DR. CARLOS EDUARDO LOYA VALENCIA M.D.
Accepted Insurance for NPI 1447646708
Family Medicine in Bulverde, TX

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

524 SINGING OAKS STE 311, BULVERDE, TX 78070(830) 214-1688(830) 212-4513 Get Directions

NPPES record last updated: September 6, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 6, 2024, May 23, 2019, Aug 31, 2018 (3 updates tracked since 2018).

Does Dr. Loya Valencia take my insurance?

111 Texas plans sold on HealthCare.gov for 2026 include Dr. Loya Valencia, from UnitedHealthcare, Oscar Health, WellPoint and 4 other insurers. Ambetter Health also lists Dr. Loya Valencia in Arizona, Arkansas, Louisiana and Oklahoma.

InsurersUnitedHealthcare 25 plans Oscar Health 23 plans WellPoint 21 plans Blue Cross and Blue Shield of Texas 19 plans Ambetter Health 12 plans Imperial Insurance Companies 7 plans Community First 4 plans

Also listed inArizona, Arkansas, Louisiana and Oklahoma

Call before you book: insurer directories can be out of date, so call the office at (830) 214-1688 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Texas plans 111 plans · 643 plan IDs

Plans sold to Texas residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

UnitedHealthcare

25 plans · HMO

Accepting new patients

Individual Exchange Benefit Plan Network · 14 plans · Non Preferred tier

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)HMOGold$040220TX0080055

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)HMOGold$040220TX0090008

UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)HMOGold$1,00040220TX0080028

UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)HMOGold$1,00040220TX0090002

UHC Gold StandardHMOGold$2,00040220TX0080024

UHC Silver Value ($0 Virtual Urgent Care)HMOSilver$3,00040220TX0080025

UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision)HMOSilver$3,00040220TX0090004

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)HMOSilver$3,50040220TX0080026

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)HMOSilver$3,50040220TX0090001

UHC Silver StandardHMOSilver$6,00040220TX0080020

UHC Bronze Essential ($0 Virtual Urgent Care)HMOBronze$10,60040220TX0080045

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)HMOExpanded Bronze$040220TX0080031

UHC Bronze StandardHMOExpanded Bronze$7,50040220TX0080015

UHC Bronze Standard+ (Dental + Vision)HMOExpanded Bronze$7,50040220TX0090005

Sanitas Anchor Network · 11 plans · Non Preferred tier

UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)HMOGold$070754TX0020006

UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)HMOGold$070754TX0030003

UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)HMOGold$1,00070754TX0020009

UHC Sanitas Gold StandardHMOGold$2,00070754TX0020005

UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)HMOSilver$070754TX0020004

UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)HMOSilver$070754TX0030002

UHC Sanitas Silver Value ($0 Virtual Urgent Care)HMOSilver$2,95070754TX0020008

UHC Sanitas Silver StandardHMOSilver$6,00070754TX0020003

UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)HMOExpanded Bronze$070754TX0020002

UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)HMOExpanded Bronze$070754TX0030001

UHC Sanitas Bronze StandardHMOExpanded Bronze$7,50070754TX0020001

Oscar Health

23 plans · EPO, HMO

Accepting new patients

Individual Texas EPO network · 12 plans · Preferred tier

Gold EliteEPOGold$1,20020069TX0100056

Gold Classic StandardEPOGold$2,00020069TX0100053

Gold ClassicEPOGold$2,50020069TX0100055

Silver ClassicEPOSilver$5,50020069TX0100006

Silver Simple PCP SaverEPOSilver$5,75020069TX0100025

Silver Classic StandardEPOSilver$6,00020069TX0100052

Bronze Elite + PCP Saver PlusEPOExpanded Bronze$020069TX0100005

Bronze Classic 4700EPOExpanded Bronze$4,70020069TX0100024

Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50020069TX0100059

Bronze Simple DiabetesEPOExpanded Bronze$5,50020069TX0100068

Bronze Classic StandardEPOExpanded Bronze$7,50020069TX0100050

Bronze Simple Breathe Easy with Enhanced COPD BenefitsEPOExpanded Bronze$9,00020069TX0100064

