SHANE M HIRST CNM
Accepted Insurance for NPI 1417934621
Advanced Practice Midwife in Mount Sterling, KY
NPI Status: Active since December 29, 2005
Contact Information
635 MAYSVILLE RD # A
MOUNT STERLING, KY
ZIP 40353
Phone: (859) 498-2323
Fax: (859) 498-7314
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with SHANE M HIRST CNM, a practicing advanced practice midwife professional in Mount Sterling, KY. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 95 individual coverage options managed by medical networks, including networks like Ambetter from Buckeye Health Plan, Ambetter from Home State Health, and Ambetter Health. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.
Insurance Carrier Navigation Index
Ambetter Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Buckeye Health Plan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Home State Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of Tennessee
Market Classification Rank: Individual Coverage Framework
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Anthem Blue Cross and Blue Shield
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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CareSource
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Market Classification Rank: Individual Coverage Framework
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Coverage Information & FAQs
- HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
- EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
- POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.
