ELAINE MARIE SENDRIJAS SIMON DO
Accepted Insurance for NPI 1710629522
Internal Medicine in Birmingham, AL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ELAINE MARIE SENDRIJAS SIMON DO, a internal medicine provider in Birmingham, AL, is listed as in-network for 21 health insurance plans from Blue Cross and Blue Shield of Alabama. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Alabama
Blue Access Gold for Business
Blue Choice Platinum for Business
Blue Cross Select Gold
Blue Cross Select Silver
Blue HSA Bronze
Blue HSA Silver for Business
Blue Protect
Blue Saver Bronze for Business
Blue Saver Bronze
Blue Saver Gold for Business
Blue Saver Silver EPO
Blue Secure Gold for Business
Blue Secure Silver for Business
Blue Standardized Bronze
Blue Standardized Gold
Blue Standardized Silver EPO
Blue Standardized Silver
Blue Standardized Statewide Silver EPO
Blue Statewide Silver EPO
Blue Value Gold
Blue Value Silver
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 ELAINE MARIE SENDRIJAS SIMON DO accept?
Marketplace files for the 2026 plan year list ELAINE MARIE SENDRIJAS SIMON DO as in-network for 21 plans from Blue Cross and Blue Shield of Alabama. The full list above shows each plan's metal level, network type, and plan IDs.
Is ELAINE MARIE SENDRIJAS SIMON DO 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 ELAINE MARIE SENDRIJAS SIMON DO participate in?
The accepted plans include 17 PPO plans and 4 EPO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
