SANFORD HEALTH PATHOLOGY CLINIC
Accepted Insurance for NPI 1326311721
Clinical Medical Laboratory in Sioux Falls, SD

NPI Status: Active since February 15, 2012

Contact Information

1305 W 18TH ST
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 333-1720
Fax: (605) 333-1966

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with SANFORD HEALTH PATHOLOGY CLINIC, a practicing clinical medical laboratory professional in Sioux Falls, SD. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 36 individual coverage options managed by medical networks, including networks like Medica, and Sanford Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Insurance Carrier Navigation Index

Fitler by Network Type

Medica

Medica Insure Bronze $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

93078IA0060041
Medica Insure Bronze Premier
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE0040051
Medica Insure Bronze Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002993078IA0060029
Medica Insure Expanded Bronze Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004007393078IA0060073
Medica Insure Gold $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004004593078IA0060045
Medica Insure Gold Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002593078IA0060074
Medica Insure Gold Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004005593078IA0060055
Medica Insure Silver $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004004793078IA0060047
Medica Insure Silver Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002793078IA0060027
Medica Insure Silver Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004005793078IA0060057

Sanford Health Plan

Sanford Individual TRUE $1,750
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001889364ND0090018
Sanford Individual TRUE $10,600
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001589364ND0090015
Sanford Individual TRUE $3,500
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000889364ND0090008
Sanford Individual TRUE $4,750
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001689364ND0090016
Sanford Individual TRUE $6,500
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000789364ND0090007
Sanford Individual TRUE $7,200 HSA Qualified
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000989364ND0090009
Sanford Individual TRUE Standardized $2,000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002889364ND0090028
Sanford Individual TRUE Standardized $6,000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002789364ND0090027
Sanford Individual TRUE Standardized $7,500
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002689364ND0090026
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Medica, Sanford Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.
No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.
SANFORD HEALTH PATHOLOGY CLINIC is enrolled across the following managed care network types: EPO, HMO.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
  • EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.