DR. DAVID E. DOMINGUEZ M.D.
Accepted Insurance for NPI 1467694521
Orthopaedic Surgery in Melbourne, FL

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

DR. DAVID E. DOMINGUEZ M.D. is enrolled across the following managed care network types: EPO, HMO, POS, 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.POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.

Quality Rating: 71.73 out of 100 score

NPI Status: Active since April 03, 2009

Contact Information

640 CLASSIC CT STE 104
MELBOURNE, FL
ZIP 32940
Phone: (321) 610-8939

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. DAVID E. DOMINGUEZ M.D., a practicing orthopaedic surgery professional in Melbourne, FL. 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 154 individual coverage options managed by medical networks, including networks like Ambetter Health, Ambetter of Alabama, and Florida Blue (BlueCross BlueShield FL). 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

Ambetter Health
Ambetter of Alabama
Florida Blue (BlueCross BlueShield FL)
Florida Blue HMO (a BlueCross BlueShield FL company)
Health First Commercial Plans, Inc.
UnitedHealthcare

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Fitler by Network Type

Ambetter Health

Clarity Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL0010031

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001149004FL0010025

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002001049004FL0020021

Elite Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000449004FL0010017

Elite Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000449004FL0020015

Enhanced Diabetes Care Silver with $0 Drug Options

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000949004FL0010023

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000849004FL0020020

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000249004FL0010015

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000249004FL0020013

Everyday Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001049004FL0010026

Everyday Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000949004FL0020022

Focused Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000749004FL0010021

Focused Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000649004FL0020018

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000149004FL0010018

Standard Expanded Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000149004FL0020016

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001349004FL0010028

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002001249004FL0020024

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000649004FL0010024

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002002749004FL0020028

Thrive Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL0010032

Ambetter of Alabama

Complete Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100015

Complete Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110010

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100014

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110014

Elite Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100016

Elite Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110015

Enhanced Diabetes Care Silver with $0 Drug Options

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100018

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110018

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100003

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110003

Focused Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100005

Focused Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110005

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100011

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110011

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100013

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110013

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100012

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110017

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260010

BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260004

BlueOptions Bronze 24J01-06 (Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260006

BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260017

BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260018

BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260009

BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260012

BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260020

BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260005

BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260008

BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260021

BlueOptions Silver 24J01-03 ($10 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260003

BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260007

BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260019

BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120078

BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120068

BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120091

BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320014

BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310014

BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120093

BlueSelect Bronze 24L01-01 (Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120001

BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120076

BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310001

BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120086

BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120095

BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120062

BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120070

BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120096

BlueSelect Silver 1443 ($10 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120072

BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320004

BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310004

BlueSelect Silver 1456 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120033

BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120094

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140009

BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140003

BlueCare Bronze 24K01-05 (Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140005

BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140025

BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140031

BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140017

BlueCare Bronze 24K02-18 (Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140018

BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140023

BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140026

BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140008

BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140010

BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140033

BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140020

BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140028

BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140004

BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140007

BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140034

BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140015

BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140029

BlueCare Silver 24K01-02 ($10 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140002

BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140006

BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140032

BlueCare Silver 24K02-21 ($10 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140021

BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140027

Health First Commercial Plans, Inc.

Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160009

Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0460003

Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0440001

Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0480001

Bronze Standard 1828

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160011

Bronze Value 1814 (High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0410001

Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0470001

Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0450003

Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0450002

Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0460002

Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0440003

Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0480003

Gold Standard 1833

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160013

Gold Value 1819 ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0410003

Gold Value 1819 + Adult Dental + Adult Vision ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0470003

Gold Value 1819 + Enhanced Diabetes Benefits ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0500002

Silver 1664 (Primary Care & Specialist Copays, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0450001

Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0460001

Silver Savings 1821 (Primary Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0440002

Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0480002

Silver Standard 1829

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160012

Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0410002

Silver Value 1815 + Adult Dental + Adult Vision ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0470002

Silver Value 1815 + Enhanced Diabetes Benefits ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0500001

UnitedHealthcare

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030045

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060007

UHC Bronze Essential ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030058

UHC Bronze Essential- ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0090001

UHC Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030042

UHC Bronze Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060006

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030057

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060001

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030034

UHC Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030036

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030048

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060002

UHC Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030040

UHC Silver Standard-

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0090002

UHC Silver Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060005

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030046

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. DAVID E. DOMINGUEZ M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., UnitedHealthcare. 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?

DR. DAVID E. DOMINGUEZ M.D. is enrolled across the following managed care network types: EPO, HMO, POS, 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.
POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.