CATALINA BAIA
Accepted Insurance for NPI 1982908430
Pediatrics - Neonatal-Perinatal Medicine in Bronx, NY
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
CATALINA BAIA, a pediatrics provider in Bronx, NY, is listed as in-network for 682 health insurance plans from 3 insurance companies, led by Oscar Insurance Company, Blue Cross and Blue Shield of Texas and Baylor Scott and White Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Baylor Scott and White Health Plan
BSW Diabetes Care Gold HMO 014
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)
BSW Elite Gold HMO 004
BSW Elite Gold HMO 012
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay)
BSW Prime Silver HMO 008
BSW Prime Silver HMO 005
BSW Savers Bronze HMO H S A 006
BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay)
BSW Savers Bronze HMO H S A 009
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
MyBlue Health Bronze? 402
MyBlue Health Bronze? Standard
MyBlue Health Gold? 403
MyBlue Health Gold? Standard
MyBlue Health Silver? 405
MyBlue Health Silver? Standard
Oscar Insurance Company
Bronze Classic 4700 | MercyOne
Bronze Classic 4700
Bronze Classic Standard | MercyOne
Bronze Classic Standard
Bronze Elite + PCP Saver Plus | MercyOne
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM | MercyOne
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes | MercyOne
Bronze Simple Diabetes
Gold Classic Guided Care
Gold Classic Standard Guided Care
Gold Classic Standard | MercyOne
Gold Classic Standard
Gold Classic
Gold Elite | MercyOne
Gold Elite
Gold Simple Diabetes Guided Care
Gold Simple Guided Care
Secure | MercyOne
Secure
Silver Classic Standard Guided Care
Silver Classic Standard | MercyOne
Silver Classic Standard
Silver Classic | MercyOne
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
Silver Simple Chronic Care CKM Guided Care
Silver Simple Chronic Care CKM | MercyOne
Silver Simple Diabetes Guided Care
Silver Simple Diabetes | MercyOne
Silver Simple Diabetes
Silver Simple Guided Care
Silver Simple PCP Saver Guided Care
Silver Simple PCP Saver | MercyOne
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits Guided Care
Silver Simple Women's Health with Menopause Benefits | MercyOne
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 CATALINA BAIA accept?
Marketplace files for the 2026 plan year list CATALINA BAIA as in-network for 682 plans from 3 insurance companies. The largest networks are Oscar Insurance Company (41 plans), Blue Cross and Blue Shield of Texas (25 plans), Baylor Scott and White Health Plan (10 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is CATALINA BAIA enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does CATALINA BAIA participate in?
The accepted plans include 37 HMO plans, 30 EPO plans and 9 POS 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. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
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.
