KEVIN M HART O.D.
Accepted Insurance for NPI 1457745838
Optometrist in Monroe, NC

Active since March 24, 2015PECOS EnrolledAccepts Medicare Assignment
1007 SKYWAY DR, MONROE, NC 28110(704) 289-1547(704) 291-9441 Get Directions

NPPES record last updated: January 24, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 24, 2023, Aug 22, 2019, Nov 13, 2017 and 1 more (4 updates tracked since 2016).

Does Dr. Hart take my insurance?

69 North Carolina plans sold on HealthCare.gov for 2026 include Dr. Hart, from Blue Cross and Blue Shield of NC, Oscar Health and Cigna Healthcare. Insurers also list Dr. Hart in 24 other states.

Call before you book: insurer directories can be out of date, so call the office at (704) 289-1547 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

483 plans · 1,165 plan IDs · 2026 plan year

North Carolina plans 69 plans · 75 plan IDs

Plans sold to North Carolina residents. Costs are for the standard version of each plan. Insurers often sell the same plan under several plan IDs, one per service area; those share one row.

Blue Cross and Blue Shield of NC

30 plans · PPO, HMO, EPO
Accepting new patients
PPO Blue Advantage/Options network · 9 plans · PPO tier
Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide DoctorsPPOGold$1,80011512NC0060018
Blue Advantage Gold Standard A | Nationwide DoctorsPPOGold$2,00011512NC0060050
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide DoctorsPPOSilver$2,80011512NC0060002
Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide DoctorsPPOSilver$3,00011512NC0060028
Blue Advantage Silver Standard | Nationwide DoctorsPPOSilver$6,00011512NC0060051
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide DoctorsPPOExpanded Bronze$4,00011512NC0060031
Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide DoctorsPPOExpanded Bronze$7,00011512NC0060004
Blue Advantage Bronze Standard | Nationwide DoctorsPPOExpanded Bronze$7,50011512NC0060052
Blue Advantage Bronze HSA Eligible | Integrated | Nationwide DoctorsPPOExpanded Bronze$8,50011512NC0060059
HMO Blue Care network · 9 plans · HMO tier
Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide DoctorsHMOGold$1,80011512NC0430004
Blue Care Gold Standard A | Statewide DoctorsHMOGold$2,00011512NC0430001
Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide DoctorsHMOSilver$2,80011512NC0430005
Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide DoctorsHMOSilver$3,00011512NC0430007
Blue Care Silver Standard | Statewide DoctorsHMOSilver$6,00011512NC0430002
Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide DoctorsHMOExpanded Bronze$4,00011512NC0430008
Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide DoctorsHMOExpanded Bronze$7,00011512NC0430009
Blue Care Bronze Standard | Statewide DoctorsHMOExpanded Bronze$7,50011512NC0430003
Blue Care Bronze HSA Eligible | Integrated | Statewide DoctorsHMOExpanded Bronze$8,50011512NC0430010
EPO Blue Home Cone network · 6 plans · EPO tier
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Cone HealthEPOGold$1,80011512NC0440001
Blue Home Gold Standard A | with Cone HealthEPOGold$2,00011512NC0440002
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Cone HealthEPOSilver$2,80011512NC0440003
Blue Home Silver Standard | with Cone HealthEPOSilver$6,00011512NC0440005
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Cone HealthEPOExpanded Bronze$7,00011512NC0440006
Blue Home Bronze Standard | with Cone HealthEPOExpanded Bronze$7,50011512NC0440007
EPO Blue Home Novant network · 6 plans · EPO tier
Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with Novant HealthEPOGold$1,80011512NC0400001
Blue Home Gold Standard A | with Novant HealthEPOGold$2,00011512NC0400003
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant HealthEPOSilver$2,80011512NC0400009
Blue Home Silver Standard | with Novant HealthEPOSilver$6,00011512NC0400017
Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with Novant HealthEPOExpanded Bronze$7,00011512NC0400021
Blue Home Bronze Standard | with Novant HealthEPOExpanded Bronze$7,50011512NC0400023

Oscar Health

22 plans · HMO
Accepting new patients
Gold Classic StandardHMOGold$2,00069803NC0010053
Gold Classic Standard | with Atrium HealthHMOGold$2,00069803NC0010057
Silver ClassicHMOSilver$5,40069803NC0010006
Silver Classic | with Atrium HealthHMOSilver$5,40069803NC0010063
Silver Simple PCP SaverHMOSilver$5,50069803NC0010025
Silver Simple PCP Saver | with Atrium HealthHMOSilver$5,50069803NC0010065
Silver Simple Chronic Care CKM | with Atrium HealthHMOSilver$5,90069803NC0010071
Silver Classic StandardHMOSilver$6,00069803NC0010052
Silver Classic Standard | with Atrium HealthHMOSilver$6,00069803NC0010056
Silver Simple Women's Health with Menopause Benefits | with Atrium HealthHMOSilver$6,00069803NC0010072
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium HealthHMOSilver$6,20069803NC0010070
Silver Simple DiabetesHMOSilver$6,50069803NC0010045
Silver Simple Diabetes | with Atrium HealthHMOSilver$6,50069803NC0010064
Bronze Elite + PCP Saver PlusHMOExpanded Bronze$069803NC0010005
Bronze Elite + PCP Saver Plus | with Atrium HealthHMOExpanded Bronze$069803NC0010062
Bronze Classic 4700HMOExpanded Bronze$4,70069803NC0010024
Bronze Classic 4700 | with Atrium HealthHMOExpanded Bronze$4,70069803NC0010061
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium HealthHMOExpanded Bronze$5,50069803NC0010058
Bronze Simple Chronic Care CKM | with Atrium HealthHMOExpanded Bronze$5,50069803NC0010059
Bronze Simple Diabetes | with Atrium HealthHMOExpanded Bronze$5,50069803NC0010067
Bronze Classic StandardHMOExpanded Bronze$7,50069803NC0010050
Bronze Classic Standard | with Atrium HealthHMOExpanded Bronze$7,50069803NC0010055

