FRESENIUS KIDNEY CARE EAST HOUMA
Accepted Insurance for NPI 1215475868
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Houma, LA

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

FRESENIUS KIDNEY CARE EAST HOUMA is enrolled across the following managed care network types: EPO, HMO, POS, 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.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.

Overall Rating: 3 out of 5 stars

NPI Status: Active since February 03, 2017

Contact Information

707 GRAND CAILLOU RD
HOUMA, LA
ZIP 70363
Phone: (985) 262-4143
Fax: (985) 262-4458

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with FRESENIUS KIDNEY CARE EAST HOUMA, a practicing clinic/center professional in Houma, LA. 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 107 individual coverage options managed by medical networks, including networks like Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, and Ambetter from Magnolia Health. 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 from Arkansas Health & Wellness
Ambetter from Louisiana Healthcare Connections
Ambetter from Magnolia Health
Ambetter from Superior HealthPlan
Blue Cross and Blue Shield of Louisiana
HMO Louisiana

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Fitler by Network Type

Ambetter from Arkansas Health & Wellness

Choice Bronze HSA (QualChoice)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0070285

Complete Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080014

Complete Gold + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100014

Connected Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080007

Connected Silver (QualChoice)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0070261

Connected Silver (QualChoice) + Vision + Adult Dental

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0210001

Connected Silver (QualChoiceLife)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0070025

Connected Silver (QualChoiceLife) + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0160003

Connected Silver + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100007

Elite Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080026

Elite Bronze + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100026

Elite Gold (QualChoice)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0070268

Elite Gold (QualChoice) + Vision + Adult Dental

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0210002

Elite Gold (QualChoiceLife)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0070031

Elite Gold (QualChoiceLife) + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0160002

Everyday Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080017

Everyday Bronze + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100017

Standard Expanded Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080032

Standard Expanded Bronze (QualChoice)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0070287

Standard Expanded Bronze + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100033

Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080034

Standard Gold (QualChoice)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0070289

Standard Gold (QualChoice) + Vision + Adult Dental

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0210003

Standard Gold (QualChoiceLife)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0070034

Standard Gold (QualChoiceLife) + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0160001

Standard Gold + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100035

Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0080033

Standard Silver (QualChoice)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0070288

Standard Silver (QualChoice) + Vision + Adult Dental

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70525AR0210005

Standard Silver (QualChoiceLife)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

37903AR0070033

Standard Silver + Vision + Adult Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

62141AR0100034

Ambetter from Louisiana Healthcare Connections

Complete Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010006

Complete Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020005

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010002

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020002

Elite Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010008

Elite Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020008

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010001

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020001

Focused Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010005

Focused Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020004

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010009

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020009

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010011

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020011

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0010010

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90787LA0020014

Ambetter from Magnolia Health

Choice Bronze HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010052

Choice Bronze HSA + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030052

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010019

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030019

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010016

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030010

Everyday Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010060

Everyday Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030060

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010063

Standard Expanded Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030064

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010065

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030066

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0010064

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

90714MS0030009

Ambetter from Superior HealthPlan

Complete Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0140064

Complete Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0160020

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

29418TX0140049

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

29418TX0160053

Everyday Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0140102

Everyday Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0160102

Focused Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0140100

Focused Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0160100

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0140109

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0160052

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0140108

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29418TX0160054

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340017

Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340015

Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340010

Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340024

Blue Max Copay (PCP) 60/40 $6000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340023

Blue Max Copay (PCP) 75/55 $2000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340022

Blue Saver 60/40 $6100

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350004

Blue Saver 90/70 $3400

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350003

HMO Louisiana

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240010

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240007

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240013

Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240033

Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240027

Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240026

Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240028

Blue Connect Copay (PCP) 60/40 $6000 Standardized (L)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240024

Blue Connect Copay (PCP) 60/40 $6000 Standardized (N)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240023

Blue Connect Copay (PCP) 60/40 $6000 Standardized (S)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240025

Blue Connect Copay (PCP) 75/55 $2000 Standardized (H)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240032

Blue Connect Copay (PCP) 75/55 $2000 Standardized (L)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240021

Blue Connect Copay (PCP) 75/55 $2000 Standardized (N)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240020

Blue Connect Copay (PCP) 75/55 $2000 Standardized (S)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240022

Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220012

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220014

Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220020

Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220017

Blue POS Copay (PCP) 60/40 $6000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220018

Blue POS Copay (PCP) 75/55 $2000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220019

Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220005

Community Blue 80/60 $3200 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230008

Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230012

Community Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230011

Community Blue Copay (PCP) 60/40 $6000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230010

Community Blue Copay (PCP) 75/55 $2000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230009

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does FRESENIUS KIDNEY CARE EAST HOUMA accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter from Superior HealthPlan, Blue Cross and Blue Shield of Louisiana, HMO Louisiana. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

FRESENIUS KIDNEY CARE EAST HOUMA is enrolled across the following managed care network types: EPO, HMO, POS, 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.
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.