PRUDENCE TICKNOR RD
Accepted Insurance for NPI 1174920821
Dietitian, Registered in Modesto, CA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
PRUDENCE TICKNOR RD, a dietitian, registered provider in Modesto, CA, is listed as in-network for 124 health insurance plans from 2 insurance companies, led by Anthem Blue Cross and Blue Shield and Blue Cross and Blue Shield of NC. 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 Access Blue New England HMO 6000/20%/8000 w/HSA
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA
Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value
Anthem Bronze Access Blue New England HMO 8500/50%/9200
Anthem Bronze Pathway X Enhanced 6000/35% HSA
Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard
Anthem Bronze Pathway X HMO 6000/20%/8000 w/HSA
Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA
Anthem Bronze Pathway X HMO 7500/30%/10000 Value
Anthem Bronze Pathway X HMO 8500/50%/9200
Anthem Bronze Tiered 8000, Off MP Twin
Anthem Catastrophic Pathway X Enhanced
Anthem Catastrophic, Off MP Twin
Anthem Clear Choice Bronze Tiered 6300 HSA, Off MP Twin
Anthem Clear Choice Bronze Tiered 7500, Off MP Twin
Anthem Clear Choice Gold Tiered 2500, Off MP Twin
Anthem Clear Choice Silver Tiered 4000, Off MP Twin
Anthem Clear Choice Silver Tiered 5000, Off MP Twin
Anthem Gold Access Blue New England HMO 1000/20%/7500
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA
Anthem Gold Access Blue New England HMO 2000/10%/7500
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA
Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD
Anthem Gold Access Blue New England HMO 500/30%/9000
Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs)
Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drug) Standard
Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs)
Anthem Gold Pathway X HMO 1000/20%/7500
Anthem Gold Pathway X HMO 2000/0%/6500 RxD
Anthem Gold Pathway X HMO 2000/10%/4600 w/HSA
Anthem Gold Pathway X HMO 2000/10%/7500
Anthem Gold Pathway X HMO 2000/20%/4600 w/HSA
Anthem Gold Pathway X HMO 3000/0%/7500 RxD
Anthem Gold Pathway X HMO 500/30%/9000
Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs)
Anthem Platinum Access Blue New England HMO 250/10%/3500
Anthem Platinum Pathway X HMO 250/10%/3500
Anthem Silver Access Blue New England HMO 2500/30%/10000 Value
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value
Anthem Silver Access Blue New England HMO 3500/20%/10000
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA
Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD
Anthem Silver Access Blue New England HMO 4000/0%/9000
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA
Anthem Silver Access Blue New England HMO 4000/20%/8500
Anthem Silver Access Blue New England HMO 4000/30%/9000 Value
Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA
Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA
Anthem Silver Access Blue New England HMO 5000/0%/9000
Anthem Silver Access Blue New England HMO 5000/30%/9000 Value
Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD
Anthem Silver Pathway X Enhanced 4500/20% HSA
Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard
Anthem Silver Pathway X HMO 2500/30%/10000 Value
Anthem Silver Pathway X HMO 3000/30%/9000 Value
Anthem Silver Pathway X HMO 3500/20%/10000
Anthem Silver Pathway X HMO 3500/20%/7250 w/HSA
Anthem Silver Pathway X HMO 4000/0%/9000 RxD
Anthem Silver Pathway X HMO 4000/0%/9000
Anthem Silver Pathway X HMO 4000/10%/7250 w/HSA
Anthem Silver Pathway X HMO 4000/20%/8500
Anthem Silver Pathway X HMO 4000/30%/9000 Value
Anthem Silver Pathway X HMO 4500/20%/7250 w/HSA
Anthem Silver Pathway X HMO 5000/0%/8000 w/HSA
Anthem Silver Pathway X HMO 5000/0%/9000
Anthem Silver Pathway X HMO 5000/30%/9000 Value
Anthem Silver Pathway X HMO 6500/0%/9000 RxD
Anthem Silver Tiered 4500, Off MP Twin
Blue Cross and Blue Shield of NC
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors
Blue Advantage Bronze Standard | Nationwide Doctors
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Blue Advantage Gold Standard A | Nationwide Doctors
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Blue Advantage Silver Standard | Nationwide Doctors
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors
Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors
Blue Care Bronze Standard | Statewide Doctors
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors
Blue Care Gold Standard A | Statewide Doctors
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors
Blue Care Silver Standard | Statewide Doctors
Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors
Blue Value Bronze HSA Eligible | Integrated | Limited Statewide Doctors
Blue Value Bronze Standard | Limited Statewide Doctors
Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors
Blue Value Gold Standard A | Limited Statewide Doctors
Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors
Blue Value Silver Standard | Limited Statewide Doctors
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 PRUDENCE TICKNOR RD accept?
Marketplace files for the 2026 plan year list PRUDENCE TICKNOR RD as in-network for 124 plans from 2 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (72 plans), Blue Cross and Blue Shield of NC (27 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is PRUDENCE TICKNOR RD 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.
What network types does PRUDENCE TICKNOR RD participate in?
The accepted plans include 81 HMO plans, 9 PPO plans and 9 POS plans. 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.
