RILEY F UGLUM, OD PC
Accepted Insurance for NPI 1013188564
Optometrist in New Hampton, IA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
RILEY F UGLUM, OD PC, a optometrist provider in New Hampton, IA, is listed as in-network for 919 health insurance plans from 9 insurance companies, led by Anthem Blue Cross and Blue Shield, Ambetter Health and Blue Cross and Blue Shield of Texas. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold + Vision + Adult Dental
Everyday Gold
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver + Vision + Adult Dental
Focused Silver
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver + Vision + Adult Dental
Standard Silver
Standard Silver
Ambetter Health of Delaware
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Silver + Vision + Adult Dental
Elite Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Bronze HSA + Vision + Adult Dental
Principal Bronze HSA
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver
Ambetter from NH Healthy Families
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Silver + Vision + Adult Dental
Clear Silver
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Sunflower Health Plan
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Anthem Blue Cross and Blue Shield
Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 6500 HSA (+ Incentives)
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 8500 for HSA
Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean HSA (+ Incentives)
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Catastrophic Essential (+ Incentives)
Anthem Catastrophic Pathway (+ Incentives)
Anthem Catastrophic Pathway Essentials (+ Incentives)
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Essential 3500 HSA (+ Incentives)
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 5500 for HSA
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Blue Cross and Blue Shield of Montana
Blue Focus Bronze POS℠ 205
Blue Focus Bronze POS℠ 705
Blue Focus Bronze POS℠ Standard
Blue Focus Gold POS℠ 207
Blue Focus Gold POS℠ 902
Blue Focus Gold POS℠ Standard
Blue Focus Silver POS℠ 206
Blue Focus Silver POS℠ 903
Blue Focus Silver POS℠ Standard
Blue Preferred Bronze PPO℠ 201
Blue Preferred Bronze PPO℠ 202
Blue Preferred Bronze PPO℠ Standard
Blue Preferred Gold PPO℠ 204
Blue Preferred Gold PPO℠ 901
Blue Preferred Gold PPO℠ Standard
Blue Preferred Security PPO℠ 200
Blue Preferred Silver PPO℠ 203
Blue Preferred Silver PPO℠ 308
Blue Preferred Silver PPO℠ Standard
Blue Cross and Blue Shield of Oklahoma
Blue Advantage Bronze PPO℠ 202
Blue Advantage Bronze PPO℠ 203
Blue Advantage Bronze PPO℠ Standard
Blue Advantage Gold PPO℠ 309
Blue Advantage Gold PPO℠ 604
Blue Advantage Gold PPO℠ Standard
Blue Advantage Silver PPO℠ 204
Blue Advantage Silver PPO℠ 501
Blue Advantage Silver PPO℠ Standard
Blue Preferred Bronze PPO℠ Standard
Blue Preferred Gold PPO℠ Standard
Blue Preferred Security PPO℠ 200
Blue Preferred Silver PPO℠ Standard
MyBlue Bronze HMO℠ 902
MyBlue Bronze HMO℠ 904
MyBlue Bronze HMO℠ Standard
MyBlue Gold HMO℠ 704
MyBlue Gold HMO℠ 804
MyBlue Gold HMO℠ Standard
MyBlue Silver HMO℠ 705
MyBlue Silver HMO℠ 803
MyBlue Silver HMO℠ Standard
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
BlueCross BlueShield of Tennessee
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health®
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health ®
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health®
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 RILEY F UGLUM, OD PC accept?
Marketplace files for the 2026 plan year list RILEY F UGLUM, OD PC as in-network for 919 plans from 9 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (55 plans), Ambetter Health (40 plans), Blue Cross and Blue Shield of Texas (25 plans), followed by 6 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is RILEY F UGLUM, OD PC enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does RILEY F UGLUM, OD PC participate in?
The accepted plans include 98 EPO plans, 74 HMO plans, 23 PPO plans and 20 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.
