DR. PATRICK E PRATH MD
Accepted Insurance for NPI 1659799708
Internal Medicine - Medical Oncology in Sugar Land, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. PATRICK E PRATH MD, a internal medicine provider in Sugar Land, TX, is listed as in-network for 41 health insurance plans from 3 insurance companies, led by WellPoint, Molina Healthcare and Community Health Choice. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Community Health Choice
Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Molina Healthcare
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Gold Core 1640 Plus with Adult Vision
Molina Gold Core 1640
Molina Gold Saver 750 Plus with Adult Dental and Vision
Molina Gold Saver 750 Plus with Adult Vision
Molina Gold Saver 750
Molina Gold Standard
Molina Silver Core Plus with Adult Dental and Vision
Molina Silver Core Plus with Adult Vision
Molina Silver Core
Molina Silver Saver with Four Free PCP Visits
Molina Silver Standard
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 DR. PATRICK E PRATH MD accept?
Marketplace files for the 2026 plan year list DR. PATRICK E PRATH MD as in-network for 41 plans from 3 insurance companies. The largest networks are WellPoint (21 plans), Molina Healthcare (12 plans), Community Health Choice (4 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. PATRICK E PRATH MD 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 DR. PATRICK E PRATH MD participate in?
The accepted plans include 28 HMO plans and 9 POS 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.
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.
