VALLEY PEDIATRIC CLINIC
Accepted Insurance for NPI 1376168708
Clinic/Center - Rural Health in Rio Grande City, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
VALLEY PEDIATRIC CLINIC, a clinic/center provider in Rio Grande City, TX, is listed as in-network for 121 health insurance plans from 7 insurance companies, led by Ambetter from Arkansas Health & Wellness, Ambetter of Oklahoma and Ambetter from Arizona Complete Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter from Arizona Complete Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Arkansas Health & Wellness
Choice Bronze HSA (QualChoice)
Complete Gold + Vision + Adult Dental
Complete Gold
Connected Silver (QualChoice) + Vision + Adult Dental
Connected Silver (QualChoice)
Connected Silver (QualChoiceLife) + Vision + Adult Dental
Connected Silver (QualChoiceLife)
Connected Silver + Vision + Adult Dental
Connected Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold (QualChoice) + Vision + Adult Dental
Elite Gold (QualChoice)
Elite Gold (QualChoiceLife) + Vision + Adult Dental
Elite Gold (QualChoiceLife)
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze (QualChoice)
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold (QualChoice) + Vision + Adult Dental
Standard Gold (QualChoice)
Standard Gold (QualChoiceLife) + Vision + Adult Dental
Standard Gold (QualChoiceLife)
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver (QualChoice) + Vision + Adult Dental
Standard Silver (QualChoice)
Standard Silver (QualChoiceLife)
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Louisiana Healthcare Connections
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Superior HealthPlan
Complete Gold + Vision + Adult Dental
Complete Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of Oklahoma
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Molina Healthcare
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Gold Core 1640 Plus with Adult Vision
Molina Gold Core 1640
Molina Gold Saver 750 Plus with Adult Dental and Vision
Molina Gold Saver 750 Plus with Adult Vision
Molina Gold Saver 750
Molina Gold Standard
Molina Silver Core Plus with Adult Dental and Vision
Molina Silver Core Plus with Adult Vision
Molina Silver Core
Molina Silver Saver with Four Free PCP Visits
Molina Silver Standard
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Bronze Essential ($0 Virtual Urgent Care)
UHC Bronze Standard+ (Dental + Vision)
UHC Bronze Standard
UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Gold Standard
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
UHC Silver Standard
UHC Silver Value ($0 Virtual Urgent Care)
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision)
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 VALLEY PEDIATRIC CLINIC accept?
Marketplace files for the 2026 plan year list VALLEY PEDIATRIC CLINIC as in-network for 121 plans from 7 insurance companies. The largest networks are Ambetter from Arkansas Health & Wellness (31 plans), Ambetter of Oklahoma (20 plans), Ambetter from Arizona Complete Health (16 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is VALLEY PEDIATRIC CLINIC enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does VALLEY PEDIATRIC CLINIC participate in?
The accepted plans include 42 HMO plans, 41 PPO plans, 28 EPO plans and 10 POS plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
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.
