LUIS FELIPE DUARTE M.D/PH.D
Accepted Insurance for NPI 1902251721
Hospitalist in Stuart, FL
Quality Rating: 89.89 out of 100 score
NPI Status: Active since April 29, 2016
Contact Information
200 SE HOSPITAL AVE
STUART, FL
ZIP 34994
Phone: (772) 223-5618
Fax: (772) 288-5834
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with LUIS FELIPE DUARTE M.D/PH.D, a practicing hospitalist professional in Stuart, 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 180 individual coverage options managed by medical networks, including networks like AvMed, Florida Blue (BlueCross BlueShield FL), and Florida Blue HMO (a BlueCross BlueShield FL company). 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
AvMed
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Florida Blue (BlueCross BlueShield FL)
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Florida Blue HMO (a BlueCross BlueShield FL company)
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Coverage Information & FAQs
- 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.
