ARLENE G HAMPTON RN
Accepted Insurance for NPI 1407075708
Registered Nurse - Diabetes Educator in Grand Forks, ND
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
ARLENE G HAMPTON RN, a registered nurse provider in Grand Forks, ND, is listed as in-network for 41 health insurance plans from 2 insurance companies, led by Medica and Blue Cross Blue Shield of North Dakota. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
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)
Medica
Altru Prime by Medica Bronze $0 Copay PCP Visits
Altru Prime by Medica Bronze Share
Altru Prime by Medica Expanded Bronze Standard
Altru Prime by Medica Gold $0 Copay PCP Visits
Altru Prime by Medica Gold Share
Altru Prime by Medica Gold Standard
Altru Prime by Medica Silver $0 Copay PCP Visits
Altru Prime by Medica Silver Share
Altru Prime by Medica Silver Standard
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
Medica Individual Choice Silver Standard
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 ARLENE G HAMPTON RN accept?
Marketplace files for the 2026 plan year list ARLENE G HAMPTON RN as in-network for 41 plans from 2 insurance companies. The largest networks are Medica (27 plans), Blue Cross Blue Shield of North Dakota (14 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is ARLENE G HAMPTON RN 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 ARLENE G HAMPTON RN participate in?
The accepted plans include 18 HMO plans, 14 PPO plans and 9 EPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. 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.
