MARC P. MICHALSKY M.D.
Accepted Insurance for NPI 1326098708
Surgery - Pediatric Surgery in Columbus, OH
Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
Does Dr. Michalsky take my insurance?
54 Ohio plans sold on HealthCare.gov for 2027 include Dr. Michalsky, from Antidote Health, UnitedHealthcare and AmeriHealth Caritas Next. Insurers also list Dr. Michalsky in Michigan and Wisconsin.
Also listed inMichigan and Wisconsin
Call before you book: insurer directories can be out of date, so call the office at (614) 722-6200 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed. The NPPES record lists a Ohio Medicaid ID; ask the office which Medicaid plans it takes.
No plans match your search or filters.
Ohio plans 54 plans
Plans sold to Ohio residents. Costs are for the standard version of each plan.
Antidote Health
Gold Elite Unlimited $0Antidote PCP/UrgentVirtual Visits and More $0 BenefitsNetwork tier: TieroneHMOGold$3,00031981OH0010230View details
GoldElite+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and More $0 BenefitsNetwork tier: TieroneHMOGold$3,00031981OH0010231View details
GoldEnhanced Blood Pressure Management Unlimited $0Antidote PCP/UrgentVirtual Visits and $0 Advanced RxNetwork tier: TieroneHMOGold$3,00031981OH0010084View details
GoldEnhanced Blood PressureManagement+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and $0 Advanced RxNetwork tier: TieroneHMOGold$3,00031981OH0010085View details
GoldEnhanced Diabetes Unlimited $0Antidote PCP/UrgentVirtual Visits and Select $0 InsulinNetwork tier: TieroneHMOGold$3,00031981OH0010082View details
GoldEnhancedDiabetes+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and Select $0 InsulinNetwork tier: TieroneHMOGold$3,00031981OH0010083View details
Gold Complete Unlimited $0Antidote PCP/UrgentVirtual Visits and 4 $0 Tier-1 PCP Visits IncludedNetwork tier: TieroneHMOGold$3,50031981OH0010130View details
GoldComplete+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and 4 $0 Tier-1 PCP Visits IncludedNetwork tier: TieroneHMOGold$3,50031981OH0010131View details
Silver Elite Unlimited $0Antidote PCP/UrgentVirtual Visits and More $0 BenefitsNetwork tier: TieroneHMOSilver$6,50031981OH0010220View details
SilverElite+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and More $0 BenefitsNetwork tier: TieroneHMOSilver$6,50031981OH0010221View details
Silver Complete Unlimited $0Antidote PCP/UrgentVirtual Visits and 4 $0 Tier-1 PCP Visits IncludedNetwork tier: TieroneHMOSilver$7,50031981OH0010120View details
SilverComplete+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and 4 $0 Tier-1 PCP Visits IncludedNetwork tier: TieroneHMOSilver$7,50031981OH0010121View details
SilverEnhanced Blood Pressure Management Unlimited $0Antidote PCP/UrgentVirtual Visits and $0 Advanced RxNetwork tier: TieroneHMOSilver$7,50031981OH0010074View details
SilverEnhanced Blood PressureManagement+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and $0 Advanced RxNetwork tier: TieroneHMOSilver$7,50031981OH0010075View details
SilverEnhanced Diabetes Unlimited $0Antidote PCP/UrgentVirtual Visits and Select $0 InsulinNetwork tier: TieroneHMOSilver$7,50031981OH0010072View details
SilverEnhancedDiabetes+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and Select $0 InsulinNetwork tier: TieroneHMOSilver$7,50031981OH0010073View details
Bronze Elite Unlimited $0Antidote PCP/UrgentVirtual Visits and More $0 BenefitsNetwork tier: TieroneHMOExpanded Bronze$8,00031981OH0010210View details
BronzeElite+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and More $0 BenefitsNetwork tier: TieroneHMOExpanded Bronze$8,00031981OH0010211View details
Bronze Complete Unlimited $0Antidote PCP/UrgentVirtual Visits and 4 $0 Tier-1 PCP Visits IncludedNetwork tier: TieroneHMOExpanded Bronze$8,70031981OH0010110View details
BronzeComplete+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and 4 $0 Tier-1 PCP Visits IncludedNetwork tier: TieroneHMOExpanded Bronze$8,70031981OH0010111View details
BronzeEnhanced Blood Pressure Management Unlimited $0Antidote PCP/UrgentVirtual Visits and $0 Advanced RxNetwork tier: TieroneHMOExpanded Bronze$8,70031981OH0010064View details
BronzeEnhanced Blood PressureManagement+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and $0 Advanced RxNetwork tier: TieroneHMOExpanded Bronze$8,70031981OH0010065View details
BronzeEnhanced Diabetes Unlimited $0Antidote PCP/UrgentVirtual Visits and Select $0 InsulinNetwork tier: TieroneHMOExpanded Bronze$8,70031981OH0010062View details
BronzeEnhancedDiabetes+DentalUnlimited $0Antidote PCP/UrgentVirtual Visits and Select $0 InsulinNetwork tier: TieroneHMOExpanded Bronze$8,70031981OH0010063View details
UnitedHealthcare
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$033931OH0030032View details
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$033931OH0070008View details
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$1,30033931OH0030042View details
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$1,30033931OH0070002View details
UHC Gold Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOGold$2,50033931OH0030014View details
UHC Gold Standard+ ($0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOGold$2,50033931OH0070009View details
