketplace or Florida Medicare plan ID. He does not decide facility billing. Signing up for Medicare Part A and Part B is done through Social Security, and a plan review is not an enrollment. Call (863) 640-3102 or use Get Help.

• Provider and prescription check
• Lakeland Marketplace help
• Medicare help for Florida residents

Sources

This page is educational. It does not say whether a facility or doctor participates with a specific plan. Confirm the plan directory and the billing office before you enroll or switch.

Lakeland Health Insurance is not connected with or endorsed by the U.S. government or the federal Medicare program.