WESLEY ABLEMONA M.D.
Accepted Insurance for NPI 1881004521
Hospitalist in Richland, WA

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

WESLEY ABLEMONA M.D. is enrolled across the following managed care network types: EPO, HMO, 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.

NPI Status: Active since May 03, 2014

Contact Information

888 SWIFT BLVD
RICHLAND, WA
ZIP 99352
Phone: (509) 964-4611

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with WESLEY ABLEMONA M.D., a practicing hospitalist professional in Richland, WA. 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 47 individual coverage options managed by medical networks, including networks like CHRISTUS Health Plan, Premera Blue Cross Blue Shield of Alaska, and Providence Health Plan. 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.

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Fitler by Network Type

CHRISTUS Health Plan

CHRISTUS Bronze (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380003

CHRISTUS Bronze + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380006

CHRISTUS Bronze Essential

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220002

CHRISTUS Bronze Essential (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380002

CHRISTUS Bronze Essential + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380005

CHRISTUS Bronze Essential Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220004

CHRISTUS Catastrophic (3 Free PCP visits)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380100

CHRISTUS Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220013

CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380017

CHRISTUS Gold + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380015

CHRISTUS Gold Essential

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220012

CHRISTUS Gold Essential ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380014

CHRISTUS Gold Essential + Dental & Vision ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380016

CHRISTUS Gold Essential Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220014

CHRISTUS Gold Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220015

CHRISTUS Silver Essential

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220007

CHRISTUS Silver Essential 70 ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380009

CHRISTUS Silver Essential 70 + Dental & Vision ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380011

CHRISTUS Silver Essential Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220009

CHRISTUS Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220001

CHRISTUS Standard Expanded Bronze ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380001

CHRISTUS Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220011

CHRISTUS Standard Gold ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380013

CHRISTUS Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220006

CHRISTUS Standard Silver 70 ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380008

CHRISTUS Value Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220003

CHRISTUS Value Bronze (3 Free PCP Visits, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380004

CHRISTUS Value Bronze + Dental & Vision (3 Free PCP Visits, $0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380007

CHRISTUS Value Bronze Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220005

CHRISTUS Value Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220008

CHRISTUS Value Silver 70 ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380010

CHRISTUS Value Silver 70 + Dental & Vision ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

66252TX0380012

CHRISTUS Value Silver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98780LA0220010

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1080001

Premera Blue Cross Preferred Bronze 5800 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1070002

Premera Blue Cross Preferred Bronze 6350

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060004

Premera Blue Cross Preferred Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060001

Premera Blue Cross Preferred Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060002

Premera Blue Cross Standard Bronze II

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100004

Premera Blue Cross Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100001

Premera Blue Cross Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100002

Premera Blue Cross Family Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1110001

Premera Blue Cross Pediatric Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1120001

Providence Health Plan

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does WESLEY ABLEMONA M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: CHRISTUS Health Plan, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan. 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?

WESLEY ABLEMONA M.D. is enrolled across the following managed care network types: EPO, HMO, 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.