PHILIP H TSAI MD
Accepted Insurance for NPI 1245346113
Internal Medicine - Hematology & Oncology in Teaneck, NJ
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PHILIP H TSAI MD, a internal medicine provider in Teaneck, NJ, is listed as in-network for 51 health insurance plans from 2 insurance companies, led by Ambetter Health and Ambetter Health of Delaware. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Balanced Silver + $0 Virtual 24/7 Care Visits
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold $0 Deductible + $0 Virtual 24/7 Care Visits
Elite Silver $0 Medical Deductible + $0 Virtual 24/7 Care Visits
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Premium Silver + $0 Virtual 24/7 Care Visits
Secure Gold + $0 Virtual 24/7 Care Visits
Secure Silver with $0 Insulin Options + $0 Virtual 24/7 Care Visits
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter Health of Delaware
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Silver + Vision + Adult Dental
Elite Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Bronze HSA + Vision + Adult Dental
Principal Bronze HSA
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver
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 PHILIP H TSAI MD accept?
Marketplace files for the 2026 plan year list PHILIP H TSAI MD as in-network for 51 plans from 2 insurance companies. The largest networks are Ambetter Health (24 plans), Ambetter Health of Delaware (17 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is PHILIP H TSAI MD enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does PHILIP H TSAI MD participate in?
The accepted plans include 23 EPO plans and 18 HMO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
