DR. HERMINIO GARCIA-ESTRADA MD
Accepted Insurance for NPI 1285636613
Internal Medicine - Nephrology in Miami, FL

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

DR. HERMINIO GARCIA-ESTRADA MD is enrolled across the following managed care network types: HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.

NPI Status: Active since August 15, 2005

Contact Information

550 S.W. 27TH AVENUE
MIAMI, FL
ZIP 33135
Phone: (305) 541-2655
Fax: (305) 541-2667

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. HERMINIO GARCIA-ESTRADA MD, a practicing internal medicine professional in Miami, 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 38 individual coverage options managed by medical networks, including networks like Ambetter from Superior HealthPlan, Ambetter Health, and Wellpoint. 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

Ambetter Health

Clarity VALUE Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050014

Complete VALUE Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050010

Elite VALUE Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050005

Focused VALUE Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050009

Standard Expanded Bronze VALUE

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050017

Standard Gold VALUE

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050019

Standard Silver VALUE

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

86382FL0050018

Ambetter from Superior HealthPlan

Complete VALUE Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87226TX006001387226TX007001387226TX0100013

Focused VALUE Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87226TX006000987226TX007000987226TX0100009

Focused VALUE Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87226TX012000187226TX013000387226TX0140003

Standard Gold VALUE

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87226TX006001287226TX007001287226TX0100012

Standard Silver VALUE

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87226TX006001187226TX007001187226TX0100011

Standard Silver VALUE + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87226TX012000587226TX013000287226TX0140004

Wellpoint

Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040008

Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040007

Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040005

Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040001

Wellpoint Essential Catastrophic (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040004

Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040009

Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040003

Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040010

Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040014

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040011

Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040012

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040013

Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040002

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. HERMINIO GARCIA-ESTRADA MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter Health, Ambetter from Superior HealthPlan, Wellpoint. 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?

DR. HERMINIO GARCIA-ESTRADA MD is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.