DR. SUSAN P NOVAK M.D.
Accepted Insurance for NPI 1720075021
Obstetrics & Gynecology in San Antonio, TX

Active since October 02, 2005PECOS EnrolledAccepts Medicare Assignment
502 MADISON OAK DR, SUITE 440, SAN ANTONIO, TX 78258(210) 946-1300(210) 402-1568 Get Directions

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 7, 2023, Aug 17, 2022 (2 updates tracked since 2022).

Does Dr. Novak take my insurance?

134 Texas plans sold on HealthCare.gov for 2027 include Dr. Novak, from Oscar Health, Antidote Health of TX, Blue Cross and Blue Shield of Texas and 4 other insurers. Ambetter Health also lists Dr. Novak in Arizona, Arkansas, Louisiana and Oklahoma.

Call before you book: insurer directories can be out of date, so call the office at (210) 946-1300 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Texas Medicaid ID; ask the office which Medicaid plans it takes.

204 plans · 828 plan IDs · 2027 plan year

Texas plans 134 plans · 758 plan IDs

Plans sold to Texas residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Oscar Health

28 plans · EPO, HMO
Accepting new patients
Individual Texas EPO network · 14 plans · Preferred tier
Gold Elite Saver PlusEPOGold$020069TX0100056
Gold Elite Saver Plus with Adult Dental & VisionEPOGold$020069TX0100079
Gold Classic StandardEPOGold$2,50020069TX0100053
Gold SimpleEPOGold$2,75020069TX0100055
Silver Simple PCP SaverEPOSilver$5,75020069TX0100025
Silver Classic StandardEPOSilver$6,40020069TX0100052
Silver Core PlanEPOSilver$9,00020069TX0100069
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$020069TX0100005
Bronze Classic 4700EPOExpanded Bronze$4,70020069TX0100024
Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50020069TX0100059
Bronze Simple DiabetesEPOExpanded Bronze$5,50020069TX0100068
Bronze Simple Diabetes with Adult Dental & VisionEPOExpanded Bronze$5,50020069TX0100081
Bronze Classic StandardEPOExpanded Bronze$7,50020069TX0100050
Bronze Simple Breathe Easy with Enhanced COPD BenefitsEPOExpanded Bronze$9,00020069TX0100064
Individual Texas HMO network · 14 plans · Preferred tier
Gold Elite Saver Plus Guided CareHMOGold$020069TX0510113
Gold Simple Diabetes Guided CareHMOGold$2,00020069TX0510037
Gold Simple Diabetes Guided Care with Adult Dental & VisionHMOGold$2,00020069TX0510181
Gold Classic Standard Guided CareHMOGold$2,50020069TX0510032
Gold Simple Guided CareHMOGold$2,75020069TX0510021
Gold Simple Guided Care with Adult Dental & VisionHMOGold$2,75020069TX0510149
Silver Simple PCP Saver Guided CareHMOSilver$5,75020069TX0510011
Silver Simple Women's Health with Menopause Benefits Guided CareHMOSilver$6,00020069TX0510008
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided CareHMOSilver$6,20020069TX0510001
Silver Classic Standard Guided CareHMOSilver$6,40020069TX0510031
Silver Simple Chronic Care CKM Guided CareHMOSilver$6,50020069TX0510012
Silver Simple Diabetes Guided CareHMOSilver$6,50020069TX0510013
Silver Simple Diabetes Guided Care with Adult Dental & VisionHMOSilver$6,50020069TX0510173
Silver Core Plan Guided CareHMOSilver$9,00020069TX0510133

