PRISMA HEALTH KIDNETICS-MEDICAID
Accepted Insurance Health Plans for NPI 1336695436
Clinic/Center - Developmental Disabilities in Greenville, SC

NPI Status: Active since August 29, 2016

Contact Information

29 N ACADEMY ST
GREENVILLE, SC
ZIP 29601
Phone: (864) 331-1350

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by PRISMA HEALTH KIDNETICS-MEDICAID. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.

BlueCross BlueShield of South Carolina (37 plans)

Blue Direction Silver 1

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0760001

Dental Only? No

Blue Direction Silver 1 + Adult Vision

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0760002

Dental Only? No

Blue Direction Silver 2

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0760003

Dental Only? No

Blue Direction Standard Gold

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0760004

Dental Only? No

Blue Direction Standard Silver

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0760005

Dental Only? No

Blue Reedy Bronze 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710004

Dental Only? No

Blue Reedy Bronze 2

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710010

Dental Only? No

Blue Reedy Gold 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710001

Dental Only? No

Blue Reedy Silver 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710002

Dental Only? No

Blue Reedy Silver 2

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710003

Dental Only? No

Blue Reedy Silver 2 + Adult Vision

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710009

Dental Only? No

Blue Reedy Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710007

Dental Only? No

Blue Reedy Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710005

Dental Only? No

Blue Reedy Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0710006

Dental Only? No

Blue VirtuConnect Bronze 1

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0670003

Dental Only? No

Blue VirtuConnect Gold 1

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0670001

Dental Only? No

Blue VirtuConnect Silver 1

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0670002

Dental Only? No

BlueEssentials Bronze 4

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380013

Dental Only? No

BlueEssentials Bronze 6

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380047

Dental Only? No

BlueEssentials Catastrophic 1

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0390001

Dental Only? No

BlueEssentials Gold 1

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380001

Dental Only? No

BlueEssentials Gold 5

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380048

Dental Only? No

BlueEssentials Silver 14

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380023

Dental Only? No

BlueEssentials Silver 14 + Adult Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380051

Dental Only? No

BlueEssentials Silver 39

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0380050

Dental Only? No

BlueEssentials Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0690003

Dental Only? No

BlueEssentials Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0690001

Dental Only? No

BlueEssentials Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0690002

Dental Only? No

BlueExtend PPO HD Bronze 1

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750005

Dental Only? No

BlueExtend PPO HD Bronze 2

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750006

Dental Only? No

BlueExtend PPO HD Gold 1

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750001

Dental Only? No

BlueExtend PPO HD Gold 2

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750002

Dental Only? No

BlueExtend PPO HD Silver 1

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750003

Dental Only? No

BlueExtend PPO HD Silver 2

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750004

Dental Only? No

BlueExtend PPO Standard Expanded Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750009

Dental Only? No

BlueExtend PPO Standard Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750007

Dental Only? No

BlueExtend PPO Standard Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26065SC0750008

Dental Only? No

InStil Health (5 plans)

InHealth Basic 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33863SC0010001

Dental Only? No

InHealth Basic 1 + Adult Vision

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33863SC0010002

Dental Only? No

InHealth Basic 2

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33863SC0010003

Dental Only? No

InHealth Basic Plus Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33863SC0010004

Dental Only? No

InHealth Basic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33863SC0010005

Dental Only? No

Frequently Asked Questions

EPO
See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
HMO
Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
POS
Acts like HMO in-network but allows out-of-network visits at a higher cost.
PPO
No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
Indemnity
Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
Individual & Family
Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
SHOP
Small group coverage for businesses with up to 50 full-time employees.
Tier-One
Lowest-cost, highest-value in-network providers.
Preferred
Good in-network options with slightly higher copays than Tier-One.
Non-Preferred
More expensive tier within the network. Cheaper than going out-of-network.
Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.
A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.