WEST MICHIGAN ORTHOPAEDICS
Accepted Insurance for NPI 1386756708
Specialist in Grand Rapids, MI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
WEST MICHIGAN ORTHOPAEDICS, a specialist provider in Grand Rapids, MI, is listed as in-network for 801 health insurance plans from 9 insurance companies, led by Blue Cross and Blue Shield of Texas, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Montana. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Baylor Scott and White Health Plan
BSW Diabetes Care Gold HMO 014
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)
BSW Elite Gold HMO 004
BSW Elite Gold HMO 012
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay)
BSW Prime Silver HMO 008
BSW Prime Silver HMO 005
BSW Savers Bronze HMO H S A 006
BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay)
BSW Savers Bronze HMO H S A 009
Blue Care Network of Michigan
Blue Cross� Preferred HMO Bronze Extra
Blue Cross� Preferred HMO Bronze Saver HSA
Blue Cross� Preferred HMO Bronze Secure
Blue Cross� Preferred HMO Gold Extra
Blue Cross� Preferred HMO Gold
Blue Cross� Preferred HMO Silver Extra
Blue Cross� Preferred HMO Silver Saver
Blue Cross� Preferred HMO Silver
Blue Cross� Preferred HMO Value
Blue Cross� Select HMO Bronze Extra
Blue Cross� Select HMO Bronze Saver HSA
Blue Cross� Select HMO Bronze Secure
Blue Cross� Select HMO Silver Extra
Blue Cross� Select HMO Silver Saver
Blue Cross� Select HMO Silver
Blue Cross� Select HMO Value
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Blue Cross� Premier PPO Bronze Extra
Blue Cross� Premier PPO Bronze Saver HSA
Blue Cross� Premier PPO Bronze Secure
Blue Cross� Premier PPO Gold Extra
Blue Cross� Premier PPO Gold
Blue Cross� Premier PPO Silver Extra
Blue Cross� Premier PPO Silver Saver HSA
Blue Cross� Premier PPO Silver
Blue Cross� Premier PPO Value
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
DakotaBlue Altru Gold ($5 Value Based Drug List)
DakotaBlue Altru Silver ($5 Value Based Drug List)
DakotaBlue Trinity Gold ($5 Value Based Drug List)
DakotaBlue Trinity Silver ($5 Value Based Drug List)
Blue Cross Blue Shield of Wyoming
BlueSelect Bronze Basic
BlueSelect Bronze Core
BlueSelect Expanded Bronze Standard without Kid's Dental
BlueSelect Gold Core
BlueSelect Gold HealthPlus
BlueSelect Gold Standard without Kid's Dental
BlueSelect Silver Classic without Kid's Dental
BlueSelect Silver Classic
BlueSelect Silver HealthPlus without Kid's Dental
BlueSelect Silver HealthPlus
BlueSelect Silver Standard without Kid's Dental
Blue Cross and Blue Shield of Montana
Blue Focus Bronze POS? 205
Blue Focus Bronze POS? 705
Blue Focus Bronze POS? Standard
Blue Focus Gold POS? 207
Blue Focus Gold POS? 902
Blue Focus Gold POS? Standard
Blue Focus Silver POS? 206
Blue Focus Silver POS? 903
Blue Focus Silver POS? Standard
Blue Preferred Bronze PPO? 201
Blue Preferred Bronze PPO? 202
Blue Preferred Bronze PPO? Standard
Blue Preferred Gold PPO? 204
Blue Preferred Gold PPO? 901
Blue Preferred Gold PPO? Standard
Blue Preferred Security PPO? 200
Blue Preferred Silver PPO? 203
Blue Preferred Silver PPO? 308
Blue Preferred Silver PPO? Standard
Blue Cross and Blue Shield of Oklahoma
Blue Advantage Bronze PPO? 202
Blue Advantage Bronze PPO? 203
Blue Advantage Bronze PPO? Standard
Blue Advantage Gold PPO? 309
Blue Advantage Gold PPO? 604
Blue Advantage Gold PPO? Standard
Blue Advantage Silver PPO? 204
Blue Advantage Silver PPO? 501
Blue Advantage Silver PPO? Standard
Blue Preferred Bronze PPO? Standard
Blue Preferred Gold PPO? Standard
Blue Preferred Security PPO? 200
Blue Preferred Silver PPO? Standard
MyBlue Bronze HMO? 902
MyBlue Bronze HMO? 904
MyBlue Bronze HMO? Standard
MyBlue Gold HMO? 704
MyBlue Gold HMO? 804
MyBlue Gold HMO? Standard
MyBlue Silver HMO? 705
MyBlue Silver HMO? 803
MyBlue Silver HMO? Standard
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
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $10,600
Sanford Individual Simplicity $3,500
Sanford Individual Simplicity $4,750
Sanford Individual Simplicity $6,500
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Individual Simplicity Standardized $2,000
Sanford Individual Simplicity Standardized $6,000
Sanford Individual Simplicity Standardized $7,500
Sanford Individual TRUE $1,750
Sanford Individual TRUE $10,600
Sanford Individual TRUE $3,500
Sanford Individual TRUE $4,750
Sanford Individual TRUE $6,500
Sanford Individual TRUE $7,200 HSA Qualified
Sanford Individual TRUE Standardized $2,000
Sanford Individual TRUE Standardized $6,000
Sanford Individual TRUE Standardized $7,500
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 WEST MICHIGAN ORTHOPAEDICS accept?
Marketplace files for the 2026 plan year list WEST MICHIGAN ORTHOPAEDICS as in-network for 801 plans from 9 insurance companies. The largest networks are Blue Cross and Blue Shield of Texas (25 plans), Blue Cross and Blue Shield of Oklahoma (22 plans), Blue Cross and Blue Shield of Montana (19 plans), followed by 6 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is WEST MICHIGAN ORTHOPAEDICS enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does WEST MICHIGAN ORTHOPAEDICS participate in?
The accepted plans include 66 PPO plans, 60 HMO plans and 18 POS plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
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.
