DR. ROBERTO ALEJANDRO HERNANDO MD
Accepted Insurance for NPI 1811985708
Psychiatry & Neurology - Psychiatry in Miami, FL

Active since October 13, 2005PECOS EnrolledAccepts Medicare Assignment

9350 SUNSET DR STE 151, MIAMI, FL 33173(305) 274-9206(305) 274-9254 Get Directions

NPPES record last updated: November 19, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Nov 19, 2024, Nov 14, 2024, May 25, 2023 and 2 more (5 updates tracked since 2016).

Does Dr. Hernando take my insurance?

100 Florida plans sold on HealthCare.gov for 2026 include Dr. Hernando, from Oscar Health, Ambetter Health, Wellpoint and AmeriHealth Caritas Next. Insurers also list Dr. Hernando in Alabama, Georgia, Illinois and Iowa.

InsurersOscar Health 56 plans Ambetter Health 21 plans Wellpoint 15 plans AmeriHealth Caritas Next 8 plans

Also listed inAlabama, Georgia, Illinois and Iowa

Call before you book: insurer directories can be out of date, so call the office at (305) 274-9206 to confirm your plan is accepted.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 Florida Medicaid ID; ask the office which Medicaid plans it takes.

Florida plans 100 plans · 135 plan IDs

Plans sold to Florida 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

56 plans · HMO

Accepting new patients

Individual Florida Standard network · 42 plans · Preferred tier

Gold BasicHMOGold$021525FL0020035

Gold Basic | with AdventHealthHMOGold$021525FL0010071

Gold Simple DiabetesHMOGold$2,00021525FL0020020

Gold SImple Diabetes with Adult Dental & VisionHMOGold$2,00021525FL0020032

Gold Simple Diabetes with Adult Dental & Vision | with AdventHealthHMOGold$2,00021525FL0010057

Gold Simple Diabetes | with AdventHealthHMOGold$2,00021525FL0010036

Gold Classic StandardHMOGold$2,50021525FL0020015

Gold Classic Standard | with AdventHealthHMOGold$2,50021525FL0010020

Gold Simple with Adult Dental & Vision | with AdventHealthHMOGold$2,75021525FL0010051

Gold Simple | with AdventHealthHMOGold$2,75021525FL0010023

Silver Simple PCP SaverHMOSilver$5,75021525FL0020012

Silver Simple PCP Saver | with AdventHealthHMOSilver$5,75021525FL0010016

Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0020013

Silver Simple Women's Health with Menopause Benefits | with AdventHealthHMOSilver$6,00021525FL0010045

Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0020009

Silver Simple Breathe Easy with Enhanced COPD Benefits | with AdventHealthHMOSilver$6,20021525FL0010042

Silver Classic StandardHMOSilver$6,40021525FL0020007

Silver Classic Standard | with AdventHealthHMOSilver$6,40021525FL0010010

Silver Simple Chronic Care CKMHMOSilver$6,50021525FL0020010

Silver Simple Chronic Care CKM | with AdventHealthHMOSilver$6,50021525FL0010014

Silver Simple DiabetesHMOSilver$6,50021525FL0020011

Silver Simple Diabetes with Adult Dental & VisionHMOSilver$6,50021525FL0020031

Silver Simple Diabetes with Adult Dental & Vision | with AdventHealthHMOSilver$6,50021525FL0010056

Silver Simple Diabetes | with AdventHealthHMOSilver$6,50021525FL0010015

Silver Core PlanHMOSilver$9,00021525FL0020018

Silver Core Plan | with AdventHealthHMOSilver$9,00021525FL0010034

Bronze Elite + PCP Saver PlusHMOExpanded Bronze$021525FL0020003

Bronze Elite + PCP Saver Plus with Adult Dental & VisionHMOExpanded Bronze$021525FL0020024

Bronze Elite + PCP Saver Plus with Adult Dental & Vision | with AdventHealthHMOExpanded Bronze$021525FL0010049

Bronze Elite + PCP Saver Plus | with AdventHealthHMOExpanded Bronze$021525FL0010005

Bronze Classic 4700HMOExpanded Bronze$4,70021525FL0020002

Bronze Classic 4700 | with AdventHealthHMOExpanded Bronze$4,70021525FL0010004

Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0020005

Bronze Simple Chronic Care CKM | with AdventHealthHMOExpanded Bronze$5,50021525FL0010028

Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0020006

Bronze Simple Diabetes with Adult Dental & VisionHMOExpanded Bronze$5,50021525FL0020029

Bronze Simple Diabetes with Adult Dental & Vision | with AdventHealthHMOExpanded Bronze$5,50021525FL0010054

