DR. HAMSA ALJUMAILI MD
Accepted Insurance for NPI 1487117321
Internal Medicine - Endocrinology, Diabetes & Metabolism in Oklahoma City, OK

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

DR. HAMSA ALJUMAILI MD is enrolled across the following managed care network types: HMO, 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.

NPI Status: Active since April 08, 2019

Contact Information

5401 N PORTLAND AVE STE 410
OKLAHOMA CITY, OK
ZIP 73112
Phone: (405) 945-4700
Fax: (405) 945-4270

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. HAMSA ALJUMAILI MD, a practicing internal medicine professional in Oklahoma City, OK. 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 51 individual coverage options managed by medical networks, including networks like CommunityCare, Medica, and Mending Health. 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

CommunityCare

Ascension St. John Empower Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0340003

Ascension St. John Empower Silver Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0340001

CommunityCare Bronze IH223

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130045

CommunityCare Bronze IH224

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130046

CommunityCare Catastrophic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130024

CommunityCare Expanded Bronze Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130050

CommunityCare Gold IH221

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130043

CommunityCare Gold L21

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130041

CommunityCare Gold Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130047

CommunityCare Silver L21

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130042

CommunityCare Silver SLIH223

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130051

CommunityCare Silver Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0130048

Saint Francis Expanded Bronze Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0330002

Saint Francis Silver Standardized

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFFERED Tier

Accepted Plan ID Variations

98905OK0330001

Medica

Harmony by Medica Bronze $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010041

Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070003

Harmony by Medica Bronze Premier

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010051

Harmony by Medica Bronze Premier + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070006

Harmony by Medica Expanded Bronze Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010073

Harmony by Medica Expanded Bronze Standard + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070009

Harmony by Medica Gold $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010045

Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070001

Harmony by Medica Gold Share

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010074

Harmony by Medica Gold Share + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070004

Harmony by Medica Gold Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010055

Harmony by Medica Gold Standard + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070007

Harmony by Medica Silver $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010047

Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070002

Harmony by Medica Silver Share

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010075

Harmony by Medica Silver Share + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070005

Harmony by Medica Silver Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010057

Harmony by Medica Silver Standard + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070008

Mending Health

MENDING Direct Primary Care Bronze 4950 ($0 DPC + $0 PCP + $0 Mental Health)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010002

MENDING Direct Primary Care Gold $0 Ded ($0 DPC $0 PCP + $0 Mental Health)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010006

MENDING Direct Primary Care Silver 2300 ($0 DPC + $0 PCP + $0 Mental Health)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010003

MENDING Standard Bronze (No Direct Primary Care, for DPC select DPC Bronze)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010007

MENDING Standard Gold (No Direct Primary Care, for DPC select DPC Gold)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010009

MENDING Standard Silver (No Direct Primary Care, for DPC select DPC Silver)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

58944OK0010008

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050035

UHC Bronze Essential (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050039

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050030

UHC Bronze Standard+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110005

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050038

UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110001

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050034

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050028

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050037

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110002

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050029

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050036

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. HAMSA ALJUMAILI MD accept?

This provider accepts health insurance plans managed by the following insurance companies: CommunityCare, Medica, Mending Health, 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. HAMSA ALJUMAILI MD is enrolled across the following managed care network types: HMO, 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.