MAI EL GASIM MD
Accepted Insurance for NPI 1477940310
Pediatrics in Oro Valley, AZ

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

MAI EL GASIM MD is enrolled across the following managed care network types: HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.

NPI Status: Active since April 17, 2015

Contact Information

1856 E INNOVATION PARK DR
ORO VALLEY, AZ
ZIP 85755
Phone: (520) 825-7111
Fax: (520) 818-1253

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with MAI EL GASIM MD, a practicing pediatrics professional in Oro Valley, AZ. 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 198 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, and Oscar Health Plan, Inc.. 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.

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Fitler by Network Type

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590010

Catastrophic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590050

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590020

Blue Cross Blue Shield of Arizona

AZ Blue ACA StandardHealth Silver with Health Choice

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ACAHEALTHCHOICE Tier

Accepted Plan ID Variations

53901AZ142015653901AZ142015753901AZ142016153901AZ142016253901AZ142016353901AZ142016653901AZ1420167

AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142008653901AZ142008753901AZ142009353901AZ142009653901AZ1420107

AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008853901AZ142008953901AZ142009053901AZ142009153901AZ142009253901AZ142009453901AZ1420095

AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142010853901AZ142010953901AZ142011553901AZ142011853901AZ1420119

AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142011053901AZ142011153901AZ142011253901AZ142011353901AZ142011453901AZ142011653901AZ1420117

AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142008253901AZ142008353901AZ142009753901AZ142009853901AZ1420104

AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009953901AZ142010053901AZ142010153901AZ142010253901AZ142010353901AZ142010553901AZ1420106

AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142000153901AZ142000253901AZ1420050

AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000353901AZ142000653901AZ142000753901AZ142004853901AZ142004953901AZ142005153901AZ1420052

AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS-PROSANO Tier

Accepted Plan ID Variations

53901AZ142005353901AZ1420078

AZ Blue EverydayHealth Prosano Silver ($0 Prosano Health Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS-PROSANO Tier

Accepted Plan ID Variations

53901AZ142005953901AZ1420079

AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142000853901AZ142000953901AZ1420056

AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142001053901AZ142001353901AZ142001453901AZ142005453901AZ142005553901AZ142005753901AZ1420058

AZ Blue Portfolio Bronze HSA Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142002253901AZ142002353901AZ142006853901AZ142007153901AZ1420085

AZ Blue Portfolio Bronze HSA Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002453901AZ142002753901AZ142002853901AZ142006653901AZ142006753901AZ142006953901AZ1420070

AZ Blue StandardHealth Bronze Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142012253901AZ142012553901AZ142014353901AZ142015253901AZ1420155

AZ Blue StandardHealth Bronze Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012853901AZ142013153901AZ142013453901AZ142013753901AZ142014053901AZ142014653901AZ1420149

AZ Blue StandardHealth Gold Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142012053901AZ142012353901AZ142014153901AZ142015053901AZ1420153

AZ Blue StandardHealth Gold Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012653901AZ142012953901AZ142013253901AZ142013553901AZ142013853901AZ142014453901AZ1420147

AZ Blue StandardHealth Silver Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: FOCUS Tier

Accepted Plan ID Variations

53901AZ142012153901AZ142012453901AZ142014253901AZ142015153901AZ1420154

AZ Blue StandardHealth Silver Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012753901AZ142013053901AZ142013353901AZ142013653901AZ142013953901AZ142014553901AZ1420148

Oscar Health Plan, Inc.

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070050

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070005

Bronze Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070072

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070056

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070057

Buena Salud Bronce Simple Para Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070058

Gold Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070013

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070053

Gold Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070073

Gold Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070068

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070052

Silver Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070030

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070060

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070063

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070025

Silver Simple Specialist Saver with COPD

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070008

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070064

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

40702AZ0060034

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

40702AZ0070005

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

40702AZ0060051

UHC Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0060019

UHC Bronze Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0070011

UHC Gold Advantage ($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

40702AZ0060046

UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0070010

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

40702AZ0060047

UHC Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0060016

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0060038

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0070006

UHC Silver 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

40702AZ0060041

UHC Silver 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

40702AZ0070008

UHC Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40702AZ0060018

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does MAI EL GASIM MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Oscar Health Plan, 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?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

MAI EL GASIM MD is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.