Cigna Healthcare

17 plans · HMO
Accepting new patients
Connect Gold 1500 Indiv Med DeductibleHMOGold$1,50073943NC0070053
Connect Gold CMS StandardHMOGold$2,00073943NC0070050
Connect Gold RD CMS StandardHMOGold$2,00073943NC0070061
Connect Silver RD 3500 Indiv Med DeductibleHMOSilver$3,50073943NC0070057
Connect Silver 3600 Indiv Med DeductibleHMOSilver$3,60073943NC0070030
Connect myDiabetesCare SilverHMOSilver$4,30073943NC0070052
Connect Silver 5000 Indiv Med DeductibleHMOSilver$5,00073943NC0070029
Connect Silver RD 5000 Indiv Med DeductibleHMOSilver$5,00073943NC0070058
Connect Silver CMS StandardHMOSilver$6,00073943NC0070049
Connect Silver RD CMS StandardHMOSilver$6,00073943NC0070059
Connect Bronze RD 5000 Indiv Med DeductibleHMOExpanded Bronze$5,00073943NC0070054
Connect Bronze 5500 Indiv Med DeductibleHMOExpanded Bronze$5,50073943NC0070028
Connect Bronze RD 6000 Indiv Med DeductibleHMOExpanded Bronze$6,00073943NC0070055
Connect myDiabetesCare BronzeHMOExpanded Bronze$6,00073943NC0070051
Connect Bronze 6500 Indiv Med DeductibleHMOExpanded Bronze$6,50073943NC0070027
Connect Bronze CMS StandardHMOExpanded Bronze$7,50073943NC0070046
Connect Bronze RD CMS StandardHMOExpanded Bronze$7,50073943NC0070056

Also listed in other states 414 plans · 1,090 plan IDs · 24 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.

Oscar Health · Florida

33 plans · HMO
Accepting new patientsDeductible $0 to $9,000
Individual Florida HMO network · 26 plans · Preferred tier
Gold Elite Saver Plus | with AdventHealthHMOGold$021525FL0010022
Gold Classic StandardHMOGold$2,00021525FL0020015
Gold Classic Standard | with AdventHealthHMOGold$2,00021525FL0010020
Gold SimpleHMOGold$3,00021525FL0020016
Gold Simple | with AdventHealthHMOGold$3,00021525FL0010023
Silver EliteHMOSilver$5,00021525FL0020008
Silver Elite | with AdventHealthHMOSilver$5,00021525FL0010012
Silver Simple PCP SaverHMOSilver$5,00021525FL0020012
Silver Simple PCP Saver | with AdventHealthHMOSilver$5,00021525FL0010016
Silver Simple Chronic Care CKMHMOSilver$5,90021525FL0020010
Silver Simple Chronic Care CKM | with AdventHealthHMOSilver$5,90021525FL0010014
Silver Classic StandardHMOSilver$6,00021525FL0020007
Silver Classic Standard | with AdventHealthHMOSilver$6,00021525FL0010010
Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0020013
Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0020009
Silver Simple DiabetesHMOSilver$6,50021525FL0020011
Silver Simple Diabetes | with AdventHealthHMOSilver$6,50021525FL0010015
Bronze Elite + PCP Saver PlusHMOExpanded Bronze$021525FL0020003
Bronze Elite + PCP Saver Plus | with AdventHealthHMOExpanded Bronze$021525FL0010005
Bronze Classic 4700HMOExpanded Bronze$4,70021525FL0020002
Bronze Classic 4700 | with AdventHealthHMOExpanded Bronze$4,70021525FL0010004
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0020005
Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0020006
Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0020001
Bronze Classic Standard | with AdventHealthHMOExpanded Bronze$7,50021525FL0010002
Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$9,00021525FL0010006
Individual Florida HMO Broad network · 7 plans · Preferred tier
Gold Classic StandardHMOGold$2,00021525FL0010019
Silver Classic StandardHMOSilver$6,00021525FL0010009
Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00021525FL0010017
Silver Simple Breathe Easy with Enhanced COPD BenefitsHMOSilver$6,20021525FL0010013
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50021525FL0010007
Bronze Simple DiabetesHMOExpanded Bronze$5,50021525FL0010008
Bronze Classic StandardHMOExpanded Bronze$7,50021525FL0010001

Oscar Health · Ohio

32 plans · HMO
Accepting new patientsDeductible $0 to $7,750
Individual Ohio Columbus network · 16 plans · Preferred tier
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
Individual Ohio Cleveland network · 16 plans · Preferred tier
Gold Elite Saver Plus | Cleveland ClinicHMOGold$045845OH0100035
Gold Elite | Cleveland ClinicHMOGold$75045845OH0100036
Gold Classic Standard | Cleveland ClinicHMOGold$2,00045845OH0100053
Silver Elite Saver Plus | Cleveland ClinicHMOSilver$045845OH0100030
Silver Simple PCP Saver | Cleveland ClinicHMOSilver$5,75045845OH0100025
Silver Simple Chronic Care CKM | Cleveland ClinicHMOSilver$5,90045845OH0100060
Silver Classic Standard | Cleveland ClinicHMOSilver$6,00045845OH0100052
Silver Simple Women's Health with Menopause Benefits | Cleveland ClinicHMOSilver$6,00045845OH0100061
Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland ClinicHMOSilver$6,20045845OH0100059
Silver Simple Diabetes | Cleveland ClinicHMOSilver$6,50045845OH0100045
Bronze Simple HSA | Cleveland ClinicHMOExpanded Bronze$5,00045845OH0100014
Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100055
Bronze Simple Chronic Care CKM | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100056
Bronze Simple Diabetes | Cleveland ClinicHMOExpanded Bronze$5,50045845OH0100057
Bronze Classic Standard | Cleveland ClinicHMOExpanded Bronze$7,50045845OH0100050
Bronze Classic PCP Saver | Cleveland ClinicHMOExpanded Bronze$7,75045845OH0100002

