ADETOUN ADEYEMI M.D
Accepted Insurance for NPI 1154784809
Hospitalist in Atlanta, GA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ADETOUN ADEYEMI M.D, a hospitalist provider in Atlanta, GA, is listed as in-network for 26 health insurance plans from 2 insurance companies, led by Oscar Health and Ambetter Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Standard Gwinnett Clinic SELECT Gold HMO
Standard Gwinnett Clinic SELECT Silver HMO
Standard Plus SELECT Gold HMO
Standard Plus SELECT Silver HMO
Oscar Health
Bronze Classic 4700 Guided Care HMO $4700 $70
Bronze Classic 4700 HMO $4700 $70
Bronze Classic Saver Plus Guided Care HMO $8000 $0
Bronze Classic Saver Plus HMO $8000 $0
Bronze Classic Standard Guided Care HMO $7500 $50
Bronze Classic Standard HMO $7500 $50
Bronze Elite Saver Plus HMO $0 $50
Bronze Simple 2 Guided Care HMO $9150 10%
Bronze Simple 2 HMO $9150 10%
Bronze Simple Breathe Easy with Enhanced COPD Benefits HMO $5500 $50
Bronze Simple Diabetes HMO $5500 $50
Buena Salud Bronce Estandar Clasico HMO $7500 $50
Buena Salud Plateado Estandar Clasico HMO $6000 $40
Gold Classic Standard HMO $2000 $30
Gold Elite Saver Plus HMO $1000 $10
Silver Classic Standard Guided Care HMO $6000 $40
Silver Classic Standard HMO $6000 $40
Silver Simple Breathe Easy with Enhanced COPD Benefits HMO $6200 $0
Silver Simple Diabetes HMO $6500 $0
Silver Simple Saver Guided Care HMO $5750 $10
Silver Simple Saver HMO $5750 $10
Silver Simple Women's Health with Menopause Benefits HMO $6000 $0
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 ADETOUN ADEYEMI M.D accept?
Marketplace files for the 2026 plan year list ADETOUN ADEYEMI M.D as in-network for 26 plans from 2 insurance companies. The largest networks are Oscar Health (22 plans), Ambetter Health (4 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is ADETOUN ADEYEMI 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 ADETOUN ADEYEMI M.D participate in?
The accepted plans include 26 HMO plans. 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.
