DR. CHI KIM NGUYEN MD
Accepted Insurance for NPI 1194792309
Pathology - Anatomic Pathology & Clinical Pathology in Pensacola, FL

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

DR. CHI KIM NGUYEN MD is enrolled across the following managed care network types: EPO, HMO, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.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: 90.41 out of 100 score

NPI Status: Active since March 07, 2006

Contact Information

5149 N NINTH AVENUE
PENSACOLA, FL
ZIP 32504
Phone: (850) 416-6894
Fax: (850) 416-2487

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. CHI KIM NGUYEN MD, a practicing pathology professional in Pensacola, FL. 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 70 individual coverage options managed by medical networks, including networks like Ambetter Health, Ambetter of Alabama, and Blue Cross and Blue Shield of Alabama. 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

Ambetter Health

Clarity Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL0010031

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001149004FL0010025

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002001049004FL0020021

Elite Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000449004FL0010017

Elite Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000449004FL0020015

Enhanced Diabetes Care Silver with $0 Drug Options

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000949004FL0010023

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000849004FL0020020

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000249004FL0010015

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000249004FL0020013

Everyday Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001049004FL0010026

Everyday Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000949004FL0020022

Focused Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000749004FL0010021

Focused Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000649004FL0020018

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000149004FL0010018

Standard Expanded Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000149004FL0020016

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001349004FL0010028

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002001249004FL0020024

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000649004FL0010024

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002002749004FL0020028

Thrive Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL0010032

Ambetter of Alabama

Complete Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100015

Complete Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110010

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100014

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110014

Elite Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100016

Elite Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110015

Enhanced Diabetes Care Silver with $0 Drug Options

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100018

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110018

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100003

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110003

Focused Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100005

Focused Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110005

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100011

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110011

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100013

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110013

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100012

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110017

Blue Cross and Blue Shield of Alabama

Blue HSA Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0560001

Blue Protect

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0470001

Blue Saver Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0460001

Blue Standardized Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0780001

Blue Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0770001

Blue Value Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0370001

Blue Value Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0410001

Blue Access Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0340001

Blue Choice Platinum for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0280001

Blue HSA Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0680001

Blue Saver Bronze for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0430001

Blue Saver Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0760001

Blue Secure Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0670001

Blue Secure Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0380001

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. CHI KIM NGUYEN MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama. 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. CHI KIM NGUYEN MD is enrolled across the following managed care network types: EPO, HMO, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
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.