DR. SHILPA J PATEL OD, MS, PHD
Accepted Insurance for NPI 1407856438
Optometrist in Pell City, AL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. SHILPA J PATEL OD, MS, PHD, a optometrist provider in Pell City, AL, is listed as in-network for 859 health insurance plans from 13 insurance companies, led by Blue Cross and Blue Shield of Texas, Blue Cross and Blue Shield of Oklahoma and Ambetter Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Clarity Silver
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
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
Thrive Silver
Ambetter from Magnolia Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Complete Gold + Vision + Adult Dental
Complete Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of Alabama
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
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
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 of Tennessee
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
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
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Blue Cross Blue Shield of Wyoming
BlueSelect Bronze Basic
BlueSelect Bronze Core
BlueSelect Expanded Bronze Standard without Kid's Dental
BlueSelect Gold Core
BlueSelect Gold HealthPlus
BlueSelect Gold Standard without Kid's Dental
BlueSelect Silver Classic without Kid's Dental
BlueSelect Silver Classic
BlueSelect Silver HealthPlus without Kid's Dental
BlueSelect Silver HealthPlus
BlueSelect Silver Standard without Kid's Dental
Blue Cross and Blue Shield of Alabama
Blue Access Gold for Business
Blue Choice Platinum for Business
Blue HSA Bronze
Blue HSA Silver for Business
Blue Protect
Blue Saver Bronze for Business
Blue Saver Bronze
Blue Saver Gold for Business
Blue Saver Silver EPO
Blue Secure Gold for Business
Blue Secure Silver for Business
Blue Standardized Silver EPO
Blue Standardized Statewide Silver EPO
Blue Statewide Silver EPO
Blue Value Gold
Blue Value Silver
Blue Cross and Blue Shield of Louisiana
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Saver 60/40 $6100
Blue Saver 90/70 $3400
Blue Cross and Blue Shield of Montana
Blue Focus Bronze POS? 205
Blue Focus Bronze POS? 705
Blue Focus Bronze POS? Standard
Blue Focus Gold POS? 207
Blue Focus Gold POS? 902
Blue Focus Gold POS? Standard
Blue Focus Silver POS? 206
Blue Focus Silver POS? 903
Blue Focus Silver POS? Standard
Blue Preferred Bronze PPO? 201
Blue Preferred Bronze PPO? 202
Blue Preferred Bronze PPO? Standard
Blue Preferred Gold PPO? 204
Blue Preferred Gold PPO? 901
Blue Preferred Gold PPO? Standard
Blue Preferred Security PPO? 200
Blue Preferred Silver PPO? 203
Blue Preferred Silver PPO? 308
Blue Preferred Silver PPO? Standard
Blue Cross and Blue Shield of Oklahoma
Blue Advantage Bronze PPO? 202
Blue Advantage Bronze PPO? 203
Blue Advantage Bronze PPO? Standard
Blue Advantage Gold PPO? 309
Blue Advantage Gold PPO? 604
Blue Advantage Gold PPO? Standard
Blue Advantage Silver PPO? 204
Blue Advantage Silver PPO? 501
Blue Advantage Silver PPO? Standard
Blue Preferred Bronze PPO? Standard
Blue Preferred Gold PPO? Standard
Blue Preferred Security PPO? 200
Blue Preferred Silver PPO? Standard
MyBlue Bronze HMO? 902
MyBlue Bronze HMO? 904
MyBlue Bronze HMO? Standard
MyBlue Gold HMO? 704
MyBlue Gold HMO? 804
MyBlue Gold HMO? Standard
MyBlue Silver HMO? 705
MyBlue Silver HMO? 803
MyBlue Silver HMO? Standard
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
MyBlue Health Bronze? 402
MyBlue Health Bronze? Standard
MyBlue Health Gold? 403
MyBlue Health Gold? Standard
MyBlue Health Silver? 405
MyBlue Health Silver? Standard
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Chronic Care CKM
Gold Classic Standard
Gold Simple
Silver Classic Standard
Silver Simple Chronic Care CKM
Silver Simple
Providence Health Plan
Connect 1500 Gold
Connect 6000 Silver
Connect 9800 Bronze
HSA Qualified 7500 Bronze - Choice Network
HSA-E Qualified 7500 Bronze - Signature Network
Providence Oregon Standard Bronze Plan - Choice Network
Providence Oregon Standard Bronze Plan - Signature Network
Providence Oregon Standard Gold Plan - Choice Network
Providence Oregon Standard Gold Plan - Signature Network
Providence Oregon Standard Silver Plan - Choice Network
Providence Oregon Standard Silver Plan - Signature Network
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
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. SHILPA J PATEL OD, MS, PHD accept?
Marketplace files for the 2026 plan year list DR. SHILPA J PATEL OD, MS, PHD as in-network for 859 plans from 13 insurance companies. The largest networks are Blue Cross and Blue Shield of Texas (25 plans), Blue Cross and Blue Shield of Oklahoma (22 plans), Ambetter Health (20 plans), followed by 10 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. SHILPA J PATEL OD, MS, PHD 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. SHILPA J PATEL OD, MS, PHD participate in?
The accepted plans include 71 EPO plans, 59 HMO plans, 54 PPO plans and 18 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. 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.
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.
