GARTH E FLETCHER MD
Accepted Insurance for NPI 1477501310
Pediatrics - Neonatal-Perinatal Medicine in Omaha, NE

Active since May 04, 2006PECOS Enrolled
988102 NEBRASKA MEDICAL CTR, OMAHA, NE 68198(402) 559-6750(402) 559-7341 Get Directions

NPPES record last updated: June 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

GARTH E FLETCHER MD, a pediatrics provider in Omaha, NE, is listed as in-network for 120 health insurance plans from 2 insurance companies, led by Medica and Oscar Insurance Company. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
2
Insurance Companies
120
Plan Options
2
Network Types
Medica
Largest Network · 58 plans
View plans
81 plans · 120 plan IDs · 2026 plan year

Medica

58 plans · Individual market · listed as Preferred

Elevate by Medica Bronze $0 Copay PCP Visits

BronzeEPO2 states
Plan IDs20305NE003004193078IA0050041

Elevate by Medica Bronze Premier

BronzeEPO
Plan ID20305NE0030051

Elevate by Medica Bronze Share

BronzeEPOIowa
Plan ID93078IA0050029

Elevate by Medica Expanded Bronze Standard

BronzeEPO2 states
Plan IDs20305NE003007393078IA0050073

Elevate by Medica Gold $0 Copay PCP Visits

GoldEPO2 states
Plan IDs20305NE003004593078IA0050045

Elevate by Medica Gold Share

GoldEPO2 states
Plan IDs20305NE003002593078IA0050074

Elevate by Medica Gold Standard

GoldEPO2 states
Plan IDs20305NE003005593078IA0050055

Elevate by Medica Silver $0 Copay PCP Visits

SilverEPO2 states
Plan IDs20305NE003004793078IA0050047

Elevate by Medica Silver Share

SilverEPO2 states
Plan IDs20305NE003007493078IA0050075

Elevate by Medica Silver Standard

SilverEPO2 states
Plan IDs20305NE003005793078IA0050057

Medica Individual Choice Bronze $0 Copay PCP Visits

BronzeHMONorth Dakota
Plan ID73751ND0130041

Medica Individual Choice Bronze HSA

BronzeEPOWisconsin
Plan ID57845WI0040011

Medica Individual Choice Bronze Share

BronzeEPOWisconsin
Plan ID57845WI0040029

Medica Individual Choice Bronze Share

BronzeHMONorth Dakota
Plan ID73751ND0130029

Medica Individual Choice Expanded Bronze Standard

BronzeEPOWisconsin
Plan ID57845WI0040073

Medica Individual Choice Expanded Bronze Standard

BronzeHMONorth Dakota
Plan ID73751ND0130073

Medica Individual Choice Gold $0 Copay PCP Visits

GoldEPOWisconsin
Plan ID57845WI0040074

Medica Individual Choice Gold $0 Copay PCP Visits

GoldHMONorth Dakota
Plan ID73751ND0130045

Medica Individual Choice Gold Share

GoldEPOWisconsin
Plan ID57845WI0040076

Medica Individual Choice Gold Share

GoldHMONorth Dakota
Plan ID73751ND0130074

Medica Individual Choice Gold Standard

GoldEPOWisconsin
Plan ID57845WI0040055

Medica Individual Choice Gold Standard

GoldHMONorth Dakota
Plan ID73751ND0130055

Medica Individual Choice Silver $0 Copay PCP Visits

SilverEPOWisconsin
Plan ID57845WI0040075

Medica Individual Choice Silver $0 Copay PCP Visits

SilverHMONorth Dakota
Plan ID73751ND0130047

Medica Individual Choice Silver Share

SilverEPOWisconsin
Plan ID57845WI0040027

Medica Individual Choice Silver Share

SilverHMONorth Dakota
Plan ID73751ND0130076

Medica Individual Choice Silver Standard

SilverEPOWisconsin
Plan ID57845WI0040057

Medica Individual Choice Silver Standard

SilverHMONorth Dakota
Plan ID73751ND0130057

Medica Insure Bronze $0 Copay PCP Visits

BronzeEPOIowa
Plan ID93078IA0060041

Medica Insure Bronze Premier

BronzeEPO
Plan ID20305NE0040051

Medica Insure Bronze Share

BronzeEPO2 states
Plan IDs20305NE004002993078IA0060029

Medica Insure Expanded Bronze Standard

BronzeEPO2 states
Plan IDs20305NE004007393078IA0060073

Medica Insure Gold $0 Copay PCP Visits

GoldEPO2 states
Plan IDs20305NE004004593078IA0060045

Medica Insure Gold Share

GoldEPO2 states
Plan IDs20305NE004002593078IA0060074

Medica Insure Gold Standard

GoldEPO2 states
Plan IDs20305NE004005593078IA0060055

Medica Insure Silver $0 Copay PCP Visits

SilverEPO2 states
Plan IDs20305NE004004793078IA0060047

Medica Insure Silver Share

SilverEPO2 states
Plan IDs20305NE004002793078IA0060027

Medica Insure Silver Standard

SilverEPO2 states
Plan IDs20305NE004005793078IA0060057

Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam

BronzeEPO2 states
Plan IDs20305NE010000393078IA0130003

Medica with CHI Health Bronze $0 Copay PCP Visits

BronzeEPO2 states
Plan IDs20305NE005007493078IA0080041

