ANTHONY PAUL BLALOCK M.D.
Accepted Insurance for NPI 1124037726
Internal Medicine - Nephrology in Lafayette, LA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ANTHONY PAUL BLALOCK M.D., a internal medicine provider in Lafayette, LA, is listed as in-network for 120 health insurance plans from 7 insurance companies, led by Ambetter from Arkansas Health & Wellness, HMO Louisiana and Ambetter from Louisiana Healthcare Connections. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Arkansas Health & Wellness
Choice Bronze HSA (QualChoice)
Complete Gold + Vision + Adult Dental
Complete Gold
Connected Silver (QualChoice) + Vision + Adult Dental
Connected Silver (QualChoice)
Connected Silver (QualChoiceLife) + Vision + Adult Dental
Connected Silver (QualChoiceLife)
Connected Silver + Vision + Adult Dental
Connected Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold (QualChoice) + Vision + Adult Dental
Elite Gold (QualChoice)
Elite Gold (QualChoiceLife) + Vision + Adult Dental
Elite Gold (QualChoiceLife)
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze (QualChoice)
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold (QualChoice) + Vision + Adult Dental
Standard Gold (QualChoice)
Standard Gold (QualChoiceLife) + Vision + Adult Dental
Standard Gold (QualChoiceLife)
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver (QualChoice) + Vision + Adult Dental
Standard Silver (QualChoice)
Standard Silver (QualChoiceLife)
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Louisiana Healthcare Connections
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Magnolia Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Complete Gold + Vision + Adult Dental
Complete Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Superior HealthPlan
Complete Gold + Vision + Adult Dental
Complete Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Blue Cross and Blue Shield of Louisiana
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Saver 60/40 $6100
Blue Saver 90/70 $3400
HMO Louisiana
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L)
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N)
Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S)
Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible
Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible
Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible
Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible
Blue Connect Copay (PCP) 60/40 $6000 Standardized (L)
Blue Connect Copay (PCP) 60/40 $6000 Standardized (N)
Blue Connect Copay (PCP) 60/40 $6000 Standardized (S)
Blue Connect Copay (PCP) 75/55 $2000 Standardized (H)
Blue Connect Copay (PCP) 75/55 $2000 Standardized (L)
Blue Connect Copay (PCP) 75/55 $2000 Standardized (N)
Blue Connect Copay (PCP) 75/55 $2000 Standardized (S)
Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible
Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits
Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue POS Copay (PCP) 60/40 $6000 Standardized
Blue POS Copay (PCP) 75/55 $2000 Standardized
Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits
Community Blue 80/60 $3200 with 2 $0 PCP Virtual Visits
Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Community Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Community Blue Copay (PCP) 60/40 $6000 Standardized
Community Blue Copay (PCP) 75/55 $2000 Standardized
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does ANTHONY PAUL BLALOCK M.D. accept?
Marketplace files for the 2026 plan year list ANTHONY PAUL BLALOCK M.D. as in-network for 120 plans from 7 insurance companies. The largest networks are Ambetter from Arkansas Health & Wellness (31 plans), HMO Louisiana (26 plans), Ambetter from Louisiana Healthcare Connections (16 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is ANTHONY PAUL BLALOCK M.D. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does ANTHONY PAUL BLALOCK M.D. participate in?
The accepted plans include 41 EPO plans, 36 POS plans, 29 PPO plans and 14 HMO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
