BAPTIST MEDICAL CENTER
Accepted Insurance for NPI 1578620449
General Acute Care Hospital in Jacksonville, FL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
BAPTIST MEDICAL CENTER, a general acute care hospital provider in Jacksonville, FL, is listed as in-network for 116 health insurance plans from 4 insurance companies, led by Florida Blue HMO (a BlueCross BlueShield FL company), AvMed and Blue Cross and Blue Shield of Alabama. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
AvMed
AvMed Entrust Bronze 600 (2026)
AvMed Entrust Bronze 650 (2026)
AvMed Entrust Expanded Bronze Standard (2026)
AvMed Entrust Gold 125 (2026)
AvMed Entrust Gold 125 Dental+Vision (2026)
AvMed Entrust Gold Standard (2026)
AvMed Entrust Platinum 25 (2026)
AvMed Entrust Platinum 25 Dental+Vision (2026)
AvMed Entrust Platinum Standard (2026)
AvMed Entrust Silver 350 (2026)
AvMed Entrust Silver 350 Dental+Vision (2026)
AvMed Entrust Silver 550 (2026)
AvMed Entrust Silver 550 Dental+Vision (2026)
AvMed Entrust Silver Standard (2026)
Blue Cross and Blue Shield of Alabama
Blue Access Gold for Business
Blue Choice Platinum for Business
Blue HSA Bronze
Blue HSA Silver for Business
Blue Protect
Blue Saver Bronze for Business
Blue Saver Bronze
Blue Saver Gold for Business
Blue Secure Gold for Business
Blue Secure Silver for Business
Blue Standardized Statewide Silver EPO
Blue Statewide Silver EPO
Blue Value Gold
Blue Value Silver
Florida Blue (BlueCross BlueShield FL)
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueOptions Bronze 24J01-06 (Rewards)
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue HMO (a BlueCross BlueShield FL company)
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K01-05 (Rewards)
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K02-18 (Rewards)
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Silver 24K01-02 ($10 Labs / Rewards)
BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)
BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueCare Silver 24K02-21 ($10 Labs / Rewards)
BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)
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 BAPTIST MEDICAL CENTER accept?
Marketplace files for the 2026 plan year list BAPTIST MEDICAL CENTER as in-network for 116 plans from 4 insurance companies. The largest networks are Florida Blue HMO (a BlueCross BlueShield FL company) (24 plans), AvMed (14 plans), Blue Cross and Blue Shield of Alabama (14 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is BAPTIST MEDICAL CENTER enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does BAPTIST MEDICAL CENTER participate in?
The accepted plans include 26 PPO plans, 24 POS plans, 14 HMO plans and 2 EPO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
