MR. KARL ROBERT DOWNING JR. LCPC
Accepted Insurance for NPI 1861619421
Counselor - Professional in Naperville, IL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MR. KARL ROBERT DOWNING JR. LCPC, a counselor provider in Naperville, IL, is listed as in-network for 15 health insurance plans from Oscar Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Oscar Health
Bronze Classic Standard (Choice)
Bronze Classic Standard (Select)
Bronze Elite + PCP Saver Plus Rx (Choice)
Bronze Elite + PCP Saver Plus Rx (Select)
Bronze Simple (Choice)
Bronze Simple (Select)
Buena Salud Plateado 4360 (Select)
Gold Classic Standard (Choice)
Gold Classic Standard (Select)
Gold Simple (Choice)
Gold Simple (Select)
Silver Classic Standard (Choice)
Silver Classic Standard (Select)
Silver Simple Diabetes (Choice)
Silver Simple Diabetes (Select)
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 MR. KARL ROBERT DOWNING JR. LCPC accept?
Marketplace files for the 2026 plan year list MR. KARL ROBERT DOWNING JR. LCPC as in-network for 15 plans from Oscar Health. The full list above shows each plan's metal level, network type, and plan IDs.
Is MR. KARL ROBERT DOWNING JR. LCPC 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 MR. KARL ROBERT DOWNING JR. LCPC participate in?
The accepted plans include 15 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
