DR. AUDRA ANN FELDHAUS DDS
Accepted Insurance for NPI 1154770121
Dentist in Kansas City, MO

Active since June 09, 2016
415 E US HIGHWAY 69, KANSAS CITY, MO 64119(816) 454-0377 Get Directions

NPPES record last updated: June 9, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

DR. AUDRA ANN FELDHAUS DDS, a dentist provider in Kansas City, MO, is listed as in-network for 261 health insurance plans from 9 insurance companies, led by Anthem Blue Cross and Blue Shield, Ambetter Health and Ambetter from NH Healthy Families. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
9
Insurance Companies
261
Plan Options
4
Network Types
Anthem Blue Cross and Blue Shield
Largest Network · 60 plans
View plans
183 plans · 261 plan IDs · 2026 plan year

Ambetter Health

51 plans · Individual market · listed as Preferred

Balanced Silver + $0 Virtual 24/7 Care Visits

SilverEPONew Jersey
Plan ID17970NJ0010010

Central Gold + Vision + Adult Dental

GoldHMOIllinois
Plan ID27833IL0150071

Central Gold

GoldHMOIllinois
Plan ID27833IL0140071

Choice Bronze HSA + Vision + Adult Dental

BronzeEPONebraska
Plan ID13484NE0100001

Choice Bronze HSA

BronzeEPONebraska
Plan ID13484NE0090001

Clear Gold + Vision + Adult Dental

GoldEPONebraska
Plan ID13484NE0100002

Clear Gold

GoldEPONebraska
Plan ID13484NE0090002

Clear Silver

SilverHMOIllinois
Plan ID27833IL0140061

Complete Gold + Vision + Adult Dental

GoldEPO
Plan ID99723MO0110010

Complete Gold + Vision + Adult Dental

GoldHMO2 states
Plan IDs15983PA002000448286IA0020015

Complete Gold

GoldEPO
Plan ID99723MO0090016

Complete Gold

GoldHMO2 states
Plan IDs15983PA001000248286IA0010015

Complete Silver + Vision + Adult Dental

SilverEPO
Plan ID99723MO0110013

Complete Silver + Vision + Adult Dental

SilverHMOPennsylvania
Plan ID15983PA0020006

Complete Silver

SilverEPO
Plan ID99723MO0090011

Complete Silver

SilverHMOPennsylvania
Plan ID15983PA0010007

Elite Bronze + Vision + Adult Dental

BronzeEPO2 states
Plan IDs13484NE010000799723MO0110053

Elite Bronze + Vision + Adult Dental

BronzeHMO2 states
Plan IDs15983PA002000548286IA0020013

Elite Bronze

BronzeEPO2 states
Plan IDs13484NE009000799723MO0090053

Elite Bronze

BronzeHMO2 states
Plan IDs15983PA001000348286IA0010013

Elite Gold $0 Deductible + $0 Virtual 24/7 Care Visits

GoldEPONew Jersey
Plan ID17970NJ0010011

Elite Gold + Vision + Adult Dental

GoldEPONebraska
Plan ID13484NE0100005

Elite Gold

GoldEPONebraska
Plan ID13484NE0090005

Elite Silver $0 Medical Deductible + $0 Virtual 24/7 Care Visits

SilverEPONew Jersey
Plan ID17970NJ0010009

Everyday Bronze + Vision + Adult Dental

BronzeEPO
Plan ID99723MO0110009

Everyday Bronze + Vision + Adult Dental

BronzeHMO2 states
Plan IDs15983PA002000148286IA0020012

Everyday Bronze

BronzeEPO
Plan ID99723MO0090018

Everyday Bronze

BronzeHMO2 states
Plan IDs15983PA001000448286IA0010012

Everyday Gold + Vision + Adult Dental

GoldEPO
Plan ID99723MO0110063

Everyday Gold + Vision + Adult Dental

GoldHMO3 states
Plan IDs15983PA002000227833IL015005948286IA0020016

Everyday Gold

GoldEPO
Plan ID99723MO0090063

Everyday Gold

GoldHMO3 states
Plan IDs15983PA001000527833IL014006448286IA0010016

Focused Silver + Vision + Adult Dental

SilverEPONebraska
Plan ID13484NE0100004

Focused Silver + Vision + Adult Dental

SilverHMO3 states
Plan IDs15983PA002000327833IL015005848286IA0020019

Focused Silver

SilverEPONebraska
Plan ID13484NE0090004

Focused Silver

SilverHMO3 states
Plan IDs15983PA001000627833IL014006348286IA0010019

Premium Silver + $0 Virtual 24/7 Care Visits

SilverEPONew Jersey
Plan ID17970NJ0010006

Secure Gold + $0 Virtual 24/7 Care Visits

GoldEPONew Jersey
Plan ID17970NJ0010007

Secure Silver with $0 Insulin Options + $0 Virtual 24/7 Care Visits

SilverEPONew Jersey
Plan ID17970NJ0010003

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPO2 states
Plan IDs13484NE010000899723MO0110070

