JONATHAN N JOHNSON MD
Accepted Insurance for NPI 1285648899
Pediatrics - Pediatric Cardiology in Rochester, MN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
JONATHAN N JOHNSON MD, a pediatrics provider in Rochester, MN, is listed as in-network for 112 health insurance plans from 5 insurance companies, led by Medica, Blue Cross Blue Shield of North Dakota and Anthem Blue Cross and Blue Shield. 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 Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
DakotaBlue Altru Gold ($5 Value Based Drug List)
DakotaBlue Altru Silver ($5 Value Based Drug List)
DakotaBlue Trinity Gold ($5 Value Based Drug List)
DakotaBlue Trinity Silver ($5 Value Based Drug List)
HealthPartners
Atlas $1,300 Gold
Atlas $2,000 Standard Gold
Atlas $3,050 Plus Silver
Atlas $3,800 HSA Silver
Atlas $6,000 Standard Silver
Atlas $6,800 Plus Bronze HSA
Atlas $7,500 Standard Bronze HSA
Atlas $8,400 HSA Bronze
Medica
Engage by Medica Bronze HSA
Engage by Medica Bronze Share
Engage by Medica Expanded Bronze Standard
Engage by Medica Gold $0 Copay PCP Visits
Engage by Medica Gold Share
Engage by Medica Gold Standard
Engage by Medica Silver $0 Copay PCP Visits
Engage by Medica Silver Share
Engage by Medica Silver Standard
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
Medica Individual Choice Silver Standard
Medica Insure Bronze $0 Copay PCP Visits
Medica Insure Bronze Premier
Medica Insure Bronze Share
Medica Insure Expanded Bronze Standard
Medica Insure Gold $0 Copay PCP Visits
Medica Insure Gold Share
Medica Insure Gold Standard
Medica Insure Silver $0 Copay PCP Visits
Medica Insure Silver Share
Medica Insure Silver Standard
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $10,600
Sanford Individual Simplicity $3,500
Sanford Individual Simplicity $4,750
Sanford Individual Simplicity $6,500
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Individual Simplicity Standardized $2,000
Sanford Individual Simplicity Standardized $6,000
Sanford Individual Simplicity Standardized $7,500
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 JONATHAN N JOHNSON MD accept?
Marketplace files for the 2026 plan year list JONATHAN N JOHNSON MD as in-network for 112 plans from 5 insurance companies. The largest networks are Medica (37 plans), Blue Cross Blue Shield of North Dakota (14 plans), Anthem Blue Cross and Blue Shield (9 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is JONATHAN N JOHNSON 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 JONATHAN N JOHNSON MD participate in?
The accepted plans include 31 PPO plans, 28 EPO plans, 9 POS plans and 9 HMO plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. 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.
