JENNIFER WOLFE LISW-S
Accepted Insurance for NPI 1295445708
Social Worker - Clinical in Oregon, OH

Active since November 28, 2022PECOS EnrolledAccepts Medicare Assignment

3636 STARR AVE, OREGON, OH 43616(419) 913-6373 Get Directions

NPPES record last updated: November 28, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Jennifer Wolfe take my insurance?

119 Ohio plans sold on HealthCare.gov for 2026 include Jennifer Wolfe, from Oscar Health, Paramount, CareSource and 3 other insurers. Insurers also list Jennifer Wolfe in Michigan and Wisconsin.

InsurersOscar Health 32 plans Paramount 26 plans CareSource 21 plans UnitedHealthcare 17 plans MedMutual 12 plans Anthem Blue Cross and Blue Shield 11 plans

Also listed inMichigan and Wisconsin

Call before you book: insurer directories can be out of date, so call the office at (419) 913-6373 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Ohio plans 119 plans

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

Oscar Health

32 plans · HMO

Accepting new patients

Individual Ohio Columbus network · 16 plans · Preferred tier

Gold Elite Saver PlusHMOGold$029341OH0100035

Gold Classic StandardHMOGold$2,00029341OH0100053

Gold ClassicHMOGold$2,25029341OH0100013

Silver Elite Saver PlusHMOSilver$029341OH0100030

Silver Simple PCP SaverHMOSilver$5,75029341OH0100025

Silver Simple Chronic Care CKMHMOSilver$5,90029341OH0100060

Silver Classic StandardHMOSilver$6,00029341OH0100052

Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00029341OH0100063

Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20029341OH0100061

Silver Simple DiabetesHMOSilver$6,50029341OH0100062

Bronze Elite + PCP Saver PlusHMOExpanded Bronze$029341OH0100064

Bronze Classic 4700HMOExpanded Bronze$4,70029341OH0100024

Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$5,50029341OH0100056

Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50029341OH0100057

Bronze Simple DiabetesHMOExpanded Bronze$5,50029341OH0100058

Bronze Classic StandardHMOExpanded Bronze$7,50029341OH0100050

Individual Ohio Cleveland network · 16 plans · Preferred tier

Gold Elite Saver Plus | Cleveland ClinicHMOGold$045845OH0100035

Gold Elite | Cleveland ClinicHMOGold$75045845OH0100036

Gold Classic Standard | Cleveland ClinicHMOGold$2,00045845OH0100053

Silver Elite Saver Plus | Cleveland ClinicHMOSilver$045845OH0100030

Silver Simple PCP Saver | Cleveland ClinicHMOSilver$5,75045845OH0100025

Silver Simple Chronic Care CKM | Cleveland ClinicHMOSilver$5,90045845OH0100060

Silver Classic Standard | Cleveland ClinicHMOSilver$6,00045845OH0100052

Silver Simple Women's Health with Menopause Benefits | Cleveland ClinicHMOSilver$6,00045845OH0100061

Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland ClinicHMOSilver$6,20045845OH0100059

Silver Simple Diabetes | Cleveland ClinicHMOSilver$6,50045845OH0100045

Bronze Simple HSA | Cleveland ClinicHMOExpanded Bronze$5,00045845OH0100014

Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100055

Bronze Simple Chronic Care CKM | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100056

Bronze Simple Diabetes | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100057

Bronze Classic Standard | Cleveland ClinicHMOExpanded Bronze$7,50045845OH0100050

Bronze Classic PCP Saver | Cleveland ClinicHMOExpanded Bronze$7,75045845OH0100002

Paramount

26 plans · HMO

Accepting new patients

Paramount Everyday Gold NWO OEHMOGold$1,00074313OH0210052

Paramount Everyday Gold NWO Plus Adult Dental & Vision OEHMOGold$1,00074313OH0210046

Paramount Standard Gold NCO OEHMOGold$2,00074313OH0210032

Paramount Standard Gold NWO OEHMOGold$2,00074313OH0210031

Paramount Essential Gold NWO OEHMOGold$2,50074313OH0210001

Paramount Essential Gold NWO, Plus Adult Dental & Vision OEHMOGold$2,50074313OH0210041

Paramount Standard Silver NCO OEHMOSilver$6,00074313OH0210034

Paramount Standard Silver NWO OEHMOSilver$6,00074313OH0210033

Paramount Everyday Silver NCO OEHMOSilver$6,50074313OH0210013

Paramount Everyday Silver NCO Plus Adult Dental & Vision OEHMOSilver$6,50074313OH0210048

Paramount Everyday Silver NWO OEHMOSilver$6,50074313OH0210002

Paramount Everyday Silver NWO Plus Adult Dental & Vision OEHMOSilver$6,50074313OH0210047

