EMILIA A PLOPLYS
Accepted Insurance for NPI 1558475921
Plastic Surgery in Great Falls, MT

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

EMILIA A PLOPLYS is enrolled across the following managed care network types: EPO, POS, 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.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: 80.46 out of 100 score

NPI Status: Active since August 19, 2006

Contact Information

400 13TH AVE S
SUITE 103
GREAT FALLS, MT
ZIP 59405
Phone: (406) 731-8888
Fax: (406) 731-8876

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with EMILIA A PLOPLYS, a practicing plastic surgery professional in Great Falls, MT. 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 116 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, and PacificSource Health Plans. 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.

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Fitler by Network Type

Blue Cross and Blue Shield of Montana

Blue Focus Bronze POS? 205

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000330751MT067001230751MT0670013

Blue Focus Bronze POS? 705

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000630751MT067001630751MT0670017

Blue Focus Bronze POS? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000930751MT067001830751MT0670019

Blue Focus Gold POS? 207

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000130751MT067002030751MT0670021

Blue Focus Gold POS? 902

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067003130751MT067003430751MT0670035

Blue Focus Gold POS? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000730751MT067002230751MT0670023

Blue Focus Silver POS? 206

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000230751MT067002430751MT0670025

Blue Focus Silver POS? 903

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067003030751MT067003230751MT0670033

Blue Focus Silver POS? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000830751MT067002830751MT0670029

Blue Preferred Bronze PPO? 201

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004030751MT055004930751MT055005030751MT0550051

Blue Preferred Bronze PPO? 202

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004130751MT055005230751MT055005330751MT0550054

Blue Preferred Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055009230751MT055009330751MT055010030751MT0550101

Blue Preferred Gold PPO? 204

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055003830751MT055004330751MT055004430751MT0550045

Blue Preferred Gold PPO? 901

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055010230751MT055010330751MT055010430751MT0550105

Blue Preferred Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055008630751MT055008930751MT055009430751MT0550095

Blue Preferred Security PPO? 200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004230751MT055005530751MT055005630751MT0550057

Blue Preferred Silver PPO? 203

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055003930751MT055004630751MT055004730751MT0550048

Blue Preferred Silver PPO? 308

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055006130751MT055007130751MT055007230751MT0550073

Blue Preferred Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055008730751MT055009030751MT055009630751MT0550097

Mountain Health CO-OP

Peak PPO Bronze HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090004

Peak PPO Bronze Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090012

Peak PPO Catastrophic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090006

Peak PPO Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090001

Peak PPO Gold Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090010

Peak PPO Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090005

Peak PPO Silver Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090011

Plus Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT006000632225MT0070006

Plus Bronze Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0060010

Plus Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT006000432225MT0070004

Plus Gold Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0060008

Plus Silver Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0060009

PEAK PPO BRONZE

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140003

PEAK PPO BRONZE HDHP

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140004

PEAK PPO GOLD

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140001

PEAK PPO GOLD HDHP

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140006

PEAK PPO SILVER

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140002

PEAK PPO SILVER HDHP

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140005

Plus Bronze HDHP

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070010

Plus Gold HDHP

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070012

Plus Silver

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070005

Plus Silver HDHP

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070011

PacificSource Health Plans

Core Bronze HSA 10600

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380002

Core Bronze HSA 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770002

Core Bronze HSA 8300

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

10091OR077000123603MT0380001

Core Gold 1500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR078000123603MT0380008

Core Gold 3000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0780002

Core Silver 3500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380004

Core Silver 4500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770004

Core Silver 5000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380005

Core Silver 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770005

Core Standard Expanded Bronze HSA

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380003

Core Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380009

Core Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

23603MT0380006

PacificSource Oregon Standard Bronze HSA Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770003

PacificSource Oregon Standard Gold Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770007

PacificSource Oregon Standard Silver Plan Core

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

10091OR0770006

Providence Health Plan

HSA Qualified 7500 Bronze - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1420003

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1400003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1320004

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1330004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does EMILIA A PLOPLYS accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Montana, Mountain Health CO-OP, PacificSource Health Plans, Providence 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?

EMILIA A PLOPLYS is enrolled across the following managed care network types: EPO, POS, 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.
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.