DR. KATHLEEN L MCDONALD M.D.
Accepted Insurance for NPI 1619081817
Pediatrics - Neonatal-Perinatal Medicine in Columbia, MD

Q: What managed care network types are accepted by this provider?

DR. KATHLEEN L MCDONALD M.D. is enrolled across the following managed care network types: HMO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.

NPI Status: Active since August 18, 2006

Contact Information

5755 CEDAR LN
COLUMBIA, MD
ZIP 21044
Phone: (410) 740-7544
Fax: (410) 740-7561

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. KATHLEEN L MCDONALD M.D., a practicing pediatrics professional in Columbia, MD. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 145 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, and CareSource. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

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Fitler by Network Type

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590010

Catastrophic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590050

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590020

Blue Cross Blue Shield of Arizona

AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008653901AZ142008753901AZ1420093

AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008853901AZ142008953901AZ142009053901AZ142009153901AZ142009253901AZ142009453901AZ1420095

AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142010853901AZ142010953901AZ1420115

AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142011053901AZ142011153901AZ142011253901AZ142011353901AZ142011453901AZ142011653901AZ1420117

AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009753901AZ142009853901AZ1420104

AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009953901AZ142010053901AZ142010153901AZ142010253901AZ142010353901AZ142010553901AZ1420106

AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000153901AZ142000253901AZ1420050

AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000353901AZ142000653901AZ142000753901AZ142004853901AZ142004953901AZ142005153901AZ1420052

AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000853901AZ142000953901AZ1420056

AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142001053901AZ142001353901AZ142001453901AZ142005453901AZ142005553901AZ142005753901AZ1420058

AZ Blue Portfolio Bronze HSA Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002253901AZ142002353901AZ1420068

AZ Blue Portfolio Bronze HSA Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002453901AZ142002753901AZ142002853901AZ142006653901AZ142006753901AZ142006953901AZ1420070

AZ Blue StandardHealth Bronze Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012253901AZ142012553901AZ1420143

AZ Blue StandardHealth Bronze Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012853901AZ142013153901AZ142013453901AZ142013753901AZ142014053901AZ142014653901AZ1420149

AZ Blue StandardHealth Gold Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012053901AZ142012353901AZ1420141

AZ Blue StandardHealth Gold Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012653901AZ142012953901AZ142013253901AZ142013553901AZ142013853901AZ142014453901AZ1420147

AZ Blue StandardHealth Silver Focus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012153901AZ142012453901AZ1420142

AZ Blue StandardHealth Silver Neighborhood

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012753901AZ142013053901AZ142013353901AZ142013653901AZ142013953901AZ142014553901AZ1420148

CareSource

Bronze 7500 $25 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010015

Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020015

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010026

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020026

Diabetes Silver 5000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010025

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020025

Gold 2000 $15 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010012

Gold 2000 $15 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020012

HDHP Preventive Silver 5500 $0 Chronic Care Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010033

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010030

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020030

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010032

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020032

HSA Eligible Bronze 6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010010

Low Premium Bronze 10600 $25 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010020

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020020

Low Premium Silver 6200 $3 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010011

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020011

Platinum Zero $5 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010029

Platinum Zero $5 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020029

Silver 6000 $20 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010014

Silver 6000 $20 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020014

Oscar Health Plan, Inc.

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070050

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070005

Bronze Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070072

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070056

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070057

Buena Salud Bronce Simple Para Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070058

Gold Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070013

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070053

Gold Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070073

Gold Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070068

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070052

Silver Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070030

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070060

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070063

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070025

Silver Simple Specialist Saver with COPD

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070008

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070064

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. KATHLEEN L MCDONALD M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, CareSource, Oscar Health Plan, Inc.. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

DR. KATHLEEN L MCDONALD M.D. is enrolled across the following managed care network types: HMO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.