Individual Texas HMO network · 11 plans · Preferred tier

Gold Classic Standard Guided CareHMOGold$2,00020069TX0510032

Gold Simple Diabetes Guided CareHMOGold$2,00020069TX0510037

Gold Classic Guided CareHMOGold$2,50020069TX0510020

Gold Simple Guided CareHMOGold$3,30020069TX0510021

Silver Simple PCP Saver Guided CareHMOSilver$5,75020069TX0510011

Silver Simple Chronic Care CKM Guided CareHMOSilver$5,90020069TX0510012

Silver Classic Standard Guided CareHMOSilver$6,00020069TX0510031

Silver Simple Women's Health with Menopause Benefits Guided CareHMOSilver$6,00020069TX0510008

Silver Simple Breathe Easy with Enhanced COPD Benefits Guided CareHMOSilver$6,20020069TX0510001

Silver Simple Guided CareHMOSilver$6,30020069TX0510010

Silver Simple Diabetes Guided CareHMOSilver$6,50020069TX0510013

WellPoint

21 plans · HMO, POS

Wellpoint Texas Essential and RX Choice Tiered Network · 13 plans · Participating tier

Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$70047501TX0030007

Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$80047501TX0040009

Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00047501TX0030005

Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$1,50047501TX0040007

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$1,85047501TX0040011

Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$2,50047501TX0030008

Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$3,50047501TX0040012

Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$4,00047501TX0030009

Wellpoint Essential Bronze 4000 HSA (+ Incentives)HMOExpanded Bronze$4,00047501TX0040002

Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$4,50047501TX0030003

Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$5,50047501TX0030002

Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$6,00047501TX0040004

Wellpoint Essential Catastrophic (+ Incentives)HMOCatastrophic$10,60047501TX0040006

Wellpoint Texas Essential and Pharmacy Base Network · 6 plans · Participating tier

Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00047501TX0040008

Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00047501TX0030006

Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00047501TX0040013

Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00047501TX0030001

Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50047501TX0040005

Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50047501TX0030004

Wellpoint Texas Essential, Dental Prime, and RX Choice Tiered Network · 2 plans · Participating tier

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$3,50047501TX0040010

Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs)HMOExpanded Bronze$6,00047501TX0040003

Blue Cross and Blue Shield of Texas

19 plans · HMO, POS

Accepting new patients

Blue Advantage Gold HMO℠ 206HMOGold$55033602TX0460548

Blue Advantage Gold HMO℠ 603HMOGold$1,00033602TX0460809

Blue Advantage Plus Gold℠ 203POSGold$1,70033602TX0870005

Blue Advantage Gold HMO℠ StandardHMOGold$2,00033602TX0460925

Blue Advantage Plus Gold℠ StandardPOSGold$2,00033602TX0870006

Blue Advantage Plus Gold℠ 803POSGold$2,40033602TX0870011

Blue Advantage Plus Silver℠ 605POSSilver$033602TX0870009

Blue Advantage Plus Silver℠ 202POSSilver$1,25033602TX0870007

Blue Advantage Silver HMO℠ 205HMOSilver$1,45033602TX0460553

Blue Advantage Silver HMO℠ 801HMOSilver$4,00033602TX0461083

Blue Advantage Plus Silver℠ StandardPOSSilver$6,00033602TX0870010

Blue Advantage Silver HMO℠ StandardHMOSilver$6,00033602TX0460926

Blue Advantage Plus Bronze℠ 305POSBronze$7,30033602TX0870003

Blue Advantage Bronze HMO℠ 301HMOBronze$10,60033602TX0460782

Blue Advantage Bronze HMO℠ 204HMOExpanded Bronze$6,00033602TX0460554

Blue Advantage Plus Bronze℠ 303POSExpanded Bronze$7,00033602TX0870002

Blue Advantage Bronze HMO℠ StandardHMOExpanded Bronze$7,50033602TX0461033

Blue Advantage Plus Bronze℠ StandardPOSExpanded Bronze$7,50033602TX0870004

Blue Advantage Security HMO℠ 200HMOCatastrophic$10,60033602TX0460552

Ambetter Health

12 plans · EPO

Accepting new patients

Everyday GoldEPOGold$80029418TX0140102

Everyday Gold + Vision + Adult DentalEPOGold$80029418TX0160102

Complete GoldEPOGold$1,45029418TX0140064

Complete Gold + Vision + Adult DentalEPOGold$1,45029418TX0160020

Standard GoldEPOGold$2,00029418TX0140109

Standard Gold + Vision + Adult DentalEPOGold$2,00029418TX0160052

Enhanced Diabetes Care Silver with $0 Drug OptionsEPOSilver$5,00029418TX0140049

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalEPOSilver$5,00029418TX0160053

