SHOPKO OPTICAL 4254
Accepted Insurance for NPI 1396416632
Eyewear Supplier in Omaha, NE
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
SHOPKO OPTICAL 4254, a eyewear supplier provider in Omaha, NE, is listed as in-network for 46 health insurance plans from 3 insurance companies, led by Oscar Insurance Company, Blue Cross and Blue Shield of Nebraska and Blue Cross and Blue Shield of Louisiana. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Blue Cross and Blue Shield of Louisiana
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Saver 60/40 $6100
Blue Saver 90/70 $3400
Blue Cross and Blue Shield of Nebraska
HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO
HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue
HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO
HeartlandBlue Bronze HSA 6500 NEtwork Blue
HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO
HeartlandBlue Bronze Standard 7500 NEtwork Blue
HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO
HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision PPO
HeartlandBlue Gold 1000 NEtwork Blue w/ Adult Vision
HeartlandBlue Gold Standard 2000 NEtwork Blue PPO
HeartlandBlue Gold Standard 2000 NEtwork Blue
HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO
HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue
HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision PPO
HeartlandBlue Silver HSA 5500 NEtwork Blue w/ Adult Vision
HeartlandBlue Silver Standard 6000 NEtwork Blue PPO
HeartlandBlue Silver Standard 6000 NEtwork Blue
Oscar Insurance Company
Bronze Classic Standard | with Bryan Health
Bronze Classic Standard
Bronze Classic | with Bryan Health
Bronze Classic
Bronze Elite + PCP Saver Plus | with Bryan Health
Bronze Elite + PCP Saver Plus
Bronze Simple Diabetes | with Bryan Health
Bronze Simple Diabetes
Gold Classic Standard | with Bryan Health
Gold Classic Standard
Gold Elite | with Bryan Health
Gold Elite
Silver Classic Standard | with Bryan Health
Silver Classic Standard
Silver Simple Diabetes | with Bryan Health
Silver Simple Diabetes
Silver Simple PCP Saver | with Bryan Health
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits | with Bryan Health
Silver Simple Women's Health with Menopause Benefits
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 SHOPKO OPTICAL 4254 accept?
Marketplace files for the 2026 plan year list SHOPKO OPTICAL 4254 as in-network for 46 plans from 3 insurance companies. The largest networks are Oscar Insurance Company (20 plans), Blue Cross and Blue Shield of Nebraska (18 plans), Blue Cross and Blue Shield of Louisiana (8 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is SHOPKO OPTICAL 4254 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 SHOPKO OPTICAL 4254 participate in?
The accepted plans include 29 EPO plans and 17 PPO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. 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.