Oscar Health · Iowa

26 plans · EPO
Accepting new patientsDeductible $0 to $10,600
Individual Iowa network · 16 plans · Preferred tier
Gold Elite | MercyOneEPOGold$55045819IA0010036
Gold Classic Standard | MercyOneEPOGold$2,00045819IA0010053
Silver Classic | MercyOneEPOSilver$5,00045819IA0010006
Silver Simple PCP Saver | MercyOneEPOSilver$5,00045819IA0010025
Silver Simple Chronic Care CKM | MercyOneEPOSilver$5,90045819IA0010077
Silver Classic Standard | MercyOneEPOSilver$6,00045819IA0010052
Silver Simple Women's Health with Menopause Benefits | MercyOneEPOSilver$6,00045819IA0010078
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOneEPOSilver$6,20045819IA0010076
Silver Simple Diabetes | MercyOneEPOSilver$6,50045819IA0010045
Bronze Elite + PCP Saver Plus | MercyOneEPOExpanded Bronze$045819IA0010005
Bronze Classic 4700 | MercyOneEPOExpanded Bronze$4,70045819IA0010024
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOneEPOExpanded Bronze$5,50045819IA0010070
Bronze Simple Chronic Care CKM | MercyOneEPOExpanded Bronze$5,50045819IA0010071
Bronze Simple Diabetes | MercyOneEPOExpanded Bronze$5,50045819IA0010072
Bronze Classic Standard | MercyOneEPOExpanded Bronze$7,50045819IA0010050
Secure | MercyOneEPOCatastrophic$10,60045819IA0010011
Individual Iowa Broad network · 10 plans · Preferred tier
Gold EliteEPOGold$55045819IA0010063
Gold Classic StandardEPOGold$2,00045819IA0010067
Silver ClassicEPOSilver$5,00045819IA0010057
Silver Simple PCP SaverEPOSilver$5,00045819IA0010061
Silver Classic StandardEPOSilver$6,00045819IA0010066
Silver Simple DiabetesEPOSilver$6,50045819IA0010064
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$045819IA0010056
Bronze Classic 4700EPOExpanded Bronze$4,70045819IA0010060
Bronze Classic StandardEPOExpanded Bronze$7,50045819IA0010065
SecureEPOCatastrophic$10,60045819IA0010058

Blue Cross and Blue Shield of Texas · Texas

25 plans · HMO, POS
Accepting new patientsDeductible $0 to $10,600
Blue Advantage network · 19 plans · Preferred tier
Blue Advantage Gold HMOâ„  206HMOGold$55033602TX0460548
Blue Advantage Gold HMOâ„  603HMOGold$1,00033602TX0460809
Blue Advantage Plus Goldâ„  203POSGold$1,70033602TX0870005
Blue Advantage Gold HMOâ„  StandardHMOGold$2,00033602TX0460925
Blue Advantage Plus Goldâ„  StandardPOSGold$2,00033602TX0870006
Blue Advantage Plus Goldâ„  803POSGold$2,40033602TX0870011
Blue Advantage Plus Silverâ„  605POSSilver$033602TX0870009
Blue Advantage Plus Silverâ„  202POSSilver$1,25033602TX0870007
Blue Advantage Silver HMOâ„  205HMOSilver$1,45033602TX0460553
Blue Advantage Silver HMOâ„  801HMOSilver$4,00033602TX0461083
Blue Advantage Plus Silverâ„  StandardPOSSilver$6,00033602TX0870010
Blue Advantage Silver HMOâ„  StandardHMOSilver$6,00033602TX0460926
Blue Advantage Plus Bronzeâ„  305POSBronze$7,30033602TX0870003
Blue Advantage Bronze HMOâ„  301HMOBronze$10,60033602TX0460782
Blue Advantage Bronze HMOâ„  204HMOExpanded Bronze$6,00033602TX0460554
Blue Advantage Plus Bronzeâ„  303POSExpanded Bronze$7,00033602TX0870002
Blue Advantage Bronze HMOâ„  StandardHMOExpanded Bronze$7,50033602TX0461033
Blue Advantage Plus Bronzeâ„  StandardPOSExpanded Bronze$7,50033602TX0870004
Blue Advantage Security HMOâ„  200HMOCatastrophic$10,60033602TX0460552
MyBlue Health network · 6 plans · Preferred tier
MyBlue Health Goldâ„  403HMOGold$50033602TX0461081
MyBlue Health Goldâ„  StandardHMOGold$2,00033602TX0461088
MyBlue Health Silverâ„  405HMOSilver$1,50033602TX0461082
MyBlue Health Silverâ„  StandardHMOSilver$6,00033602TX0461089
MyBlue Health Bronzeâ„  402HMOExpanded Bronze$5,00033602TX0461080
MyBlue Health Bronzeâ„  StandardHMOExpanded Bronze$7,50033602TX0461087