Standard SilverEPOSilver$6,00029418TX0140108

Standard Silver + Vision + Adult DentalEPOSilver$6,00029418TX0160054

Focused SilverEPOSilver$6,30029418TX0140100

Focused Silver + Vision + Adult DentalEPOSilver$6,30029418TX0160100

Imperial Insurance Companies

7 plans · HMOListing last updated Sep 16, 2025, over a year ago

Accepting new patients

Imperial Preferred Gold ZeroHMOGold$034826TX0010001

Imperial Preferred GoldHMOGold$1,35034826TX0030003

Imperial Standard GoldHMOGold$2,00034826TX0020003

Imperial Standard SilverHMOSilver$6,00034826TX0020002

Imperial Preferred SilverHMOSilver$7,50034826TX0030002

Imperial Preferred BronzeHMOBronze$9,20034826TX0030001

Imperial Standard BronzeHMOExpanded Bronze$7,50034826TX0020001

Community First

4 plans · EPO

Accepting new patients

University Community Care Plan by Community First - Gold PlanEPOGold$063251TX0010001

University Community Care Plan by Community First - Gold Plan StandardEPOGold$2,00063251TX0010002

University Community Care Plan by Community First - Silver PlanEPOSilver$063251TX0020001

University Community Care Plan by Community First - Silver Plan StandardEPOSilver$6,00063251TX0020002

Also listed in other states 83 plans · 4 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Arkansas

31 plans · POS, PPO

Accepting new patientsDeductible $0 to $8,450

Premier network · 14 plans · Preferred tier

Complete GoldPPOGold$1,45062141AR0080014

Complete Gold + Vision + Adult DentalPPOGold$1,45062141AR0100014

Standard GoldPPOGold$2,00062141AR0080034

Standard Gold + Vision + Adult DentalPPOGold$2,00062141AR0100035

Standard SilverPPOSilver$6,00062141AR0080033

Standard Silver + Vision + Adult DentalPPOSilver$6,00062141AR0100034

Connected SilverPPOSilver$7,35062141AR0080007

Connected Silver + Vision + Adult DentalPPOSilver$7,35062141AR0100007

Elite BronzePPOExpanded Bronze$062141AR0080026

Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062141AR0100026

Standard Expanded BronzePPOExpanded Bronze$7,50062141AR0080032

Standard Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062141AR0100033

Everyday BronzePPOExpanded Bronze$8,45062141AR0080017

Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$8,45062141AR0100017

Premier network · 10 plans · Preferred tier

Elite Gold (QualChoice)POSGold$070525AR0070268

Elite Gold (QualChoice) + Vision + Adult DentalPOSGold$070525AR0210002

Standard Gold (QualChoice)POSGold$2,00070525AR0070289

Standard Gold (QualChoice) + Vision + Adult DentalPOSGold$2,00070525AR0210003

Standard Silver (QualChoice)POSSilver$6,00070525AR0070288

Standard Silver (QualChoice) + Vision + Adult DentalPOSSilver$6,00070525AR0210005

Connected Silver (QualChoice)POSSilver$7,35070525AR0070261

Connected Silver (QualChoice) + Vision + Adult DentalPOSSilver$7,35070525AR0210001

Choice Bronze HSA (QualChoice)POSExpanded Bronze$7,25070525AR0070285

Standard Expanded Bronze (QualChoice)POSExpanded Bronze$7,50070525AR0070287

Premier network · 7 plans · Preferred tier

Elite Gold (QualChoiceLife)PPOGold$037903AR0070031

Elite Gold (QualChoiceLife) + Vision + Adult DentalPPOGold$037903AR0160002

Standard Gold (QualChoiceLife)PPOGold$2,00037903AR0070034

Standard Gold (QualChoiceLife) + Vision + Adult DentalPPOGold$2,00037903AR0160001

Standard Silver (QualChoiceLife)PPOSilver$6,00037903AR0070033

Connected Silver (QualChoiceLife)PPOSilver$7,35037903AR0070025

Connected Silver (QualChoiceLife) + Vision + Adult DentalPPOSilver$7,35037903AR0160003

