DR. PAUL FREDERICK FRANCKE M.D.
Accepted Insurance for NPI 1013910421
Ophthalmology in Charleston, WV


Quality Rating: 75 out of 100 score

NPI Status: Active since May 31, 2005

Contact Information

1220 LEE ST E STE 203
CHARLESTON, WV
ZIP 25301
Phone: (304) 343-4124
Fax: (304) 343-4167

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. PAUL FREDERICK FRANCKE M.D., a practicing ophthalmology professional in Charleston, WV. 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 48 individual coverage options managed by medical networks, including networks like CareSource, Highmark Blue Cross Blue Shield West Virginia, 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.

Fitler by Network Type

CareSource

Bronze 7500 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010024
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020024
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010032
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020032
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010031
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020031
Gold 2000 $15 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010022
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020022
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010035
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020035
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010036
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020036
Low Deductible Silver 5000 $3 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010025
Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020025
Low Premium Bronze 10600 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010038
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020038
Low Premium Silver 6200 $3 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010021
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020021
Platinum Zero $5 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010034
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020034
Silver 6000 $20 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010023
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020023

Highmark Blue Cross Blue Shield West Virginia

my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560010
my Blue Access WV PPO Bronze 3800
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560001
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0570001
my Blue Access WV PPO Bronze 9200
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560006
my Blue Access WV PPO Gold 0
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560005
my Blue Access WV PPO Gold 0 + Adult Dental and Vision
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0570003
my Blue Access WV PPO Gold 1700 HSA
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0580002
my Blue Access WV PPO Premier Gold 0
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0590002
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0600002
my Blue Access WV PPO Premier Silver 0
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0590003
my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0600003
my Blue Access WV PPO Standard Bronze 7500
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560007
my Blue Access WV PPO Standard Gold 2000
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560009
my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0630002
my Blue Access WV PPO Standard Silver 6000
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

31274WV0560008

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

This provider accepts health insurance plans managed by the following insurance companies: CareSource, Highmark Blue Cross Blue Shield West Virginia, Providence Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.
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.
DR. PAUL FREDERICK FRANCKE M.D. is enrolled across the following managed care network types: EPO, HMO, PPO.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
  • 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.