MICHAEL TODD BOLTON M.D.
Accepted Insurance for NPI 1487864708
Pediatrics - Pediatric Infectious Diseases in Baton Rouge, LA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MICHAEL TODD BOLTON M.D., a pediatrics provider in Baton Rouge, LA, is listed as in-network for 50 health insurance plans from 4 insurance companies, led by HMO Louisiana, UnitedHealthcare and AmeriHealth Caritas Next. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
AmeriHealth Caritas Next
AmeriHealth Caritas Next Bronze Essential + No Referrals
AmeriHealth Caritas Next Bronze Premier + No Referrals
AmeriHealth Caritas Next Bronze Signature + No Referrals
AmeriHealth Caritas Next Gold Premier + No Referrals
AmeriHealth Caritas Next Gold Signature + No Referrals
AmeriHealth Caritas Next Silver Essential + No Referrals
AmeriHealth Caritas Next Silver Premier + No Referrals
AmeriHealth Caritas Next Silver Signature + No Referrals
Blue Cross and Blue Shield of Louisiana
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Saver 60/40 $6100
Blue Saver 90/70 $3400
HMO Louisiana
Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible
Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits
Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue POS Copay (PCP) 60/40 $6000 Standardized
Blue POS Copay (PCP) 75/55 $2000 Standardized
Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits
Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR)
Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M)
Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible
Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible
Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible
Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR)
Precision Blue Copay (PCP) 60/40 $6000 Standardized (M)
Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR)
Precision Blue Copay (PCP) 75/55 $2000 Standardized (M)
Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits
Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Signature Blue Copay (PCP) 60/40 $6000 Standardized
Signature Blue Copay (PCP) 75/55 $2000 Standardized
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, No Referrals)
UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
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 MICHAEL TODD BOLTON M.D. accept?
Marketplace files for the 2026 plan year list MICHAEL TODD BOLTON M.D. as in-network for 50 plans from 4 insurance companies. The largest networks are HMO Louisiana (21 plans), UnitedHealthcare (13 plans), AmeriHealth Caritas Next (8 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is MICHAEL TODD BOLTON M.D. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does MICHAEL TODD BOLTON M.D. participate in?
The accepted plans include 21 POS plans, 13 EPO plans, 8 HMO plans and 8 PPO plans. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
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.
