SAMANTHA MADEJ THEUS LCSW
Accepted Insurance for NPI 1265049621
Social Worker - Clinical in North Olmsted, OH

Active since September 29, 2020PECOS EnrolledAccepts Medicare Assignment

25111 COUNTRY CLUB BLVD STE 290, NORTH OLMSTED, OH 44070(216) 468-5000 Get Directions

NPPES record last updated: July 16, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 16, 2026, Mar 12, 2026, Nov 25, 2025 and 1 more (4 updates tracked since 2020).

Does Samantha Madej Theus take my insurance?

100 Ohio plans sold on HealthCare.gov for 2026 include Samantha Madej Theus, from Molina Healthcare, CareSource, SummaCare and 3 other insurers. Anthem Blue Cross and Blue Shield also lists Samantha Madej Theus in Wisconsin.

InsurersMolina Healthcare 22 plans CareSource 21 plans SummaCare 17 plans UnitedHealthcare 17 plans MedMutual 12 plans Anthem Blue Cross and Blue Shield 11 plans

Also listed inWisconsin

Call before you book: insurer directories can be out of date, so call the office at (216) 468-5000 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Ohio plans 100 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

Molina Healthcare

22 plans · HMO

Molina Gold Enhanced 895HMOGold$89564353OH0010014

Molina Gold Enhanced 895 Plus with Adult Dental and VisionHMOGold$89564353OH0060005

Molina Gold Enhanced 895 Plus with Adult VisionHMOGold$89564353OH0040005

Molina Gold Core 1640HMOGold$1,64064353OH0010001

Molina Gold Core 1640 Plus with Adult Dental and VisionHMOGold$1,64064353OH0060001

Molina Gold Core 1640 Plus with Adult VisionHMOGold$1,64064353OH0040001

Molina Gold Smart Heart HealthHMOGold$1,64064353OH0070002

Molina Gold StandardHMOGold$2,00064353OH0010008

Molina Silver CoreHMOSilver$6,00064353OH0010002

Molina Silver Core Plus with Adult Dental and VisionHMOSilver$6,00064353OH0060002

Molina Silver Core Plus with Adult VisionHMOSilver$6,00064353OH0040002

Molina Silver Smart Heart HealthHMOSilver$6,00064353OH0070003

Molina Silver StandardHMOSilver$6,00064353OH0010009

Molina Silver Saver with Four Free PCP VisitsHMOSilver$7,00064353OH0010010

Molina Bronze Enhanced 3500HMOExpanded Bronze$3,50064353OH0010013

Molina Bronze Enhanced 3500 Plus with Adult Dental and VisionHMOExpanded Bronze$3,50064353OH0060004

Molina Bronze Enhanced 3500 Plus with Adult VisionHMOExpanded Bronze$3,50064353OH0040004

Molina Bronze Smart Heart HealthHMOExpanded Bronze$4,00064353OH0070001

Molina Bronze Saver 7000HMOExpanded Bronze$7,00064353OH0010012

Molina Bronze Saver 7000 Plus with Adult Dental and VisionHMOExpanded Bronze$7,00064353OH0060003

Molina Bronze Saver 7000 Plus with Adult VisionHMOExpanded Bronze$7,00064353OH0040012

Molina Bronze StandardHMOExpanded Bronze$7,50064353OH0010011

CareSource

21 plans · HMO

Accepting new patients

Core Gold 1500 $10 Generic DrugsHMOGold$1,50077552OH0010212

Core Gold 1500 $10 Generic Drugs + Adult Vision & FitnessHMOGold$1,50077552OH0020212

Gold 2000 $15 Generic DrugsHMOGold$2,00077552OH0010202

Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00077552OH0020202

Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010210

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020210

Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010215

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020215

Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010209

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020209

Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010218

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020218

HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,50077552OH0010219

Silver 6000 $20 Generic DrugsHMOSilver$6,00077552OH0010203

Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00077552OH0020203

Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20077552OH0010201

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20077552OH0020201

Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50077552OH0010204

Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50077552OH0020204

Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60077552OH0010222

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60077552OH0020222

SummaCare

17 plans · HMO

Accepting new patients

SummaCare Gold 1000 with 3 Free PCP Visits + Adult VisionHMOGold$1,00052664OH1540013

SummaCare Gold 2000 with 3 Free PCP VisitsHMOGold$2,00052664OH1530026

SummaCare Gold 2000 with 3 Free PCP Visits + Adult VisionHMOGold$2,00052664OH1540006

SummaCare Standard GoldHMOGold$2,00052664OH1530036

SummaCare Standard Gold with Adult VisionHMOGold$2,00052664OH1540012

SummaCare Silver 3500 with 3 Free PCP Visits + Adult VisionHMOSilver$3,50052664OH1540005

SummaCare Silver 5000 1000 Rx with 3 Free PCP VisitsHMOSilver$5,00052664OH1530025

SummaCare Silver 6000 with 3 Free PCP Visits + Adult VisionHMOSilver$6,00052664OH1540004

