NAKIA ANTOINETTE EDWARDS
Accepted Insurance for NPI 1548725310
Nurse Practitioner - Primary Care in Modesto, CA

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

NAKIA ANTOINETTE EDWARDS is enrolled across the following managed care network types: EPO, HMO, POS, PPO. 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.

Quality Rating: 83.63 out of 100 score

NPI Status: Active since February 06, 2019

Contact Information

1541 FLORIDA AVE STE 100
MODESTO, CA
ZIP 95350
Phone: (209) 577-3388
Fax: (209) 338-0024

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with NAKIA ANTOINETTE EDWARDS, a practicing nurse practitioner professional in Modesto, CA. 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 223 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, and Blue Cross Blue Shield of Michigan Mutual Insurance Company. 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

Anthem Blue Cross and Blue Shield
Blue Care Network of Michigan
Blue Cross Blue Shield of Michigan Mutual Insurance Company
Network Health
Security Health Plan

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Fitler by Network Type

Anthem Blue Cross and Blue Shield

Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160103

Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160037

Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160106

Anthem Bronze Access Blue New England HMO 8500/50%/9200

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160038

Anthem Gold Access Blue New England HMO 1000/20%/7500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160039

Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160041

Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160100

Anthem Gold Access Blue New England HMO 2000/10%/7500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160043

Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160042

Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160044

Anthem Gold Access Blue New England HMO 500/30%/9000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160069

Anthem Platinum Access Blue New England HMO 250/10%/3500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160087

Anthem Silver Access Blue New England HMO 2500/30%/10000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160096

Anthem Silver Access Blue New England HMO 3000/30%/9000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160094

Anthem Silver Access Blue New England HMO 3500/20%/10000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160049

Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160048

Anthem Silver Access Blue New England HMO 4000/0%/9000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160081

Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160068

Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160098

Anthem Silver Access Blue New England HMO 4000/20%/8500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160051

Anthem Silver Access Blue New England HMO 4000/30%/9000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160074

Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160050

Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160092

Anthem Silver Access Blue New England HMO 5000/0%/9000

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160052

Anthem Silver Access Blue New England HMO 5000/30%/9000 Value

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160076

Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

96751NH0160055

Blue Care Network of Michigan

Blue Cross� Preferred HMO Bronze Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550022

Blue Cross� Preferred HMO Bronze Saver HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180028

Blue Cross� Preferred HMO Bronze Secure

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180029

Blue Cross� Preferred HMO Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180009

Blue Cross� Preferred HMO Gold Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550018

Blue Cross� Preferred HMO Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180005

Blue Cross� Preferred HMO Silver Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550002

Blue Cross� Preferred HMO Silver Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180015

Blue Cross� Preferred HMO Value

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180024

Blue Cross� Select HMO Bronze Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550020

Blue Cross� Select HMO Bronze Saver HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440006

Blue Cross� Select HMO Bronze Secure

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440019

Blue Cross� Select HMO Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440016

Blue Cross� Select HMO Silver Extra

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550001

Blue Cross� Select HMO Silver Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440017

Blue Cross� Select HMO Value

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440015

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Blue Cross� Premier PPO Bronze Extra

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1120001

Blue Cross� Premier PPO Bronze Saver HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350002

Blue Cross� Premier PPO Bronze Secure

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350005

Blue Cross� Premier PPO Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350004

Blue Cross� Premier PPO Gold Extra

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1130002

Blue Cross� Premier PPO Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350003

Blue Cross� Premier PPO Silver Extra

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1130001

Blue Cross� Premier PPO Silver Saver HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350006

Blue Cross� Premier PPO Value

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350001

Network Health

Prestige Bronze $0 Medical Deductible

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIGNATUREPRESTIGEBRONZEZERO Tier

Accepted Plan ID Variations

81413WI048001881413WI0490018

Prestige Bronze $0 Medical Deductible + Dental + Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIGNATUREPRESTIGEBRONZEZERODV Tier

Accepted Plan ID Variations

81413WI0470018

Prestige Bronze $0 Medical Deductible + Dental +Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIGNATUREPRESTIGEBRONZEZERODV Tier

Accepted Plan ID Variations

81413WI0460018

Prestige Bronze Essential + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEBRONZEESSENTIAL Tier

Accepted Plan ID Variations

81413WI048000881413WI0490008

Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEBRONZEESSENTIALDV Tier

Accepted Plan ID Variations

81413WI046000881413WI0470008

Prestige Bronze Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEBRONZEPLUS Tier

