ESSENTIA HEALTH SPECIALTY PHARMACY
Accepted Insurance for NPI 1316615321
Pharmacy in Superior, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ESSENTIA HEALTH SPECIALTY PHARMACY, a pharmacy provider in Superior, WI, is listed as in-network for 818 health insurance plans from 6 insurance companies, led by Blue Cross and Blue Shield of Nebraska, Blue Cross and Blue Shield of Texas and Blue Cross and Blue Shield of Oklahoma. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
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)
Blue Cross and Blue Shield of Alabama
Blue Access Gold for Business
Blue Choice Platinum for Business
Blue Cross Select Gold
Blue Cross Select Silver
Blue HSA Bronze
Blue HSA Silver for Business
Blue Protect
Blue Saver Bronze for Business
Blue Saver Bronze
Blue Saver Gold for Business
Blue Saver Silver EPO
Blue Secure Gold for Business
Blue Secure Silver for Business
Blue Standardized Bronze
Blue Standardized Gold
Blue Standardized Silver EPO
Blue Standardized Silver
Blue Standardized Statewide Silver EPO
Blue Statewide Silver EPO
Blue Value Gold
Blue Value Silver
Blue Cross and Blue Shield of Montana
Blue Focus Bronze POS? 205
Blue Focus Bronze POS? 705
Blue Focus Bronze POS? Standard
Blue Focus Gold POS? 207
Blue Focus Gold POS? 902
Blue Focus Gold POS? Standard
Blue Focus Silver POS? 206
Blue Focus Silver POS? 903
Blue Focus Silver POS? Standard
Blue Preferred Bronze PPO? 201
Blue Preferred Bronze PPO? 202
Blue Preferred Bronze PPO? Standard
Blue Preferred Gold PPO? 204
Blue Preferred Gold PPO? 901
Blue Preferred Gold PPO? Standard
Blue Preferred Security PPO? 200
Blue Preferred Silver PPO? 203
Blue Preferred Silver PPO? 308
Blue Preferred Silver PPO? Standard
Blue Cross and Blue Shield of Nebraska
HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO
HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue
HeartlandBlue Bronze 6000 Blueprint Health w/ Adult Vision
HeartlandBlue Bronze 6000 Premier Select BlueChoice w/ Adult Vision
HeartlandBlue Bronze HSA 6500 Blueprint Health
HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO
HeartlandBlue Bronze HSA 6500 NEtwork Blue
HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice
HeartlandBlue Bronze Standard 7500 Blueprint Health
HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO
HeartlandBlue Bronze Standard 7500 NEtwork Blue
HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice
HeartlandBlue Gold $0 PCP Visit 1500 Blueprint Health
HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO
HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue
HeartlandBlue Gold $0 PCP Visit 1500 Premier Select BlueChoice
HeartlandBlue Gold 1000 Blueprint Health w/ Adult Vision
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision
HeartlandBlue Gold 1000 Premier Select BlueChoice w/ Adult Vision
HeartlandBlue Gold Standard 2000 Blueprint Health
HeartlandBlue Gold Standard 2000 NEtwork Blue PPO
HeartlandBlue Gold Standard 2000 NEtwork Blue
HeartlandBlue Gold Standard 2000 Premier Select BlueChoice
HeartlandBlue Silver $0 PCP Visit 4500 Blueprint Health
HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO
HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue
HeartlandBlue Silver $0 PCP Visit 4500 Premier Select BlueChoice
HeartlandBlue Silver 4000 Blueprint Health
HeartlandBlue Silver 4000 Premier Select BlueChoice
HeartlandBlue Silver HSA 5500 Blueprint Health w/ Adult Vision
HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO
HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision
HeartlandBlue Silver HSA 5500 Premier Select BlueChoice w/ Adult Vision
HeartlandBlue Silver Standard 6000 Blueprint Health
HeartlandBlue Silver Standard 6000 NEtwork Blue PPO
HeartlandBlue Silver Standard 6000 NEtwork Blue
HeartlandBlue Silver Standard 6000 Premier Select BlueChoice
Blue Cross and Blue Shield of Oklahoma
Blue Advantage Bronze PPO? 202
Blue Advantage Bronze PPO? 203
Blue Advantage Bronze PPO? Standard
Blue Advantage Gold PPO? 309
Blue Advantage Gold PPO? 604
Blue Advantage Gold PPO? Standard
Blue Advantage Silver PPO? 204
Blue Advantage Silver PPO? 501
Blue Advantage Silver PPO? Standard
Blue Preferred Bronze PPO? Standard
Blue Preferred Gold PPO? Standard
Blue Preferred Security PPO? 200
Blue Preferred Silver PPO? Standard
MyBlue Bronze HMO? 902
MyBlue Bronze HMO? 904
MyBlue Bronze HMO? Standard
MyBlue Gold HMO? 704
MyBlue Gold HMO? 804
MyBlue Gold HMO? Standard
MyBlue Silver HMO? 705
MyBlue Silver HMO? 803
MyBlue Silver HMO? Standard
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
MyBlue Health Bronze? 402
MyBlue Health Bronze? Standard
MyBlue Health Gold? 403
MyBlue Health Gold? Standard
MyBlue Health Silver? 405
MyBlue Health Silver? Standard
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 ESSENTIA HEALTH SPECIALTY PHARMACY accept?
Marketplace files for the 2026 plan year list ESSENTIA HEALTH SPECIALTY PHARMACY as in-network for 818 plans from 6 insurance companies. The largest networks are Blue Cross and Blue Shield of Nebraska (38 plans), Blue Cross and Blue Shield of Texas (25 plans), Blue Cross and Blue Shield of Oklahoma (22 plans), followed by 3 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is ESSENTIA HEALTH SPECIALTY PHARMACY enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does ESSENTIA HEALTH SPECIALTY PHARMACY participate in?
The accepted plans include 63 PPO plans, 33 EPO plans, 25 HMO plans and 18 POS 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. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. 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.
