ELISE BORJA DDS
Accepted Insurance for NPI 1508329921
Dentist - General Practice in Manitowoc, WI

Q: What managed care network types are accepted by this provider?

ELISE BORJA DDS is enrolled across the following managed care network types: EPO, PPO. 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.

Active since April 11, 2019PECOS Enrolled

3712 KADOW ST, MANITOWOC, WI 54220(920) 684-8033 Get Directions

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 15, 2025, Apr 11, 2019 (2 updates tracked since 2019).

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with ELISE BORJA DDS, a practicing dentist professional in Manitowoc, WI. Compiled from official Health Insurance Marketplace public data and sources from participating insurance companies for the current plan year, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 54 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Alabama, Delta Dental of Wisconsin, Inc., and Humana. 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.

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.

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Blue Cross and Blue Shield of Alabama

Blue HSA Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0560001

Blue Protect

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0470001

Blue Saver Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0460001

Blue Standardized Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0780001

Blue Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0770001

Blue Value Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0370001

Blue Value Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0410001

Blue Access Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0340001

Blue Choice Platinum for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0280001

Blue HSA Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0680001

Blue Saver Bronze for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0430001

Blue Saver Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0760001

Blue Secure Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0670001

Blue Secure Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0380001

Delta Dental of Wisconsin, Inc.

Delta Dental Individual and Family High Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER Tier

Accepted Plan ID Variations

79597WI0030001

Delta Dental Individual and Family Low Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER Tier

Accepted Plan ID Variations

79597WI0030003

Delta Dental Individual and Family Low Plan Major

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER Tier

Accepted Plan ID Variations

79597WI0030002

Delta Dental PPO Plus Premier Family Plan High Option

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER Tier

Accepted Plan ID Variations

79597WI0040001

Delta Dental PPO Plus Premier Family Plan Low Option

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO-AND-DELTA-DENTAL-PREMIER Tier

Accepted Plan ID Variations

79597WI0040002

Humana

Humana Dental Smart Choice

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

44965LA059000191604WI0490002

Humana Dental Smart Choice - Basic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

46958UT0470002

Humana Dental Smart Choice - High

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000423468OK020000230613MO056000331358HI001000232237NC029000244580AL038000346958UT048000148963MS051000363141TX076000266105AZ062000382120TN063000599791IN0540002

Humana Dental Smart Choice - Lite

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000523468OK020000330613MO056000232237NC029000344580AL038000463141TX076000382120TN0630006

Humana Dental Smart Choice - Low

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000323468OK020000130613MO056000131358HI001000132237NC029000144580AL038000148963MS051000262294MI042000163141TX076000166105AZ062000282120TN063000497596OH058000399791IN0540001

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does ELISE BORJA DDS accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Alabama, Delta Dental of Wisconsin, Inc., Humana. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

ELISE BORJA DDS is enrolled across the following managed care network types: EPO, PPO.

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.

Where does this insurance data come from and how current is it?

The accepted plan information on this page is compiled from official Health Insurance Marketplace public data and insurance companies sources for the current plan year, and it is refreshed as updated files are published. Because insurance networks change frequently throughout the year, always verify coverage directly with the insurance company or the provider’s office before scheduling care.