LEAH ROSE GARGUENA-BACUTA M.D.
Accepted Insurance for NPI 1679575708
Pediatrics in San Antonio, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
LEAH ROSE GARGUENA-BACUTA M.D., a pediatrics provider in San Antonio, TX, is listed as in-network for 499 health insurance plans from 2 insurance companies, led by UnitedHealthcare and Blue Cross and Blue Shield of Texas. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Bronze Essential ($0 Virtual Urgent Care)
UHC Bronze Standard+ (Dental + Vision)
UHC Bronze Standard
UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Gold Standard
UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Sanitas Bronze Standard
UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Sanitas Gold Standard
UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Sanitas Silver Standard
UHC Sanitas Silver Value ($0 Virtual Urgent Care)
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
UHC Silver Standard
UHC Silver Value ($0 Virtual Urgent Care)
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision)
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 LEAH ROSE GARGUENA-BACUTA M.D. accept?
Marketplace files for the 2026 plan year list LEAH ROSE GARGUENA-BACUTA M.D. as in-network for 499 plans from 2 insurance companies. The largest networks are UnitedHealthcare (25 plans), Blue Cross and Blue Shield of Texas (19 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is LEAH ROSE GARGUENA-BACUTA M.D. 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 LEAH ROSE GARGUENA-BACUTA M.D. participate in?
The accepted plans include 35 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.
