DR. SAPNA T REDDY MD
Accepted Insurance for NPI 1023015708
Internal Medicine - Gastroenterology in Toledo, OH

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
4235 SECOR RD, TOLEDO, OH 43623(419) 479-5455 Get Directions

NPPES record last updated: June 20, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

DR. SAPNA T REDDY MD, a internal medicine provider in Toledo, OH, is listed as in-network for 134 health insurance plans from 8 insurance companies, led by UnitedHealthcare, CareSource and Ambetter from Buckeye Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
8
Insurance Companies
134
Plan Options
1
Network Type
UnitedHealthcare
Largest Network · 27 plans
View plans
113 plans · 116 plan IDs · 2026 plan year

Ambetter Health

10 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldHMOIndiana
Plan ID35065IN0050003

Complete Gold

GoldHMOIndiana
Plan ID35065IN0040004

Elite Gold + Vision + Adult Dental

GoldHMOIndiana
Plan ID35065IN0050006

Elite Gold

GoldHMOIndiana
Plan ID35065IN0040007

Focused Silver + Vision + Adult Dental

SilverHMOIndiana
Plan ID35065IN0050009

Focused Silver

SilverHMOIndiana
Plan ID35065IN0040010

Standard Gold + Vision + Adult Dental

GoldHMOIndiana
Plan ID35065IN0050012

Standard Gold

GoldHMOIndiana
Plan ID35065IN0040013

Standard Silver + Vision + Adult Dental

SilverHMOIndiana
Plan ID35065IN0050001

Standard Silver

SilverHMOIndiana
Plan ID35065IN0040001

Ambetter from Buckeye Health Plan

16 plans · Individual market · listed as Preferred

Choice Bronze HSA + Vision + Adult Dental

BronzeHMO
Plan ID41047OH0030045

Choice Bronze HSA

BronzeHMO
Plan ID41047OH0010045

Clear Gold + Vision + Adult Dental

GoldHMO
Plan ID41047OH0030071

Clear Gold

GoldHMO
Plan ID41047OH0010067

Complete Gold + Vision + Adult Dental

GoldHMO
Plan ID41047OH0030041

Complete Gold

GoldHMO
Plan ID41047OH0010041

Complete Silver + Vision + Adult Dental

SilverHMO
Plan ID41047OH0030025

Complete Silver

SilverHMO
Plan ID41047OH0010025

Everyday Bronze + Vision + Adult Dental

BronzeHMO
Plan ID41047OH0030057

Everyday Bronze

BronzeHMO
Plan ID41047OH0010057

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMO
Plan ID41047OH0030072

Standard Expanded Bronze

BronzeHMO
Plan ID41047OH0010069

Standard Gold + Vision + Adult Dental

GoldHMO
Plan ID41047OH0030074

Standard Gold

GoldHMO
Plan ID41047OH0010071

Standard Silver + Vision + Adult Dental

SilverHMO
Plan ID41047OH0030073

Standard Silver

SilverHMO
Plan ID41047OH0010070

Ambetter from Meridian

9 plans · Individual market · listed as Preferred

Clear Silver

SilverHMOMichigan
Plan ID58594MI0030017

Elite Gold + Vision + Adult Dental

GoldHMOMichigan
Plan ID58594MI0040023

Elite Gold

GoldHMOMichigan
Plan ID58594MI0030021

Everyday Gold + Vision + Adult Dental

GoldHMOMichigan
Plan ID58594MI0040020

Everyday Gold

GoldHMOMichigan
Plan ID58594MI0030020

Standard Gold + Vision + Adult Dental

GoldHMOMichigan
Plan ID58594MI0040026

Standard Gold

GoldHMOMichigan
Plan ID58594MI0030025

Standard Silver + Vision + Adult Dental

SilverHMOMichigan
Plan ID58594MI0040025

Standard Silver

SilverHMOMichigan
Plan ID58594MI0030024

CareSource

21 plans · Individual market · listed as Preferred

Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness

BronzeHMO
Plan ID77552OH0020204

Bronze 7500 $25 Generic Drugs

BronzeHMO
Plan ID77552OH0010204

Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020212

Core Gold 1500 $10 Generic Drugs

GoldHMO
Plan ID77552OH0010212

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020210

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

GoldHMO
Plan ID77552OH0010210

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020209

Diabetes Silver 5000 $0 Chronic Care Drugs & Services

SilverHMO
Plan ID77552OH0010209

Gold 2000 $15 Generic Drugs + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020202

Gold 2000 $15 Generic Drugs

GoldHMO
Plan ID77552OH0010202

HDHP Preventive Silver 5500 $0 Chronic Care Drugs

SilverHMO
Plan ID77552OH0010219

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

GoldHMO
Plan ID77552OH0020215

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services

GoldHMO
Plan ID77552OH0010215

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020218

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services

SilverHMO
Plan ID77552OH0010218

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness

BronzeHMO
Plan ID77552OH0020222

Low Premium Bronze 10600 $25 Generic Drugs

BronzeHMO
Plan ID77552OH0010222

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020201

Low Premium Silver 6200 $3 Generic Drugs

SilverHMO
Plan ID77552OH0010201

Silver 6000 $20 Generic Drugs + Adult Vision & Fitness

SilverHMO
Plan ID77552OH0020203

Silver 6000 $20 Generic Drugs

SilverHMO
Plan ID77552OH0010203

McLaren Health Plan Community

9 plans · Individual market · listed as In Network

MHP Bronze Saver (Expanded)