Paramount Essential Silver HRA NCO OEHMOSilver$7,00074313OH0210037

Paramount Essential Silver HRA NCO, Plus Adult Dental & Vision OEHMOSilver$7,00074313OH0210043

Paramount Essential Silver HRA NWO OEHMOSilver$7,00074313OH0210012

Paramount Essential Silver HRA NWO, Plus Adult Dental & Vision OEHMOSilver$7,00074313OH0210042

Paramount Economy Bronze HSA NWO OEHMOExpanded Bronze$6,50074313OH0210008

Paramount Economy Bronze NCO OEHMOExpanded Bronze$6,50074313OH0210022

Paramount Economy Bronze NCO, Plus Adult Dental & Vision Off ExchangeHMOExpanded Bronze$6,50074313OH0210045

Paramount Economy Bronze NWO, Plus Adult Dental & Vision OEHMOExpanded Bronze$6,50074313OH0210044

Paramount Standard Expanded Bronze NCO OEHMOExpanded Bronze$7,50074313OH0210036

Paramount Standard Expanded Bronze NWO OEHMOExpanded Bronze$7,50074313OH0210035

Paramount Value Bronze HRA NCO OEHMOExpanded Bronze$10,60074313OH0210023

Paramount Value Bronze HRA NCO Plus Adult Dental & Vision OEHMOExpanded Bronze$10,60074313OH0210050

Paramount Value Bronze HRA NWO OEHMOExpanded Bronze$10,60074313OH0210051

Paramount Value Bronze HRA NWO Plus Adult Dental & Vision OEHMOExpanded Bronze$10,60074313OH0210049

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

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 70 plans · 2 states

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.

Priority Health · Michigan

48 plans · HMO

Accepting new patientsDeductible $0 to $9,500

Corewell Health West Michigan Network · 16 plans · Corewell West Narrow HMO tier

MyPriority Enhanced Gold Corewell Health West Michigan NetworkHMOGold$029698MI0540595

MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry)HMOGold$029698MI0540742

MyPriority Standard Gold Corewell Health West Michigan NetworkHMOGold$2,00029698MI0541321

MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry)HMOGold$2,00029698MI0541345

MyPriority Balanced Silver Corewell Health West Michigan NetworkHMOSilver$3,20029698MI0541221

MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry)HMOSilver$3,20029698MI0541237

MyPriority Premier Silver Corewell Health West Michigan NetworkHMOSilver$5,50029698MI0541261

MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry)HMOSilver$5,50029698MI0541239

MyPriority Standard Silver - Corewell Health West Michigan NetworkHMOSilver$6,00029698MI0541311

MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry)HMOSilver$6,00029698MI0541344

MyPriority Standard Bronze - Corewell Health West Michigan NetworkHMOExpanded Bronze$7,50029698MI0541301

MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry)HMOExpanded Bronze$7,50029698MI0541343

MyPriority Value Bronze HSA Corewell Health West Michigan NetworkHMOExpanded Bronze$7,50029698MI0541201

MyPriority Value Bronze HSA Corewell Health West Michigan Network (Allegan, Barry)HMOExpanded Bronze$7,50029698MI0541235

MyPriority Value Bronze Corewell Health West Michigan NetworkHMOExpanded Bronze$9,50029698MI0541211

MyPriority Value Bronze Corewell Health West Michigan Network (Allegan, Barry)HMOExpanded Bronze$9,50029698MI0541236

Bronson Healthcare Partners network · 8 plans · Bronson Narrow Network HMO tier

MyPriority Enhanced Gold Bronson Healthcare PartnersHMOGold$029698MI0540596

MyPriority Standard Gold Bronson Healthcare PartnersHMOGold$2,00029698MI0541322

MyPriority Balanced Silver Bronson Healthcare PartnersHMOSilver$3,20029698MI0541222

MyPriority Premier Silver Bronson Healthcare PartnersHMOSilver$5,50029698MI0541262

MyPriority Standard Silver - Bronson Healthcare PartnersHMOSilver$6,00029698MI0541312

MyPriority Standard Bronze - Bronson Healthcare PartnersHMOExpanded Bronze$7,50029698MI0541302

MyPriority Value Bronze HSA Bronson Healthcare PartnersHMOExpanded Bronze$7,50029698MI0541202

MyPriority Value Bronze Bronson Healthcare PartnersHMOExpanded Bronze$9,50029698MI0541212

Trinity Health East Network · 8 plans · Trinity East Narrow Net HMO tier

MyPriority Enhanced Gold Trinity Health East NetworkHMOGold$029698MI0540599

MyPriority Standard Gold Trinity Health East NetworkHMOGold$2,00029698MI0541325

MyPriority Balanced Silver Trinity Health East NetworkHMOSilver$3,20029698MI0541225

