DR. ERNESTO ANIBAL RUIZ DUQUE MD
Accepted Insurance for NPI 1215439708
Internal Medicine - Advanced Heart Failure and Transplant Cardiology in Temple, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. ERNESTO ANIBAL RUIZ DUQUE MD, a internal medicine provider in Temple, TX, is listed as in-network for 36 health insurance plans from 2 insurance companies, led by Medica and Sanford Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Medica
Medica Insure Bronze $0 Copay PCP Visits
Medica Insure Bronze Premier
Medica Insure Bronze Share
Medica Insure Expanded Bronze Standard
Medica Insure Gold $0 Copay PCP Visits
Medica Insure Gold Share
Medica Insure Gold Standard
Medica Insure Silver $0 Copay PCP Visits
Medica Insure Silver Share
Medica Insure Silver Standard
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $10,600
Sanford Individual Simplicity $3,500
Sanford Individual Simplicity $4,750
Sanford Individual Simplicity $6,500
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Individual Simplicity Standardized $2,000
Sanford Individual Simplicity Standardized $6,000
Sanford Individual Simplicity Standardized $7,500
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 DR. ERNESTO ANIBAL RUIZ DUQUE MD accept?
Marketplace files for the 2026 plan year list DR. ERNESTO ANIBAL RUIZ DUQUE MD as in-network for 36 plans from 2 insurance companies. The largest networks are Medica (10 plans), Sanford Health Plan (9 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. ERNESTO ANIBAL RUIZ DUQUE 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 DR. ERNESTO ANIBAL RUIZ DUQUE MD participate in?
The accepted plans include 10 EPO plans and 9 PPO plans. 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.
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.
