DR. TOMMY J KOEN DMD
Accepted Insurance for NPI 1104881663
Dentist - Orthodontics and Dentofacial Orthopedics in Hendersonville, TN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. TOMMY J KOEN DMD, a dentist provider in Hendersonville, TN, is listed as in-network for 208 health insurance plans from 12 insurance companies, led by Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama and Blue Cross and Blue Shield of Montana. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 6500 HSA (+ Incentives)
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 8500 for HSA
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean HSA (+ Incentives)
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Catastrophic Essential (+ Incentives)
Anthem Catastrophic Pathway (+ Incentives)
Anthem Dental Family Enhanced
Anthem Dental Family Preventive
Anthem Dental Family Value
Anthem Dental Family
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Essential 3500 HSA (+ Incentives)
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 5500 for HSA
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Blue Cross and Blue Shield of Alabama
Blue Access Gold for Business
Blue Choice Platinum for Business
Blue HSA Bronze
Blue HSA Silver for Business
Blue Protect
Blue Saver Bronze for Business
Blue Saver Bronze
Blue Saver Gold for Business
Blue Secure Gold for Business
Blue Secure Silver for Business
Blue Standardized Statewide Silver EPO
Blue Statewide Silver EPO
Blue Value Gold
Blue Value Silver
Blue Cross and Blue Shield of Montana
BlueCare Dental 4 Kids? 1A
BlueCare Dental 4 Kids? 1B
BlueCare Dental? 1A
BlueCare Dental? 1B
BlueCare Dental? 1C
BlueCare Dental? 1D
Blue Cross and Blue Shield of Oklahoma
BlueCare Dental 4 Kids? 1A
BlueCare Dental 4 Kids? 1B
BlueCare Dental? 1A
BlueCare Dental? 1B
BlueCare Dental? 1C
BlueCare Dental? 1D
Blue Cross and Blue Shield of Texas
BlueCare Dental 1D
BlueCare Dental 4 Kids? 1A
BlueCare Dental 4 Kids? 1B
BlueCare Dental? 1A
BlueCare Dental? 1B
BlueCare Dental? 1C
BlueCross BlueShield of Tennessee
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health�
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health�
Florida Combined Life
BlueDental Copayment QF
BlueDental Copayment Q
HRI Dental & Vision
HRI Essential Plus Plan
HRI Essential Plus Plan
HRI Preventive Family Plan
HRI Preventive Family Plan
HRI Total Care Plan
HRI Total Care Plan
Humana
Humana Dental Smart Choice - Basic
Humana Dental Smart Choice - High
Humana Dental Smart Choice - Lite
Humana Dental Smart Choice - Low
Humana Dental Smart Choice
Paramount
Paramount Dental Essential Plus Plan
Paramount Dental Preventive Family Plan
Paramount Dental Total Care Plan
TRUASSURE INSURANCE COMPANY
TruAssure Basic Adult or Child Dental Pla
TruAssure Preferred Adult or Child Dental Plan
TruAssure Preventive Dental Plan
UnitedHealthcare
Lone Star - Smile Now
Smile Now Arizona - No Waiting Period PPO
Smile Now Michigan - No Waiting Period PPO
Smile Now Ohio - No Waiting Period PPO
Smile Now Texas- No Waiting Period Plan
Smile Now Utah - No Waiting Period PPO
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. TOMMY J KOEN DMD accept?
Marketplace files for the 2026 plan year list DR. TOMMY J KOEN DMD as in-network for 208 plans from 12 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (49 plans), Blue Cross and Blue Shield of Alabama (14 plans), Blue Cross and Blue Shield of Montana (6 plans), followed by 9 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. TOMMY J KOEN DMD enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does DR. TOMMY J KOEN DMD participate in?
The accepted plans include 53 PPO plans, 36 HMO plans, 18 EPO plans and 2 POS plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
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.