Blue Cross and Blue Shield of Oklahoma · Oklahoma

22 plans · PPO, HMO
Accepting new patientsDeductible $1,000 to $10,600
Blue Advantage PPO network · 9 plans · Preferred tier
Blue Advantage Gold PPOâ„  309PPOGold$1,05087571OK0350097
Blue Advantage Gold PPOâ„  604PPOGold$1,10087571OK0350118
Blue Advantage Gold PPOâ„  StandardPPOGold$2,00087571OK0350178
Blue Advantage Silver PPOâ„  204PPOSilver$1,02587571OK0350069
Blue Advantage Silver PPOâ„  501PPOSilver$3,50087571OK0350115
Blue Advantage Silver PPOâ„  StandardPPOSilver$6,00087571OK0350177
Blue Advantage Bronze PPOâ„  202PPOBronze$6,80087571OK0350070
Blue Advantage Bronze PPOâ„  203PPOExpanded Bronze$4,50087571OK0350068
Blue Advantage Bronze PPOâ„  StandardPPOExpanded Bronze$7,50087571OK0350176
MyBlue HMO network · 9 plans · Preferred tier
MyBlue Gold HMOâ„  704HMOGold$1,00087571OK0510057
MyBlue Gold HMOâ„  804HMOGold$1,00087571OK0510071
MyBlue Gold HMOâ„  StandardHMOGold$2,00087571OK0510063
MyBlue Silver HMOâ„  705HMOSilver$2,95087571OK0510058
MyBlue Silver HMOâ„  803HMOSilver$3,00087571OK0510070
MyBlue Silver HMOâ„  StandardHMOSilver$6,00087571OK0510064
MyBlue Bronze HMOâ„  904HMOBronze$4,50087571OK0510084
MyBlue Bronze HMOâ„  902HMOBronze$10,60087571OK0510081
MyBlue Bronze HMOâ„  StandardHMOExpanded Bronze$7,50087571OK0510078
Blue Preferred PPO network · 4 plans · Preferred tier
Blue Preferred Gold PPOâ„  StandardPPOGold$2,00087571OK0350171
Blue Preferred Silver PPOâ„  StandardPPOSilver$6,00087571OK0350172
Blue Preferred Bronze PPOâ„  StandardPPOExpanded Bronze$7,50087571OK0350173
Blue Preferred Security PPOâ„  200PPOCatastrophic$10,60087571OK0350165

Oscar Health · Georgia

22 plans · HMO
Accepting new patientsDeductible $0 to $9,150
Individual Georgia HMO Non-Gatekept network · 16 plans · Preferred tier
Gold Elite Saver Plus HMO $1000 $10HMOGold$1,00058081GA0010035
Gold Classic Standard HMO $2000 $30HMOGold$2,00058081GA0010053
Silver Simple Saver HMO $5750 $10HMOSilver$5,75058081GA0010025
Buena Salud Plateado Estandar Clasico HMO $6000 $40HMOSilver$6,00058081GA0010055
Silver Classic Standard HMO $6000 $40HMOSilver$6,00058081GA0010052
Silver Simple Women's Health with Menopause Benefits HMO $6000 $0HMOSilver$6,00058081GA0010087
Silver Simple Breathe Easy with Enhanced COPD Benefits HMO $6200 $0HMOSilver$6,20058081GA0010068
Silver Simple Diabetes HMO $6500 $0HMOSilver$6,50058081GA0010045
Bronze Elite Saver Plus HMO $0 $50HMOExpanded Bronze$058081GA0010005
Bronze Classic 4700 HMO $4700 $70HMOExpanded Bronze$4,70058081GA0010024
Bronze Simple Breathe Easy with Enhanced COPD Benefits HMO $5500 $50HMOExpanded Bronze$5,50058081GA0010069
Bronze Simple Diabetes HMO $5500 $50HMOExpanded Bronze$5,50058081GA0010067
Bronze Classic Standard HMO $7500 $50HMOExpanded Bronze$7,50058081GA0010050
Buena Salud Bronce Estandar Clasico HMO $7500 $50HMOExpanded Bronze$7,50058081GA0010059
Bronze Classic Saver Plus HMO $8000 $0HMOExpanded Bronze$8,00058081GA0010021
Bronze Simple 2 HMO $9150 10%HMOExpanded Bronze$9,15058081GA0010051
Individual Georgia HMO network · 6 plans · Preferred tier
Silver Simple Saver Guided Care HMO $5750 $10HMOSilver$5,75058081GA0010063
Silver Classic Standard Guided Care HMO $6000 $40HMOSilver$6,00058081GA0010057
Bronze Classic 4700 Guided Care HMO $4700 $70HMOExpanded Bronze$4,70058081GA0010060
Bronze Classic Standard Guided Care HMO $7500 $50HMOExpanded Bronze$7,50058081GA0010056
Bronze Classic Saver Plus Guided Care HMO $8000 $0HMOExpanded Bronze$8,00058081GA0010061
Bronze Simple 2 Guided Care HMO $9150 10%HMOExpanded Bronze$9,15058081GA0010062

Anthem Blue Cross and Blue Shield · Missouri

20 plans · EPO
Accepting new patientsDeductible $2,000 to $10,600
Pathway and Rx Choice Tiered Network · 7 plans · Participating tier
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$3,10032753MO0980013
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$5,35032753MO0980015
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$7,20032753MO0980016
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOBronze$10,15032753MO0980022
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$4,90032753MO0980018
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$6,90032753MO0980014
Anthem Catastrophic Pathway (+ Incentives)EPOCatastrophic$10,60032753MO0980017
Pathway Essentials, Dental Prime, and RX Choice Tiered Network · 7 plans · Participating tier
Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs)EPOSilver$3,10032753MO0990011
Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$5,35032753MO0990013
Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$7,20032753MO0990014
Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOBronze$10,15032753MO0990020
Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs)EPOExpanded Bronze$4,90032753MO0990016
Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$6,90032753MO0990012
Anthem Catastrophic Pathway Essentials (+ Incentives)EPOCatastrophic$10,60032753MO0990015
Pathway and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOGold$2,00032753MO0980021
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$6,00032753MO0980020
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$7,50032753MO0980019
Pathway Essentials, Dental Prime, and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOGold$2,00032753MO0990019
Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$6,00032753MO0990018
Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$7,50032753MO0990017

