ADAM TOMASZ STYS MD
Accepted Insurance for NPI 1083656821
Internal Medicine - Interventional Cardiology in Sioux Falls, SD

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

ADAM TOMASZ STYS MD is enrolled across the following managed care network types: EPO, 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.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.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.

Quality Rating: 82.28 out of 100 score

NPI Status: Active since June 12, 2006

Contact Information

1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 328-2929
Fax: (605) 328-8429

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with ADAM TOMASZ STYS MD, a practicing internal medicine professional in Sioux Falls, SD. 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 229 individual coverage options managed by medical networks, including networks like Medica, Oscar Insurance Company, and Sanford 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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Fitler by Network Type

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130041

Medica Individual Choice Bronze HSA

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040011

Medica Individual Choice Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040029

Medica Individual Choice Bronze Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130029

Medica Individual Choice Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040073

Medica Individual Choice Expanded Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130073

Medica Individual Choice Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040074

Medica Individual Choice Gold $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130045

Medica Individual Choice Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040076

Medica Individual Choice Gold Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130074

Medica Individual Choice Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040055

Medica Individual Choice Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130055

Medica Individual Choice Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040075

Medica Individual Choice Silver $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130047

Medica Individual Choice Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040027

Medica Individual Choice Silver Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130076

Medica Individual Choice Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040057

Medica Individual Choice Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130057

Medica Insure Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

93078IA0060041

Medica Insure Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE0040051

Medica Insure Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004002993078IA0060029

Medica Insure Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004007393078IA0060073

Medica Insure Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004004593078IA0060045

Medica Insure Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004002593078IA0060074

Medica Insure Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004005593078IA0060055

Medica Insure Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004004793078IA0060047

Medica Insure Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004002793078IA0060027

Medica Insure Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20305NE004005793078IA0060057

Oscar Insurance Company

Bronze Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010003

Bronze Classic | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010058

Bronze Classic 4700

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010060

Bronze Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006557424NE0010050

Bronze Classic Standard | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010057

Bronze Elite + PCP Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001005657424NE0010005

Bronze Elite + PCP Saver Plus | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010059

Bronze Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010056

Bronze Simple Diabetes | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010060

Gold Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006757424NE0010053

Gold Classic Standard | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010066

Gold Elite

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006357424NE0010036

Gold Elite | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010067

Secure

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058

Silver Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010057

Silver Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006657424NE0010052

Silver Classic Standard | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010061

Silver Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006457424NE0010045

Silver Simple Diabetes | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010063

Silver Simple PCP Saver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006157424NE0010025

Silver Simple PCP Saver | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010064

Silver Simple Women's Health with Menopause Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010055

Silver Simple Women's Health with Menopause Benefits | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010065

Sanford Health Plan

Sanford Individual TRUE $1,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001889364ND0090018

Sanford Individual TRUE $10,600

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001589364ND0090015

Sanford Individual TRUE $3,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000889364ND0090008

Sanford Individual TRUE $4,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001689364ND0090016

Sanford Individual TRUE $6,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000789364ND0090007

Sanford Individual TRUE $7,200 HSA Qualified

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000989364ND0090009

Sanford Individual TRUE Standardized $2,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002889364ND0090028

Sanford Individual TRUE Standardized $6,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002789364ND0090027

Sanford Individual TRUE Standardized $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002689364ND0090026

Security Health Plan

Enrich $2,000 - 25%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280011

Enrich $3,500 - 30%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI028000238166WI0290005

Enrich $4,000 - 50%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280030

Enrich $5,000 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280005

Enrich $6,000 - 40%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280012

Enrich $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280013

Enrich $7,500 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI028000638166WI0290012

Enrich $9,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI028000938166WI0290013

Enrich Protection

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280010

Premier $2,000 - 25%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310001

Premier $3,500 - 30%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310002

Premier $4,000 - 50%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310030

Premier $5,000 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310004

Premier $6,000 - 40%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310003

Premier $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310006

Premier $7,500 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310005

Select $2,000 - 25%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180026

Select $3,500 - 30%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180023

Select $4,000 - 50%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180030

Select $5,000 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180018

Select $6,000 - 40%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180027

Select $7,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180028

Select $7,500 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180022

Select $9,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180014

Select Protection

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180008

SimplyOne $2,000 - 25%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270011

SimplyOne $3,500 - 30%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270001

SimplyOne $4,000 - 50%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270030

SimplyOne $5,000 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270004

SimplyOne $6,000 - 40%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270012

SimplyOne $7,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270013

SimplyOne $7,500 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270005

SimplyOne $9,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270007

SimplyOne Protection

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270008

Enrich $1,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290002

Enrich $2,500 - 20% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290003

Enrich $3,400 - 30% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290014

Enrich $3,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290009

Enrich $4,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290010

Enrich $5,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290011

Enrich $5,500 - 40% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290006

Enrich $750 - 10%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290001

Premier HMO $1,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140004

Premier HMO $2,500 - 20% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140040

Premier HMO $3,400 - 30% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140045

Premier HMO $3,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140011

Premier HMO $3,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140033

Premier HMO $4,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140012

Premier HMO $5,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140034

Premier HMO $5,500 - 40% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140036

Premier HMO $7,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140037

Premier HMO $750 - 10%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140001

Premier HMO $9,500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140044

Premier POS $1,500 - 30%

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150002

Premier POS $2,500 - 20% Copay

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150040

Premier POS $3,400 - 30% HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150045

Premier POS $3,500 - 30%

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150011

Premier POS $3,500 HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150033

Premier POS $4,000 - 20% HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150012

Premier POS $5,000 - 20% HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150034

Premier POS $5,500 - 40% Copay

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150036

Premier POS $7,500 HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150037

Premier POS $750 - 10%

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150001

Premier POS $9,500

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150044

Reliance $1,500 - 30%

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160002

Reliance $2,500 - 20% Copay

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160040

Reliance $3,400 - 30% HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160045

Reliance $3,500 - 30%

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160011

Reliance $3,500 HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160033

Reliance $4,000 - 20% HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160012

Reliance $5,000 - 20% HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160034

Reliance $5,500 - 40% Copay

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160036

Reliance $7,500 HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160037

Reliance $750 - 10%

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160001

Reliance $9,500

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160044

SimplyOne $1,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300002

SimplyOne $2,500 - 20% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300003

SimplyOne $3,400 - 30% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300014

SimplyOne $3,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300005

SimplyOne $3,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300009

SimplyOne $4,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300010

SimplyOne $5,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300011

SimplyOne $5,500 - 40% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300006

SimplyOne $7,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300012

SimplyOne $750 - 10%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300001

SimplyOne $9,500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300013

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does ADAM TOMASZ STYS MD accept?

This provider accepts health insurance plans managed by the following insurance companies: Medica, Oscar Insurance Company, Sanford Health Plan, Security 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?

ADAM TOMASZ STYS MD is enrolled across the following managed care network types: EPO, 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.
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.
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.