BENJAMIN OHEIM AGCNS-BC
Accepted Insurance for NPI 1568940708
Clinical Nurse Specialist - Gerontology in Austin, TX

Active since July 31, 2018PECOS EnrolledAccepts Medicare Assignment

3000 N INTERSTATE 35 STE 700, AUSTIN, TX 78705(512) 807-3150 Get Directions

NPPES record last updated: July 31, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Benjamin Oheim take my insurance?

71 Texas plans sold on HealthCare.gov for 2026 include Benjamin Oheim, from Blue Cross and Blue Shield of Texas, Oscar Health, Ambetter Health and Moda Health. Insurers also list Benjamin Oheim in 7 other states.

InsurersBlue Cross and Blue Shield of Texas 25 plans Oscar Health 23 plans Ambetter Health 18 plans Moda Health 5 plans

Also listed in7 other states

Call before you book: insurer directories can be out of date, so call the office at (512) 807-3150 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Texas plans 71 plans · 681 plan IDs

Plans sold to Texas residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Blue Cross and Blue Shield of Texas

25 plans · HMO, POS

Accepting new patients

Blue Advantage network · 19 plans · Blue Advantage HMO tier

Blue Advantage Gold HMO℠ 206HMOGold$55033602TX0460548

Blue Advantage Gold HMO℠ 603HMOGold$1,00033602TX0460809

Blue Advantage Plus Gold℠ 203POSGold$1,70033602TX0870005

Blue Advantage Gold HMO℠ StandardHMOGold$2,00033602TX0460925

Blue Advantage Plus Gold℠ StandardPOSGold$2,00033602TX0870006

Blue Advantage Plus Gold℠ 803POSGold$2,40033602TX0870011

Blue Advantage Plus Silver℠ 605POSSilver$033602TX0870009

Blue Advantage Plus Silver℠ 202POSSilver$1,25033602TX0870007

Blue Advantage Silver HMO℠ 205HMOSilver$1,45033602TX0460553

Blue Advantage Silver HMO℠ 801HMOSilver$4,00033602TX0461083

Blue Advantage Plus Silver℠ StandardPOSSilver$6,00033602TX0870010

Blue Advantage Silver HMO℠ StandardHMOSilver$6,00033602TX0460926

Blue Advantage Plus Bronze℠ 305POSBronze$7,30033602TX0870003

Blue Advantage Bronze HMO℠ 301HMOBronze$10,60033602TX0460782

Blue Advantage Bronze HMO℠ 204HMOExpanded Bronze$6,00033602TX0460554

Blue Advantage Plus Bronze℠ 303POSExpanded Bronze$7,00033602TX0870002

Blue Advantage Bronze HMO℠ StandardHMOExpanded Bronze$7,50033602TX0461033

Blue Advantage Plus Bronze℠ StandardPOSExpanded Bronze$7,50033602TX0870004

Blue Advantage Security HMO℠ 200HMOCatastrophic$10,60033602TX0460552

MyBlue Health network · 6 plans · Myblue Health tier

MyBlue Health Gold℠ 403HMOGold$50033602TX0461081

MyBlue Health Gold℠ StandardHMOGold$2,00033602TX0461088

MyBlue Health Silver℠ 405HMOSilver$1,50033602TX0461082

MyBlue Health Silver℠ StandardHMOSilver$6,00033602TX0461089

MyBlue Health Bronze℠ 402HMOExpanded Bronze$5,00033602TX0461080

MyBlue Health Bronze℠ StandardHMOExpanded Bronze$7,50033602TX0461087

Oscar Health

23 plans · EPO, HMO

Accepting new patients

Individual Texas EPO network · 12 plans · Preferred tier

Gold EliteEPOGold$1,20020069TX0100056

Gold Classic StandardEPOGold$2,00020069TX0100053

Gold ClassicEPOGold$2,50020069TX0100055

Silver ClassicEPOSilver$5,50020069TX0100006

Silver Simple PCP SaverEPOSilver$5,75020069TX0100025

Silver Classic StandardEPOSilver$6,00020069TX0100052

Bronze Elite + PCP Saver PlusEPOExpanded Bronze$020069TX0100005

Bronze Classic 4700EPOExpanded Bronze$4,70020069TX0100024

Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50020069TX0100059

Bronze Simple DiabetesEPOExpanded Bronze$5,50020069TX0100068

Bronze Classic StandardEPOExpanded Bronze$7,50020069TX0100050

Bronze Simple Breathe Easy with Enhanced COPD BenefitsEPOExpanded Bronze$9,00020069TX0100064