SummaCare Standard SilverHMOSilver$6,00052664OH1530035

SummaCare Standard Silver with Adult VisionHMOSilver$6,00052664OH1540011

SummaCare Silver 7000 with 3 Free PCP VisitsHMOSilver$7,00052664OH1530030

SummaCare Bronze 8000HMOBronze$8,00052664OH1530023

SummaCare Bronze 8000 with Adult Vision ExamHMOBronze$8,00052664OH1540003

SummaCare Standard BronzeHMOExpanded Bronze$7,50052664OH1530032

SummaCare Standard Bronze with Adult VisionHMOExpanded Bronze$7,50052664OH1540010

SummaCare Bronze 10600 with 3 Free PCP VisitsHMOExpanded Bronze$10,60052664OH1530022

SummaCare Bronze 10600 with 3 Free PCP Visits + Adult VisionHMOExpanded Bronze$10,60052664OH1540002

UnitedHealthcare

17 plans · HMO

Accepting new patients

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)HMOGold$033931OH0030032

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$033931OH0070008

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)HMOGold$70033931OH0030042

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)HMOGold$70033931OH0070002

UHC Gold Standard (No Referrals)HMOGold$2,00033931OH0030014

UHC Gold Standard+ (Dental + Vision, No Referrals)HMOGold$2,00033931OH0070009

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOSilver$033931OH0030030

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOSilver$033931OH0070007

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)HMOSilver$3,25033931OH0030031

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)HMOSilver$3,25033931OH0070001

UHC Silver Standard (No Referrals)HMOSilver$6,00033931OH0030021

UHC Silver Standard+ (Dental + Vision, No Referrals)HMOSilver$6,00033931OH0070006

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)HMOBronze$10,60033931OH0030044

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)HMOExpanded Bronze$033931OH0030035

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)HMOExpanded Bronze$033931OH0070004

UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50033931OH0030026

UHC Bronze Standard+ (Dental + Vision, No Referrals)HMOExpanded Bronze$7,50033931OH0070005

MedMutual

12 plans · HMO

Accepting new patients

Gold $500 w/ Virtual & Wellness ON-EXHMOGold$50099969OH0080545

Gold $1,000 w/ Adult Dental ON-EXHMOGold$1,00099969OH0080546

Gold $1,000 w/ Virtual & Wellness ON-EXHMOGold$1,00099969OH0080543

Gold Standard w/ Virtual & WellnessHMOGold$2,00099969OH0080492

Silver $5,000 w/ Adult Dental ON-EXHMOSilver$5,00099969OH0080549

Silver $5,000 w/ Virtual & Wellness ON-EXHMOSilver$5,00099969OH0080548

Silver $5,800 w/ Virtual & Wellness ON-EXHMOSilver$5,80099969OH0080547

Silver Standard w/ Virtual & WellnessHMOSilver$6,00099969OH0080496

Bronze HSA $7,300 ON-EXHMOExpanded Bronze$7,30099969OH0080498

Bronze Standard w/ Virtual & WellnessHMOExpanded Bronze$7,50099969OH0080500

Bronze $8,300 w/ Adult Dental ON-EXHMOExpanded Bronze$8,30099969OH0080550

Bronze $8,300 w/ Virtual & Wellness ON-EXHMOExpanded Bronze$8,30099969OH0080499

Anthem Blue Cross and Blue Shield

11 plans · HMO

Accepting new patients

Pathway X HMO and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970005

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$5,00029276OH0970006

Anthem Silver Pathway 5500 for HSAHMOSilver$5,50029276OH0970004

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970001

Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$6,00029276OH0970002

Anthem Bronze Pathway 8500 for HSAHMOExpanded Bronze$8,50029276OH0970012

Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOGold$2,00029276OH0970009

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOSilver$6,00029276OH0970008

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$7,50029276OH0970007

Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970011

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970010

Also listed in other states 9 plans · 1 state

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS

Accepting new patientsDeductible $0 to $8,450

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Samantha Madej Theus’s insurance

What insurance does Samantha Madej Theus take?

In Ohio, Molina Healthcare, CareSource, SummaCare, UnitedHealthcare, MedMutual and Anthem Blue Cross and Blue Shield include Samantha Madej Theus in 100 Marketplace plans for 2026. Call the office at (216) 468-5000 to confirm your plan before booking.

Do I need a referral to see Samantha Madej Theus?

Not under the Ohio plans that list Samantha Madej Theus: the 2026 plan files say a specialist referral is not required.

Does Samantha Madej Theus accept Medicare?

Yes. CMS files show Samantha Madej Theus accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Anthem Blue Cross and Blue Shield: Oct 15, 2026 CareSource: Oct 15, 2026 MedMutual: Oct 14, 2026 SummaCare: Oct 13, 2026 UnitedHealthcare: Oct 13, 2026 Molina Healthcare: Oct 10, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026, Oct 20, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.