SEAN M GALLAGHER MD PLLC
Accepted Insurance for NPI 1336527621
Orthopaedic Surgery in Austin, TX
NPI Status: Active since May 07, 2015
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with SEAN M GALLAGHER MD PLLC, a practicing orthopaedic surgery professional in Austin, TX. 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 33 individual coverage options managed by medical networks, including networks like Moda Health Plan, Inc., and WellPoint. 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
Moda Health Plan, Inc.
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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WellPoint
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
Accepted Plan ID Variations
Coverage Information & FAQs
- HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
- PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
- 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.
- POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.