Antidote Health of TX

27 plans · EPO
Accepting new patients
Gold StandardEPOGold$2,50011819TX0030030
Gold Elite Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsEPOGold$3,00011819TX0030230
Gold Elite+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsEPOGold$3,00011819TX0030231
Gold Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxEPOGold$3,00011819TX0030084
Gold Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxEPOGold$3,00011819TX0030085
Gold Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinEPOGold$3,00011819TX0030082
Gold Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinEPOGold$3,00011819TX0030083
Gold Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsEPOGold$4,00011819TX0030080
Gold Essential+Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsEPOGold$4,00011819TX0030081
Silver StandardEPOSilver$6,40011819TX0030020
Silver Elite Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsEPOSilver$6,50011819TX0030220
Silver Elite+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsEPOSilver$6,50011819TX0030221
Silver Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxEPOSilver$7,50011819TX0030074
Silver Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxEPOSilver$7,50011819TX0030075
Silver Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinEPOSilver$7,50011819TX0030072
Silver Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinEPOSilver$7,50011819TX0030073
Silver Essential +Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsEPOSilver$7,50011819TX0030071
Silver Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsEPOSilver$7,50011819TX0030070
Bronze Enhanced Blood Pressure Management Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxEPOBronze$8,70011819TX0030064
Bronze Enhanced Blood Pressure Management+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and $0 Advanced RxEPOBronze$8,70011819TX0030065
Bronze Enhanced Diabetes Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinEPOBronze$8,70011819TX0030062
Bronze Enhanced Diabetes+Dental Unlimited $0 Antidote PCP/Urgent Virtual Visits and Select $0 InsulinEPOBronze$8,70011819TX0030063
Bronze Essential Unlimited $0 Antidote PCP/Urgent Virtual VisitsEPOBronze$8,70011819TX0030060
Bronze Essential+Dental Unlimited $0 Antidote PCP/Urgent Virtual VisitsEPOBronze$8,70011819TX0030061
Bronze Elite $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsEPOExpanded Bronze$011819TX0030212
Bronze Elite+Dental $0 Deductible Unlimited $0 Antidote PCP/Urgent Virtual Visits and More $0 BenefitsEPOExpanded Bronze$011819TX0030213
Bronze StandardEPOExpanded Bronze$7,50011819TX0030010

Blue Cross and Blue Shield of Texas

25 plans · HMO, POS
Accepting new patients
Blue Advantage network · 18 plans · Blue Advantage HMO tier
Blue Advantage Gold HMOâ„  - MaxHMOGold$55033602TX0460548
Blue Advantage Gold HMOâ„  - SecureHMOGold$1,80033602TX0460809
Blue Advantage Plus Goldâ„  - SecurePOSGold$1,80033602TX0870005
Blue Advantage Gold HMOâ„  - StandardHMOGold$2,50033602TX0460925
Blue Advantage Plus Goldâ„  - BalancePOSGold$2,50033602TX0870011
Blue Advantage Plus Goldâ„  - StandardPOSGold$2,50033602TX0870006
Blue Advantage Plus Silverâ„  - ChampionPOSSilver$3,10033602TX0870009
Blue Advantage Silver HMOâ„  - ChampionHMOSilver$3,10033602TX0460553
Blue Advantage Plus Silverâ„  - StandardPOSSilver$6,40033602TX0870010
Blue Advantage Silver HMOâ„  - StandardHMOSilver$6,40033602TX0460926
Blue Advantage Plus Silverâ„  - BalancePOSSilver$7,00033602TX0870007
Blue Advantage Silver HMOâ„  - BalanceHMOSilver$7,00033602TX0461083
Blue Advantage Bronze HMOâ„  - Standard HSAHMOExpanded Bronze$7,50033602TX0461033
Blue Advantage Plus Bronzeâ„  - Standard HSAPOSExpanded Bronze$7,50033602TX0870004
Blue Advantage Plus Bronzeâ„  - Support HSAPOSExpanded Bronze$8,00033602TX0870002
Blue Advantage Bronze HMOâ„  - Balance HSAHMOExpanded Bronze$11,75033602TX0460554
Blue Advantage Plus Securityâ„  - HSAPOSCatastrophic$12,00033602TX0870298
Blue Advantage Security HMOâ„  - HSAHMOCatastrophic$12,00033602TX0460552
MyBlueHealth network · 7 plans · Myblue Health tier
MyBlue Health Goldâ„  - ChampionHMOGold$1,20033602TX0461081
MyBlue Health Goldâ„  - StandardHMOGold$2,50033602TX0461088
MyBlue Health Silverâ„  - ChampionHMOSilver$3,10033602TX0461082
MyBlue Health Silverâ„  - StandardHMOSilver$6,40033602TX0461089
MyBlue Health Bronzeâ„  - Champion HSAHMOExpanded Bronze$5,00033602TX0461080
MyBlue Health Bronzeâ„  - Standard HSAHMOExpanded Bronze$7,50033602TX0461087
MyBlue Health Securityâ„  - HSAHMOCatastrophic$12,00033602TX0461226