BronzeHMOMichigan
Plan ID74917MI0020013

MHP Bronze

BronzeHMOMichigan
Plan ID74917MI0020011

MHP Expanded Bronze Standard

BronzeHMOMichigan
Plan ID74917MI0020024

MHP Gold Standard

GoldHMOMichigan
Plan ID74917MI0020018

MHP Gold

GoldHMOMichigan
Plan ID74917MI0020006

MHP Silver Exchange Rewards

SilverHMOMichigan
Plan ID74917MI0020017

MHP Silver Exchange

SilverHMOMichigan
Plan ID74917MI0020005

MHP Silver Standard

SilverHMOMichigan
Plan ID74917MI0020019

MHP Young Adult/Catastrophic

CatastrophicHMOMichigan
Plan ID74917MI0020004

MedMutual

12 plans · Individual market · listed as Preferred

Bronze $8,300 w/ Adult Dental ON-EX

BronzeHMO
Plan ID99969OH0080550

Bronze $8,300 w/ Virtual & Wellness ON-EX

BronzeHMO
Plan ID99969OH0080499

Bronze HSA $7,300 ON-EX

BronzeHMO
Plan ID99969OH0080498

Bronze Standard w/ Virtual & Wellness

BronzeHMO
Plan ID99969OH0080500

Gold $1,000 w/ Adult Dental ON-EX

GoldHMO
Plan ID99969OH0080546

Gold $1,000 w/ Virtual & Wellness ON-EX

GoldHMO
Plan ID99969OH0080543

Gold $500 w/ Virtual & Wellness ON-EX

GoldHMO
Plan ID99969OH0080545

Gold Standard w/ Virtual & Wellness

GoldHMO
Plan ID99969OH0080492

Silver $5,000 w/ Adult Dental ON-EX

SilverHMO
Plan ID99969OH0080549

Silver $5,000 w/ Virtual & Wellness ON-EX

SilverHMO
Plan ID99969OH0080548

Silver $5,800 w/ Virtual & Wellness ON-EX

SilverHMO
Plan ID99969OH0080547

Silver Standard w/ Virtual & Wellness

SilverHMO
Plan ID99969OH0080496

Priority Health

9 plans · Individual market · listed as Mypriority HMO

MyPriority Balanced Silver

SilverHMOMichigan
Plan ID29698MI0541220

MyPriority Premier Silver

SilverHMOMichigan
Plan ID29698MI0541260

MyPriority Standard Bronze - Travel

BronzeHMOMichigan
Plan ID29698MI0541306

MyPriority Standard Bronze

BronzeHMOMichigan
Plan ID29698MI0541300

MyPriority Standard Gold

GoldHMOMichigan
Plan ID29698MI0541320

MyPriority Standard Silver - Travel

SilverHMOMichigan
Plan ID29698MI0541316

MyPriority Standard Silver

SilverHMOMichigan
Plan ID29698MI0541310

MyPriority Value Bronze HSA

BronzeHMOMichigan
Plan ID29698MI0541200

MyPriority Value Bronze

BronzeHMOMichigan
Plan ID29698MI0541210

UnitedHealthcare

27 plans · Individual market · listed as Non Preferred

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

BronzeHMO
Plan ID33931OH0030035

UHC Bronze Copay Focus (No Referrals)

BronzeHMOMichigan
Plan ID71667MI0010039

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

BronzeHMO
Plan ID33931OH0070004

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)

BronzeHMO
Plan ID33931OH0030044

UHC Bronze Essential (No Referrals)

BronzeHMOMichigan