Ambetter Health · Oklahoma

20 plans · PPO

Accepting new patientsDeductible $0 to $8,450

Elite GoldPPOGold$062505OK0120016

Elite Gold + Vision + Adult DentalPPOGold$062505OK0130017

Everyday GoldPPOGold$80062505OK0120014

Everyday Gold + Vision + Adult DentalPPOGold$80062505OK0130014

Standard GoldPPOGold$2,00062505OK0120021

Standard Gold + Vision + Adult DentalPPOGold$2,00062505OK0130021

Enhanced Diabetes Care Silver with $0 Drug OptionsPPOSilver$5,00062505OK0120024

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalPPOSilver$5,00062505OK0130024

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsPPOSilver$5,90062505OK0120023

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalPPOSilver$5,90062505OK0130023

Standard SilverPPOSilver$6,00062505OK0120020

Standard Silver + Vision + Adult DentalPPOSilver$6,00062505OK0130025

Focused SilverPPOSilver$6,30062505OK0120012

Focused Silver + Vision + Adult DentalPPOSilver$6,30062505OK0130012

Elite BronzePPOExpanded Bronze$062505OK0120006

Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062505OK0130006

Standard Expanded BronzePPOExpanded Bronze$7,50062505OK0120019

Standard Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062505OK0130019

Everyday BronzePPOExpanded Bronze$8,45062505OK0120002

Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$8,45062505OK0130002

Ambetter Health · Arizona

16 plans · HMO

Accepting new patientsDeductible $0 to $8,450

Elite GoldHMOGold$091450AZ0080113

Elite Gold + Vision + Adult DentalHMOGold$091450AZ0180113

Complete GoldHMOGold$1,45091450AZ0080059

Complete Gold + Vision + Adult DentalHMOGold$1,45091450AZ0180059

Standard GoldHMOGold$2,00091450AZ0080124

Standard Gold + Vision + Adult DentalHMOGold$2,00091450AZ0180106

Complete SilverHMOSilver$5,95091450AZ0080044

Complete Silver + Vision + Adult DentalHMOSilver$5,95091450AZ0180044

Standard SilverHMOSilver$6,00091450AZ0080123

Standard Silver + Vision + Adult DentalHMOSilver$6,00091450AZ0180105

Choice Bronze HSAHMOExpanded Bronze$7,25091450AZ0080037

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25091450AZ0180037

Standard Expanded BronzeHMOExpanded Bronze$7,50091450AZ0080122

Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50091450AZ0180104

Everyday BronzeHMOExpanded Bronze$8,45091450AZ0080119

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45091450AZ0180119

Ambetter Health · Louisiana

16 plans · EPO

Accepting new patientsDeductible $0 to $8,450

Elite GoldEPOGold$090787LA0010008

Elite Gold + Vision + Adult DentalEPOGold$090787LA0020008

Complete GoldEPOGold$1,45090787LA0010006

Complete Gold + Vision + Adult DentalEPOGold$1,45090787LA0020005

Standard GoldEPOGold$2,00090787LA0010011

Standard Gold + Vision + Adult DentalEPOGold$2,00090787LA0020011

Standard SilverEPOSilver$6,00090787LA0010010

Standard Silver + Vision + Adult DentalEPOSilver$6,00090787LA0020014

Focused SilverEPOSilver$6,30090787LA0010005

Focused Silver + Vision + Adult DentalEPOSilver$6,30090787LA0020004

Elite BronzeEPOExpanded Bronze$090787LA0010002

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$090787LA0020002

Standard Expanded BronzeEPOExpanded Bronze$7,50090787LA0010009

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50090787LA0020009

Everyday BronzeEPOExpanded Bronze$8,45090787LA0010001

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45090787LA0020001

Questions about Dr. Loya Valencia’s insurance

What insurance does Dr. Loya Valencia take?

In Texas, UnitedHealthcare, Oscar Health, WellPoint, Blue Cross and Blue Shield of Texas, Ambetter Health, Imperial Insurance Companies and Community First include Dr. Loya Valencia in 111 Marketplace plans for 2026. Call the office at (830) 214-1688 to confirm your plan before booking.

Do I need a referral to see Dr. Loya Valencia?

It depends on the plan: 62 of 111 Texas plans require a specialist referral.

Does Dr. Loya Valencia accept Medicare?

Yes. CMS files show Dr. Loya Valencia accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	WellPoint: Oct 15, 2026 Oscar Health: Oct 15, 2026 Ambetter Health: Oct 14, 2026 Blue Cross and Blue Shield of Texas: Oct 13, 2026 UnitedHealthcare: Oct 13, 2026 Community First: Sep 22, 2026 Imperial Insurance Companies: Sep 16, 2025
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.