SHAWKEE ABOUALAYOUI D.O
Accepted Insurance for NPI 1407236607
Internal Medicine in Kalamazoo, MI

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

SHAWKEE ABOUALAYOUI D.O is enrolled across the following managed care network types: EPO, 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.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.

Quality Rating: 84.88 out of 100 score

NPI Status: Active since June 02, 2015

Contact Information

601 JOHN STREET
KALAMAZOO, MI
ZIP 49007
Phone: (269) 341-8481

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with SHAWKEE ABOUALAYOUI D.O, a practicing internal medicine professional in Kalamazoo, MI. 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 51 individual coverage options managed by medical networks, including networks like Blue Care Network of Michigan, Blue Cross and Blue Shield of Kansas, Inc., and Blue Cross Blue Shield of Michigan Mutual Insurance Company. 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

Blue Care Network of Michigan
Blue Cross and Blue Shield of Kansas, Inc.
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Priority Health

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Blue Care Network of Michigan

Blue Cross� Preferred HMO Bronze Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550022

Blue Cross� Preferred HMO Bronze Saver HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180028

Blue Cross� Preferred HMO Bronze Secure

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180029

Blue Cross� Preferred HMO Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180009

Blue Cross� Preferred HMO Gold Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550018

Blue Cross� Preferred HMO Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180005

Blue Cross� Preferred HMO Silver Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550002

Blue Cross� Preferred HMO Silver Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180015

Blue Cross� Preferred HMO Value

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180024

Blue Cross� Select HMO Bronze Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550020

Blue Cross� Select HMO Bronze Saver HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440006

Blue Cross� Select HMO Bronze Secure

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440019

Blue Cross� Select HMO Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440016

Blue Cross� Select HMO Silver Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550001

Blue Cross� Select HMO Silver Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440017

Blue Cross� Select HMO Value

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440015

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Blue Cross� Premier PPO Bronze Extra

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1120001

Blue Cross� Premier PPO Bronze Saver HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350002

Blue Cross� Premier PPO Bronze Secure

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350005

Blue Cross� Premier PPO Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350004

Blue Cross� Premier PPO Gold Extra

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1130002

Blue Cross� Premier PPO Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350003

Blue Cross� Premier PPO Silver Extra

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1130001

Blue Cross� Premier PPO Silver Saver HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350006

Blue Cross� Premier PPO Value

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350001

Blue Cross and Blue Shield of Kansas, Inc.

BlueCare EPO Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0400009

BlueCare EPO Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0400006

BlueCare EPO Gold Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0400014

BlueCare EPO Silver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0400013

BlueCare EPO Simple Bronze HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0400010

BlueCare EPO Simple Silver HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0400008

BlueCare EPO Standardized Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0420002

BlueCare EPO Standardized Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0420004

BlueCare EPO Standardized Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

18558KS0420003

Priority Health

MyPriority Balanced Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541220

MyPriority Balanced Silver Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541222

MyPriority Enhanced Gold Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0540596

MyPriority Premier Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541260

MyPriority Premier Silver Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541262

MyPriority Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541300

MyPriority Standard Bronze - Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541302

MyPriority Standard Bronze - Travel

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541306

MyPriority Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541320

MyPriority Standard Gold Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541322

MyPriority Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541310

MyPriority Standard Silver - Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541312

MyPriority Standard Silver - Travel

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541316

MyPriority Value Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541210

MyPriority Value Bronze Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541212

MyPriority Value Bronze HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541200

MyPriority Value Bronze HSA Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BRONSON-NARROW-NETWORK-HMO Tier

Accepted Plan ID Variations

29698MI0541202

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does SHAWKEE ABOUALAYOUI D.O accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas, Inc., Priority Health. 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?

SHAWKEE ABOUALAYOUI D.O is enrolled across the following managed care network types: EPO, 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.
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.