JAMES M ROSS MD
Accepted Insurance for NPI 1285605113
Internal Medicine - Hospice and Palliative Medicine in Tulsa, OK

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

JAMES M ROSS MD is enrolled across the following managed care network types: 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.

Quality Rating: 97.58 out of 100 score

NPI Status: Active since January 30, 2006

Contact Information

1120 S UTICA AVE
PALLIATIVE CARE DEPT
TULSA, OK
ZIP 74104
Phone: (918) 579-3871
Fax: (918) 579-3809

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with JAMES M ROSS MD, a practicing internal medicine professional in Tulsa, OK. 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 139 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Oklahoma, CommunityCare, and Mending 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.

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Fitler by Network Type

Blue Cross and Blue Shield of Oklahoma

Blue Advantage Bronze PPO? 202

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035007087571OK035009187571OK035009287571OK035009387571OK0350094

Blue Advantage Bronze PPO? 203

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035006887571OK035008387571OK035008487571OK035008587571OK0350086

Blue Advantage Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035017687571OK035021987571OK035022087571OK035022187571OK0350222

Blue Advantage Gold PPO? 309

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035009787571OK035010687571OK035010787571OK035010887571OK0350109

Blue Advantage Gold PPO? 604

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035011887571OK035012787571OK035012887571OK035012987571OK0350130

Blue Advantage Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035017887571OK035022787571OK035022887571OK035022987571OK0350230

Blue Advantage Silver PPO? 204

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035006987571OK035008787571OK035008887571OK035008987571OK0350090

Blue Advantage Silver PPO? 501

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035011587571OK035023987571OK035024087571OK035024187571OK0350242

Blue Advantage Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035017787571OK035022387571OK035022487571OK035022587571OK0350226

Blue Preferred Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035017387571OK035019187571OK035019287571OK035019387571OK0350194

Blue Preferred Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035017187571OK035019987571OK035020087571OK035020187571OK0350202

Blue Preferred Security PPO? 200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035016587571OK035020387571OK035020487571OK035020587571OK0350206

Blue Preferred Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035017287571OK035021587571OK035021687571OK035021787571OK0350218

MyBlue Bronze HMO? 902

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051008187571OK051008287571OK0510083

MyBlue Bronze HMO? 904

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051008487571OK051008587571OK0510086

MyBlue Bronze HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051007887571OK051007987571OK0510080

MyBlue Gold HMO? 704

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051005787571OK051006087571OK0510093

MyBlue Gold HMO? 804

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051007187571OK051007387571OK0510103

MyBlue Gold HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051006387571OK051006687571OK0510095

MyBlue Silver HMO? 705

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051005887571OK051006187571OK0510097

MyBlue Silver HMO? 803

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051007087571OK051007287571OK0510101

MyBlue Silver HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HMO Tier

Accepted Plan ID Variations

87571OK051006487571OK051006787571OK0510099

CommunityCare

Ascension St. John Empower Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0340003

Ascension St. John Empower Silver Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0340001

CommunityCare Bronze IH223

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130045

CommunityCare Bronze IH224

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130046

CommunityCare Catastrophic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130024

CommunityCare Expanded Bronze Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130050

CommunityCare Gold IH221

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130043

CommunityCare Gold L21

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130041

CommunityCare Gold Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130047

CommunityCare Silver L21

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130042

CommunityCare Silver SLIH223

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130051

CommunityCare Silver Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130048

Saint Francis Expanded Bronze Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0330002

Saint Francis Silver Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0330001

Mending Health

MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010002

MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010006

MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010003

MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010007

MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010009

MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010008

Oscar Insurance Company

Bronze Classic Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010050

Bronze Elite + PCP Saver Plus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010005

Bronze Simple

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010068

Bronze Simple Breathe Easy with Enhanced COPD Benefits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010056

Bronze Simple Chronic Care CKM

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010057

Bronze Simple Diabetes

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010058

Gold Classic Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010053

Silver Classic Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010052

Silver Elite Saver Plus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010030

Silver Simple Breathe Easy with Enhanced COPD Benefits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010055

Silver Simple Chronic Care CKM

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010059

Silver Simple Diabetes

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010045

Silver Simple PCP Saver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010025

Silver Simple Women's Health with Menopause Benefits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010060

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050035

UHC Bronze Essential (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050039

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050030

UHC Bronze Standard+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110005

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050038

UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110001

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050034

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050028

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050037

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110002

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050029

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050036

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does JAMES M ROSS MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Oklahoma, CommunityCare, Mending Health, Oscar Insurance Company, UnitedHealthcare. 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?

JAMES M ROSS MD is enrolled across the following managed care network types: 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.