Bronze Simple Diabetes | with AdventHealthHMOExpanded Bronze$5,50021525FL0010029

Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0020001

Bronze Classic Standard | with AdventHealthHMOExpanded Bronze$7,50021525FL0010002

Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$9,00021525FL0020004

Bronze Simple Breathe Easy with Enhanced COPD Benefits | with AdventHealthHMOExpanded Bronze$9,00021525FL0010006

Individual Florida HMO Broad network · 14 plans · Preferred tier

Gold Simple DiabetesHMOGold$2,00021525FL0010025

Gold Simple Diabetes with Adult Dental & VisionHMOGold$2,00021525FL0010068

Gold Classic StandardHMOGold$2,50021525FL0010019

Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0010017

Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0010013

Silver Classic StandardHMOSilver$6,40021525FL0010009

Silver Simple Chronic Care CKMHMOSilver$6,50021525FL0010043

Silver Simple DiabetesHMOSilver$6,50021525FL0010044

Silver Simple Diabetes with Adult Dental & VisionHMOSilver$6,50021525FL0010067

Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0010007

Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0010008

Bronze Simple Diabetes with Adult Dental & VisionHMOExpanded Bronze$5,50021525FL0010065

Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0010001

Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$9,00021525FL0010027

Ambetter Health

21 plans · HMO

Not accepting new patients

Everyday GoldHMOGold$80049004FL0010010

Everyday Gold + Vision + Adult DentalHMOGold$80049004FL0020009

Complete GoldHMOGold$1,45049004FL0010011

Complete Gold + Vision + Adult DentalHMOGold$1,45049004FL0020010

Signature GoldHMOGold$2,50049004FL0010013

Signature Gold + Vision + Adult DentalHMOGold$2,50049004FL0020012

Enhanced Diabetes Care Silver $0 Rx OptionsHMOSilver$5,00049004FL0010009

Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalHMOSilver$5,00049004FL0020008

Focused SilverHMOSilver$6,30049004FL0010007

Focused Silver + Vision + Adult DentalHMOSilver$6,30049004FL0020006

Signature SilverHMOSilver$6,40049004FL0010006

Signature Silver + Vision + Adult DentalHMOSilver$6,40049004FL0020027

Clarity SilverHMOSilver$8,00049004FL0010031

Thrive SilverHMOSilver$8,00049004FL0010032

Fundamental BronzeHMOBronze$8,50049004FL0010053

Elite BronzeHMOExpanded Bronze$049004FL0010004

Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$049004FL0020004

Signature Expanded BronzeHMOExpanded Bronze$7,50049004FL0010001

Signature Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50049004FL0020001

Everyday BronzeHMOExpanded Bronze$9,35049004FL0010002

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$9,35049004FL0020002

Wellpoint

15 plans · HMO

Accepting new patients

Wellpoint Florida Essential and RX Choice Tiered Network · 9 plans · Participating tier

Wellpoint Essential Gold 800 ($0 Select Drugs + Incentives)HMOGold$80044228FL0040010

Wellpoint Essential Gold 1400 ($0 Select Drugs + Incentives)HMOGold$1,40044228FL0040009

Wellpoint Essential Silver 1850 ($0 Select Drugs + Incentives)HMOSilver$1,85044228FL0040011

Wellpoint Essential Silver 3500 ($0 Select Drugs + Incentives)HMOSilver$3,50044228FL0040012

Wellpoint Heart Healthy Essential Silver 5000 ($0 Select Drugs + Incentives)HMOSilver$5,00044228FL0040022

Wellpoint Heart Healthy Essential Bronze 4500 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$4,50044228FL0040021

Wellpoint Essential Bronze 5500 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$5,50044228FL0040008

Wellpoint Essential Bronze 6000 HSA ($0 Select Drugs + Incentives)HMOExpanded Bronze$6,00044228FL0040005

Wellpoint Essential Catastrophic HSA (+ Incentives)HMOCatastrophic$12,00044228FL0040004

Wellpoint Florida Essential, Dental Prime, and RX Choice Tiered Network · 3 plans · Participating tier

Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Select Drugs + Incentives)HMOGold$80044228FL0040014

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Select Drugs + Incentives)HMOSilver$3,50044228FL0040013

Wellpoint Essential Bronze 5500 HSA Adult Dental/Vision ($0 Select Drugs + Incentives)HMOExpanded Bronze$5,50044228FL0040007

Wellpoint Florida Essential and Pharmacy Base Network · 3 plans · Participating tier

Wellpoint Essential Gold 2500 ($0 Select Drugs + Incentives) StandardHMOGold$2,50044228FL0040003

Wellpoint Essential Silver 6400 ($0 Select Drugs + Incentives) StandardHMOSilver$6,40044228FL0040002

