MICHAEL M STONE MD
Accepted Insurance for NPI 1922166370
Psychiatry & Neurology - Psychiatry in Webster, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MICHAEL M STONE MD, a psychiatry & neurology provider in Webster, TX, is listed as in-network for 122 health insurance plans from 2 insurance companies, led by Oscar Insurance Company and Community Health Choice. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Community Health Choice
Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Select Bronze 016 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Select Gold 022 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Community Select Silver 019 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Gold Classic Guided Care
Gold Classic Standard Guided Care
Gold Classic Standard
Gold Classic
Gold Elite
Gold Simple Diabetes Guided Care
Gold Simple Guided Care
Silver Classic Standard Guided Care
Silver Classic Standard
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care
Silver Simple Chronic Care CKM Guided Care
Silver Simple Diabetes Guided Care
Silver Simple Guided Care
Silver Simple PCP Saver Guided Care
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits Guided Care
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 MICHAEL M STONE MD accept?
Marketplace files for the 2026 plan year list MICHAEL M STONE MD as in-network for 122 plans from 2 insurance companies. The largest networks are Oscar Insurance Company (23 plans), Community Health Choice (9 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is MICHAEL M STONE MD 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 MICHAEL M STONE MD participate in?
The accepted plans include 20 HMO plans and 12 EPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