Oscar Health · Nebraska

20 plans · EPO
Accepting new patientsDeductible $0 to $7,750
Individual Nebraska network · 10 plans · Preferred tier
Gold EliteEPOGold$50057424NE0010036
Gold Classic StandardEPOGold$2,00057424NE0010053
Silver Simple PCP SaverEPOSilver$5,75057424NE0010025
Silver Classic StandardEPOSilver$6,00057424NE0010052
Silver Simple Women's Health with Menopause BenefitsEPOSilver$6,00057424NE0010055
Silver Simple DiabetesEPOSilver$6,50057424NE0010045
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$057424NE0010005
Bronze Simple DiabetesEPOExpanded Bronze$5,50057424NE0010056
Bronze Classic StandardEPOExpanded Bronze$7,50057424NE0010050
Bronze ClassicEPOExpanded Bronze$7,75057424NE0010003
Individual Nebraska Narrow network · 10 plans · Preferred tier
Gold Elite | with Bryan HealthEPOGold$50057424NE0010067
Gold Classic Standard | with Bryan HealthEPOGold$2,00057424NE0010066
Silver Simple PCP Saver | with Bryan HealthEPOSilver$5,75057424NE0010064
Silver Classic Standard | with Bryan HealthEPOSilver$6,00057424NE0010061
Silver Simple Women's Health with Menopause Benefits | with Bryan HealthEPOSilver$6,00057424NE0010065
Silver Simple Diabetes | with Bryan HealthEPOSilver$6,50057424NE0010063
Bronze Elite + PCP Saver Plus | with Bryan HealthEPOExpanded Bronze$057424NE0010059
Bronze Simple Diabetes | with Bryan HealthEPOExpanded Bronze$5,50057424NE0010060
Bronze Classic Standard | with Bryan HealthEPOExpanded Bronze$7,50057424NE0010057
Bronze Classic | with Bryan HealthEPOExpanded Bronze$7,75057424NE0010058

Blue Cross and Blue Shield of Montana · Montana

19 plans · POS, PPO
Accepting new patientsDeductible $250 to $10,600
Blue Preferred PPO network · 10 plans · Preferred tier
Blue Preferred Gold PPOâ„  901PPOGold$1,40030751MT0550102
Blue Preferred Gold PPOâ„  204PPOGold$1,50030751MT0550038
Blue Preferred Gold PPOâ„  StandardPPOGold$2,00030751MT0550086
Blue Preferred Silver PPOâ„  203PPOSilver$2,00030751MT0550039
Blue Preferred Silver PPOâ„  StandardPPOSilver$6,00030751MT0550087
Blue Preferred Silver PPOâ„  308PPOSilver$7,25030751MT0550061
Blue Preferred Bronze PPOâ„  202PPOExpanded Bronze$4,40030751MT0550041
Blue Preferred Bronze PPOâ„  201PPOExpanded Bronze$6,00030751MT0550040
Blue Preferred Bronze PPOâ„  StandardPPOExpanded Bronze$7,50030751MT0550092
Blue Preferred Security PPOâ„  200PPOCatastrophic$10,60030751MT0550042
Blue Focus POS network · 9 plans · Preferred tier
Blue Focus Gold POSâ„  207POSGold$25030751MT0670001
Blue Focus Gold POSâ„  902POSGold$1,00030751MT0670031
Blue Focus Gold POSâ„  StandardPOSGold$2,00030751MT0670007
Blue Focus Silver POSâ„  206POSSilver$3,50030751MT0670002
Blue Focus Silver POSâ„  StandardPOSSilver$6,00030751MT0670008
Blue Focus Silver POSâ„  903POSSilver$7,25030751MT0670030
Blue Focus Bronze POSâ„  705POSBronze$10,60030751MT0670006
Blue Focus Bronze POSâ„  205POSExpanded Bronze$3,50030751MT0670003
Blue Focus Bronze POSâ„  StandardPOSExpanded Bronze$7,50030751MT0670009

Anthem Blue Cross and Blue Shield · Connecticut

17 plans · HMO, PPO · small business (SHOP)
Accepting new patientsDeductible $0 to $10,600
Pathway CT PPO, Dental Prime, and Pharmacy Advantage Network · 6 plans · Participating tier
Platinum Pathway CT PPOPPOPlatinum$086545CT1300072
Gold Pathway CT PPOPPOGold$1,50086545CT1300069
Silver Pathway CT PPO w HSAPPOSilver$3,50086545CT1300081
Silver Pathway CT PPOPPOSilver$4,50086545CT1300077
Bronze Pathway CT PPOPPOBronze$10,00086545CT1260016
Bronze Pathway CT PPO w HSAPPOExpanded Bronze$8,00086545CT1300071
Pathway, Dental Prime, and Pharmacy Advantage Network · 5 plans · Participating tier
Gold PPO Standard PathwayPPOGold$1,20086545CT1330003
Gold PPO Pathway with Adult Dental and Vision BenefitsPPOGold$2,00086545CT1330020
Silver PPO Standard PathwayPPOSilver$5,00086545CT1330001
Bronze PPO Standard Pathway HSAPPOExpanded Bronze$6,50086545CT1330009
Bronze PPO Standard PathwayPPOExpanded Bronze$7,00086545CT1330002
Pathway Enhanced, Dental Prime, and Pharmacy Advantage Network · 3 plans · Participating tier
Gold HMO Pathway Enhanced with Adult Dental and Vision BenefitsHMOGold$2,00086545CT1230027
Bronze HMO Pathway Enhanced with Adult Dental and Vision BenefitsHMOExpanded Bronze$7,00086545CT1230025
Catastrophic HMO Pathway EnhancedHMOCatastrophic$10,60086545CT1230005
Pathway and Pharmacy Advantage Network · 2 plans · Participating tier
Gold PPO PathwayPPOGold$2,00086545CT1570002
Bronze PPO Pathway with PreventiveRx HSAPPOExpanded Bronze$6,00086545CT1570001
Pathway Enhanced and Pharmacy Advantage Network · 1 plan · Participating tier
Bronze HMO Pathway EnhancedHMOExpanded Bronze$7,00086545CT1580001