Medica with CHI Health Bronze Premier + Adult Eye Exam

BronzeEPO
Plan ID20305NE0100006

Medica with CHI Health Bronze Premier

BronzeEPO
Plan ID20305NE0050051

Medica with CHI Health Bronze Share + Adult Eye Exam

BronzeEPOIowa
Plan ID93078IA0130006

Medica with CHI Health Bronze Share

BronzeEPOIowa
Plan ID93078IA0080029

Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam

BronzeEPO2 states
Plan IDs20305NE010000993078IA0130009

Medica with CHI Health Expanded Bronze Standard

BronzeEPO2 states
Plan IDs20305NE005007393078IA0080073

Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam

GoldEPO2 states
Plan IDs20305NE010000193078IA0130001

Medica with CHI Health Gold $0 Copay PCP Visits

GoldEPO2 states
Plan IDs20305NE005004593078IA0080045

Medica with CHI Health Gold Share + Adult Eye Exam

GoldEPO2 states
Plan IDs20305NE010000493078IA0130004

Medica with CHI Health Gold Share

GoldEPO2 states
Plan IDs20305NE005007593078IA0080074

Medica with CHI Health Gold Standard + Adult Eye Exam

GoldEPO2 states
Plan IDs20305NE010000793078IA0130007

Medica with CHI Health Gold Standard

GoldEPO2 states
Plan IDs20305NE005005593078IA0080055

Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam

SilverEPO2 states
Plan IDs20305NE010000293078IA0130002

Medica with CHI Health Silver $0 Copay PCP Visits

SilverEPO2 states
Plan IDs20305NE005004793078IA0080047

Medica with CHI Health Silver Share + Adult Eye Exam

SilverEPO2 states
Plan IDs20305NE010000593078IA0130005

Medica with CHI Health Silver Share

SilverEPO2 states
Plan IDs20305NE005002793078IA0080075

Medica with CHI Health Silver Standard + Adult Eye Exam

SilverEPO2 states
Plan IDs20305NE010000893078IA0130008

Medica with CHI Health Silver Standard

SilverEPO2 states
Plan IDs20305NE005005793078IA0080057

Oscar Insurance Company

23 plans · Individual market · listed as Preferred

Bronze Classic 4700

BronzeEPOIowa
Plan ID45819IA0010060

Bronze Classic Standard | with Bryan Health

BronzeEPO
Plan ID57424NE0010057

Bronze Classic Standard

BronzeEPO2 states
Plan IDs45819IA001006557424NE0010050

Bronze Classic | with Bryan Health

BronzeEPO
Plan ID57424NE0010058

Bronze Classic

BronzeEPO
Plan ID57424NE0010003

Bronze Elite + PCP Saver Plus | with Bryan Health

BronzeEPO
Plan ID57424NE0010059

Bronze Elite + PCP Saver Plus

BronzeEPO2 states
Plan IDs45819IA001005657424NE0010005

Bronze Simple Diabetes | with Bryan Health

BronzeEPO
Plan ID57424NE0010060

Bronze Simple Diabetes

BronzeEPO
Plan ID57424NE0010056

Gold Classic Standard | with Bryan Health

GoldEPO
Plan ID57424NE0010066

Gold Classic Standard

GoldEPO2 states
Plan IDs45819IA001006757424NE0010053

Gold Elite | with Bryan Health

GoldEPO
Plan ID57424NE0010067

Gold Elite

GoldEPO2 states
Plan IDs45819IA001006357424NE0010036

Secure

EPOIowa
Plan ID45819IA0010058

Silver Classic Standard | with Bryan Health

SilverEPO
Plan ID57424NE0010061

Silver Classic Standard

SilverEPO2 states
Plan IDs45819IA001006657424NE0010052

Silver Classic

SilverEPOIowa
Plan ID45819IA0010057

Silver Simple Diabetes | with Bryan Health

SilverEPO
Plan ID57424NE0010063

Silver Simple Diabetes

SilverEPO2 states
Plan IDs45819IA001006457424NE0010045

Silver Simple PCP Saver | with Bryan Health

SilverEPO
Plan ID57424NE0010064

Silver Simple PCP Saver

SilverEPO2 states
Plan IDs45819IA001006157424NE0010025

Silver Simple Women's Health with Menopause Benefits | with Bryan Health

SilverEPO
Plan ID57424NE0010065

Silver Simple Women's Health with Menopause Benefits

SilverEPO
Plan ID57424NE0010055
No plans match your current filters. Clear filters to see the full list.

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 GARTH E FLETCHER MD accept?

Marketplace files for the 2026 plan year list GARTH E FLETCHER MD as in-network for 120 plans from 2 insurance companies. The largest networks are Medica (58 plans), Oscar Insurance Company (23 plans). The full list above shows each plan's metal level, network type, and plan IDs.

Is GARTH E FLETCHER MD enrolled in Medicare?

The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.

What network types does GARTH E FLETCHER MD participate in?

The accepted plans include 72 EPO plans and 9 HMO plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.

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.