DR. STEPHEN J HEANEY M.D.
Accepted Insurance for NPI 1477536282
Anesthesiology in Menomonee Falls, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. STEPHEN J HEANEY M.D., a anesthesiology provider in Menomonee Falls, WI, is listed as in-network for 44 health insurance plans from 2 insurance companies, led by CareSource (Common Ground Healthcare) and Network Health. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
CareSource (Common Ground Healthcare)
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam
CareSource (Common Ground Healthcare) Bronze Standard $7500
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam
CareSource (Common Ground Healthcare) Gold $0 Ded
CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam
CareSource (Common Ground Healthcare) Gold $3300
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam
CareSource (Common Ground Healthcare) Gold Standard $2000
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam
CareSource (Common Ground Healthcare) Silver Standard $6000
Network Health
Prestige Bronze $0 Medical Deductible + Dental + Vision
Prestige Bronze $0 Medical Deductible + Dental +Vision
Prestige Bronze $0 Medical Deductible
Prestige Bronze Essential + 3 Free PCP Visits
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits
Prestige Bronze Plus
Prestige Gold 50 + 1 Free PCP Visit
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit
Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit
Prestige Gold Essential + 3Free PCP Visits
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits
Prestige Gold
Prestige Silver Essential + 3 Free PCP Visits
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits
Prestige Silver
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 DR. STEPHEN J HEANEY M.D. accept?
Marketplace files for the 2026 plan year list DR. STEPHEN J HEANEY M.D. as in-network for 44 plans from 2 insurance companies. The largest networks are CareSource (Common Ground Healthcare) (18 plans), Network Health (15 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. STEPHEN J HEANEY M.D. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. STEPHEN J HEANEY M.D. participate in?
The accepted plans include 18 EPO plans and 15 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.
