SAMI JAAFAR M.D.
Accepted Insurance for NPI 1578878310
Orthopaedic Surgery in Detroit, MI

Active since August 17, 2010PECOS EnrolledAccepts Medicare Assignment

4201 SAINT ANTOINE ST, DETROIT, MI 48201(313) 966-8013(313) 993-2890 Get Directions

NPPES record last updated: September 21, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. Sami Jaafar take my insurance?

Dr. Jaafar is in network for 9 Michigan Marketplace plans from Ambetter Health (Premier network) in the 2026 plan year. Insurers also list Dr. Jaafar for 99 plans sold in 5 other states.

Michigan MarketplaceAmbetter Health9 HMO plans, Gold and Silver. Sold on HealthCare.gov.

New patientsNot acceptingAmbetter Health lists Dr. Jaafar as not accepting new patients.

MedicareAccepts assignmentOriginal Medicare, PECOS enrolled. Medicare Advantage networks are not in these files.

These are Marketplace (ACA) plans only. Employer, Medicare Advantage and Medicaid plans are not listed. Networks change during the year: confirm with your insurer or call (313) 966-8013 before booking.

108 plans · 2026 plan year

Michigan plans 9 plans

Plans sold to Michigan residents. Costs are for the standard version of each plan.

Ambetter Health

Premier network · Preferred tier · 9 plans · HMO · HealthCare.gov · listing updated Oct 14, 2026

Not accepting new patients

Elite GoldHMOGold$0$6,50058594MI0030021

Elite Gold + Vision + Adult DentalHMOGold$0$6,50058594MI0040023

Everyday GoldHMOGold$800$7,25058594MI0030020

Everyday Gold + Vision + Adult DentalHMOGold$800$7,25058594MI0040020

Standard GoldHMOGold$2,000$8,20058594MI0030025

Standard Gold + Vision + Adult DentalHMOGold$2,000$8,20058594MI0040026

Standard SilverHMOSilver$6,000$8,90058594MI0030024

Standard Silver + Vision + Adult DentalHMOSilver$6,000$8,90058594MI0040025

Clear SilverHMOSilver$7,000$7,00058594MI0030017

Also listed in other states 99 plans · 5 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.

CareSource · Indiana

Indiana network · Preferred tier · 22 plans · HMO · HealthCare.gov · listing updated Oct 15, 2026

Accepting new patientsDeductible $0 to $10,600

Platinum Zero $5 Generic DrugsHMOPlatinum$0$5,20054192IN0010029

Platinum Zero $5 Generic Drugs + Adult Vision & FitnessHMOPlatinum$0$5,20054192IN0020029

Gold 2000 $15 Generic DrugsHMOGold$2,000$8,20054192IN0010012

Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,000$8,20054192IN0020012

Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,000$8,50054192IN0010026

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,000$8,50054192IN0020026

Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,000$8,50054192IN0010030

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,000$8,50054192IN0020030

Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,000$9,50054192IN0010025

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,000$9,50054192IN0020025

Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,000$9,50054192IN0010032

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,000$9,50054192IN0020032

HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,500$5,50054192IN0010033

Silver 6000 $20 Generic DrugsHMOSilver$6,000$8,90054192IN0010014

Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,000$8,90054192IN0020014

Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,200$9,80054192IN0010011

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,200$9,80054192IN0020011

HSA Eligible Bronze 6000HMOExpanded Bronze$6,000$7,25054192IN0010010

Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,500$10,00054192IN0010015

Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,500$10,00054192IN0020015

Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,600$10,60054192IN0010020

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,600$10,60054192IN0020020

Ambetter Health · Kentucky

Premier network · Preferred tier · 16 plans · HMO · State exchange · kynect · listing updated Oct 14, 2026

Not accepting new patientsDeductible $800 to $8,450

Everyday GoldHMOGold$800$7,25072001KY0020010

Everyday Gold + Vision + Adult DentalHMOGold$800$7,25072001KY0030010

Complete GoldHMOGold$1,450$7,70072001KY0020009

Complete Gold + Vision + Adult DentalHMOGold$1,450$7,70072001KY0030009

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,900$8,35072001KY0020012

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,900$8,35072001KY0030012

Complete SilverHMOSilver$5,950$8,85072001KY0020005

Complete Silver + Vision + Adult DentalHMOSilver$5,950$8,85072001KY0030005

Focused SilverHMOSilver$6,300$8,40072001KY0020007

Focused Silver + Vision + Adult DentalHMOSilver$6,300$8,40072001KY0030007

Clear SilverHMOSilver$7,000$7,00072001KY0020006

Clear Silver + Vision + Adult DentalHMOSilver$7,000$7,00072001KY0030013

Choice Bronze HSAHMOExpanded Bronze$7,250$7,25072001KY0020002

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,250$7,25072001KY0030002

Everyday BronzeHMOExpanded Bronze$8,450$10,15072001KY0020003

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,450$10,15072001KY0030003

Ambetter Health · Ohio

Premier network · Preferred tier · 16 plans · HMO · HealthCare.gov · listing updated Oct 14, 2026

