KARLEY ANN SCHLENSKER MPAS, PA-C, ATC
Accepted Insurance for NPI 1447726310
Physician Assistant in Hamilton, OH

Active since October 18, 2018PECOS EnrolledAccepts Medicare Assignment
840 NW WASHINGTON BLVD STE A, HAMILTON, OH 45013(513) 867-5770(513) 737-2468 Get Directions

NPPES record last updated: September 13, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 13, 2024, Oct 18, 2018 (2 updates tracked since 2018).

Does Karley Schlensker take my insurance?

98 Ohio plans sold on HealthCare.gov for 2026 include Karley Schlensker, from Molina Healthcare, CareSource, Ambetter Health and 3 other insurers. Insurers also list Karley Schlensker in Indiana, Kentucky, Michigan, West Virginia and Wisconsin.

Call before you book: insurer directories can be out of date, so call the office at (513) 867-5770 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

204 plans · 2026 plan year

Ohio plans 98 plans

Plans sold to Ohio residents. Costs are for the standard version of each plan.

Molina Healthcare

22 plans · HMO
Accepting new patients
Molina Gold Enhanced 895HMOGold$89564353OH0010014
Molina Gold Enhanced 895 Plus with Adult Dental and VisionHMOGold$89564353OH0060005
Molina Gold Enhanced 895 Plus with Adult VisionHMOGold$89564353OH0040005
Molina Gold Core 1640HMOGold$1,64064353OH0010001
Molina Gold Core 1640 Plus with Adult Dental and VisionHMOGold$1,64064353OH0060001
Molina Gold Core 1640 Plus with Adult VisionHMOGold$1,64064353OH0040001
Molina Gold Smart Heart HealthHMOGold$1,64064353OH0070002
Molina Gold StandardHMOGold$2,00064353OH0010008
Molina Silver CoreHMOSilver$6,00064353OH0010002
Molina Silver Core Plus with Adult Dental and VisionHMOSilver$6,00064353OH0060002
Molina Silver Core Plus with Adult VisionHMOSilver$6,00064353OH0040002
Molina Silver Smart Heart HealthHMOSilver$6,00064353OH0070003
Molina Silver StandardHMOSilver$6,00064353OH0010009
Molina Silver Saver with Four Free PCP VisitsHMOSilver$7,00064353OH0010010
Molina Bronze Enhanced 3500HMOExpanded Bronze$3,50064353OH0010013
Molina Bronze Enhanced 3500 Plus with Adult Dental and VisionHMOExpanded Bronze$3,50064353OH0060004
Molina Bronze Enhanced 3500 Plus with Adult VisionHMOExpanded Bronze$3,50064353OH0040004
Molina Bronze Smart Heart HealthHMOExpanded Bronze$4,00064353OH0070001
Molina Bronze Saver 7000HMOExpanded Bronze$7,00064353OH0010012
Molina Bronze Saver 7000 Plus with Adult Dental and VisionHMOExpanded Bronze$7,00064353OH0060003
Molina Bronze Saver 7000 Plus with Adult VisionHMOExpanded Bronze$7,00064353OH0040012
Molina Bronze StandardHMOExpanded Bronze$7,50064353OH0010011

CareSource

21 plans · HMO
Accepting new patients
Core Gold 1500 $10 Generic DrugsHMOGold$1,50077552OH0010212
Core Gold 1500 $10 Generic Drugs + Adult Vision & FitnessHMOGold$1,50077552OH0020212
Gold 2000 $15 Generic DrugsHMOGold$2,00077552OH0010202
Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00077552OH0020202
Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010210
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020210
Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00077552OH0010215
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00077552OH0020215
Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010209
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020209
Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00077552OH0010218
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00077552OH0020218
HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,50077552OH0010219
Silver 6000 $20 Generic DrugsHMOSilver$6,00077552OH0010203
Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00077552OH0020203
Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20077552OH0010201
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20077552OH0020201
Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50077552OH0010204
Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50077552OH0020204
Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60077552OH0010222
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60077552OH0020222