Oscar Health · Arizona

17 plans · HMO
Accepting new patientsDeductible $0 to $9,000
Gold Classic StandardHMOGold$2,00013877AZ0070053
Gold Simple DiabetesHMOGold$2,00013877AZ0070068
Gold SimpleHMOGold$3,30013877AZ0070073
Gold ClassicHMOGold$3,50013877AZ0070013
Silver Elite Saver PlusHMOSilver$013877AZ0070030
Silver Simple PCP SaverHMOSilver$5,75013877AZ0070025
Silver Simple Chronic Care CKMHMOSilver$5,90013877AZ0070060
Silver Classic StandardHMOSilver$6,00013877AZ0070052
Silver Simple Women's Health with Menopause BenefitsHMOSilver$6,00013877AZ0070064
Silver Simple DiabetesHMOSilver$6,50013877AZ0070063
Silver Simple Specialist Saver with COPDHMOSilver$6,50013877AZ0070008
Bronze Elite + PCP Saver PlusHMOExpanded Bronze$013877AZ0070005
Bronze Simple Breathe Easy with Enhanced COPD BenefitsHMOExpanded Bronze$5,50013877AZ0070056
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50013877AZ0070057
Buena Salud Bronce Simple Para DiabetesHMOExpanded Bronze$5,50013877AZ0070058
Bronze Classic StandardHMOExpanded Bronze$7,50013877AZ0070050
Bronze SimpleHMOExpanded Bronze$9,00013877AZ0070072

Anthem Blue Cross and Blue Shield · Indiana

15 plans · HMO, POS
Accepting new patientsDeductible $2,000 to $10,600
Anthem Essential and Rx Choice Tiered Network · 9 plans · Participating tier
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,20017575IN0990012
Anthem Silver Essential 3500 HSA (+ Incentives)HMOSilver$3,50017575IN0990013
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$4,50017575IN0990002
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$7,00017575IN0990003
Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOBronze$10,15017575IN0990010
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$4,50017575IN0990007
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$5,50017575IN1000002
Anthem Bronze Essential 6500 HSA (+ Incentives)HMOExpanded Bronze$6,50017575IN0990011
Anthem Catastrophic Essential (+ Incentives)HMOCatastrophic$10,60017575IN0990004
Anthem Essential and Pharmacy Base Network · 4 plans · Participating tier
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00017575IN0990006
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00017575IN0990005
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50017575IN0990009
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50017575IN1000001
Anthem Essential, Dental Prime, and Rx Choice Tiered Network · 2 plans · Participating tier
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$7,00017575IN0990001
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOBronze$10,15017575IN0990008

Oscar Health · Illinois

15 plans · HMO
Accepting new patientsDeductible $0 to $9,000
Individual Illinois Select network · 8 plans · Preferred tier
Gold Classic Standard (Select)HMOGold$2,00011574IL0020053
Gold Simple (Select)HMOGold$3,30011574IL0020059
Buena Salud Plateado 4360 (Select)HMOSilver$4,36011574IL0020057
Silver Classic Standard (Select)HMOSilver$6,00011574IL0020052
Silver Simple Diabetes (Select)HMOSilver$6,50011574IL0020060
Bronze Elite + PCP Saver Plus Rx (Select)HMOExpanded Bronze$011574IL0020055
Bronze Classic Standard (Select)HMOExpanded Bronze$7,50011574IL0020050
Bronze Simple (Select)HMOExpanded Bronze$9,00011574IL0020058
Individual Illinois Choice network · 7 plans · Preferred tier
Gold Classic Standard (Choice)HMOGold$2,00011574IL0010053
Gold Simple (Choice)HMOGold$3,30011574IL0010057
Silver Classic Standard (Choice)HMOSilver$6,00011574IL0010052
Silver Simple Diabetes (Choice)HMOSilver$6,50011574IL0010045
Bronze Elite + PCP Saver Plus Rx (Choice)HMOExpanded Bronze$011574IL0010055
Bronze Classic Standard (Choice)HMOExpanded Bronze$7,50011574IL0010050
Bronze Simple (Choice)HMOExpanded Bronze$9,00011574IL0010056

Oscar Health · Tennessee

15 plans · EPO
Accepting new patientsDeductible $0 to $9,000
Gold EliteEPOGold$50023552TN0020036
Gold Classic StandardEPOGold$2,00023552TN0020053
Silver Simple PCP SaverEPOSilver$5,70023552TN0020025
Silver Simple Chronic Care CKMEPOSilver$5,90023552TN0020063
Silver Classic StandardEPOSilver$6,00023552TN0020052
Silver Simple Women's Health with Menopause BenefitsEPOSilver$6,00023552TN0020064
Silver Simple Breathe Easy with Enhanced COPD BenefitsEPOSilver$6,20023552TN0020056
Silver ClassicEPOSilver$6,50023552TN0020006
Silver Simple DiabetesEPOSilver$6,50023552TN0020055
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$023552TN0020005
Bronze Simple Breathe Easy with Enhanced COPD BenefitsEPOExpanded Bronze$5,50023552TN0020058
Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50023552TN0020059
Bronze Simple DiabetesEPOExpanded Bronze$5,50023552TN0020060
Bronze Classic StandardEPOExpanded Bronze$7,50023552TN0020050
Bronze SimpleEPOExpanded Bronze$9,00023552TN0020068