Not accepting new patientsDeductible $1,200 to $8,450

Clear GoldHMOGold$1,200$9,15041047OH0010067

Clear Gold + Vision + Adult DentalHMOGold$1,200$9,15041047OH0030071

Complete GoldHMOGold$1,450$7,50041047OH0010041

Complete Gold + Vision + Adult DentalHMOGold$1,450$7,50041047OH0030041

Standard GoldHMOGold$2,000$8,20041047OH0010071

Standard Gold + Vision + Adult DentalHMOGold$2,000$8,20041047OH0030074

Complete SilverHMOSilver$5,950$8,85041047OH0010025

Complete Silver + Vision + Adult DentalHMOSilver$5,950$8,85041047OH0030025

Standard SilverHMOSilver$6,000$8,90041047OH0010070

Standard Silver + Vision + Adult DentalHMOSilver$6,000$8,90041047OH0030073

Choice Bronze HSAHMOExpanded Bronze$7,250$7,25041047OH0010045

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,250$7,25041047OH0030045

Standard Expanded BronzeHMOExpanded Bronze$7,500$10,00041047OH0010069

Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,500$10,00041047OH0030072

Everyday BronzeHMOExpanded Bronze$8,450$10,15041047OH0010057

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,450$10,15041047OH0030057

Anthem Blue Cross and Blue Shield · Indiana

3 networks · 15 plans · HMO, POS · HealthCare.gov · listing updated Oct 15, 2026

Accepting new patientsDeductible $2,000 to $10,600

Anthem Essential and Rx Choice Tiered Network · 9 plans · Participating tier

Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,200$4,70017575IN0990012

Anthem Silver Essential 3500 HSA (+ Incentives)HMOSilver$3,500$8,45017575IN0990013

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$4,500$8,80017575IN0990002

Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$7,000$8,85017575IN0990003

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOBronze$10,150$10,15017575IN0990010

Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$4,500$10,15017575IN0990007

Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$5,500$10,15017575IN1000002

Anthem Bronze Essential 6500 HSA (+ Incentives)HMOExpanded Bronze$6,500$8,45017575IN0990011

Anthem Catastrophic Essential (+ Incentives)HMOCatastrophic$10,600$10,60017575IN0990004

Anthem Essential and Pharmacy Base Network · 4 plans · Participating tier

Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,000$8,20017575IN0990006

Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,000$8,90017575IN0990005

Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,500$10,00017575IN0990009

Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,500$10,00017575IN1000001

Anthem Essential, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$7,000$8,85017575IN0990001

Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOBronze$10,150$10,15017575IN0990008

Ambetter Health · Illinois

Premier network · Preferred tier · 11 plans · HMO · State exchange · Get Covered Illinois · listing updated Oct 14, 2026

Not accepting new patientsDeductible $800 to $7,000

Everyday GoldHMOGold$800$7,25027833IL0140064

Everyday Gold + Vision + Adult DentalHMOGold$800$7,25027833IL0150059

Central GoldHMOGold$1,000$5,50027833IL0140071

Central Gold + Vision + Adult DentalHMOGold$1,000$5,50027833IL0150071

Standard GoldHMOGold$2,000$8,20027833IL0140075

Standard Gold + Vision + Adult DentalHMOGold$2,000$8,20027833IL0150074

Standard SilverHMOSilver$6,000$8,90027833IL0140074

Standard Silver + Vision + Adult DentalHMOSilver$6,000$8,90027833IL0150073

Focused SilverHMOSilver$6,300$8,40027833IL0140063

Focused Silver + Vision + Adult DentalHMOSilver$6,300$8,40027833IL0150058

Clear SilverHMOSilver$7,000$7,00027833IL0140061

Ambetter Health · Indiana

Premier network · Preferred tier · 10 plans · HMO · HealthCare.gov · listing updated Oct 14, 2026

Not accepting new patientsDeductible $0 to $6,300

Elite GoldHMOGold$0$6,50035065IN0040007

Elite Gold + Vision + Adult DentalHMOGold$0$6,50035065IN0050006

Complete GoldHMOGold$1,450$7,50035065IN0040004

Complete Gold + Vision + Adult DentalHMOGold$1,450$7,50035065IN0050003

Standard GoldHMOGold$2,000$8,20035065IN0040013

Standard Gold + Vision + Adult DentalHMOGold$2,000$8,20035065IN0050012

Standard SilverHMOSilver$6,000$8,90035065IN0040001

Standard Silver + Vision + Adult DentalHMOSilver$6,000$8,90035065IN0050001

Focused SilverHMOSilver$6,300$8,40035065IN0040010

Focused Silver + Vision + Adult DentalHMOSilver$6,300$8,40035065IN0050009

Anthem Blue Cross and Blue Shield · Wisconsin

2 networks · 9 plans · POS · HealthCare.gov · listing updated Oct 14, 2026

Accepting new patientsDeductible $0 to $8,450

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,000$7,20079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,000$9,40079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,500$9,20079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$0$10,60079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,000$10,60079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,450$8,45079475WI0560002

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,000$8,20079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,000$8,90079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,500$10,00079475WI0560006

Questions about Dr. Jaafar’s insurance

Does Dr. Sami Jaafar take Ambetter Health?

Yes, for Michigan Marketplace plans: Ambetter Health lists Dr. Jaafar for 9 Michigan plans in 2026.

Is Dr. Sami Jaafar accepting new patients?

The insurers do not give one answer, so call (313) 966-8013 to confirm.

Do I need a referral to see Dr. Sami Jaafar?

Not under the Michigan plans that list Dr. Jaafar: the 2026 plan files say a specialist referral is not required.

Does Dr. Sami Jaafar accept Medicare?

Yes. CMS files show Dr. Jaafar 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	Loaded on NPI Profile
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.	CareSource: Oct 15, 2026 Anthem Blue Cross and Blue Shield: Oct 15, 2026 Ambetter Health: Oct 14, 2026	Oct 17, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026	Oct 17, 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Illinois and Kentucky. No document links.	Plan year 2026, Jun 3, 2026	Oct 20, 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.