DR. NICHOLAS ALEXANDER BORJA M.D.
Accepted Insurance for NPI 1982995015
Medical Genetics - Clinical Genetics (M.D.) in Miami, FL
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. NICHOLAS ALEXANDER BORJA M.D., a medical genetics provider in Miami, FL, is listed as in-network for 105 health insurance plans from 3 insurance companies, led by Florida Blue HMO (a BlueCross BlueShield FL company), Florida Blue (BlueCross BlueShield FL) and AmeriHealth Caritas Next. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
AmeriHealth Caritas Next
AmeriHealth Caritas Next Bronze Essential + No Referrals
AmeriHealth Caritas Next Bronze Premier + No Referrals
AmeriHealth Caritas Next Bronze Signature + No Referrals
AmeriHealth Caritas Next Gold Premier + No Referrals
AmeriHealth Caritas Next Gold Signature + No Referrals
AmeriHealth Caritas Next Silver Essential + No Referrals
AmeriHealth Caritas Next Silver Premier + No Referrals
AmeriHealth Caritas Next Silver Signature + No Referrals
Florida Blue (BlueCross BlueShield FL)
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueOptions Bronze 24J01-06 (Rewards)
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
Florida Blue HMO (a BlueCross BlueShield FL company)
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K01-05 (Rewards)
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
BlueCare Bronze 24K02-18 (Rewards)
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
BlueCare Silver 24K01-02 ($10 Labs / Rewards)
BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)
BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)
BlueCare Silver 24K02-21 ($10 Labs / Rewards)
BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)
myBlue Bronze 1601 (3 PCP Visits for $0 then $25 / $75 Specialist Visits / Rewards)
myBlue Bronze 2013 (3 PCP Visits for $0 then $5 / $75 Specialist Visits / Rewards)
myBlue Bronze 2129 ($35 PCP Visits / $75 Specialist Visits / Rewards)
myBlue Bronze 2129E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)
myBlue Bronze 2129V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)
myBlue Bronze 2149 ($35 PCP Visits / $75 Specialist Visits / Rewards)
myBlue Bronze 2149E ($35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)
myBlue Bronze 2149V ($35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)
myBlue Bronze 2219 ($75 PCP Visits / Rewards)
myBlue Bronze 2286 ($75 PCP Visits / Rewards)
myBlue Bronze 2312S ($50 PCP Visits / Rewards)
myBlue Bronze 2322S ($50 PCP Visits / Rewards)
myBlue Bronze 26M01-23 (Rewards)
myBlue Bronze 26M02-24 (Rewards)
myBlue Connected Care Silver 24M03-70 ($0 Primary Care Visits with Select Providers / Rewards)
myBlue Gold 1605 ($0 Labs / Rewards)
myBlue Gold 2011 ($0 Labs / Rewards)
myBlue Gold 2016 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Gold 2314S ($30 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Gold 2325S ($30 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Gold 24M05-74 ($0 Deductible / $25 PCP Visits / $60 Specialist Visits / Rewards)
myBlue Platinum 2015 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
myBlue Platinum 24M05-75 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
myBlue Silver 2010 (Rewards)
myBlue Silver 2010E (Adult Dental & Vision / Rewards)
myBlue Silver 2010V (Adult Vision / Rewards)
myBlue Silver 2237 ($60 PCP Visits / Rewards)
myBlue Silver 2237E ($60 PCP Visits / Adult Dental & Vision / Rewards)
myBlue Silver 2237V ($60 PCP Visits / Adult Vision / Rewards)
myBlue Silver 2313S ($40 PCP Visits / $80 Specialist Visits / Rewards)
myBlue Silver 2323S ($40 PCP Visits / $80 Specialist Visits / Rewards)
myBlue Silver 24M02-78 ($50 PCP Visits / $20 Labs / Rewards)
myBlue Silver 24M02-78E ($50 PCP Visits / $20 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 24M02-78V ($50 PCP Visits / $20 Labs / Adult Vision / Rewards)
myBlue Silver 24M03-70E ($0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)
myBlue Silver 24M03-70V ($0 Primary Care Visits with Select Providers / Adult Vision / Rewards)
myBlue Silver 24M06-76 ($50 PCP Visits / $15 Labs / Rewards)
myBlue Silver 24M06-76E ($50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 24M06-76V ($50 PCP Visits / $15 Labs / Adult Vision / Rewards)
myBlue Silver 25M02-03 ($0 Labs / $50 PCP Visits / Rewards)
myBlue Silver 25M02-03E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)
myBlue Silver 25M02-03V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards)
myBlue Silver 25M03-01 ($0 Primary Care Visits with Select Providers / Rewards)
myBlue Silver 25M03-01E ($0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)
myBlue Silver 25M03-01V ($0 Primary Care Visits with Select Providers / Adult Vision / Rewards)
myBlue Silver 25M06-02 ($0 Labs / $50 PCP Visits / Rewards)
myBlue Silver 25M06-02E ($0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)
myBlue Silver 25M06-02V ($0 Labs / $50 PCP Visits / Adult Vision / Rewards)
myBlue Silver 26M02-04 ($5 PCP Visits / $5 Labs / Rewards)
myBlue Silver 26M02-04E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 26M02-04V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards)
myBlue Silver 26M03-02 ($0 Primary Care Visits with Select Providers / $5 Labs / Rewards)
myBlue Silver 26M03-02E ($0 Primary Care Visits with Select Providers / $5 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 26M03-02V ($0 Primary Care Visits with Select Providers / $5 Labs / Adult Vision / Rewards)
myBlue Silver 26M06-03 ($5 PCP Visits / $5 Labs / Rewards)
myBlue Silver 26M06-03E ($5 PCP Visits / $5 Labs / Adult Dental & Vision / Rewards)
myBlue Silver 26M06-03V ($5 PCP Visits / $5 Labs / Adult Vision / Rewards)
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 DR. NICHOLAS ALEXANDER BORJA M.D. accept?
Marketplace files for the 2026 plan year list DR. NICHOLAS ALEXANDER BORJA M.D. as in-network for 105 plans from 3 insurance companies. The largest networks are Florida Blue HMO (a BlueCross BlueShield FL company) (83 plans), Florida Blue (BlueCross BlueShield FL) (14 plans), AmeriHealth Caritas Next (8 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. NICHOLAS ALEXANDER BORJA M.D. 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 DR. NICHOLAS ALEXANDER BORJA M.D. participate in?
The accepted plans include 67 HMO plans, 24 POS plans and 14 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
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.
