BENJAMIN OHEIM AGCNS-BC
Accepted Insurance for NPI 1568940708
Clinical Nurse Specialist - Gerontology in Austin, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
BENJAMIN OHEIM AGCNS-BC, a clinical nurse specialist provider in Austin, TX, is listed as in-network for 693 health insurance plans from 5 insurance companies, led by Blue Cross and Blue Shield of Texas, Oscar Insurance Company and WellPoint. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
MyBlue Health Bronze? 402
MyBlue Health Bronze? Standard
MyBlue Health Gold? 403
MyBlue Health Gold? Standard
MyBlue Health Silver? 405
MyBlue Health Silver? Standard
Moda Health Plan, Inc.
Moda Select Alaska Bronze 6500
Moda Select Alaska Bronze HDHP 5500
Moda Select Alaska Gold 1500
Moda Select Alaska Silver 4500
Moda Select Alaska Standard Bronze
Moda Select Alaska Standard Gold
Moda Select Alaska Standard Silver
Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)
Moda Select Texas Bronze HDHP 7500
Moda Select Texas Standard Bronze
Moda Select Texas Standard Gold
Moda Select Texas Standard Silver
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Gold Classic Guided Care
Gold Classic Standard Guided Care
Gold Classic Standard
Gold Classic
Gold Elite
Gold Simple Diabetes Guided Care
Gold Simple Guided Care
Silver Classic Standard Guided Care
Silver Classic Standard
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care
Silver Simple Chronic Care CKM Guided Care
Silver Simple Diabetes Guided Care
Silver Simple Guided Care
Silver Simple PCP Saver Guided Care
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits Guided Care
Sendero Health Plans, Local Nonprofit
Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible
Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs
Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs
Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs
Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs
Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist
Sendero Health Real Gold / $350 Deductible
WellPoint
Wellpoint Essential Bronze 4000 HSA (+ Incentives)
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs)
Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Catastrophic (+ Incentives)
Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold POS 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Wellpoint Essential Silver POS 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
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 BENJAMIN OHEIM AGCNS-BC accept?
Marketplace files for the 2026 plan year list BENJAMIN OHEIM AGCNS-BC as in-network for 693 plans from 5 insurance companies. The largest networks are Blue Cross and Blue Shield of Texas (25 plans), Oscar Insurance Company (23 plans), WellPoint (21 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is BENJAMIN OHEIM AGCNS-BC 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 BENJAMIN OHEIM AGCNS-BC participate in?
The accepted plans include 46 HMO plans, 18 POS plans, 17 EPO plans and 7 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. 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. 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.
