DR. SAQIB AHMED M.D.
Accepted Insurance for NPI 1801214721
Dermatology - MOHS-Micrographic Surgery in Longwood, FL

Q: What managed care network types are accepted by this provider?

DR. SAQIB AHMED M.D. is enrolled across the following managed care network types: EPO, HMO, POS, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.

Quality Rating: 97.5 out of 100 score

NPI Status: Active since March 29, 2014

Contact Information

515 W SR 434 STE 210
LONGWOOD, FL
ZIP 32750
Phone: (407) 332-8080
Fax: (407) 260-0602

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. SAQIB AHMED M.D., a practicing dermatology professional in Longwood, FL. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 191 individual coverage options managed by medical networks, including networks like Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), and Health First Commercial Plans, Inc.. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Insurance Carrier Navigation Index

Florida Blue (BlueCross BlueShield FL)
Florida Blue HMO (a BlueCross BlueShield FL company)
Health First Commercial Plans, Inc.
Oscar Health Maintenance Organization of Florida
UnitedHealthcare

Search Insurance Plans

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Fitler by Network Type

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260010

BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260004

BlueOptions Bronze 24J01-06 (Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260006

BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260017

BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260018

BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260009

BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260012

BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260020

BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260005

BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260008

BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260021

BlueOptions Silver 24J01-03 ($10 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260003

BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260007

BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260019

BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120078

BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120068

BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120091

BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320014

BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310014

BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120093

BlueSelect Bronze 24L01-01 (Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120001

BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120076

BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310001

BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120086

BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120095

BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120062

BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120070

BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120096

BlueSelect Silver 1443 ($10 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120072

BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320004

BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310004

BlueSelect Silver 1456 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120033

BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120094

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140009

BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140003

BlueCare Bronze 24K01-05 (Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140005

BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140025

BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140031

BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140017

BlueCare Bronze 24K02-18 (Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140018

BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140023

BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140026

BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140008

BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140010

BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140033

BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140020

BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140028

BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140004

BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140007

BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140034

BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140015

BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140029

BlueCare Silver 24K01-02 ($10 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140002

BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140006

BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140032

BlueCare Silver 24K02-21 ($10 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140021

BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140027

myBlue Bronze 1601 (3 PCP Visits for $0 then $25 / $75 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070001

myBlue Bronze 2013 (3 PCP Visits for $0 then $5 / $75 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070025

myBlue Bronze 2129 ($35 PCP Visits / $75 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070031

myBlue Bronze 2129E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200009

myBlue Bronze 2129V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190009

myBlue Bronze 2149 ($35 PCP Visits / $75 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070033

myBlue Bronze 2149E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200010

myBlue Bronze 2149V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190010

myBlue Bronze 2219 ($75 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070039

myBlue Bronze 2286 ($75 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070041

myBlue Bronze 2312S ($50 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070044

myBlue Bronze 2322S ($50 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070045

myBlue Bronze 26M01-23 (Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070065

myBlue Bronze 26M02-24 (Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070066

myBlue Connected Care Silver 24M03-70 ($0 Primary Care Visits with Select Providers / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070070

myBlue Gold 1605 ($0 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070009

myBlue Gold 2011 ($0 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070023

myBlue Gold 2016 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070028

myBlue Gold 2314S ($30 PCP Visits / $60 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070055

myBlue Gold 2325S ($30 PCP Visits / $60 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070056

myBlue Gold 24M05-74 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070074

myBlue Platinum 2015 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070027

myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070058

myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070100

myBlue Platinum 24M05-75 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070075

myBlue Silver 2010 (Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070022

myBlue Silver 2010E (Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200003

myBlue Silver 2010V (Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190003

myBlue Silver 2237 ($60 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070035

myBlue Silver 2237E ($60 PCP Visits / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200011

myBlue Silver 2237V ($60 PCP Visits / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190011

myBlue Silver 2313S ($40 PCP Visits / $80 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070053

myBlue Silver 2323S ($40 PCP Visits / $80 Specialist Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070054

