CHARLES K MARTIN PA
Accepted Insurance for NPI 1114101813
Physician Assistant in Wausau, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
CHARLES K MARTIN PA, a physician assistant provider in Wausau, WI, is listed as in-network for 70 health insurance plans from 4 insurance companies, led by Security Health Plan, Aspirus Health Plan and Anthem Blue Cross and Blue Shield. 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 Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Aspirus Health Plan
HMO Bronze $0 Medical Deductible
HMO Bronze 10000
HMO Bronze 7500
HMO Catastrophic 10600 with 3 free PCP visits
HMO Gold 2000
HMO Gold 2700
HMO HDHP Silver 5900
HMO Silver 6000
HMO Silver 6600
POS Bronze 7500
POS Bronze 8500
POS Silver 6000
HealthPartners
Oak $1,300 Gold
Oak $2,000 Standard Gold
Security Health Plan
Premier $2,000 - 25%
Premier $3,500 - 30%
Premier $4,000 - 50%
Premier $5,000 HDHP
Premier $6,000 - 40%
Premier $7,500 HDHP
Premier $7,500
Premier HMO $1,500 - 30%
Premier HMO $2,500 - 20% Copay
Premier HMO $3,400 - 30% HDHP
Premier HMO $3,500 - 30%
Premier HMO $3,500 HDHP
Premier HMO $4,000 - 20% HDHP
Premier HMO $5,000 - 20% HDHP
Premier HMO $5,500 - 40% Copay
Premier HMO $7,500 HDHP
Premier HMO $750 - 10%
Premier HMO $9,500
Premier POS $1,500 - 30%
Premier POS $2,500 - 20% Copay
Premier POS $3,400 - 30% HDHP
Premier POS $3,500 - 30%
Premier POS $3,500 HDHP
Premier POS $4,000 - 20% HDHP
Premier POS $5,000 - 20% HDHP
Premier POS $5,500 - 40% Copay
Premier POS $7,500 HDHP
Premier POS $750 - 10%
Premier POS $9,500
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 CHARLES K MARTIN PA accept?
Marketplace files for the 2026 plan year list CHARLES K MARTIN PA as in-network for 70 plans from 4 insurance companies. The largest networks are Security Health Plan (29 plans), Aspirus Health Plan (12 plans), Anthem Blue Cross and Blue Shield (9 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is CHARLES K MARTIN PA 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 CHARLES K MARTIN PA participate in?
The accepted plans include 27 HMO plans, 23 POS plans and 2 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
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.