Plan ID71667MI0010044

UHC Bronze Essential+ (Dental + Vision, No Referrals)

BronzeHMOMichigan
Plan ID71667MI0050005

UHC Bronze Standard (No Referrals)

BronzeHMO2 states
Plan IDs33931OH003002671667MI0010030

UHC Bronze Standard+ (Dental + Vision, No Referrals)

BronzeHMO
Plan ID33931OH0070005

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

GoldHMO
Plan ID33931OH0030042

UHC Gold Advantage (No Referrals)

GoldHMOMichigan
Plan ID71667MI0010048

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

GoldHMO
Plan ID33931OH0070002

UHC Gold Advantage+ (Dental + Vision, No Referrals)

GoldHMOMichigan
Plan ID71667MI0050006

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

GoldHMO
Plan ID33931OH0030032

UHC Gold Copay Focus (No Referrals)

GoldHMOMichigan
Plan ID71667MI0010042

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

GoldHMO
Plan ID33931OH0070008

UHC Gold Standard (No Referrals)

GoldHMO2 states
Plan IDs33931OH003001471667MI0010026

UHC Gold Standard+ (Dental + Vision, No Referrals)

GoldHMO
Plan ID33931OH0070009

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)

SilverHMO
Plan ID33931OH0030031

UHC Silver Advantage (No Referrals)

SilverHMOMichigan
Plan ID71667MI0010041

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)

SilverHMO
Plan ID33931OH0070001

UHC Silver Advantage+ (Dental + Vision, No Referrals)

SilverHMOMichigan
Plan ID71667MI0050001

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

SilverHMO
Plan ID33931OH0030030

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

SilverHMO
Plan ID33931OH0070007

UHC Silver Standard (No Referrals)

SilverHMO2 states
Plan IDs33931OH003002171667MI0010028

UHC Silver Standard+ (Dental + Vision, No Referrals)

SilverHMO
Plan ID33931OH0070006

UHC Silver Value (No Referrals)

SilverHMOMichigan
Plan ID71667MI0010033

UHC Silver Value+ (Dental + Vision, No Referrals)

SilverHMOMichigan
Plan ID71667MI0050004
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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. SAPNA T REDDY MD accept?

Marketplace files for the 2026 plan year list DR. SAPNA T REDDY MD as in-network for 134 plans from 8 insurance companies. The largest networks are UnitedHealthcare (27 plans), CareSource (21 plans), Ambetter from Buckeye Health Plan (16 plans), followed by 5 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. SAPNA T REDDY MD 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. SAPNA T REDDY MD participate in?

The accepted plans include 113 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.

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.