DR. ILSA M NEGRON NEGRON M.D.
Accepted Insurance for NPI 1962631713
General Practice in Sanford, FL
Active since July 14, 2009PECOS EnrolledAccepts Medicare Assignment
Does Dr. Negron Negron take my insurance?
71 Florida plans sold on HealthCare.gov for 2026 include Dr. Negron Negron, from Oscar Health, Health First Commercial Plans and Florida Blue.
Call before you book: insurer directories can be out of date, so call the office at (407) 507-6058 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.
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Florida plans 71 plans · 72 plan IDs
Plans sold to Florida residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.
Oscar Health
Individual Florida HMO network · 26 plans · Preferred tier
Gold Elite Saver Plus | with AdventHealthHMOGold$021525FL0010022
Gold Classic StandardHMOGold$2,00021525FL0020015
Gold Classic Standard | with AdventHealthHMOGold$2,00021525FL0010020
Gold SimpleHMOGold$3,00021525FL0020016
Gold Simple | with AdventHealthHMOGold$3,00021525FL0010023
Silver EliteHMOSilver$5,00021525FL0020008
Silver Elite | with AdventHealthHMOSilver$5,00021525FL0010012
Silver Simple PCP SaverHMOSilver$5,00021525FL0020012
Silver Simple PCP Saver | with AdventHealthHMOSilver$5,00021525FL0010016
Silver Simple Chronic Care CKMHMOSilver$5,90021525FL0020010
Silver Simple Chronic Care CKM | with AdventHealthHMOSilver$5,90021525FL0010014
Silver Classic StandardHMOSilver$6,00021525FL0020007
Silver Classic Standard | with AdventHealthHMOSilver$6,00021525FL0010010
Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0020013
Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0020009
Silver Simple DiabetesHMOSilver$6,50021525FL0020011
Silver Simple Diabetes | with AdventHealthHMOSilver$6,50021525FL0010015
Bronze Elite + PCP Saver PlusHMOExpanded Bronze$021525FL0020003
Bronze Elite + PCP Saver Plus | with AdventHealthHMOExpanded Bronze$021525FL0010005
Bronze Classic 4700HMOExpanded Bronze$4,70021525FL0020002
Bronze Classic 4700 | with AdventHealthHMOExpanded Bronze$4,70021525FL0010004
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0020005
Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0020006
Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0020001
Bronze Classic Standard | with AdventHealthHMOExpanded Bronze$7,50021525FL0010002
Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$9,00021525FL0010006
Individual Florida HMO Broad network · 7 plans · Preferred tier
Gold Classic StandardHMOGold$2,00021525FL0010019
Silver Classic StandardHMOSilver$6,00021525FL0010009
Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0010017
Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0010013
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0010007
Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0010008
Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0010001
Health First Commercial Plans
Health First Individual network · 16 plans · National tier
Gold Standard 1833HMOGold$2,00036194FL0160013
Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)HMOGold$3,00036194FL0450002
Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access)HMOGold$3,00036194FL0460002
Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access)HMOGold$3,05036194FL0440003
Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access)HMOGold$3,05036194FL0480003
Silver Savings 1821 (Primary Care Copay, Open Access)HMOSilver$4,50036194FL0440002
Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access)HMOSilver$4,50036194FL0480002
Silver 1664 (Primary Care & Specialist Copays, Open Access)HMOSilver$4,55036194FL0450001
Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access)HMOSilver$4,55036194FL0460001
Silver Standard 1829HMOSilver$6,00036194FL0160012
Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access)HMOExpanded Bronze$036194FL0160009
Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access)HMOExpanded Bronze$036194FL0460003
Bronze Standard 1828HMOExpanded Bronze$7,50036194FL0160011
Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access)HMOExpanded Bronze$9,80036194FL0440001
Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access)HMOExpanded Bronze$9,80036194FL0480001
Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access)HMOCatastrophic$10,60036194FL0450003
Health First Value network · 8 plans · National tier
Gold Value 1819 ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)HMOGold$2,20036194FL0410003
Gold Value 1819 + Adult Dental + Adult Vision ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)HMOGold$2,20036194FL0470003
Gold Value 1819 + Enhanced Diabetes Benefits ($2,200 Tier 1 Medical Deductible, High Value Network Savings, Open Access)HMOGold$2,20036194FL0500002
Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)HMOSilver$4,70036194FL0410002
Silver Value 1815 + Adult Dental + Adult Vision ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)HMOSilver$4,70036194FL0470002
Silver Value 1815 + Enhanced Diabetes Benefits ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings)HMOSilver$4,70036194FL0500001
Bronze Value 1814 (High Value Network Savings, Open Access)HMOExpanded Bronze$9,80036194FL0410001
Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access)HMOExpanded Bronze$9,80036194FL0470001
Florida Blue
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)PPOPlatinum$016842FL0260008
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)PPOPlatinum$016842FL0260021
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)PPOPlatinum$1,00016842FL0260005
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)PPOGold$016842FL0260009
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)PPOGold$1,50016842FL0260012
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)PPOGold$2,00016842FL0260020
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)PPOSilver$3,12516842FL0260007
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)PPOSilver$4,00016842FL0260003
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)PPOSilver$6,00016842FL0260019
BlueOptions Bronze 24J01-06 (Rewards)PPOBronze$6,15016842FL0260006
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)PPOExpanded Bronze$016842FL0260017
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)PPOExpanded Bronze$6,50016842FL0260004
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)PPOExpanded Bronze$6,65016842FL0260010
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)PPOExpanded Bronze$7,50016842FL0260018
Questions about Dr. Negron Negron’s insurance
What insurance does Dr. Negron Negron take?
In Florida, Oscar Health, Health First Commercial Plans and Florida Blue include Dr. Negron Negron in 71 Marketplace plans for 2026. Call the office at (407) 507-6058 to confirm your plan before booking.
Is Dr. Negron Negron accepting new patients?
The insurers that list Dr. Negron Negron report that Dr. Negron Negron is accepting new patients. Call the office at (407) 507-6058 to confirm your plan before booking.
Do I need a referral to see Dr. Negron Negron?
Not under the Florida plans that list Dr. Negron Negron: the 2026 plan files say a specialist referral is not required.
Does Dr. Negron Negron accept Medicare?
Yes. CMS files show Dr. Negron Negron accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.
About this data
This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.
| Source | What it provides here | Source date |
|---|---|---|
| Insurer provider directory files | Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules. | Oscar Health: Oct 15, 2026 Health First Commercial Plans: Oct 15, 2026 Florida Blue: Oct 13, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2026 |
- Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
- Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
- Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
- Networks change during the year. Confirm with your insurer or the practice before booking.