MyPriority Premier Silver Trinity Health East NetworkHMOSilver$5,50029698MI0541265

MyPriority Standard Silver - Trinity Health East NetworkHMOSilver$6,00029698MI0541315

MyPriority Standard Bronze - Trinity Health East NetworkHMOExpanded Bronze$7,50029698MI0541305

MyPriority Value Bronze HSA Trinity Health East NetworkHMOExpanded Bronze$7,50029698MI0541205

MyPriority Value Bronze Trinity Health East NetworkHMOExpanded Bronze$9,50029698MI0541215

Priority Health HMO network · 7 plans · Mypriority HMO tier

MyPriority Standard GoldHMOGold$2,00029698MI0541320

MyPriority Balanced SilverHMOSilver$3,20029698MI0541220

MyPriority Premier SilverHMOSilver$5,50029698MI0541260

MyPriority Standard SilverHMOSilver$6,00029698MI0541310

MyPriority Standard BronzeHMOExpanded Bronze$7,50029698MI0541300

MyPriority Value Bronze HSAHMOExpanded Bronze$7,50029698MI0541200

MyPriority Value BronzeHMOExpanded Bronze$9,50029698MI0541210

Southeast Michigan Network · 7 plans · Beaumont Narrow Network HMO tier

MyPriority Enhanced Gold Southeast Michigan NetworkHMOGold$029698MI0540597

MyPriority Standard Gold Southeast Michigan NetworkHMOGold$2,00029698MI0541323

MyPriority Balanced Silver Southeast Michigan NetworkHMOSilver$3,20029698MI0541223

MyPriority Standard Silver - Southeast Michigan NetworkHMOSilver$6,00029698MI0541313

MyPriority Standard Bronze - Southeast Michigan NetworkHMOExpanded Bronze$7,50029698MI0541303

MyPriority Value Bronze HSA Southeast Michigan NetworkHMOExpanded Bronze$7,50029698MI0541203

MyPriority Value Bronze Southeast Michigan NetworkHMOExpanded Bronze$9,50029698MI0541213

Priority Health HMO Plus network · 2 plans · Mypriority HMO tier

MyPriority Standard Silver - TravelHMOSilver$6,00029698MI0541316

MyPriority Standard Bronze - TravelHMOExpanded Bronze$7,50029698MI0541306

UnitedHealthcare · Michigan

13 plans · HMO

Accepting new patientsDeductible $0 to $10,600

UHC Gold Copay Focus (No Referrals)HMOGold$071667MI0010042

UHC Gold Advantage (No Referrals)HMOGold$1,50071667MI0010048

UHC Gold Advantage+ (Dental + Vision, No Referrals)HMOGold$1,50071667MI0050006

UHC Gold Standard (No Referrals)HMOGold$2,00071667MI0010026

UHC Silver Advantage (No Referrals)HMOSilver$2,90071667MI0010041

UHC Silver Advantage+ (Dental + Vision, No Referrals)HMOSilver$2,90071667MI0050001

UHC Silver Value (No Referrals)HMOSilver$4,00071667MI0010033

UHC Silver Value+ (Dental + Vision, No Referrals)HMOSilver$4,00071667MI0050004

UHC Silver Standard (No Referrals)HMOSilver$6,00071667MI0010028

UHC Bronze Essential (No Referrals)HMOBronze$10,60071667MI0010044

UHC Bronze Essential+ (Dental + Vision, No Referrals)HMOBronze$10,60071667MI0050005

UHC Bronze Copay Focus (No Referrals)HMOExpanded Bronze$071667MI0010039

UHC Bronze Standard (No Referrals)HMOExpanded Bronze$7,50071667MI0010030

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 Jennifer Wolfe’s insurance

What insurance does Jennifer Wolfe take?

In Ohio, Oscar Health, Paramount, CareSource, UnitedHealthcare, MedMutual and Anthem Blue Cross and Blue Shield include Jennifer Wolfe in 119 Marketplace plans for 2026. Call the office at (419) 913-6373 to confirm your plan before booking.

Is Jennifer Wolfe accepting new patients?

The insurers that list Jennifer Wolfe report that Jennifer Wolfe is accepting new patients. Call the office at (419) 913-6373 to confirm your plan before booking.

Do I need a referral to see Jennifer Wolfe?

Not under the Ohio plans that list Jennifer Wolfe: the 2026 plan files say a specialist referral is not required.

Does Jennifer Wolfe accept Medicare?

Yes. CMS files show Jennifer Wolfe 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 Oscar Health: Oct 15, 2026 MedMutual: Oct 14, 2026 UnitedHealthcare: Oct 13, 2026 Priority Health: Sep 21, 2026 Paramount: Jul 31, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 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.