DR. ABDUL S BANGURA M.D
Accepted Insurance for NPI 1386879310
Surgery in Warner Robins, GA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. ABDUL S BANGURA M.D, a surgery provider in Warner Robins, GA, is listed as in-network for 82 health insurance plans from 6 insurance companies, led by Medica, Blue Cross Blue Shield of North Dakota and Aspirus Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Aspirus Health Plan
HMO Bronze $0 Medical Deductible
HMO Bronze 10000
HMO Bronze 7500
HMO Catastrophic 10600 with 3 free PCP visits
HMO Gold 2000
HMO Gold 2700
HMO HDHP Silver 5900
HMO Silver 6000
HMO Silver 6600
POS Bronze 7500
POS Bronze 8500
POS Silver 6000
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
DakotaBlue Altru Gold ($5 Value Based Drug List)
DakotaBlue Altru Silver ($5 Value Based Drug List)
DakotaBlue Trinity Gold ($5 Value Based Drug List)
DakotaBlue Trinity Silver ($5 Value Based Drug List)
HealthPartners
Oak $1,300 Gold
Oak $2,000 Standard Gold
Medica
Altru Prime by Medica Bronze $0 Copay PCP Visits
Altru Prime by Medica Bronze Share
Altru Prime by Medica Expanded Bronze Standard
Altru Prime by Medica Gold $0 Copay PCP Visits
Altru Prime by Medica Gold Share
Altru Prime by Medica Gold Standard
Altru Prime by Medica Silver $0 Copay PCP Visits
Altru Prime by Medica Silver Share
Altru Prime by Medica Silver Standard
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
Medica Individual Choice Silver Standard
Sanford Health Plan
Sanford Individual TRUE $1,750
Sanford Individual TRUE $10,600
Sanford Individual TRUE $3,500
Sanford Individual TRUE $4,750
Sanford Individual TRUE $6,500
Sanford Individual TRUE $7,200 HSA Qualified
Sanford Individual TRUE Standardized $2,000
Sanford Individual TRUE Standardized $6,000
Sanford Individual TRUE Standardized $7,500
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 DR. ABDUL S BANGURA M.D accept?
Marketplace files for the 2026 plan year list DR. ABDUL S BANGURA M.D as in-network for 82 plans from 6 insurance companies. The largest networks are Medica (27 plans), Blue Cross Blue Shield of North Dakota (14 plans), Aspirus Health Plan (12 plans), followed by 3 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. ABDUL S BANGURA M.D enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. ABDUL S BANGURA M.D participate in?
The accepted plans include 36 HMO plans, 16 PPO plans, 12 POS plans and 9 EPO 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. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