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMOIowa
Plan ID48286IA0020014

Standard Expanded Bronze

BronzeEPO2 states
Plan IDs13484NE009000899723MO0090069

Standard Expanded Bronze

BronzeHMOIowa
Plan ID48286IA0010014

Standard Gold + Vision + Adult Dental

GoldEPO2 states
Plan IDs13484NE010000699723MO0110072

Standard Gold + Vision + Adult Dental

GoldHMO2 states
Plan IDs27833IL015007448286IA0020017

Standard Gold

GoldEPO2 states
Plan IDs13484NE009000699723MO0090071

Standard Gold

GoldHMO2 states
Plan IDs27833IL014007548286IA0010017

Standard Silver + Vision + Adult Dental

SilverEPO2 states
Plan IDs13484NE010000999723MO0110027

Standard Silver + Vision + Adult Dental

SilverHMO2 states
Plan IDs27833IL015007348286IA0020023

Standard Silver

SilverEPO2 states
Plan IDs13484NE009000999723MO0090070

Standard Silver

SilverHMO2 states
Plan IDs27833IL014007448286IA0010020

Ambetter Health of Delaware

17 plans · Individual market · listed as Preferred

Clear Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100011

Clear Gold

GoldEPODelaware
Plan ID64004DE0090011

Complete Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100009

Complete Gold

GoldEPODelaware
Plan ID64004DE0090009

Elite Silver + Vision + Adult Dental

SilverEPODelaware
Plan ID64004DE0100013

Elite Silver

SilverEPODelaware
Plan ID64004DE0090013

Everyday Bronze + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100002

Everyday Bronze

BronzeEPODelaware
Plan ID64004DE0090002

Focused Silver + Vision + Adult Dental

SilverEPODelaware
Plan ID64004DE0100007

Focused Silver

SilverEPODelaware
Plan ID64004DE0090007

Principal Bronze HSA + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100001

Principal Bronze HSA

BronzeEPODelaware
Plan ID64004DE0090001

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPODelaware
Plan ID64004DE0100004

Standard Expanded Bronze

BronzeEPODelaware
Plan ID64004DE0090004

Standard Gold + Vision + Adult Dental

GoldEPODelaware
Plan ID64004DE0100012

Standard Gold

GoldEPODelaware
Plan ID64004DE0090012

Standard Silver

SilverEPODelaware
Plan ID64004DE0090008

Ambetter from NH Healthy Families

18 plans · Individual market · listed as Preferred

Choice Bronze HSA + Vision + Adult Dental

BronzeEPONew Hampshire
Plan ID75841NH0100002

Choice Bronze HSA

BronzeEPONew Hampshire
Plan ID75841NH0090006

Clear Silver + Vision + Adult Dental

SilverEPONew Hampshire
Plan ID75841NH0100010

Clear Silver

SilverEPONew Hampshire
Plan ID75841NH0090013

Complete Gold + Vision + Adult Dental

GoldEPONew Hampshire
Plan ID75841NH0100009

Complete Gold

GoldEPONew Hampshire
Plan ID75841NH0090005

Complete Silver + Vision + Adult Dental

SilverEPONew Hampshire
Plan ID75841NH0100011

Complete Silver

SilverEPONew Hampshire
Plan ID75841NH0090011

Elite Bronze + Vision + Adult Dental

BronzeEPONew Hampshire
Plan ID75841NH0100021

Elite Bronze

BronzeEPONew Hampshire
Plan ID75841NH0090021

Everyday Gold + Vision + Adult Dental

GoldEPONew Hampshire
Plan ID75841NH0100026

Everyday Gold

GoldEPONew Hampshire
Plan ID75841NH0090026

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPONew Hampshire
Plan ID75841NH0100029

