PALMETTO PRIMARY CARE PHYSICIANS, LLC
Accepted Insurance for NPI 1366123739
Family Medicine in Summerville, SC
NPI Status: Active since July 28, 2023
Contact Information
85 SPRINGVIEW LN UNIT C
SUMMERVILLE, SC
ZIP 29485
Phone: (843) 572-7727
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with PALMETTO PRIMARY CARE PHYSICIANS, LLC, a practicing family medicine professional in Summerville, SC. 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 114 individual coverage options managed by medical networks, including networks like Ambetter from Absolute Total Care, Ambetter of North Carolina, and BlueCross BlueShield of South Carolina. 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 Absolute Total Care
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of North Carolina
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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BlueCross BlueShield of South Carolina
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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First Choice Next
Market Classification Rank: Individual Coverage Framework
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Molina Healthcare
Market Classification Rank: Individual Coverage Framework
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Coverage Information & FAQs
- 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.