Wellpoint Essential Bronze 7500 HSA ($0 Select Drugs + Incentives) StandardHMOExpanded Bronze$7,50044228FL0040001

AmeriHealth Caritas Next

8 plans · HMO

Accepting new patients

AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsHMOGold$067926FL0010015

AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsHMOGold$1,00067926FL0010009

AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care +No ReferralsHMOGold$2,50067926FL0010004

AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsHMOSilver$5,00067926FL0010008

AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsHMOSilver$6,40067926FL0010003

AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsHMOBronze$12,00067926FL0010001

AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsHMOExpanded Bronze$4,50067926FL0010006

AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care +No ReferralsHMOExpanded Bronze$7,50067926FL0010002

Also listed in other states 78 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 · Georgia

25 plans · HMO

Not accepting new patientsDeductible $0 to $9,000

Elite Gold HMOHMOGold$070893GA0010074

Elite Gold HMO + Vision + Adult DentalHMOGold$070893GA0030075

Everyday Gold HMOHMOGold$80070893GA0010071

Everyday Gold HMO + Vision + Adult DentalHMOGold$80070893GA0030071

Clear Gold HMOHMOGold$1,20070893GA0010073

Clear Gold HMO + Vision + Adult DentalHMOGold$1,20070893GA0030074

Complete Gold HMOHMOGold$1,45070893GA0010020

Complete Gold HMO + Vision + Adult DentalHMOGold$1,45070893GA0030020

Standard Gold HMOHMOGold$2,00070893GA0010078

Standard Gold HMO + Vision + Adult DentalHMOGold$2,00070893GA0030078

Complete Silver HMOHMOSilver$5,95070893GA0010017

Complete Silver HMO + Vision + Adult DentalHMOSilver$5,95070893GA0030017

Standard Silver HMOHMOSilver$6,00070893GA0010077

Standard Silver HMO + Vision + Adult DentalHMOSilver$6,00070893GA0030077

Focused Silver HMOHMOSilver$6,30070893GA0010070

Focused Silver HMO + Vision + Adult DentalHMOSilver$6,30070893GA0030070

Clear Silver HMO with $0 Insulin OptionsHMOSilver$7,00070893GA0010068

Clear Bronze HMOHMOBronze$9,00070893GA0010006

Clear Bronze HMO + Vision + Adult DentalHMOBronze$9,00070893GA0030019

Choice Bronze HSA HMOHMOExpanded Bronze$7,25070893GA0010051

Choice Bronze HSA HMO + Vision + Adult DentalHMOExpanded Bronze$7,25070893GA0030051

Standard Expanded Bronze HMOHMOExpanded Bronze$7,50070893GA0010076

Standard Expanded Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$7,50070893GA0030076

Everyday Bronze HMOHMOExpanded Bronze$8,45070893GA0010064

Everyday Bronze HMO + Vision + Adult DentalHMOExpanded Bronze$8,45070893GA0030064

Ambetter Health · Alabama

19 plans · EPO

Not accepting new patientsDeductible $0 to $9,350

Clear GoldEPOGold$1,20053932AL0100020

Clear Gold + Vision + Adult DentalEPOGold$1,20053932AL0110019

Complete GoldEPOGold$1,45053932AL0100015

Complete Gold + Vision + Adult DentalEPOGold$1,45053932AL0110010

Signature GoldEPOGold$2,50053932AL0100013

Signature Gold + Vision + Adult DentalEPOGold$2,50053932AL0110013

Streamlined SilverEPOSilver$4,70053932AL0100021

Enhanced Diabetes Care Silver $0 Rx OptionsEPOSilver$5,00053932AL0100018

Enhanced Diabetes Care Silver $0 Rx Options + Vision + Adult DentalEPOSilver$5,00053932AL0110018

Focused SilverEPOSilver$6,30053932AL0100005

Focused Silver + Vision + Adult DentalEPOSilver$6,30053932AL0110005

Signature SilverEPOSilver$6,40053932AL0100012

Signature Silver + Vision + Adult DentalEPOSilver$6,40053932AL0110017

Elite BronzeEPOExpanded Bronze$053932AL0100014

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$053932AL0110014

Signature Expanded BronzeEPOExpanded Bronze$7,50053932AL0100011

Signature Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50053932AL0110011

Everyday BronzeEPOExpanded Bronze$9,35053932AL0100003

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$9,35053932AL0110003

Oscar Health · Iowa

19 plans · EPO

Accepting new patientsDeductible $0 to $9,000

Individual Iowa network · 10 plans · Preferred tier

Gold Elite Saver Plus | MercyOneEPOGold$045819IA0010036

Gold Simple Women's Health with Menopause Benefits | MercyOneEPOGold$2,00045819IA0010091