Standard Expanded Bronze

BronzeEPONew Hampshire
Plan ID75841NH0090028

Standard Gold + Vision + Adult Dental

GoldEPONew Hampshire
Plan ID75841NH0100031

Standard Gold

GoldEPONew Hampshire
Plan ID75841NH0090030

Standard Silver + Vision + Adult Dental

SilverEPONew Hampshire
Plan ID75841NH0100030

Standard Silver

SilverEPONew Hampshire
Plan ID75841NH0090029

Ambetter from Sunflower Health Plan

16 plans · Individual market · listed as Preferred

Elite Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120047

Elite Bronze

BronzeEPOKansas
Plan ID34368KS0110047

Elite Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120068

Elite Gold

GoldEPOKansas
Plan ID34368KS0110066

Everyday Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120043

Everyday Bronze

BronzeEPOKansas
Plan ID34368KS0110043

Everyday Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120033

Everyday Gold

GoldEPOKansas
Plan ID34368KS0110033

Focused Silver + Vision + Adult Dental

SilverEPOKansas
Plan ID34368KS0120053

Focused Silver

SilverEPOKansas
Plan ID34368KS0110053

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOKansas
Plan ID34368KS0120069

Standard Expanded Bronze

BronzeEPOKansas
Plan ID34368KS0110068

Standard Gold + Vision + Adult Dental

GoldEPOKansas
Plan ID34368KS0120071

Standard Gold

GoldEPOKansas
Plan ID34368KS0110070

Standard Silver + Vision + Adult Dental

SilverEPOKansas
Plan ID34368KS0120070

Standard Silver

SilverEPOKansas
Plan ID34368KS0110069

Anthem Blue Cross and Blue Shield

60 plans · Individual market · listed as Participating

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990010

Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990008

Anthem Bronze Essential 6500 HSA (+ Incentives)

BronzeHMOIndiana
Plan ID17575IN0990011

Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990009

Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzePOSIndiana
Plan ID17575IN1000002

Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzePOSIndiana
Plan ID17575IN1000001

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980022

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970001

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970010

Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980014

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980019

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970007

Anthem Bronze Pathway 8500 for HSA

BronzeHMOOhio
Plan ID29276OH0970012

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

BronzeHMOWisconsin
Plan IDs79475WI055000279475WI055001179475WI055001279475WI055001379475WI0550054

Anthem Bronze Pathway/Lean HSA (+ Incentives)

BronzeHMOWisconsin
Plan IDs79475WI055000179475WI055000879475WI055000979475WI055001079475WI0550042

Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOWisconsin
Plan IDs79475WI055002979475WI055003279475WI055003979475WI055004079475WI0550052

Anthem Catastrophic Essential (+ Incentives)

CatastrophicHMOIndiana
Plan ID17575IN0990004

Anthem Catastrophic Pathway (+ Incentives)

CatastrophicEPO
Plan ID32753MO0980017

Anthem Dental Family Enhanced

PPO5 statesDental only
Plan IDs17575IN086000429276OH083000432753MO086000486545CT140000490028WI0420004

Anthem Dental Family Preventive

PPO5 statesDental only
Plan IDs17575IN086000629276OH083000632753MO086000686545CT140000690028WI0420006

Anthem Dental Family Value

PPO5 statesDental only
Plan IDs17575IN086000529276OH083000532753MO086000586545CT140000590028WI0420005

Anthem Dental Family

PPO5 statesDental only
Plan IDs17575IN086000329276OH083000332753MO086000386545CT140000390028WI0420003

Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOIndiana
Plan ID17575IN0990006

Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOIndiana
Plan ID17575IN0990012

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldEPO
Plan ID32753MO0980021

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)

GoldHMOOhio
Plan ID29276OH0970009

Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOWisconsin
Plan IDs79475WI055000679475WI055002079475WI055002179475WI055002279475WI0550046

Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOWisconsin
Plan IDs79475WI055003179475WI055003379475WI055003679475WI055003879475WI0550056

Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990007

Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPO
Plan ID32753MO0980018

Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970002

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

BronzeHMOWisconsin
Plan IDs79475WI055000779475WI055002379475WI055002479475WI055002579475WI0550048

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990002

Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980013

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970006

Anthem Silver Essential 3500 HSA (+ Incentives)

SilverHMOIndiana
Plan ID17575IN0990013

Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990005

Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990003

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990001

Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970005

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970011

Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980015

Anthem Silver Pathway 5500 for HSA

SilverHMOOhio
Plan ID29276OH0970004

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980020

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970008

Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPO
Plan ID32753MO0980016

Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

SilverHMOWisconsin
Plan IDs79475WI055000379475WI055001479475WI055001579475WI055001679475WI0550044

Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOWisconsin
Plan IDs79475WI055000579475WI055001779475WI055001879475WI055001979475WI0550050

Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOWisconsin
Plan IDs79475WI055003079475WI055003479475WI055003579475WI055003779475WI0550058