UnitedHealthcare

25 plans · HMO
Accepting new patients
Individual Exchange Benefit Plan Network · 14 plans · Non Preferred tier
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)HMOGold$040220TX0080055
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision)HMOGold$040220TX0090008
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin)HMOGold$1,40040220TX0080028
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision)HMOGold$1,40040220TX0090002
UHC Gold Standard ($0 Insulin)HMOGold$2,50040220TX0080024
UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)HMOSilver$3,50040220TX0080025
UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision)HMOSilver$3,50040220TX0090004
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin)HMOSilver$3,80040220TX0080026
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision)HMOSilver$3,80040220TX0090001
UHC Silver Standard ($0 Insulin)HMOSilver$6,40040220TX0080020
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin)HMOBronze$11,75040220TX0080045
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin)HMOExpanded Bronze$040220TX0080031
UHC Bronze Standard (HSA, $0 Insulin)HMOExpanded Bronze$7,50040220TX0080015
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision)HMOExpanded Bronze$7,50040220TX0090005
Sanitas Anchor Network · 11 plans · Non Preferred tier
UHC Sanitas 18 Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)HMOGold$070754TX0020006
UHC Sanitas 18 Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin, Dental + Vision)HMOGold$070754TX0030003
UHC Sanitas 18 Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin)HMOGold$1,40070754TX0020009
UHC Sanitas 18 Gold Standard ($0 Insulin)HMOGold$2,50070754TX0020005
UHC Sanitas 18 Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin)HMOSilver$070754TX0020004
UHC Sanitas 18 Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision)HMOSilver$070754TX0030002
UHC Sanitas 18 Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, $0 Insulin)HMOSilver$3,50070754TX0020008
UHC Sanitas 18 Silver Standard ($0 Insulin)HMOSilver$6,40070754TX0020003
UHC Sanitas 18 Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin)HMOExpanded Bronze$070754TX0020002
UHC Sanitas 18 Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision)HMOExpanded Bronze$070754TX0030001
UHC Sanitas 18 Bronze Standard (HSA, $0 Insulin)HMOExpanded Bronze$7,50070754TX0020001

Ambetter Health

17 plans · EPO
Not accepting new patients
Everyday GoldEPOGold$80029418TX0140102
Everyday Gold + Vision + Adult DentalEPOGold$80029418TX0160102
Complete GoldEPOGold$1,45029418TX0140064
Complete Gold + Vision + Adult DentalEPOGold$1,45029418TX0160020
Signature GoldEPOGold$2,50029418TX0140109
Signature Gold + Vision + Adult DentalEPOGold$2,50029418TX0160052
Streamlined SilverEPOSilver$4,70029418TX0140087
Enhanced Diabetes Care Silver $0 Rx OptionsEPOSilver$5,00029418TX0140049
Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalEPOSilver$5,00029418TX0160053
Focused SilverEPOSilver$6,30029418TX0140100
Focused Silver + Vision + Adult DentalEPOSilver$6,30029418TX0160100
Signature SilverEPOSilver$6,40029418TX0140108
Signature Silver + Vision + Adult DentalEPOSilver$6,40029418TX0160054
Signature Expanded BronzeEPOExpanded Bronze$7,50029418TX0140086
Signature Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50029418TX0160056
Choice Bronze HSAEPOExpanded Bronze$7,95029418TX0140111
Choice Bronze HSA + Vision + Adult DentalEPOExpanded Bronze$7,95029418TX0160058

