MAI EL GASIM MD
Accepted Insurance for NPI 1477940310
Pediatrics in Oro Valley, AZ
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MAI EL GASIM MD, a pediatrics provider in Oro Valley, AZ, is listed as in-network for 206 health insurance plans from 6 insurance companies, led by Ambetter Health, Blue Cross Blue Shield of Arizona and Oscar Health Plan, Inc.. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Ambetter Balanced Care 4
Ambetter Cascade Complete Gold
Ambetter Cascade Select Bronze
Ambetter Cascade Select Complete Gold
Ambetter Cascade Select Silver
Ambetter Cascade Select Vital Gold
Ambetter Cascade Silver
Ambetter Cascade Vital Gold
Ambetter Secure Care 5
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clarity Silver + Vision + Adult Dental
Clarity Silver
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Silver + Vision + Adult Dental
Principal Silver
Ambetter from Arizona Complete Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
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 Arizona
AZ Blue ACA StandardHealth Silver with Health Choice
AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits)
AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits)
AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits)
AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits)
AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits)
AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits)
AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit)
AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit)
AZ Blue EverydayHealth Prosano Gold ($0 Prosano Health Visits)
AZ Blue EverydayHealth Prosano Silver ($0 Prosano Health Visits)
AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit)
AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit)
AZ Blue Portfolio Bronze HSA Focus
AZ Blue Portfolio Bronze HSA Neighborhood
AZ Blue StandardHealth Bronze Focus
AZ Blue StandardHealth Bronze Neighborhood
AZ Blue StandardHealth Gold Focus
AZ Blue StandardHealth Gold Neighborhood
AZ Blue StandardHealth Silver Focus
AZ Blue StandardHealth Silver Neighborhood
Cigna HealthCare of Arizona, Inc
Connect Bronze 7400 Indiv Med Deductible
Connect Bronze 9500 Indiv Med Deductible
Connect Bronze CMS Standard
Connect Bronze SoAZ 4000 Indiv Med Deductible
Connect Bronze SoAZ 6300 Indiv Med Deductible
Connect Bronze SoAZ CMS Standard
Connect Gold 2500 Indiv Med Deductible
Connect Gold CMS Standard
Connect Gold SoAZ 2500 Indiv Med Deductible
Connect Gold SoAZ CMS Standard
Connect Silver 4000 Indiv Med Deductible
Connect Silver 6100 Indiv Med Deductible
Connect Silver CMS Standard
Connect Silver SoAZ 4000 Indiv Med Deductible
Connect Silver SoAZ 6200 Indiv Med Deductible
Connect Silver SoAZ CMS Standard
Oscar Health Plan, Inc.
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple
Buena Salud Bronce Simple Para Diabetes
Gold Classic Standard
Gold Classic
Gold Simple Diabetes
Gold Simple
Silver Classic Standard
Silver Elite Saver Plus
Silver Simple Chronic Care CKM
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Specialist Saver with COPD
Silver Simple Women's Health with Menopause Benefits
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Bronze Essential ($0 Virtual Urgent Care)
UHC Bronze Standard+ (Dental + Vision)
UHC Bronze Standard
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)
UHC Gold Standard
UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Silver Standard
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 MAI EL GASIM MD accept?
Marketplace files for the 2026 plan year list MAI EL GASIM MD as in-network for 206 plans from 6 insurance companies. The largest networks are Ambetter Health (27 plans), Blue Cross Blue Shield of Arizona (21 plans), Oscar Health Plan, Inc. (17 plans), followed by 3 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is MAI EL GASIM MD enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does MAI EL GASIM MD participate in?
The accepted plans include 111 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
