ERIKA NAFI-VALENCIA MD
Accepted Insurance for NPI 1982199733
Pediatrics in Orlando, FL
NPI Status: Active since June 25, 2018
Contact Information
4445 S SEMORAN BLVD STE A
ORLANDO, FL
ZIP 32822
Phone: (407) 203-8957
Fax: (407) 985-1904
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with ERIKA NAFI-VALENCIA MD, a practicing pediatrics professional in Orlando, 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 173 individual coverage options managed by medical networks, including networks like Ambetter from Superior HealthPlan, Ambetter Health, and Ambetter of Alabama. 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
Ambetter Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Superior HealthPlan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of Alabama
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Florida Blue (BlueCross BlueShield FL)
Market Classification Rank: Individual Coverage Framework
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Florida Blue HMO (a BlueCross BlueShield FL company)
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Molina Healthcare
Market Classification Rank: Individual Coverage Framework
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Wellpoint
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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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.
