Dr. Maria Isabel Clemente MD
Pediatrics Physician
/Pediatrics Physician
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(1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage for the medical service; (2) While similar to a PPO in that an EPO allows patients to go outside the network for care, if they do so in an EPO, they are required to pay the entire cost of care. An EPO differs from an HMO in that EPO physicians do not receive capitation but instead are reimbursed only for actual services provided; (3) An organization identical to a preferred provider organization except that persons enrolled in the plan are eligible to receive benefits only when they use the services of the contracting providers. No benefits are available when non-contracting providers are used, except in certain emergency situations.
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Health Insurance Plans Maria Isabel Clemente accepts
Issuer | Network | State | Plan Year | New Patients | Last Updated |
---|---|---|---|---|---|
Molina Healthcare of Florida, Inc | PREFERRED | FL | 2024 | accepting | Jul 01 2024 |
Celtic Insurance Company | PREFERRED | AL | 2024 | accepting | Jul 15 2024 |
Cigna Health and Life Insurance Company | PREFERRED | FL | 2024 | accepting | Jul 09 2024 |
Oscar Insurance Company of Florida | PREFERRED | FL | 2024 | accepting | Jul 15 2024 |
Health Options, Inc. | PREFERRED | FL | 2024 | accepting | Jul 09 2024 |
AvMed, Inc. | PREFERRED | FL | 2024 | accepting | Aug 29 2023 |
Aetna Health Inc. (a FL corp.) | PREFERRED | FL | 2024 | accepting | Jul 12 2024 |
Blue Cross and Blue Shield of Florida | PREFERRED | FL | 2024 | accepting | Jul 09 2024 |
Source: CMS.gov, HealthPorta API