LIBBY K SISSON MD, MS
Accepted Insurance for NPI 1346770310
Family Medicine in Franklin, IN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
LIBBY K SISSON MD, MS, a family medicine provider in Franklin, IN, is listed as in-network for 72 health insurance plans from 5 insurance companies, led by CareSource, Ambetter from Buckeye Health Plan and UnitedHealthcare. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Gold + Vision + Adult Dental
Elite Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Buckeye Health Plan
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Meridian
Clear Silver
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
CareSource
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
Bronze 7500 $25 Generic Drugs
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
Gold 2000 $15 Generic Drugs
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
HSA Eligible Bronze 6000
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
Low Premium Bronze 10600 $25 Generic Drugs
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
Low Premium Silver 6200 $3 Generic Drugs
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness
Platinum Zero $5 Generic Drugs
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
Silver 6000 $20 Generic Drugs
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Standard (No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Standard (No Referrals)
UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Standard+ (Dental + Vision, No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
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 LIBBY K SISSON MD, MS accept?
Marketplace files for the 2026 plan year list LIBBY K SISSON MD, MS as in-network for 72 plans from 5 insurance companies. The largest networks are CareSource (22 plans), Ambetter from Buckeye Health Plan (16 plans), UnitedHealthcare (15 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is LIBBY K SISSON MD, MS enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does LIBBY K SISSON MD, MS participate in?
The accepted plans include 57 HMO plans and 15 EPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
