NATIVE WOMENS HEALTH CARE
Accepted Insurance for NPI 1164503421
Obstetrics & Gynecology in Rapid City, SD

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

NATIVE WOMENS HEALTH CARE is enrolled across the following managed care network types: EPO, HMO, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.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.

NPI Status: Active since October 17, 2006

Contact Information

3200 CANYON LAKE DR
RAPID CITY, SD
ZIP 57702
Phone: (605) 342-7400
Fax: (605) 342-8239

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with NATIVE WOMENS HEALTH CARE, a practicing obstetrics & gynecology professional in Rapid City, SD. Compiled from official Health Insurance Marketplace public data and sources from participating insurance companies for the current plan year, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 81 individual coverage options managed by medical networks, including networks like Avera Health Plans, Medica, 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.

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.

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Avera Health Plans

ConnectPlus $0 Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007260536SD002007374980IA0020021

ConnectPlus $0 Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007660536SD002007774980IA0020025

ConnectPlus $10,600 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002001860536SD002005074980IA0020032

ConnectPlus $1800

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002000760536SD002004174980IA0020022

ConnectPlus $4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007460536SD002007574980IA0020028

ConnectPlus $6500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002002360536SD002004674980IA0020029

ConnectPlus $7500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002002460536SD002004774980IA0020030

ConnectPlus MyWeighForward $2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002006860536SD002006974980IA0020024

ConnectPlus MyWeighForward $6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007060536SD002007174980IA0020027

ConnectPlus Standard $2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002005160536SD002005774980IA0020023

ConnectPlus Standard $6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002005260536SD002005874980IA0020026

ConnectPlus Standard $7500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002006660536SD002006774980IA0020031

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130041

Medica Individual Choice Bronze Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130029

Medica Individual Choice Expanded Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130073

Medica Individual Choice Gold $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130045

Medica Individual Choice Gold Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130074

Medica Individual Choice Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130055

Medica Individual Choice Silver $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130047

Medica Individual Choice Silver Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130076

Medica Individual Choice Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

73751ND0130057

Medica Insure Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

93078IA0060041

Medica Insure Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE0040051

Medica Insure Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004002993078IA0060029

Medica Insure Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004007393078IA0060073

Medica Insure Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004004593078IA0060045

Medica Insure Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004002593078IA0060074

Medica Insure Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004005593078IA0060055

Medica Insure Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004004793078IA0060047

Medica Insure Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004002793078IA0060027

Medica Insure Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERREDTIER Tier

Accepted Plan ID Variations

20305NE004005793078IA0060057

Sanford Health Plan

Sanford Individual Simplicity $1,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000189364ND0120001

Sanford Individual Simplicity $10,600

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000989364ND0120009

Sanford Individual Simplicity $3,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000389364ND0120003

Sanford Individual Simplicity $4,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000589364ND0120005

Sanford Individual Simplicity $6,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000789364ND0120007

Sanford Individual Simplicity $7,200 HSA Qualified

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011000689364ND0120006

Sanford Individual Simplicity Standardized $2,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001889364ND0120018

Sanford Individual Simplicity Standardized $6,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001789364ND0120017

Sanford Individual Simplicity Standardized $7,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIMPLICITY Tier

Accepted Plan ID Variations

31195SD011001689364ND0120016

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does NATIVE WOMENS HEALTH CARE accept?

This provider accepts health insurance plans managed by the following insurance companies: Avera Health Plans, Medica, Sanford 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?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

NATIVE WOMENS HEALTH CARE is enrolled across the following managed care network types: EPO, HMO, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
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.

Where does this insurance data come from and how current is it?

The accepted plan information on this page is compiled from official Health Insurance Marketplace public data and insurance companies sources for the current plan year, and it is refreshed as updated files are published. Because insurance networks change frequently throughout the year, always verify coverage directly with the insurance company or the provider’s office before scheduling care.