DR. RAJJIT ABROL MD
Accepted Insurance for NPI 1164530739
Internal Medicine - Clinical Cardiac Electrophysiology in Plano, TX

Q: What managed care network types are accepted by this provider?

DR. RAJJIT ABROL MD is enrolled across the following managed care network types: EPO, HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

Quality Rating: 94.76 out of 100 score

NPI Status: Active since August 25, 2006

Contact Information

3801 W 15TH ST
BLDG B, SUITE 320
PLANO, TX
ZIP 75075
Phone: (972) 985-8838
Fax: (844) 292-1457

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. RAJJIT ABROL MD, a practicing internal medicine professional in Plano, TX. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 122 individual coverage options managed by medical networks, including networks like Baylor Scott and White Health Plan, Molina Healthcare, and Oscar Insurance Company. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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Fitler by Network Type

Baylor Scott and White Health Plan

BSW Diabetes Care Gold HMO 014

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460014

BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460001

BSW Elite Gold HMO 004

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460004

BSW Elite Gold HMO 012

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460012

BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460003

BSW Prime Silver HMO 008

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460008

BSW Prime Silver HMO 005

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460005

BSW Savers Bronze HMO H S A 006

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460006

BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460007

BSW Savers Bronze HMO H S A 009

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSWPREMIERHMO Tier

Accepted Plan ID Variations

40788TX0460009

Molina Healthcare

Molina Gold Core 1640

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020001

Molina Gold Core 1640 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0060001

Molina Gold Core 1640 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0050001

Molina Gold Saver 750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020013

Molina Gold Saver 750 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0060003

Molina Gold Saver 750 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0050009

Molina Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020010

Molina Silver Core

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020002

Molina Silver Core Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0060002

Molina Silver Core Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0050002

Molina Silver Saver with Four Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020012

Molina Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020011

Oscar Insurance Company

Bronze Classic 4700

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100024

Bronze Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100050

Bronze Elite + PCP Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100005

Bronze Simple Breathe Easy with Enhanced COPD Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100064

Bronze Simple Chronic Care CKM

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100059

Bronze Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100068

Gold Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100055

Gold Classic Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051002020069TX051002220069TX051002420069TX051005520069TX051006320069TX051007120069TX051007920069TX0510127

Gold Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100053

Gold Classic Standard Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051003220069TX051003420069TX051003620069TX051005720069TX051006520069TX051007320069TX051008120069TX0510128

Gold Elite

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100056

Gold Simple Diabetes Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051003720069TX051003820069TX051003920069TX051004220069TX051004320069TX051004420069TX051004520069TX0510129

Gold Simple Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051002120069TX051002320069TX051002520069TX051005620069TX051006420069TX051007220069TX051008020069TX0510130

Silver Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100006

Silver Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100052

Silver Classic Standard Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051003120069TX051003320069TX051003520069TX051005420069TX051006220069TX051007020069TX051007820069TX0510120

Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051000120069TX051000220069TX051000320069TX051000420069TX051000520069TX051000620069TX051000720069TX0510121

Silver Simple Chronic Care CKM Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001220069TX051001620069TX051004020069TX051005220069TX051006020069TX051006820069TX051007620069TX0510122

Silver Simple Diabetes Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001320069TX051001720069TX051004120069TX051005320069TX051006120069TX051006920069TX051007720069TX0510123

Silver Simple Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001020069TX051001420069TX051001820069TX051005020069TX051005820069TX051006620069TX051007420069TX0510124

Silver Simple PCP Saver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100025

Silver Simple PCP Saver Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001120069TX051001520069TX051001920069TX051005120069TX051005920069TX051006720069TX051007520069TX0510125

Silver Simple Women's Health with Menopause Benefits Guided Care

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051000820069TX051000920069TX051002620069TX051002720069TX051002820069TX051002920069TX051003020069TX0510126

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. RAJJIT ABROL MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Baylor Scott and White Health Plan, Molina Healthcare, Oscar Insurance Company. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

DR. RAJJIT ABROL MD is enrolled across the following managed care network types: EPO, HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.