Ambetter Health

16 plans · HMO
Accepting new patients
Clear GoldHMOGold$1,20041047OH0010067
Clear Gold + Vision + Adult DentalHMOGold$1,20041047OH0030071
Complete GoldHMOGold$1,45041047OH0010041
Complete Gold + Vision + Adult DentalHMOGold$1,45041047OH0030041
Standard GoldHMOGold$2,00041047OH0010071
Standard Gold + Vision + Adult DentalHMOGold$2,00041047OH0030074
Complete SilverHMOSilver$5,95041047OH0010025
Complete Silver + Vision + Adult DentalHMOSilver$5,95041047OH0030025
Standard SilverHMOSilver$6,00041047OH0010070
Standard Silver + Vision + Adult DentalHMOSilver$6,00041047OH0030073
Choice Bronze HSAHMOExpanded Bronze$7,25041047OH0010045
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25041047OH0030045
Standard Expanded BronzeHMOExpanded Bronze$7,50041047OH0010069
Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50041047OH0030072
Everyday BronzeHMOExpanded Bronze$8,45041047OH0010057
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45041047OH0030057

Oscar Health

16 plans · HMO
Accepting new patients
Gold Elite Saver PlusHMOGold$029341OH0100035
Gold Classic StandardHMOGold$2,00029341OH0100053
Gold ClassicHMOGold$2,25029341OH0100013
Silver Elite Saver PlusHMOSilver$029341OH0100030
Silver Simple PCP SaverHMOSilver$5,75029341OH0100025
Silver Simple Chronic Care CKMHMOSilver$5,90029341OH0100060
Silver Classic StandardHMOSilver$6,00029341OH0100052
Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00029341OH0100063
Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20029341OH0100061
Silver Simple DiabetesHMOSilver$6,50029341OH0100062
Bronze Elite + PCP Saver PlusHMOExpanded Bronze$029341OH0100064
Bronze Classic 4700HMOExpanded Bronze$4,70029341OH0100024
Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$5,50029341OH0100056
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50029341OH0100057
Bronze Simple DiabetesHMOExpanded Bronze$5,50029341OH0100058
Bronze Classic StandardHMOExpanded Bronze$7,50029341OH0100050

MedMutual

12 plans · HMO
Accepting new patients
Gold $500 w/ Virtual & Wellness ON-EXHMOGold$50099969OH0080545
Gold $1,000 w/ Adult Dental ON-EXHMOGold$1,00099969OH0080546
Gold $1,000 w/ Virtual & Wellness ON-EXHMOGold$1,00099969OH0080543
Gold Standard w/ Virtual & WellnessHMOGold$2,00099969OH0080492
Silver $5,000 w/ Adult Dental ON-EXHMOSilver$5,00099969OH0080549
Silver $5,000 w/ Virtual & Wellness ON-EXHMOSilver$5,00099969OH0080548
Silver $5,800 w/ Virtual & Wellness ON-EXHMOSilver$5,80099969OH0080547
Silver Standard w/ Virtual & WellnessHMOSilver$6,00099969OH0080496
Bronze HSA $7,300 ON-EXHMOExpanded Bronze$7,30099969OH0080498
Bronze Standard w/ Virtual & WellnessHMOExpanded Bronze$7,50099969OH0080500
Bronze $8,300 w/ Adult Dental ON-EXHMOExpanded Bronze$8,30099969OH0080550
Bronze $8,300 w/ Virtual & Wellness ON-EXHMOExpanded Bronze$8,30099969OH0080499

Anthem Blue Cross and Blue Shield

11 plans · HMO
Accepting new patients
Pathway X HMO and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970005
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)HMOSilver$5,00029276OH0970006
Anthem Silver Pathway 5500 for HSAHMOSilver$5,50029276OH0970004
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970001
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$6,00029276OH0970002
Anthem Bronze Pathway 8500 for HSAHMOExpanded Bronze$8,50029276OH0970012
Pathway X HMO and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOGold$2,00029276OH0970009
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)HMOSilver$6,00029276OH0970008
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)HMOExpanded Bronze$7,50029276OH0970007
Pathway X HMO, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOSilver$4,00029276OH0970011
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)HMOBronze$10,60029276OH0970010

Also listed in other states 106 plans · 5 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

