JACALYN A NELSON MD
Accepted Insurance for NPI 1063430833
Internal Medicine - Sleep Medicine in Fitchburg, WI

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

JACALYN A NELSON MD is enrolled across the following managed care network types: HMO, POS. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.

NPI Status: Active since July 18, 2006

Contact Information

2844 INDEX RD
FITCHBURG, WI
ZIP 53713
Phone: (608) 229-7979
Fax: (608) 229-8110

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with JACALYN A NELSON MD, a practicing internal medicine professional in Fitchburg, 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 18 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, and Group Health Cooperative-SCW. 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.

Search Insurance Plans

Filter By Insurance Company

Fitler by Network Type

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560002

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560006

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560005

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560008

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560001

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560004

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560007

Group Health Cooperative-SCW

Partners HMO Bronze 10600 Ded/10600 MOOP HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240028

Partners HMO Bronze 6000 Ded/10600 MOOP HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240027

Partners HMO Bronze 7500 Ded/10000 MOOP HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240075

Partners HMO Gold 1500 Ded/8000 MOOP with Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240061

Partners HMO Gold 2000 Ded/8200 MOOP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240073

Partners HMO Gold 4000 Ded/4000 MOOP HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240023

Partners HMO Silver 5500 Ded/8500 MOOP with Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240057

Partners HMO Silver 5975 Ded/5975 MOOP HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240025

Partners HMO Silver 6000 Ded/8900 MOOP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTNERS-HMO Tier

Accepted Plan ID Variations

94529WI0240074

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does JACALYN A NELSON MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, Group Health Cooperative-SCW. 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?

JACALYN A NELSON MD is enrolled across the following managed care network types: HMO, POS.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.