Accepted Plan ID Variations

81413WI048000281413WI0490002

Prestige Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLD Tier

Accepted Plan ID Variations

81413WI048000481413WI0490004

Prestige Gold 50 + 1 Free PCP Visit

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDFIFTY Tier

Accepted Plan ID Variations

81413WI048001681413WI0490016

Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDFIFTYDV Tier

Accepted Plan ID Variations

81413WI0470016

Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDFIFTYDV Tier

Accepted Plan ID Variations

81413WI0460016

Prestige Gold Essential + 3Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDESSENTIAL Tier

Accepted Plan ID Variations

81413WI048001381413WI0490013

Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDESSENTIALDV Tier

Accepted Plan ID Variations

81413WI046001381413WI0470013

Prestige Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGESILVER Tier

Accepted Plan ID Variations

81413WI048000381413WI0490003

Prestige Silver Essential + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGESILVERESSENTIAL Tier

Accepted Plan ID Variations

81413WI048001181413WI0490011

Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGESILVERESSENTIALDV Tier

Accepted Plan ID Variations

81413WI046001181413WI0470011

Security Health Plan

Enrich $2,000 - 25%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280011

Enrich $3,500 - 30%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI028000238166WI0290005

Enrich $4,000 - 50%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280030

Enrich $5,000 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280005

Enrich $6,000 - 40%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280012

Enrich $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280013

Enrich $7,500 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI028000638166WI0290012

Enrich $9,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI028000938166WI0290013

Enrich Protection

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0280010

Premier $2,000 - 25%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310001

Premier $3,500 - 30%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310002

Premier $4,000 - 50%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310030

Premier $5,000 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310004

Premier $6,000 - 40%

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310003

Premier $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310006

Premier $7,500 HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0310005

Select $2,000 - 25%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180026

Select $3,500 - 30%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180023

Select $4,000 - 50%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180030

Select $5,000 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180018

Select $6,000 - 40%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180027

Select $7,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180028

Select $7,500 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180022

Select $9,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180014

Select Protection

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0180008

SimplyOne $2,000 - 25%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270011

SimplyOne $3,500 - 30%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270001

SimplyOne $4,000 - 50%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270030

SimplyOne $5,000 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270004

SimplyOne $6,000 - 40%

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270012

SimplyOne $7,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270013

SimplyOne $7,500 HDHP

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270005

SimplyOne $9,500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270007

SimplyOne Protection

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0270008

Enrich $1,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290002

Enrich $2,500 - 20% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290003

Enrich $3,400 - 30% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290014

Enrich $3,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290009

Enrich $4,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290010

Enrich $5,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290011

Enrich $5,500 - 40% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290006

Enrich $750 - 10%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0290001

Premier HMO $1,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140004

Premier HMO $2,500 - 20% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140040

Premier HMO $3,400 - 30% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140045

Premier HMO $3,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140011

Premier HMO $3,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140033

Premier HMO $4,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140012

Premier HMO $5,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140034

Premier HMO $5,500 - 40% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140036

Premier HMO $7,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140037

Premier HMO $750 - 10%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140001

Premier HMO $9,500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0140044

Premier POS $1,500 - 30%

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150002

Premier POS $2,500 - 20% Copay

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150040

Premier POS $3,400 - 30% HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150045

Premier POS $3,500 - 30%

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150011

Premier POS $3,500 HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150033

Premier POS $4,000 - 20% HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150012

Premier POS $5,000 - 20% HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150034

Premier POS $5,500 - 40% Copay

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150036

Premier POS $7,500 HDHP

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150037

Premier POS $750 - 10%

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150001

Premier POS $9,500

POS Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0150044

Reliance $1,500 - 30%

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160002

Reliance $2,500 - 20% Copay

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160040

Reliance $3,400 - 30% HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160045

Reliance $3,500 - 30%

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160011

Reliance $3,500 HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160033

Reliance $4,000 - 20% HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160012

Reliance $5,000 - 20% HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160034

Reliance $5,500 - 40% Copay

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160036

Reliance $7,500 HDHP

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160037

Reliance $750 - 10%

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160001

Reliance $9,500

EPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

38166WI0160044

SimplyOne $1,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300002

SimplyOne $2,500 - 20% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300003

SimplyOne $3,400 - 30% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300014

SimplyOne $3,500 - 30%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300005

SimplyOne $3,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300009

SimplyOne $4,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300010

SimplyOne $5,000 - 20% HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300011

SimplyOne $5,500 - 40% Copay

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300006

SimplyOne $7,500 HDHP

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300012

SimplyOne $750 - 10%

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300001

SimplyOne $9,500

HMO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

38166WI0300013

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does NAKIA ANTOINETTE EDWARDS accept?

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Network Health, Security Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

NAKIA ANTOINETTE EDWARDS is enrolled across the following managed care network types: EPO, HMO, POS, PPO.

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.