CareSource · Indiana

22 plans · HMO
Accepting new patientsDeductible $0 to $10,600
Platinum Zero $5 Generic DrugsHMOPlatinum$054192IN0010029
Platinum Zero $5 Generic Drugs + Adult Vision & FitnessHMOPlatinum$054192IN0020029
Gold 2000 $15 Generic DrugsHMOGold$2,00054192IN0010012
Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00054192IN0020012
Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00054192IN0010026
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00054192IN0020026
Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00054192IN0010030
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00054192IN0020030
Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00054192IN0010025
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00054192IN0020025
Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00054192IN0010032
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00054192IN0020032
HDHP Preventive Silver 5500 $0 Chronic Care DrugsHMOSilver$5,50054192IN0010033
Silver 6000 $20 Generic DrugsHMOSilver$6,00054192IN0010014
Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00054192IN0020014
Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20054192IN0010011
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20054192IN0020011
HSA Eligible Bronze 6000HMOExpanded Bronze$6,00054192IN0010010
Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50054192IN0010015
Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50054192IN0020015
Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60054192IN0010020
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60054192IN0020020

CareSource · West Virginia

22 plans · HMO
Accepting new patientsDeductible $0 to $10,600
Platinum Zero $5 Generic DrugsHMOPlatinum$050328WV0010034
Platinum Zero $5 Generic Drugs + Adult Vision & FitnessHMOPlatinum$050328WV0020034
Gold 2000 $15 Generic DrugsHMOGold$2,00050328WV0010022
Gold 2000 $15 Generic Drugs + Adult Vision & FitnessHMOGold$2,00050328WV0020022
Diabetes Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00050328WV0010032
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00050328WV0020032
Healthy Heart Gold 3000 $0 Chronic Care Drugs & ServicesHMOGold$3,00050328WV0010035
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOGold$3,00050328WV0020035
Diabetes Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00050328WV0010031
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00050328WV0020031
Healthy Heart Silver 5000 $0 Chronic Care Drugs & ServicesHMOSilver$5,00050328WV0010036
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & FitnessHMOSilver$5,00050328WV0020036
Low Deductible Silver 5000 $3 Generic DrugsHMOSilver$5,00050328WV0010025
Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$5,00050328WV0020025
Silver 6000 $20 Generic DrugsHMOSilver$6,00050328WV0010023
Silver 6000 $20 Generic Drugs + Adult Vision & FitnessHMOSilver$6,00050328WV0020023
Low Premium Silver 6200 $3 Generic DrugsHMOSilver$6,20050328WV0010021
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & FitnessHMOSilver$6,20050328WV0020021
Bronze 7500 $25 Generic DrugsHMOExpanded Bronze$7,50050328WV0010024
Bronze 7500 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$7,50050328WV0020024
Low Premium Bronze 10600 $25 Generic DrugsHMOExpanded Bronze$10,60050328WV0010038
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & FitnessHMOExpanded Bronze$10,60050328WV0020038

CareSource (Common Ground Healthcare) · Wisconsin

18 plans · EPO
Accepting new patientsDeductible $0 to $9,600
CareSource (Common Ground Healthcare) Gold $0 DedEPOGold$087416WI0030005
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision ExamEPOGold$087416WI0060025
CareSource (Common Ground Healthcare) Gold Standard $2000EPOGold$2,00087416WI0030043
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision ExamEPOGold$2,00087416WI0060001
CareSource (Common Ground Healthcare) Gold $3300EPOGold$3,30087416WI0030017
CareSource (Common Ground Healthcare) Gold $3300 - Vision ExamEPOGold$3,30087416WI0060006
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx DedEPOSilver$4,70087416WI0030023
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision ExamEPOSilver$4,70087416WI0060012
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx DedEPOSilver$5,00087416WI0030047
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision ExamEPOSilver$5,00087416WI0060011
CareSource (Common Ground Healthcare) Silver Standard $6000EPOSilver$6,00087416WI0030042
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision ExamEPOSilver$6,00087416WI0060002
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx DedEPOExpanded Bronze$087416WI0030003
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision ExamEPOExpanded Bronze$087416WI0060023
CareSource (Common Ground Healthcare) Bronze Standard $7500EPOExpanded Bronze$7,50087416WI0030041
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision ExamEPOExpanded Bronze$7,50087416WI0060003
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)EPOExpanded Bronze$9,60087416WI0030027
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision ExamEPOExpanded Bronze$9,60087416WI0060015