myBlue Silver 24M02-78 ($50 PCP Visits / $20 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070078

myBlue Silver 24M02-78E ($50 PCP Visits / $20 Labs / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200032

myBlue Silver 24M02-78V ($50 PCP Visits / $20 Labs / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190028

myBlue Silver 24M03-70E ($0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200029

myBlue Silver 24M03-70V ($0 Primary Care Visits with Select Providers / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190025

myBlue Silver 24M06-76 ($50 PCP Visits / $15 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070076

myBlue Silver 24M06-76E ($50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200034

myBlue Silver 24M06-76V ($50 PCP Visits / $15 Labs / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190030

myBlue Silver 25M02-03 ($0 Labs / $50 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070103

myBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200038

myBlue Silver 25M02-03V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190034

myBlue Silver 25M03-01 ($0 Primary Care Visits with Select Providers / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070101

myBlue Silver 25M03-01E ($0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200036

myBlue Silver 25M03-01V ($0 Primary Care Visits with Select Providers / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190032

myBlue Silver 25M06-02 ($0 Labs / $50 PCP Visits / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070102

myBlue Silver 25M06-02E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200037

myBlue Silver 25M06-02V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190033

myBlue Silver 26M02-04 ($5 PCP Visits / $5 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070062

myBlue Silver 26M02-04E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200008

myBlue Silver 26M02-04V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190008

myBlue Silver 26M03-02 ($0 Primary Care Visits with Select Providers / $5 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070061

myBlue Silver 26M03-02E ($0 Primary Care Visits with Select Providers / $5 Labs / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200007

myBlue Silver 26M03-02V ($0 Primary Care Visits with Select Providers / $5 Labs / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190007

myBlue Silver 26M06-03 ($5 PCP Visits / $5 Labs / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0070063

myBlue Silver 26M06-03E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0200012

myBlue Silver 26M06-03V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0190012

Health First Commercial Plans, Inc.

Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160009

Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0460003

Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0440001

Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0480001

Bronze Standard 1828

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160011

Bronze Value 1814 (High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0410001

Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0470001

Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0450003

Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0450002

Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0460002

Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0440003

Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0480003

Gold Standard 1833

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160013

Gold Value 1819 ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0410003

Gold Value 1819 + Adult Dental + Adult Vision ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0470003

Gold Value 1819 + Enhanced Diabetes Benefits ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0500002

Silver 1664 (Primary Care & Specialist Copays, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0450001

Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0460001

Silver Savings 1821 (Primary Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0440002

Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0480002

Silver Standard 1829

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0160012

Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0410002

Silver Value 1815 + Adult Dental + Adult Vision ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0470002

Silver Value 1815 + Enhanced Diabetes Benefits ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NATIONAL Tier

Accepted Plan ID Variations

36194FL0500001

Oscar Health Maintenance Organization of Florida

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020002

Bronze Classic 4700 | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010004

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000121525FL0020001

Bronze Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010002

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020003

Bronze Elite + PCP Saver Plus | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010005

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000621525FL0020004

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000721525FL0020005

Bronze Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000821525FL0020006

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001921525FL0020015

Gold Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010020

Gold Elite Saver Plus | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010022

Gold Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020016

Gold Simple | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010023

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000921525FL0020007

Silver Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010010

Silver Elite

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020008

Silver Elite | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010012

Silver Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001321525FL0020009

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020010

Silver Simple Chronic Care CKM | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010014

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020011

Silver Simple Diabetes | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010015

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020012

Silver Simple PCP Saver | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010016

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001721525FL0020013

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030045

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060007

UHC Bronze Essential ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030058

UHC Bronze Essential- ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0090001

UHC Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030042

UHC Bronze Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060006

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030057

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060001

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030034

UHC Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030036

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030048

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060002

UHC Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030040

UHC Silver Standard-

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0090002

UHC Silver Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060005

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0030046

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

68398FL0060004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. SAQIB AHMED M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Health First Commercial Plans, Inc., Oscar Health Maintenance Organization of Florida, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

DR. SAQIB AHMED M.D. is enrolled across the following managed care network types: EPO, HMO, POS, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.