Imperial Insurance Companies

8 plans · HMO
Accepting new patients
Imperial Preferred Gold ZeroHMOGold$034826TX0010001
Imperial Preferred GoldHMOGold$1,00034826TX0030003
Imperial Classic GoldHMOGold$2,50034826TX0020003
Imperial Classic SilverHMOSilver$6,40034826TX0020002
Imperial Preferred SilverHMOSilver$6,50034826TX0030002
Imperial Preferred BronzeHMOBronze$9,50034826TX0030001
Imperial Classic BronzeHMOExpanded Bronze$7,50034826TX0020001
Imperial Preferred CatastrophicHMOCatastrophic$12,00034826TX0030004

Harbor Health

4 plans · HMO
Accepting new patients
Gold 1S $0 Deductible $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab $0 Imaging & $0 Outpatient ProceduresHMOGold$037758TX0010057
Gold 1SS $30 PCP $30 Mental Health Office Visit $30 Express CareHMOGold$2,50037758TX0010076
Silver 1SS $40 PCP $40 Mental Health Office Visit $40 Express CareHMOSilver$6,40037758TX0010077
Silver 1S $0 PCP $0 Specialty Visit with PCP Referral + PCP Referral may unlock $0 Lab, $0 ImagingHMOSilver$8,00037758TX0010059

Also listed in other states 70 plans · 4 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Oklahoma

21 plans · PPO
Not accepting new patientsDeductible $0 to $9,350
Elite GoldPPOGold$062505OK0120016
Elite Gold + Vision + Adult DentalPPOGold$062505OK0130017
Everyday GoldPPOGold$80062505OK0120014
Everyday Gold + Vision + Adult DentalPPOGold$80062505OK0130014
Signature GoldPPOGold$2,50062505OK0120021
Signature Gold + Vision + Adult DentalPPOGold$2,50062505OK0130021
Streamlined SilverPPOSilver$4,70062505OK0120026
Enhanced Diabetes Care Silver $0 Rx OptionsPPOSilver$5,00062505OK0120024
Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalPPOSilver$5,00062505OK0130024
Enhanced Asthma/COPD Care Silver $0 Rx OptionsPPOSilver$5,90062505OK0120023
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult DentalPPOSilver$5,90062505OK0130023
Focused SilverPPOSilver$6,30062505OK0120012
Focused Silver + Vision + Adult DentalPPOSilver$6,30062505OK0130012
Signature SilverPPOSilver$6,40062505OK0120020
Signature Silver + Vision + Adult DentalPPOSilver$6,40062505OK0130025
Elite BronzePPOExpanded Bronze$062505OK0120006
Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062505OK0130006
Signature Expanded BronzePPOExpanded Bronze$7,50062505OK0120019
Signature Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062505OK0130019
Everyday BronzePPOExpanded Bronze$9,35062505OK0120002
Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$9,35062505OK0130002

Ambetter Health · Louisiana

19 plans · EPO
Not accepting new patientsDeductible $0 to $9,350
Elite GoldEPOGold$090787LA0010008
Elite Gold + Vision + Adult DentalEPOGold$090787LA0020008
Complete GoldEPOGold$1,45090787LA0010006
Complete Gold + Vision + Adult DentalEPOGold$1,45090787LA0020005
Signature GoldEPOGold$2,50090787LA0010011
Signature Gold + Vision + Adult DentalEPOGold$2,50090787LA0020011
Streamlined SilverEPOSilver$4,70090787LA0010015
Enhanced Diabetes Care Silver $0 Rx OptionsEPOSilver$5,00090787LA0010014
Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalEPOSilver$5,00090787LA0020015
Focused SilverEPOSilver$6,30090787LA0010005
Focused Silver + Vision + Adult DentalEPOSilver$6,30090787LA0020004
Signature SilverEPOSilver$6,40090787LA0010010
Signature Silver + Vision + Adult DentalEPOSilver$6,40090787LA0020014
Elite BronzeEPOExpanded Bronze$090787LA0010002
Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$090787LA0020002
Signature Expanded BronzeEPOExpanded Bronze$7,50090787LA0010009
Signature Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50090787LA0020009
Everyday BronzeEPOExpanded Bronze$9,35090787LA0010001
Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$9,35090787LA0020001