Individual Texas HMO network · 11 plans · Preferred tier

Gold Classic Standard Guided CareHMOGold$2,00020069TX0510032

Gold Simple Diabetes Guided CareHMOGold$2,00020069TX0510037

Gold Classic Guided CareHMOGold$2,50020069TX0510020

Gold Simple Guided CareHMOGold$3,30020069TX0510021

Silver Simple PCP Saver Guided CareHMOSilver$5,75020069TX0510011

Silver Simple Chronic Care CKM Guided CareHMOSilver$5,90020069TX0510012

Silver Classic Standard Guided CareHMOSilver$6,00020069TX0510031

Silver Simple Women's Health with Menopause Benefits Guided CareHMOSilver$6,00020069TX0510008

Silver Simple Breathe Easy with Enhanced COPD Benefits Guided CareHMOSilver$6,20020069TX0510001

Silver Simple Guided CareHMOSilver$6,30020069TX0510010

Silver Simple Diabetes Guided CareHMOSilver$6,50020069TX0510013

Ambetter Health

18 plans · EPO, HMO

Accepting new patients

Premier network · 12 plans · Preferred tier

Everyday GoldEPOGold$80029418TX0140102

Everyday Gold + Vision + Adult DentalEPOGold$80029418TX0160102

Complete GoldEPOGold$1,45029418TX0140064

Complete Gold + Vision + Adult DentalEPOGold$1,45029418TX0160020

Standard GoldEPOGold$2,00029418TX0140109

Standard Gold + Vision + Adult DentalEPOGold$2,00029418TX0160052

Enhanced Diabetes Care Silver with $0 Drug OptionsEPOSilver$5,00029418TX0140049

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalEPOSilver$5,00029418TX0160053

Standard SilverEPOSilver$6,00029418TX0140108

Standard Silver + Vision + Adult DentalEPOSilver$6,00029418TX0160054

Focused SilverEPOSilver$6,30029418TX0140100

Focused Silver + Vision + Adult DentalEPOSilver$6,30029418TX0160100

Value network · 6 plans · Preferred tier

Complete VALUE GoldHMOGold$1,45087226TX0060013

Standard Gold VALUEHMOGold$2,00087226TX0060012

Standard Silver VALUEHMOSilver$6,00087226TX0060011

Standard Silver VALUE + Vision + Adult DentalHMOSilver$6,00087226TX0120005

Focused VALUE SilverHMOSilver$6,30087226TX0060009

Focused VALUE Silver + Vision + Adult DentalHMOSilver$6,30087226TX0120001

Moda Health

5 plans · EPO

Accepting new patients

Moda Select Texas Standard GoldEPOGold$2,00017933TX0010009

Moda Select Texas Standard SilverEPOSilver$6,00017933TX0010008

Moda Select Texas Bronze HDHP 7500EPOExpanded Bronze$7,50017933TX0010007

Moda Select Texas Standard BronzeEPOExpanded Bronze$7,50017933TX0010010

Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)EPOExpanded Bronze$8,70017933TX0010006

Also listed in other states 102 plans · 7 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Arkansas

