JOHN SIFUENTES M.D.
Accepted Insurance for NPI 1154433621
Internal Medicine in Joliet, IL

NPI Status: Active since August 31, 2006

Contact Information

1106 NEAL AVE
JOLIET, IL
ZIP 60433
Phone: (815) 727-8670

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with JOHN SIFUENTES M.D., a practicing internal medicine professional in Joliet, IL. 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 66 individual coverage options managed by medical networks, including networks like CareSource, Medica, and Oscar Insurance Company. 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.

Insurance Carrier Navigation Index

Fitler by Network Type

CareSource

Bronze 7500 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010015
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020015
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010026
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020026
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010025
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020025
Gold 2000 $15 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010012
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020012
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010033
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010030
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020030
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010032
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020032
HSA Eligible Bronze 6000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010010
Low Premium Bronze 10600 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010020
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020020
Low Premium Silver 6200 $3 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010011
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020011
Platinum Zero $5 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010029
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020029
Silver 6000 $20 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010014
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020014

Medica

Medica Insure Bronze $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

93078IA0060041
Medica Insure Bronze Premier
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE0040051
Medica Insure Bronze Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002993078IA0060029
Medica Insure Expanded Bronze Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004007393078IA0060073
Medica Insure Gold $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004004593078IA0060045
Medica Insure Gold Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002593078IA0060074
Medica Insure Gold Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004005593078IA0060055
Medica Insure Silver $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004004793078IA0060047
Medica Insure Silver Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002793078IA0060027
Medica Insure Silver Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004005793078IA0060057

Oscar Insurance Company

Bronze Classic 4700
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010060
Bronze Classic 4700 | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024
Bronze Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010065
Bronze Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050
Bronze Elite + PCP Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010056
Bronze Elite + PCP Saver Plus | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070
Bronze Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071
Bronze Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072
Gold Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010067
Gold Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053
Gold Elite
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010063
Gold Elite | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036
Secure
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058
Secure | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011
Silver Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010057
Silver Classic | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006
Silver Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010066
Silver Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076
Silver Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077
Silver Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010064
Silver Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045
Silver Simple PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010061
Silver Simple PCP Saver | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025
Silver Simple Women's Health with Menopause Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: CareSource, Medica, Oscar Insurance Company. You can filter specific policies or search for unique plans using the open dashboard controls located above.
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.
JOHN SIFUENTES M.D. is enrolled across the following managed care network types: EPO, HMO.
  • 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.