Ambetter Health · Arkansas

15 plans · POS
Not accepting new patientsDeductible $0 to $7,950
Elite Gold (QualChoice)POSGold$070525AR0070268
Elite Gold (QualChoice) + Vision + Adult DentalPOSGold$070525AR0210002
Clear Gold (QualChoice)POSGold$1,20070525AR0070264
Clear Gold (QualChoice) + Vision + Adult DentalPOSGold$1,20070525AR0210009
Signature Gold (QualChoice)POSGold$2,50070525AR0070289
Signature Gold (QualChoice) + Vision + Adult DentalPOSGold$2,50070525AR0210003
Streamlined Silver (QualChoice)POSSilver$4,70070525AR0070266
Signature Silver (QualChoice)POSSilver$6,40070525AR0070288
Signature Silver (QualChoice) + Vision + Adult DentalPOSSilver$6,40070525AR0210005
Elite Bronze (QualChoice)POSExpanded Bronze$070525AR0070265
Elite Bronze (QualChoice) + Vision + Adult DentalPOSExpanded Bronze$070525AR0210010
Signature Expanded Bronze (QualChoice)POSExpanded Bronze$7,50070525AR0070287
Signature Expanded Bronze (QualChoice) + Vision + Adult DentalPOSExpanded Bronze$7,50070525AR0210007
Choice Bronze HSA (QualChoice)POSExpanded Bronze$7,95070525AR0070285
Choice Bronze HSA (QualChoice) + Vision + Adult DentalPOSExpanded Bronze$7,95070525AR0210008

Ambetter Health · Arizona

15 plans · HMO
Not accepting new patientsDeductible $800 to $9,350
Everyday GoldHMOGold$80091450AZ0080093
Everyday Gold + Vision + Adult DentalHMOGold$80091450AZ0180004
Signature GoldHMOGold$2,50091450AZ0080124
Signature Gold + Vision + Adult DentalHMOGold$2,50091450AZ0180106
Summit SilverHMOSilver$4,10091450AZ0080094
Signature SilverHMOSilver$6,40091450AZ0080123
Signature Silver + Vision + Adult DentalHMOSilver$6,40091450AZ0180105
Complete SilverHMOSilver$6,95091450AZ0080044
Complete Silver + Vision + Adult DentalHMOSilver$6,95091450AZ0180044
Signature Expanded BronzeHMOExpanded Bronze$7,50091450AZ0080122
Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50091450AZ0180104
Choice Bronze HSAHMOExpanded Bronze$7,95091450AZ0080037
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,95091450AZ0180037
Everyday BronzeHMOExpanded Bronze$9,35091450AZ0080119
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$9,35091450AZ0180119

Questions about Dr. Novak’s insurance

What insurance does Dr. Novak take?

In Texas, Oscar Health, Antidote Health of TX, Blue Cross and Blue Shield of Texas, UnitedHealthcare, Ambetter Health, Imperial Insurance Companies and Harbor Health include Dr. Novak in 134 Marketplace plans for 2027. Call the office at (210) 946-1300 to confirm your plan before booking.

Do I need a referral to see Dr. Novak?

It depends on the plan: 72 of 134 Texas plans require a specialist referral.

Does Dr. Novak accept Medicare?

Yes. CMS files show Dr. Novak accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Oscar Health: Nov 5, 2026
Ambetter Health: Nov 4, 2026
UnitedHealthcare: Nov 3, 2026
Harbor Health: Nov 2, 2026
Imperial Insurance Companies: Oct 22, 2026
Blue Cross and Blue Shield of Texas: Oct 16, 2026
Antidote Health of TX: Jan 1, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2027, Oct 20, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.