31 plans · POS, PPO

Accepting new patientsDeductible $0 to $8,450

Premier network · 14 plans · Preferred tier

Complete GoldPPOGold$1,45062141AR0080014

Complete Gold + Vision + Adult DentalPPOGold$1,45062141AR0100014

Standard GoldPPOGold$2,00062141AR0080034

Standard Gold + Vision + Adult DentalPPOGold$2,00062141AR0100035

Standard SilverPPOSilver$6,00062141AR0080033

Standard Silver + Vision + Adult DentalPPOSilver$6,00062141AR0100034

Connected SilverPPOSilver$7,35062141AR0080007

Connected Silver + Vision + Adult DentalPPOSilver$7,35062141AR0100007

Elite BronzePPOExpanded Bronze$062141AR0080026

Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062141AR0100026

Standard Expanded BronzePPOExpanded Bronze$7,50062141AR0080032

Standard Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062141AR0100033

Everyday BronzePPOExpanded Bronze$8,45062141AR0080017

Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$8,45062141AR0100017

Premier network · 10 plans · Preferred tier

Elite Gold (QualChoice)POSGold$070525AR0070268

Elite Gold (QualChoice) + Vision + Adult DentalPOSGold$070525AR0210002

Standard Gold (QualChoice)POSGold$2,00070525AR0070289

Standard Gold (QualChoice) + Vision + Adult DentalPOSGold$2,00070525AR0210003

Standard Silver (QualChoice)POSSilver$6,00070525AR0070288

Standard Silver (QualChoice) + Vision + Adult DentalPOSSilver$6,00070525AR0210005

Connected Silver (QualChoice)POSSilver$7,35070525AR0070261

Connected Silver (QualChoice) + Vision + Adult DentalPOSSilver$7,35070525AR0210001

Choice Bronze HSA (QualChoice)POSExpanded Bronze$7,25070525AR0070285

Standard Expanded Bronze (QualChoice)POSExpanded Bronze$7,50070525AR0070287

Premier network · 7 plans · Preferred tier

Elite Gold (QualChoiceLife)PPOGold$037903AR0070031

Elite Gold (QualChoiceLife) + Vision + Adult DentalPPOGold$037903AR0160002

Standard Gold (QualChoiceLife)PPOGold$2,00037903AR0070034

Standard Gold (QualChoiceLife) + Vision + Adult DentalPPOGold$2,00037903AR0160001

Standard Silver (QualChoiceLife)PPOSilver$6,00037903AR0070033

Connected Silver (QualChoiceLife)PPOSilver$7,35037903AR0070025

Connected Silver (QualChoiceLife) + Vision + Adult DentalPPOSilver$7,35037903AR0160003

Ambetter Health · Oklahoma

20 plans · PPO

Accepting new patientsDeductible $0 to $8,450

Elite GoldPPOGold$062505OK0120016

Elite Gold + Vision + Adult DentalPPOGold$062505OK0130017

Everyday GoldPPOGold$80062505OK0120014

Everyday Gold + Vision + Adult DentalPPOGold$80062505OK0130014

Standard GoldPPOGold$2,00062505OK0120021

Standard Gold + Vision + Adult DentalPPOGold$2,00062505OK0130021

Enhanced Diabetes Care Silver with $0 Drug OptionsPPOSilver$5,00062505OK0120024

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalPPOSilver$5,00062505OK0130024

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsPPOSilver$5,90062505OK0120023

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalPPOSilver$5,90062505OK0130023

