PEDIATRIC HEALTH CARE
Accepted Insurance for NPI 1215063821
Pediatrics in Orlando, FL
NPI Status: Active since February 26, 2007
Contact Information
5308 S JOHN YOUNG PKWY
STE. 200
ORLANDO, FL
ZIP 32839
Phone: (407) 563-2821
Fax: (407) 240-9508
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with PEDIATRIC HEALTH CARE, a practicing pediatrics professional in Orlando, 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 94 individual coverage options managed by medical networks, including networks like Ambetter Health, Ambetter of Alabama, and Florida Blue (BlueCross BlueShield FL). 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.
Insurance Carrier Navigation Index
Ambetter Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of Alabama
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Florida Blue (BlueCross BlueShield FL)
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Florida Blue HMO (a BlueCross BlueShield FL company)
Market Classification Rank: Individual Coverage Framework
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Coverage Information & FAQs
- 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.
- POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.
