MOHAMMAD ABUDALOU MD
Accepted Insurance for NPI 1164084653
Internal Medicine - Gastroenterology in Columbia, SC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MOHAMMAD ABUDALOU MD, a internal medicine provider in Columbia, SC, is listed as in-network for 92 health insurance plans from 4 insurance companies, led by Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Ambetter Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Choice Bronze HSA HMO + Vision + Adult Dental
Choice Bronze HSA HMO
Clear Bronze HMO + Vision + Adult Dental
Clear Bronze HMO
Clear Gold HMO + Vision + Adult Dental
Clear Gold HMO
Clear Silver HMO with $0 Insulin Options
Complete Gold HMO + Vision + Adult Dental
Complete Gold HMO
Complete Silver HMO + Vision + Adult Dental
Complete Silver HMO
Elite Gold HMO + Vision + Adult Dental
Elite Gold HMO
Everyday Bronze HMO + Vision + Adult Dental
Everyday Bronze HMO
Everyday Gold HMO + Vision + Adult Dental
Everyday Gold HMO
Focused Silver HMO + Vision + Adult Dental
Focused Silver HMO
Standard Expanded Bronze HMO + Vision + Adult Dental
Standard Expanded Bronze HMO
Standard Gold HMO + Vision + Adult Dental
Standard Gold HMO
Standard Silver HMO + Vision + Adult Dental
Standard Silver HMO
Ambetter from Absolute Total Care
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver
Standard Expanded Bronze
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of North Carolina
Clear Silver with $0 Insulin Options
Complete Gold + Vision + Adult Dental
Complete Gold with Atrium Health + Vision + Adult Dental
Complete Gold with Atrium Health
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze with Atrium Health + Vision + Adult Dental
Elite Bronze with Atrium Health
Elite Bronze
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze with Atrium Health + Vision + Adult Dental
Everyday Bronze with Atrium Health
Everyday Bronze
Focused Silver with Atrium Health + Vision + Adult Dental
Focused Silver with Atrium Health
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Standard Expanded Bronze with Atrium Health
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold with Atrium Health + Vision + Adult Dental
Standard Gold with Atrium Health
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver with Atrium Health + Vision + Adult Dental
Standard Silver with Atrium Health
Standard Silver
BlueCross BlueShield of South Carolina
Blue Direction Bronze 1
Blue Direction Silver 1 + Adult Vision
Blue Direction Silver 1
Blue Direction Silver 2
Blue Direction Standard Expanded Bronze
Blue Direction Standard Gold
Blue Direction Standard Silver
Blue VirtuConnect Bronze 1
Blue VirtuConnect Gold 1
Blue VirtuConnect Silver 1
BlueEssentials Bronze 4
BlueEssentials Bronze 6
BlueEssentials Gold 1
BlueEssentials Gold 5
BlueEssentials Silver 14 + Adult Vision
BlueEssentials Silver 14
BlueEssentials Silver 40
BlueEssentials Standard Expanded Bronze
BlueEssentials Standard Gold
BlueEssentials Standard Silver
BlueExtend PPO HD Bronze 1
BlueExtend PPO HD Bronze 2
BlueExtend PPO HD Gold 1
BlueExtend PPO HD Gold 2
BlueExtend PPO HD Silver 1
BlueExtend PPO HD Silver 2
BlueExtend PPO Standard Expanded Bronze
BlueExtend PPO Standard Gold
BlueExtend PPO Standard Silver
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 MOHAMMAD ABUDALOU MD accept?
Marketplace files for the 2026 plan year list MOHAMMAD ABUDALOU MD as in-network for 92 plans from 4 insurance companies. The largest networks are Ambetter of North Carolina (29 plans), BlueCross BlueShield of South Carolina (29 plans), Ambetter Health (25 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is MOHAMMAD ABUDALOU MD 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 MOHAMMAD ABUDALOU MD participate in?
The accepted plans include 63 HMO plans, 13 EPO plans, 9 PPO plans and 7 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
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.