Oscar Health · Oklahoma

14 plans · PPO
Accepting new patientsDeductible $0 to $9,000
Gold Classic StandardPPOGold$2,00091908OK0010053
Silver Elite Saver PlusPPOSilver$091908OK0010030
Silver Simple PCP SaverPPOSilver$5,75091908OK0010025
Silver Simple Chronic Care CKMPPOSilver$5,90091908OK0010059
Silver Classic StandardPPOSilver$6,00091908OK0010052
Silver Simple Women's Health with Menopause BenefitsPPOSilver$6,00091908OK0010060
Silver Simple Breathe Easy with Enhanced COPD BenefitsPPOSilver$6,50091908OK0010055
Silver Simple DiabetesPPOSilver$6,50091908OK0010045
Bronze Elite + PCP Saver PlusPPOExpanded Bronze$091908OK0010005
Bronze Simple Breathe Easy with Enhanced COPD BenefitsPPOExpanded Bronze$5,50091908OK0010056
Bronze Simple Chronic Care CKMPPOExpanded Bronze$5,50091908OK0010057
Bronze Simple DiabetesPPOExpanded Bronze$5,50091908OK0010058
Bronze Classic StandardPPOExpanded Bronze$7,50091908OK0010050
Bronze SimplePPOExpanded Bronze$9,00091908OK0010068

Anthem Blue Cross and Blue Shield · Ohio

11 plans · HMO
Accepting new patientsDeductible $2,000 to $10,600
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

Blue Cross Blue Shield of Wyoming · Wyoming

11 plans · PPO
Accepting new patientsDeductible $1,500 to $10,600
BlueSelect Gold HealthPlusPPOGold$1,50011269WY0070013
BlueSelect Gold CorePPOGold$2,00011269WY0070025
BlueSelect Gold Standard without Kid's DentalPPOGold$2,00011269WY0170017
BlueSelect Silver ClassicPPOSilver$3,60011269WY0070014
BlueSelect Silver Classic without Kid's DentalPPOSilver$3,60011269WY0170016
BlueSelect Silver HealthPlusPPOSilver$5,50011269WY0070016
BlueSelect Silver HealthPlus without Kid's DentalPPOSilver$5,50011269WY0170021
BlueSelect Silver Standard without Kid's DentalPPOSilver$6,00011269WY0170018
BlueSelect Bronze BasicPPOBronze$10,60011269WY0070026
BlueSelect Bronze CorePPOExpanded Bronze$6,80011269WY0070004
BlueSelect Expanded Bronze Standard without Kid's DentalPPOExpanded Bronze$7,50011269WY0170020

Oscar Health · Missouri

11 plans · EPO
Accepting new patientsDeductible $0 to $7,500
Gold Classic StandardEPOGold$2,00069512MO0010053
Gold SimpleEPOGold$3,30069512MO0010064
Silver Elite Saver PlusEPOSilver$069512MO0010030
Silver Simple PCP SaverEPOSilver$5,10069512MO0010025
Silver Classic StandardEPOSilver$6,00069512MO0010052
Silver Simple Women's Health with Menopause BenefitsEPOSilver$6,00069512MO0010058
Silver Simple DiabetesEPOSilver$6,50069512MO0010045
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$069512MO0010005
Bronze Classic 4700EPOExpanded Bronze$4,70069512MO0010024
Bronze Simple DiabetesEPOExpanded Bronze$5,50069512MO0010055
Bronze Classic StandardEPOExpanded Bronze$7,50069512MO0010050

Providence Health Plan · Oregon

11 plans · EPO
Not accepting new patientsDeductible $1,500 to $9,800
Signature network · 4 plans · EPO tier
Providence Oregon Standard Gold Plan - Signature NetworkEPOGold$1,80056707OR1350004
Providence Oregon Standard Silver Plan - Signature NetworkEPOSilver$6,10056707OR1360004
HSA-E Qualified 7500 Bronze - Signature NetworkEPOExpanded Bronze$7,50056707OR1430003
Providence Oregon Standard Bronze Plan - Signature NetworkEPOExpanded Bronze$9,20056707OR1410003
Choice network · 4 plans · Choice tier
Providence Oregon Standard Gold Plan - Choice NetworkEPOGold$1,80056707OR1320004
Providence Oregon Standard Silver Plan - Choice NetworkEPOSilver$6,10056707OR1330004
HSA Qualified 7500 Bronze - Choice NetworkEPOExpanded Bronze$7,50056707OR1420003
Providence Oregon Standard Bronze Plan - Choice NetworkEPOExpanded Bronze$9,20056707OR1400003
Connect network · 3 plans · Connect tier
Connect 1500 GoldEPOGold$1,50056707OR1380008
Connect 6000 SilverEPOSilver$6,00056707OR1380013
Connect 9800 BronzeEPOExpanded Bronze$9,80056707OR1380014

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · HMO
Accepting new patientsDeductible $0 to $8,450
Pathway and Rx Choice Tiered Network · 6 plans · Participating tier
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$1,00079475WI0550006
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)HMOSilver$4,00079475WI0550003
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$5,50079475WI0550005
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)HMOExpanded Bronze$079475WI0550007
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)HMOExpanded Bronze$5,00079475WI0550002
Anthem Bronze Pathway/Lean HSA (+ Incentives)HMOExpanded Bronze$8,45079475WI0550001
Pathway and Pharmacy Base Network · 3 plans · Participating tier
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOGold$2,00079475WI0550031
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOSilver$6,00079475WI0550030
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)HMOExpanded Bronze$7,50079475WI0550029

