ROMAN BERNSTEIN
Accepted Insurance for NPI 1669600607
Internal Medicine - Critical Care Medicine in Hialeah, FL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ROMAN BERNSTEIN, a internal medicine provider in Hialeah, FL, is listed as in-network for 81 health insurance plans from 3 insurance companies, led by Oscar Insurance Company, Oscar Health Maintenance Organization of Florida and HMO Louisiana. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
HMO Louisiana
Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible
Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits
Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue POS Copay (PCP) 60/40 $6000 Standardized
Blue POS Copay (PCP) 75/55 $2000 Standardized
Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits
Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR)
Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M)
Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible
Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible
Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible
Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR)
Precision Blue Copay (PCP) 60/40 $6000 Standardized (M)
Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR)
Precision Blue Copay (PCP) 75/55 $2000 Standardized (M)
Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits
Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible
Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Signature Blue Copay (PCP) 60/40 $6000 Standardized
Signature Blue Copay (PCP) 75/55 $2000 Standardized
Oscar Health Maintenance Organization of Florida
Bronze Classic 4700 | with AdventHealth
Bronze Classic 4700
Bronze Classic Standard | with AdventHealth
Bronze Classic Standard
Bronze Elite + PCP Saver Plus | with AdventHealth
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Gold Classic Standard | with AdventHealth
Gold Classic Standard
Gold Elite Saver Plus | with AdventHealth
Gold Simple | with AdventHealth
Gold Simple
Silver Classic Standard | with AdventHealth
Silver Classic Standard
Silver Elite | with AdventHealth
Silver Elite
Silver Simple Breathe Easy with Enhanced COPD Benefits
Silver Simple Chronic Care CKM | with AdventHealth
Silver Simple Chronic Care CKM
Silver Simple Diabetes | with AdventHealth
Silver Simple Diabetes
Silver Simple PCP Saver | with AdventHealth
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
Oscar Insurance Company
Bronze Classic 4700 | MercyOne
Bronze Classic 4700
Bronze Classic Standard | MercyOne
Bronze Classic Standard
Bronze Elite + PCP Saver Plus | MercyOne
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Bronze Simple Chronic Care CKM | MercyOne
Bronze Simple Diabetes | MercyOne
Gold Classic Standard | MercyOne
Gold Classic Standard
Gold Elite | MercyOne
Gold Elite
Secure | MercyOne
Secure
Silver Classic Standard | MercyOne
Silver Classic Standard
Silver Classic | MercyOne
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Silver Simple Chronic Care CKM | MercyOne
Silver Simple Diabetes | MercyOne
Silver Simple Diabetes
Silver Simple PCP Saver | MercyOne
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits | MercyOne
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 ROMAN BERNSTEIN accept?
Marketplace files for the 2026 plan year list ROMAN BERNSTEIN as in-network for 81 plans from 3 insurance companies. The largest networks are Oscar Insurance Company (26 plans), Oscar Health Maintenance Organization of Florida (26 plans), HMO Louisiana (21 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is ROMAN BERNSTEIN 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 ROMAN BERNSTEIN participate in?
The accepted plans include 26 EPO plans, 26 HMO plans and 21 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. 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.