Bronze HMO Pathway Enhanced with Adult Dental and Vision Benefits

BronzeHMOConnecticut
Plan ID86545CT1230025

Bronze HMO Pathway Enhanced

BronzeHMOConnecticut
Plan ID86545CT1580001

Bronze PPO Pathway with PreventiveRx HSA

BronzePPOConnecticut
Plan ID86545CT1570001

Bronze PPO Standard Pathway HSA

BronzePPOConnecticut
Plan ID86545CT1330009

Bronze PPO Standard Pathway

BronzePPOConnecticut
Plan ID86545CT1330002

Catastrophic HMO Pathway Enhanced

CatastrophicHMOConnecticut
Plan ID86545CT1230005

Gold HMO Pathway Enhanced with Adult Dental and Vision Benefits

GoldHMOConnecticut
Plan ID86545CT1230027

Gold PPO Pathway with Adult Dental and Vision Benefits

GoldPPOConnecticut
Plan ID86545CT1330020

Gold PPO Pathway

GoldPPOConnecticut
Plan ID86545CT1570002

Gold PPO Standard Pathway

GoldPPOConnecticut
Plan ID86545CT1330003

Silver PPO Standard Pathway

SilverPPOConnecticut
Plan ID86545CT1330001

Blue Cross and Blue Shield of Montana

6 plans · Individual market · listed as Preferred

BlueCare Dental 4 Kids℠ 1A

PPOMontanaDental only
Plan ID30751MT0580003

BlueCare Dental 4 Kids℠ 1B

PPOMontanaDental only
Plan ID30751MT0580004

BlueCare Dental℠ 1A

PPOMontanaDental only
Plan ID30751MT0580001

BlueCare Dental℠ 1B

PPOMontanaDental only
Plan ID30751MT0580002

BlueCare Dental℠ 1C

PPOMontanaDental only
Plan ID30751MT0580005

BlueCare Dental℠ 1D

PPOMontanaDental only
Plan ID30751MT0580006

Blue Cross and Blue Shield of Oklahoma

6 plans · Individual market · listed as Preferred

BlueCare Dental 4 Kids℠ 1A

PPOOklahomaDental only
Plan ID87571OK0390003

BlueCare Dental 4 Kids℠ 1B

PPOOklahomaDental only
Plan ID87571OK0390004

BlueCare Dental℠ 1A

PPOOklahomaDental only
Plan ID87571OK0390001

BlueCare Dental℠ 1B

PPOOklahomaDental only
Plan ID87571OK0390002

BlueCare Dental℠ 1C

PPOOklahomaDental only
Plan ID87571OK0390005

BlueCare Dental℠ 1D

PPOOklahomaDental only
Plan ID87571OK0390006

Blue Cross and Blue Shield of Texas

6 plans · Individual market · listed as Preferred

BlueCare Dental 1D

PPOTexasDental only
Plan ID33602TX0500007

BlueCare Dental 4 Kids℠ 1A

PPOTexasDental only
Plan ID33602TX0500003

BlueCare Dental 4 Kids℠ 1B

PPOTexasDental only
Plan ID33602TX0500004

BlueCare Dental℠ 1A

PPOTexasDental only
Plan ID33602TX0500001

BlueCare Dental℠ 1B

PPOTexasDental only
Plan ID33602TX0500002

BlueCare Dental℠ 1C

PPOTexasDental only
Plan ID33602TX0500006

Delta Dental of Iowa

3 plans · Individual market · listed as Delta Dental PPO And Delta Dental Premier

Delta Dental PPO Plus Premier® Individual Choice - Preventive Plus

PPOIowaDental only
Plan ID63366IA0020002

Delta Dental PPO Plus Premier® Individual Choice - Platinum Plus

PlatinumPPOIowaDental only
Plan ID63366IA0020006

Delta Dental PPO Plus Premier® Individual Choice -Preferred Plus

PPOIowaDental only
Plan ID63366IA0020001
No plans match your current filters. Clear filters to see the full list.

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. AUDRA ANN FELDHAUS DDS accept?

Marketplace files for the 2026 plan year list DR. AUDRA ANN FELDHAUS DDS as in-network for 261 plans from 9 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (60 plans), Ambetter Health (51 plans), Ambetter from NH Healthy Families (18 plans), followed by 6 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. AUDRA ANN FELDHAUS DDS 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. AUDRA ANN FELDHAUS DDS participate in?

The accepted plans include 91 EPO plans, 58 HMO plans, 32 PPO plans and 2 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.