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$033931OH0030030View details
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$033931OH0070007View details
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$5,00033931OH0030031View details
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$5,00033931OH0070001View details
UHC Silver Standard ($0 Insulin, No Referrals)Network tier: Non PreferredHMOSilver$6,40033931OH0030021View details
UHC Silver Standard+ ($0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOSilver$6,40033931OH0070006View details
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOBronze$11,75033931OH0030044View details
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$033931OH0030035View details
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$033931OH0070004View details
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50033931OH0030026View details
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)Network tier: Non PreferredHMOExpanded Bronze$7,50033931OH0070005View details
AmeriHealth Caritas Next
AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOGold$010337OH0010009View details
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOGold$1,00010337OH0010004View details
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care +No ReferralsNetwork tier: PreferredHMOGold$2,50010337OH0010015View details
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOSilver$5,00010337OH0010008View details
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOSilver$6,40010337OH0010014View details
AmeriHealth Caritas Next Silver Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOSilver$7,00010337OH0010003View details
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOBronze$12,00010337OH0010001View details
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No ReferralsNetwork tier: PreferredHMOExpanded Bronze$4,50010337OH0010006View details
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care +No ReferralsNetwork tier: PreferredHMOExpanded Bronze$7,50010337OH0010013View details
Also listed in other states 17 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.
McLaren Health Plan Community · Michigan
MHP Gold StandardNetwork tiers: In Network, Out Of Network, RewardsHMOGold$2,50074917MI0020018View details
MHP Silver Exchange RewardsNetwork tiers: In Network, Out Of Network, RewardsHMOSilver$2,00074917MI0020017View details
MHP Silver ExchangeNetwork tiers: In Network, Out Of Network, RewardsHMOSilver$4,25074917MI0020005View details
MHP Silver StandardNetwork tiers: In Network, Out Of Network, RewardsHMOSilver$6,40074917MI0020019View details
MHP BronzeNetwork tiers: In Network, Out Of Network, RewardsHMOBronze$8,25074917MI0020011View details
MHP Expanded Bronze StandardNetwork tiers: In Network, Out Of Network, RewardsHMOExpanded Bronze$7,50074917MI0020024View details
MHP Bronze Saver (Expanded)Network tiers: In Network, Out Of Network, RewardsHMOExpanded Bronze$8,50074917MI0020013View details
MHP Young Adult/CatastrophicNetwork tiers: In Network, Out Of Network, RewardsHMOCatastrophic$12,00074917MI0020004View details
Anthem Blue Cross and Blue Shield · Wisconsin
Blue Preferred and Rx Choice Tiered Network · 5 plans · Participating tier
Anthem Silver Preferred 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$4,00079475WI0550104View details
Anthem Silver Preferred 5500 ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$5,50079475WI0550102View details
Anthem Heart Healthy Bronze Preferred 0 Med Ded HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$079475WI0550101View details
Anthem Bronze Preferred 5000 HSA (3 Free PCP Visits + $0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$5,00079475WI0550103View details
Anthem Bronze Preferred 8000 HSA ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$8,00079475WI0550106View details
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred 2500 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOGold$2,50079475WI0550107View details
Anthem Silver Preferred 6400 Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOSilver$6,40079475WI0550108View details
Anthem Bronze Preferred 7500 HSA Standard ($0 Select Drugs + Incentives)Network tier: ParticipatingHMOExpanded Bronze$7,50079475WI0550105View details
Questions about Dr. Michalsky’s insurance
What insurance does Dr. Michalsky take?
In Ohio, Antidote Health, UnitedHealthcare and AmeriHealth Caritas Next include Dr. Michalsky in 54 Marketplace plans for 2027. Call the office at (614) 722-6200 to confirm your plan before booking.
Do I need a referral to see Dr. Michalsky?
Not under the Ohio plans that list Dr. Michalsky: the 2027 plan files say a specialist referral is not required.
Does Dr. Michalsky accept Medicare?
Yes. CMS files show Dr. Michalsky 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. | AmeriHealth Caritas Next: Nov 5, 2026 UnitedHealthcare: Nov 3, 2026 McLaren Health Plan Community: Oct 30, 2026 Anthem Blue Cross and Blue Shield: Oct 29, 2026 Antidote Health: Jan 1, 2026 |
| CMS Health Insurance Exchange public use files | Plan details and Summary of Benefits links for HealthCare.gov states. | Plan year 2027, 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.
