ABC PEDIATRICS LLC
Accepted Insurance for NPI 1982960464
Pediatrics in Dover, DE

Q: What managed care network types are accepted by this provider?

ABC PEDIATRICS LLC is enrolled across the following managed care network types: HMO, PPO. 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.

NPI Status: Active since April 09, 2012

Contact Information

740 S NEW ST
DOVER, DE
ZIP 19904
Phone: (302) 674-0222
Fax: (302) 674-0200

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with ABC PEDIATRICS LLC, a practicing pediatrics professional in Dover, DE. 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 23 individual coverage options managed by medical networks, including networks like AmeriHealth Caritas Next, and Highmark Blue Cross Blue Shield Delaware. 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.

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Fitler by Network Type

AmeriHealth Caritas Next

AmeriHealth Caritas Next Bronze Essential + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010001

AmeriHealth Caritas Next Bronze Premier + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010006

AmeriHealth Caritas Next Bronze Signature + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010002

AmeriHealth Caritas Next Gold Premier + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010009

AmeriHealth Caritas Next Gold Signature + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010004

AmeriHealth Caritas Next Silver Essential + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010008

AmeriHealth Caritas Next Silver Premier + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010007

AmeriHealth Caritas Next Silver Signature + No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72760DE0010003

Highmark Blue Cross Blue Shield Delaware

my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690013

my Blue Access Select PPO Bronze 3800

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690001

my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0700001

my Blue Access Select PPO Bronze 9200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690008

my Blue Access Select PPO Gold 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690004

my Blue Access Select PPO Gold 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0700004

my Blue Access Select PPO Gold 1700 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0710003

my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0740002

my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0740004

my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0740005

my Blue Access Select PPO Standard Bronze 7500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690012

my Blue Access Select PPO Standard Gold 2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690010

my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0700007

my Blue Access Select PPO Standard Platinum 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690011

my Blue Access Select PPO Standard Silver 6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

76168DE0690009

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does ABC PEDIATRICS LLC accept?

This provider accepts health insurance plans managed by the following insurance companies: AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

ABC PEDIATRICS LLC is enrolled across the following managed care network types: HMO, PPO.

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.