DR. MELISSA MCGOWAN TERRILL O.D.
Accepted Insurance for NPI 1013907310
Optometrist in Sun Prairie, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. MELISSA MCGOWAN TERRILL O.D., a optometrist provider in Sun Prairie, WI, is listed as in-network for 19 health insurance plans from 2 insurance companies, led by Providence Health Plan and Blue Cross and Blue Shield of Louisiana. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Louisiana
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Saver 60/40 $6100
Blue Saver 90/70 $3400
Providence Health Plan
Connect 1500 Gold
Connect 6000 Silver
Connect 9800 Bronze
HSA Qualified 7500 Bronze - Choice Network
HSA-E Qualified 7500 Bronze - Signature Network
Providence Oregon Standard Bronze Plan - Choice Network
Providence Oregon Standard Bronze Plan - Signature Network
Providence Oregon Standard Gold Plan - Choice Network
Providence Oregon Standard Gold Plan - Signature Network
Providence Oregon Standard Silver Plan - Choice Network
Providence Oregon Standard Silver Plan - Signature Network
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. MELISSA MCGOWAN TERRILL O.D. accept?
Marketplace files for the 2026 plan year list DR. MELISSA MCGOWAN TERRILL O.D. as in-network for 19 plans from 2 insurance companies. The largest networks are Providence Health Plan (11 plans), Blue Cross and Blue Shield of Louisiana (8 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. MELISSA MCGOWAN TERRILL O.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. MELISSA MCGOWAN TERRILL O.D. participate in?
The accepted plans include 11 EPO plans and 8 PPO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. 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.