Gold Classic Standard | MercyOneEPOGold$2,50045819IA0010053

Silver Simple PCP Saver | MercyOneEPOSilver$5,75045819IA0010025

Bronze Elite + PCP Saver Plus | MercyOneEPOExpanded Bronze$045819IA0010005

Bronze Classic 4700 | MercyOneEPOExpanded Bronze$4,70045819IA0010024

Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOneEPOExpanded Bronze$5,50045819IA0010070

Bronze Simple Chronic Care CKM | MercyOneEPOExpanded Bronze$5,50045819IA0010071

Bronze Simple Diabetes | MercyOneEPOExpanded Bronze$5,50045819IA0010072

Bronze Classic Standard | MercyOneEPOExpanded Bronze$7,50045819IA0010050

Individual Iowa Broad network · 9 plans · Preferred tier

Hy-Vee Health with Oscar Gold Elite Saver Plus with $0 Visits at Hy-Vee Health Exemplar CareEPOGold$045819IA0010085

Hy-Vee Health with Oscar Gold Classic Standard with $0 Visits at Hy-Vee Health Exemplar CareEPOGold$2,50045819IA0010067

Hy-Vee Health with Oscar Silver Simple PCP Saver with $0 Visits at Hy-Vee Health Exemplar CareEPOSilver$5,75045819IA0010061

Hy-Vee Health with Oscar Silver Classic Standard with $0 Visits at Hy-Vee Health Exemplar CareEPOSilver$6,40045819IA0010066

Hy-Vee Health with Oscar Silver Simple Diabetes with $0 Visits at Hy-Vee Health Exemplar CareEPOSilver$6,50045819IA0010064

Hy-Vee Health with Oscar Silver Core Plan with $0 Visits at Hy-Vee Health Exemplar CareEPOSilver$9,00045819IA0010089

Hy-Vee Health with Oscar Bronze Elite + PCP Saver Plus with $0 Visits at Hy-Vee Health Exemplar CareEPOExpanded Bronze$045819IA0010056

Hy-Vee Health with Oscar Bronze Classic 4700 with $0 Visits at Hy-Vee Health Exemplar CareEPOExpanded Bronze$4,70045819IA0010060

Hy-Vee Health with Oscar Bronze Classic Standard with $0 Visits at Hy-Vee Health Exemplar CareEPOExpanded Bronze$7,50045819IA0010065

Oscar Health · Illinois

15 plans · HMO

Accepting new patientsDeductible $0 to $9,000

Individual Illinois Select network · 8 plans · Preferred tier

Gold Classic Standard (Select)HMOGold$2,00011574IL0020053

Gold Simple (Select)HMOGold$3,30011574IL0020059

Buena Salud Plateado 4360 (Select)HMOSilver$4,36011574IL0020057

Silver Classic Standard (Select)HMOSilver$6,00011574IL0020052

Silver Simple Diabetes (Select)HMOSilver$6,50011574IL0020060

Bronze Elite + PCP Saver Plus Rx (Select)HMOExpanded Bronze$011574IL0020055

Bronze Classic Standard (Select)HMOExpanded Bronze$7,50011574IL0020050

Bronze Simple (Select)HMOExpanded Bronze$9,00011574IL0020058

Individual Illinois Choice network · 7 plans · Preferred tier

Gold Classic Standard (Choice)HMOGold$2,00011574IL0010053

Gold Simple (Choice)HMOGold$3,30011574IL0010057

Silver Classic Standard (Choice)HMOSilver$6,00011574IL0010052

Silver Simple Diabetes (Choice)HMOSilver$6,50011574IL0010045

Bronze Elite + PCP Saver Plus Rx (Choice)HMOExpanded Bronze$011574IL0010055

Bronze Classic Standard (Choice)HMOExpanded Bronze$7,50011574IL0010050

Bronze Simple (Choice)HMOExpanded Bronze$9,00011574IL0010056

Questions about Dr. Hernando’s insurance

What insurance does Dr. Hernando take?

In Florida, Oscar Health, Ambetter Health, Wellpoint and AmeriHealth Caritas Next include Dr. Hernando in 100 Marketplace plans for 2026. Call the office at (305) 274-9206 to confirm your plan before booking.

Do I need a referral to see Dr. Hernando?

Not under the Florida plans that list Dr. Hernando: the 2026 plan files say a specialist referral is not required.

Does Dr. Hernando accept Medicare?

Yes. CMS files show Dr. Hernando 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.

Source	What it provides here	Source date
Insurer provider directory files	Which 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 AmeriHealth Caritas Next: Nov 5, 2026 Wellpoint: Nov 5, 2026 Ambetter Health: Nov 4, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026, Oct 20, 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Georgia and Illinois. No document links.	Plan year 2026, Jun 3, 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.