MR. JEFFREY S EDELMAN NP
Accepted Insurance for NPI 1457476921
Nurse Practitioner - Psychiatric/Mental Health in Helena, MT
NPI Status: Active since March 20, 2007
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with MR. JEFFREY S EDELMAN NP, a practicing nurse practitioner professional in Helena, MT. 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 113 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of Arizona, and Oscar Health Plan, Inc.. 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
Blue Cross Blue Shield of Arizona
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: ACAHEALTHCHOICE Tier
Accepted Plan ID Variations
Blue Cross and Blue Shield of Montana
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-FOCUS-POS Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Oscar Health Plan, Inc.
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Providence Health Plan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: CHOICE Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: EPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: CHOICE Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: EPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: CHOICE Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: EPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: CHOICE Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: EPO Tier
Accepted Plan ID Variations
UnitedHealthcare
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: NON-PREFERRED Tier
Accepted Plan ID Variations
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.
- PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
- 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.
