CLAIRE MARGARET WAITE MD
Accepted Insurance for NPI 1164537544
Radiology - Diagnostic Radiology in Edina, MN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
CLAIRE MARGARET WAITE MD, a radiology provider in Edina, MN, is listed as in-network for 17 health insurance plans from 2 insurance companies, led by Anthem Blue Cross and Blue Shield and WellSense Health Plan. 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 Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Catastrophic Pathway (+ Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
WellSense Health Plan
WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse Advice
WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse Advice
WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice
WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice
WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse Advice
WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse Advice
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 CLAIRE MARGARET WAITE MD accept?
Marketplace files for the 2026 plan year list CLAIRE MARGARET WAITE MD as in-network for 17 plans from 2 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (10 plans), WellSense Health Plan (7 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is CLAIRE MARGARET WAITE MD 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 CLAIRE MARGARET WAITE MD participate in?
The accepted plans include 10 EPO plans and 7 HMO 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.
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.