Standard SilverPPOSilver$6,00062505OK0120020

Standard Silver + Vision + Adult DentalPPOSilver$6,00062505OK0130025

Focused SilverPPOSilver$6,30062505OK0120012

Focused Silver + Vision + Adult DentalPPOSilver$6,30062505OK0130012

Elite BronzePPOExpanded Bronze$062505OK0120006

Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062505OK0130006

Standard Expanded BronzePPOExpanded Bronze$7,50062505OK0120019

Standard Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062505OK0130019

Everyday BronzePPOExpanded Bronze$8,45062505OK0120002

Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$8,45062505OK0130002

Ambetter Health · Arizona

16 plans · HMO

Accepting new patientsDeductible $0 to $8,450

Elite GoldHMOGold$091450AZ0080113

Elite Gold + Vision + Adult DentalHMOGold$091450AZ0180113

Complete GoldHMOGold$1,45091450AZ0080059

Complete Gold + Vision + Adult DentalHMOGold$1,45091450AZ0180059

Standard GoldHMOGold$2,00091450AZ0080124

Standard Gold + Vision + Adult DentalHMOGold$2,00091450AZ0180106

Complete SilverHMOSilver$5,95091450AZ0080044

Complete Silver + Vision + Adult DentalHMOSilver$5,95091450AZ0180044

Standard SilverHMOSilver$6,00091450AZ0080123

Standard Silver + Vision + Adult DentalHMOSilver$6,00091450AZ0180105

Choice Bronze HSAHMOExpanded Bronze$7,25091450AZ0080037

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25091450AZ0180037

Standard Expanded BronzeHMOExpanded Bronze$7,50091450AZ0080122

Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50091450AZ0180104

Everyday BronzeHMOExpanded Bronze$8,45091450AZ0080119

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45091450AZ0180119

Ambetter Health · Louisiana

16 plans · EPO

Accepting new patientsDeductible $0 to $8,450

Elite GoldEPOGold$090787LA0010008

Elite Gold + Vision + Adult DentalEPOGold$090787LA0020008

Complete GoldEPOGold$1,45090787LA0010006

Complete Gold + Vision + Adult DentalEPOGold$1,45090787LA0020005

Standard GoldEPOGold$2,00090787LA0010011

Standard Gold + Vision + Adult DentalEPOGold$2,00090787LA0020011

Standard SilverEPOSilver$6,00090787LA0010010

Standard Silver + Vision + Adult DentalEPOSilver$6,00090787LA0020014

Focused SilverEPOSilver$6,30090787LA0010005

Focused Silver + Vision + Adult DentalEPOSilver$6,30090787LA0020004

Elite BronzeEPOExpanded Bronze$090787LA0010002

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$090787LA0020002

Standard Expanded BronzeEPOExpanded Bronze$7,50090787LA0010009

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50090787LA0020009

Everyday BronzeEPOExpanded Bronze$8,45090787LA0010001

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45090787LA0020001

Ambetter Health · Florida

7 plans · HMO

Accepting new patientsDeductible $0 to $8,000

Complete VALUE GoldHMOGold$1,45086382FL0050010

Standard Gold VALUEHMOGold$2,00086382FL0050019

Standard Silver VALUEHMOSilver$6,00086382FL0050018

Focused VALUE SilverHMOSilver$6,30086382FL0050009

Clarity VALUE SilverHMOSilver$8,00086382FL0050014

Elite VALUE BronzeHMOExpanded Bronze$086382FL0050005

Standard Expanded Bronze VALUEHMOExpanded Bronze$7,50086382FL0050017

Moda Health · Alaska

7 plans · PPO

Accepting new patientsDeductible $1,500 to $7,500

Moda Select Alaska Gold 1500PPOGold$1,50073836AK0930001

Moda Select Alaska Standard GoldPPOGold$2,00073836AK0940001

Moda Select Alaska Silver 4500PPOSilver$4,50073836AK0930002

Moda Select Alaska Standard SilverPPOSilver$6,00073836AK0950001

Moda Select Alaska Bronze HDHP 5500PPOExpanded Bronze$5,50073836AK0970002

Moda Select Alaska Bronze 6500PPOExpanded Bronze$6,50073836AK0930003

Moda Select Alaska Standard BronzePPOExpanded Bronze$7,50073836AK0960001

Moda Health · Oregon

5 plans · EPO

Accepting new patientsDeductible $1,500 to $9,000

Moda Health Affinity Gold 1500EPOGold$1,50039424OR1680008

Moda Health Oregon Standard Gold AffinityEPOGold$1,80039424OR1670001

Moda Health Affinity Silver 6000EPOSilver$6,00039424OR1660001

Moda Health Oregon Standard Silver AffinityEPOSilver$6,10039424OR1670002

Moda Health Affinity Bronze 9000EPOExpanded Bronze$9,00039424OR1660002

Questions about Benjamin Oheim’s insurance

What insurance does Benjamin Oheim take?

In Texas, Blue Cross and Blue Shield of Texas, Oscar Health, Ambetter Health and Moda Health include Benjamin Oheim in 71 Marketplace plans for 2026. Call the office at (512) 807-3150 to confirm your plan before booking.

Is Benjamin Oheim accepting new patients?

The insurers that list Benjamin Oheim report that Benjamin Oheim is accepting new patients. Call the office at (512) 807-3150 to confirm your plan before booking.

Do I need a referral to see Benjamin Oheim?

It depends on the plan: 42 of 71 Texas plans require a specialist referral.

Does Benjamin Oheim accept Medicare?

Yes. CMS files show Benjamin Oheim accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Oscar Health: Oct 15, 2026 Ambetter Health: Oct 14, 2026 Blue Cross and Blue Shield of Texas: Oct 13, 2026 Moda Health: Oct 10, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.