Ambetter Health · Kentucky

16 plans · HMO
Accepting new patientsDeductible $800 to $8,450
Everyday GoldHMOGold$80072001KY0020010
Everyday Gold + Vision + Adult DentalHMOGold$80072001KY0030010
Complete GoldHMOGold$1,45072001KY0020009
Complete Gold + Vision + Adult DentalHMOGold$1,45072001KY0030009
Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90072001KY0020012
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90072001KY0030012
Complete SilverHMOSilver$5,95072001KY0020005
Complete Silver + Vision + Adult DentalHMOSilver$5,95072001KY0030005
Focused SilverHMOSilver$6,30072001KY0020007
Focused Silver + Vision + Adult DentalHMOSilver$6,30072001KY0030007
Clear SilverHMOSilver$7,00072001KY0020006
Clear Silver + Vision + Adult DentalHMOSilver$7,00072001KY0030013
Choice Bronze HSAHMOExpanded Bronze$7,25072001KY0020002
Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25072001KY0030002
Everyday BronzeHMOExpanded Bronze$8,45072001KY0020003
Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45072001KY0030003

Ambetter Health · Indiana

10 plans · HMO
Accepting new patientsDeductible $0 to $6,300
Elite GoldHMOGold$035065IN0040007
Elite Gold + Vision + Adult DentalHMOGold$035065IN0050006
Complete GoldHMOGold$1,45035065IN0040004
Complete Gold + Vision + Adult DentalHMOGold$1,45035065IN0050003
Standard GoldHMOGold$2,00035065IN0040013
Standard Gold + Vision + Adult DentalHMOGold$2,00035065IN0050012
Standard SilverHMOSilver$6,00035065IN0040001
Standard Silver + Vision + Adult DentalHMOSilver$6,00035065IN0050001
Focused SilverHMOSilver$6,30035065IN0040010
Focused Silver + Vision + Adult DentalHMOSilver$6,30035065IN0050009

Ambetter Health · Michigan

9 plans · HMO
Accepting new patientsDeductible $0 to $7,000
Elite GoldHMOGold$058594MI0030021
Elite Gold + Vision + Adult DentalHMOGold$058594MI0040023
Everyday GoldHMOGold$80058594MI0030020
Everyday Gold + Vision + Adult DentalHMOGold$80058594MI0040020
Standard GoldHMOGold$2,00058594MI0030025
Standard Gold + Vision + Adult DentalHMOGold$2,00058594MI0040026
Standard SilverHMOSilver$6,00058594MI0030024
Standard Silver + Vision + Adult DentalHMOSilver$6,00058594MI0040025
Clear SilverHMOSilver$7,00058594MI0030017

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS
Accepting new patientsDeductible $0 to $8,450
Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003
Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002
Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Questions about Karley Schlensker’s insurance

What insurance does Karley Schlensker take?

In Ohio, Molina Healthcare, CareSource, Ambetter Health, Oscar Health, MedMutual and Anthem Blue Cross and Blue Shield include Karley Schlensker in 98 Marketplace plans for 2026. Call the office at (513) 867-5770 to confirm your plan before booking.

Is Karley Schlensker accepting new patients?

The insurers that list Karley Schlensker report that Karley Schlensker is accepting new patients. Call the office at (513) 867-5770 to confirm your plan before booking.

Do I need a referral to see Karley Schlensker?

Not under the Ohio plans that list Karley Schlensker: the 2026 plan files say a specialist referral is not required.

Does Karley Schlensker accept Medicare?

Yes. CMS files show Karley Schlensker accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

SourceWhat it provides hereSource date
Insurer provider directory filesWhich plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.Anthem Blue Cross and Blue Shield: Oct 15, 2026
CareSource: Oct 15, 2026
CareSource (Common Ground Healthcare): Oct 15, 2026
Oscar Health: Oct 15, 2026
Ambetter Health: Oct 14, 2026
MedMutual: Oct 14, 2026
Molina Healthcare: Oct 10, 2026
CMS Health Insurance Exchange public use filesPlan details and Summary of Benefits links for HealthCare.gov states.Plan year 2026
CMS state-based exchange public use filesPlan details for states that run their own exchange, here Kentucky. No document links.Plan year 2026, Jun 3, 2026
  • Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
  • Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
  • Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
  • Networks change during the year. Confirm with your insurer or the practice before booking.