Sylvester Cancer Center & UHealth Miami 2027 Network Guide
How Miami-Dade, Broward, and Palm Beach patients can verify Sylvester Comprehensive Cancer Center, UHealth Tower, and Bascom Palmer Eye Institute networks and Florida Statute § 627.64194 Continuity of Care rules for 2027.
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South Florida's NCI-Designated Cancer Center & Academic Health System
Sylvester Comprehensive Cancer Center — part of UHealth (University of Miami Health System) and the Miller School of Medicine — is South Florida's only National Cancer Institute (NCI)-designated cancer center. Alongside UHealth Tower, Bascom Palmer Eye Institute, and UHealth satellite campuses in Coral Gables (The Lennar Foundation Medical Center), Doral, Kendall, Plantation, Hollywood, and Boca Raton/Deerfield Beach, UHealth serves patients across Miami-Dade, Broward, Palm Beach, and Monroe counties.
Because UHealth faculty physicians bill through the University of Miami Medical Group while teaching hospitals at the Miami Health District also involve Jackson Memorial Hospital, patients must verify both the UHealth facility contract and the faculty physician group tax ID before selecting a 2027 ACA Marketplace or Medicare plan.
2027 Sylvester Cancer Center & UHealth Network Matrix
| UHealth Facility / Specialty Division | Primary Locations | 2027 ACA Marketplace Access | 2027 Medicare Access |
|---|---|---|---|
| Sylvester Comprehensive Cancer Center | Miami Health District Main Campus, Coral Gables, Kendall, Doral, Plantation, Deerfield Beach | Florida Blue (BlueOptions PPO / select BlueCare HMO with referral) and contracted exchange tiers; excluded from many ultra-narrow value HMOs | Original Medicare + Medigap accepted system-wide; verify specific Medicare Advantage HMO/PPO oncology network status |
| UHealth Tower & University of Miami Medical Group | 1400 NW 12th Ave (Miami), UHealth Doral, Lennar Foundation Medical Center | Verify both UHealth Tower inpatient status and UM Medical Group specialist NPI on HealthCare.gov | Original Medicare + Medigap Plan G/N and contracted South Florida Medicare Advantage plans |
| Bascom Palmer Eye Institute | Miami Main Campus, Palm Beach Gardens, Naples, Plantation, Coral Gables | Medical ophthalmology and retinal surgery billed under medical benefits (separate from routine vision); verify UHealth tier | Covered under Medicare Part B medical benefits; confirm MA prior authorization rules for ophthalmic surgery |
| Jackson Memorial Hospital & Holtz Children's (Academic Partner) | Miami Health District (Civic Center) | Public Health Trust contracts separately from UHealth Tower; check both if your UM surgeon operates at Jackson | Original Medicare + Medigap and Jackson-contracted Medicare Advantage plans |
Florida Statute § 627.64194 Continuity of Care & No Surprises Act Protections
- Statutory Continuity of Care (Florida Statute § 627.64194): If an insurance carrier terminates or modifies its network contract with Sylvester Comprehensive Cancer Center or UHealth while you are in active oncology treatment (including chemotherapy, immunotherapy, radiation therapy, or scheduled surgical oncology), Florida Statute § 627.64194 and federal transition standards allow patients to request up to 90 days of continued care at in-network cost-sharing rates.
- Cross-County Referral Rules (Broward & Palm Beach to Miami-Dade): Many ACA Marketplace HMOs sold in Broward or Palm Beach County restrict non-emergency care to your home county unless you select a regional/statewide network tier (such as Florida Blue BlueOptions) or obtain a formal out-of-county tertiary referral to Sylvester in Miami.
- Emergency Room Protection (No Surprises Act): Under the federal No Surprises Act, emergency medical evaluation and stabilization at the UHealth Tower emergency department and Bascom Palmer ophthalmic emergency room are covered at in-network cost-sharing levels regardless of whether your plan contracts with UHealth for routine care.
Frequently Asked Questions
Which 2027 South Florida ACA Marketplace plans cover Sylvester Comprehensive Cancer Center and UHealth?
Sylvester Comprehensive Cancer Center, UHealth Tower, and Bascom Palmer Eye Institute participate in select Florida Blue tiers (such as BlueOptions and contracted BlueCare networks) and specific regional ACA Marketplace sub-networks in Miami-Dade, Broward, and Palm Beach counties, while narrow value HMOs frequently exclude UHealth faculty physicians.
How does Original Medicare with Medigap compare to Medicare Advantage at Sylvester Cancer Center in 2027?
UHealth and Sylvester Comprehensive Cancer Center accept Original Medicare (Parts A and B) with any Medigap supplement such as Plan G without network referrals, whereas Medicare Advantage HMO and PPO plans require verifying both UHealth facility and University of Miami Medical Group participation and prior authorization rules.
How does Florida Statute § 627.64194 protect active oncology patients at Sylvester if a 2027 plan network changes?
Under Florida Statute § 627.64194 and federal continuity-of-care rules, patients undergoing active cancer treatment such as chemotherapy, radiation, or scheduled oncology surgery can request up to 90 days of continued in-network cost-sharing when a provider contract terminates or changes.
Related Regional Network Guides
Need a Sylvester Cancer Center or UHealth Network Check?
David Huff (Florida License #W371813) helps Miami-Dade, Broward, Palm Beach, and Monroe County residents verify 2027 ACA Marketplace and Medicare coverage for UHealth and Sylvester specialists.