PAUL MICHAEL BERKES L.P.C., M.H.S.P.
Accepted Insurance for NPI 1881959310
Counselor - Mental Health in Bartlett, TN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PAUL MICHAEL BERKES L.P.C., M.H.S.P., a counselor provider in Bartlett, TN, is listed as in-network for 151 health insurance plans from 3 insurance companies, led by UnitedHealthcare, Oscar Insurance Company and BlueCross BlueShield of Tennessee. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
BlueCross BlueShield of Tennessee
BlueCross B15E $0 virtual care from Teladoc Health�
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental
BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental
BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health�
Oscar Insurance Company
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Bronze Simple
Gold Classic Standard
Gold Elite
Silver Classic Standard
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits
Silver Simple Chronic Care CKM
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Essential (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard (No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Bronze Standard+ (Dental + Vision, No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Gold Advantage (Virtual Urgent Care, No Referrals)
UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
UHC Gold Copay Focus (Virtual Urgent Care, No Referrals)
UHC Gold Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Standard (No Referrals)
UHC Gold Standard (No Referrals)
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)
UHC Silver Advantage (Virtual Urgent Care, No Referrals)
UHC Silver Advantage + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus (Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Standard+ (Dental + Vision, No Referrals)
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 PAUL MICHAEL BERKES L.P.C., M.H.S.P. accept?
Marketplace files for the 2026 plan year list PAUL MICHAEL BERKES L.P.C., M.H.S.P. as in-network for 151 plans from 3 insurance companies. The largest networks are UnitedHealthcare (36 plans), Oscar Insurance Company (15 plans), BlueCross BlueShield of Tennessee (12 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is PAUL MICHAEL BERKES L.P.C., M.H.S.P. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does PAUL MICHAEL BERKES L.P.C., M.H.S.P. participate in?
The accepted plans include 48 EPO plans and 15 HMO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. 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.
