DR. MELISSA MCGOWAN TERRILL O.D.
Accepted Insurance for NPI 1013907310
Optometrist in Sun Prairie, WI

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

DR. MELISSA MCGOWAN TERRILL O.D. is enrolled across the following managed care network types: EPO, PPO. 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.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

NPI Status: Active since October 27, 2005

Contact Information

10 TOWER DR
SUN PRAIRIE, WI
ZIP 53590
Phone: (608) 825-3008
Fax: (608) 825-3794

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. MELISSA MCGOWAN TERRILL O.D., a practicing optometrist professional in Sun Prairie, WI. 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 19 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Louisiana, and Providence Health Plan. 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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Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340017

Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340015

Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340010

Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340024

Blue Max Copay (PCP) 60/40 $6000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340023

Blue Max Copay (PCP) 75/55 $2000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340022

Blue Saver 60/40 $6100

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350004

Blue Saver 90/70 $3400

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350003

Providence Health Plan

Connect 1500 Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380008

Connect 6000 Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380013

Connect 9800 Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380014

HSA Qualified 7500 Bronze - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1420003

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1400003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1320004

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1330004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. MELISSA MCGOWAN TERRILL O.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Louisiana, Providence Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

DR. MELISSA MCGOWAN TERRILL O.D. is enrolled across the following managed care network types: EPO, PPO.

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.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.