Oscar Health · Alabama

9 plans · EPO
Accepting new patientsDeductible $0 to $7,500
Gold Classic StandardEPOGold$2,00017091AL0010008
Gold SimpleEPOGold$3,30017091AL0010009
Silver Simple Chronic Care CKMEPOSilver$5,90017091AL0010007
Silver Classic StandardEPOSilver$6,00017091AL0010005
Silver SimpleEPOSilver$6,30017091AL0010006
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$017091AL0010003
Bronze Classic 4700EPOExpanded Bronze$4,70017091AL0010002
Bronze Simple Chronic Care CKMEPOExpanded Bronze$5,50017091AL0010004
Bronze Classic StandardEPOExpanded Bronze$7,50017091AL0010001

Blue Cross and Blue Shield of Louisiana · Louisiana

8 plans · PPO
Accepting new patientsDeductible $1,500 to $7,500
Blue Max 80/60 $1500 with 2 $0 PCP Virtual VisitsPPOGold$1,50097176LA0340015
Blue Max Copay (PCP) 75/55 $2000 StandardizedPPOGold$2,00097176LA0340022
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual VisitsPPOSilver$3,30097176LA0340010
Blue Saver 90/70 $3400PPOSilver$3,40097176LA0350003
Blue Max Copay (PCP) 60/40 $6000 StandardizedPPOSilver$6,00097176LA0340023
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA EligiblePPOBronze$6,70097176LA0340017
Blue Saver 60/40 $6100PPOExpanded Bronze$6,10097176LA0350004
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA EligiblePPOExpanded Bronze$7,50097176LA0340024

Oscar Health · Michigan

8 plans · EPO
Accepting new patientsDeductible $0 to $7,500
Gold Elite Saver PlusEPOGold$077739MI0070035
Gold Classic StandardEPOGold$2,00077739MI0070053
Silver Simple PCP SaverEPOSilver$5,50077739MI0070025
Silver ClassicEPOSilver$5,60077739MI0070006
Silver Classic StandardEPOSilver$6,00077739MI0070052
Bronze Elite + PCP Saver PlusEPOExpanded Bronze$077739MI0070005
Bronze Classic 4700EPOExpanded Bronze$4,70077739MI0070024
Bronze Classic StandardEPOExpanded Bronze$7,50077739MI0070050

Oscar Health · Mississippi

7 plans · HMO
Accepting new patientsDeductible $0 to $7,500
Gold Classic StandardHMOGold$2,00020635MS0010007
Silver Simple Chronic Care CKMHMOSilver$5,90020635MS0010006
Silver Classic StandardHMOSilver$6,00020635MS0010004
Silver SimpleHMOSilver$6,30020635MS0010005
Bronze Elite + PCP Saver PlusHMOExpanded Bronze$020635MS0010002
Bronze Simple Chronic Care CKMHMOExpanded Bronze$5,50020635MS0010003
Bronze Classic StandardHMOExpanded Bronze$7,50020635MS0010001

Oscar Health · New Jersey

7 plans · EPO
Accepting new patientsDeductible $500 to $3,300
Gold Classic PCP SaverEPOGold$2,00023818NJ0010007
Silver Classic Saver PlusEPOSilver$50023818NJ0010008
Silver Elite PlusEPOSilver$1,60023818NJ0010029
Silver Simple PCP SaverEPOSilver$2,50023818NJ0010009
Silver ClassicEPOSilver$2,70023818NJ0010002
Silver SimpleEPOSilver$2,80023818NJ0010003
Bronze ClassicEPOExpanded Bronze$3,30023818NJ0010001

Oscar Health · Kansas

6 plans · EPO
Accepting new patientsDeductible $0 to $7,500
Gold Classic StandardEPOGold$2,00043490KS0010053
Silver Classic StandardEPOSilver$6,00043490KS0010052
Bronze Elite + PCP SaverEPOExpanded Bronze$043490KS0010005
Bronze Classic 4700EPOExpanded Bronze$4,70043490KS0010024
Bronze Simple DiabetesEPOExpanded Bronze$5,50043490KS0010055
Bronze Classic StandardEPOExpanded Bronze$7,50043490KS0010050

Oscar Health · Virginia

4 plans · EPO
Accepting new patientsDeductible $2,000 to $9,000
Gold Classic StandardEPOGold$2,00025922VA0010053
Silver Classic StandardEPOSilver$6,00025922VA0010052
Bronze Classic StandardEPOExpanded Bronze$7,50025922VA0010050
Bronze SimpleEPOExpanded Bronze$9,00025922VA0010055

Questions about Dr. Hart’s insurance

What insurance does Dr. Hart take?

In North Carolina, Blue Cross and Blue Shield of NC, Oscar Health and Cigna Healthcare include Dr. Hart in 69 Marketplace plans for 2026. Call the office at (704) 289-1547 to confirm your plan before booking.

Do I need a referral to see Dr. Hart?

Not under the North Carolina plans that list Dr. Hart: the 2026 plan files say a specialist referral is not required.

Does Dr. Hart accept Medicare?

Yes. CMS files show Dr. Hart 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
Blue Cross and Blue Shield of NC: Oct 15, 2026
Oscar Health: Oct 15, 2026
Providence Health Plan: Oct 15, 2026
Cigna Healthcare: Oct 6, 2026
Blue Cross and Blue Shield of Louisiana: Oct 5, 2026
Blue Cross and Blue Shield of Montana: Oct 2, 2026
Blue Cross and Blue Shield of Oklahoma: Oct 2, 2026
Blue Cross and Blue Shield of Texas: Oct 2, 2026
Blue Cross Blue Shield of Wyoming: Sep 2, 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 Connecticut, Georgia, Illinois, New Jersey and Virginia. 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.