CLARESSA DONLEY FNP
Accepted Insurance for NPI 1376061663
Nurse Practitioner - Family in Decatur, TX
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
CLARESSA DONLEY FNP, a nurse practitioner provider in Decatur, TX, is listed as in-network for 709 health insurance plans from 6 insurance companies, led by CHRISTUS Health Plan, Blue Cross and Blue Shield of Texas and Oscar Insurance Company. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Texas
Blue Advantage Bronze HMO? 204
Blue Advantage Bronze HMO? 301
Blue Advantage Bronze HMO? Standard
Blue Advantage Gold HMO? 206
Blue Advantage Gold HMO? 603
Blue Advantage Gold HMO? Standard
Blue Advantage Plus Bronze? 303
Blue Advantage Plus Bronze? 305
Blue Advantage Plus Bronze? Standard
Blue Advantage Plus Gold? 203
Blue Advantage Plus Gold? 803
Blue Advantage Plus Gold? Standard
Blue Advantage Plus Silver? 202
Blue Advantage Plus Silver? 605
Blue Advantage Plus Silver? Standard
Blue Advantage Security HMO? 200
Blue Advantage Silver HMO? 205
Blue Advantage Silver HMO? 801
Blue Advantage Silver HMO? Standard
MyBlue Health Bronze? 402
MyBlue Health Bronze? Standard
MyBlue Health Gold? 403
MyBlue Health Gold? Standard
MyBlue Health Silver? 405
MyBlue Health Silver? Standard
CHRISTUS Health Plan
CHRISTUS Bronze (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Bronze + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Bronze Essential (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Bronze Essential + Dental & Vision (2 Free PCP Visits, $0 Preferred Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Bronze Essential Plus
CHRISTUS Bronze Essential
CHRISTUS Catastrophic (3 Free PCP visits)
CHRISTUS Gold + Dental & Vision + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Gold + Fitness ($0 Deductible, $5 PCP, $0 Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Gold Essential ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care)
CHRISTUS Gold Essential + Dental & Vision ($0 Rx Deductible, $5 PCP, $0 Virtual Urgent Care)
CHRISTUS Gold Essential Plus
CHRISTUS Gold Essential
CHRISTUS Gold Plus
CHRISTUS Gold
CHRISTUS Silver Essential 70 ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Silver Essential 70 + Dental & Vision ($5 PCP, $0 Preferred Generic Rx, $0 Virtual Urgent Care)
CHRISTUS Silver Essential Plus
CHRISTUS Silver Essential
CHRISTUS Standard Expanded Bronze ($0 Virtual Urgent Care)
CHRISTUS Standard Expanded Bronze
CHRISTUS Standard Gold ($0 Virtual Urgent Care)
CHRISTUS Standard Gold
CHRISTUS Standard Silver 70 ($0 Virtual Urgent Care)
CHRISTUS Standard Silver
CHRISTUS Value Bronze (3 Free PCP Visits, $0 Virtual Urgent Care)
CHRISTUS Value Bronze + Dental & Vision (3 Free PCP Visits, $0 Virtual Urgent Care)
CHRISTUS Value Bronze Plus
CHRISTUS Value Bronze
CHRISTUS Value Silver 70 ($0 Virtual Urgent Care)
CHRISTUS Value Silver 70 + Dental & Vision ($0 Virtual Urgent Care)
CHRISTUS Value Silver Plus
CHRISTUS Value Silver
Imperial Insurance Companies, Inc.
Imperial Preferred Bronze
Imperial Preferred Gold Zero
Imperial Preferred Gold
Imperial Preferred Silver
Imperial Standard Bronze
Imperial Standard Gold
Imperial Standard Silver
Moda Health Plan, Inc.
Moda Select Alaska Bronze 6500
Moda Select Alaska Bronze HDHP 5500
Moda Select Alaska Gold 1500
Moda Select Alaska Silver 4500
Moda Select Alaska Standard Bronze
Moda Select Alaska Standard Gold
Moda Select Alaska Standard Silver
Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)
Moda Select Texas Bronze HDHP 7500
Moda Select Texas Standard Bronze
Moda Select Texas Standard Gold
Moda Select Texas Standard Silver
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Gold Classic Guided Care
Gold Classic Standard Guided Care
Gold Classic Standard
Gold Classic
Gold Elite
Gold Simple Diabetes Guided Care
Gold Simple Guided Care
Silver Classic Standard Guided Care
Silver Classic Standard
Silver Classic
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care
Silver Simple Chronic Care CKM Guided Care
Silver Simple Diabetes Guided Care
Silver Simple Guided Care
Silver Simple PCP Saver Guided Care
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits Guided Care
UnitedHealthcare
UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Sanitas Bronze Standard
UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
UHC Sanitas Gold Standard
UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
UHC Sanitas Silver Standard
UHC Sanitas Silver Value ($0 Virtual Urgent Care)
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 CLARESSA DONLEY FNP accept?
Marketplace files for the 2026 plan year list CLARESSA DONLEY FNP as in-network for 709 plans from 6 insurance companies. The largest networks are CHRISTUS Health Plan (33 plans), Blue Cross and Blue Shield of Texas (25 plans), Oscar Insurance Company (23 plans), followed by 3 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is CLARESSA DONLEY FNP enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does CLARESSA DONLEY FNP participate in?
The accepted plans include 78 HMO plans, 17 EPO plans, 9 POS plans and 7 PPO 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. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
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.
