ANDREW G KOOPMAN
Accepted Insurance for NPI 1588183321
Physician Assistant in Appleton, WI

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

ANDREW G KOOPMAN is enrolled across the following managed care network types: EPO. 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.

Quality Rating: 80.46 out of 100 score

NPI Status: Active since September 13, 2017

Contact Information

1818 N MEADE ST
APPLETON, WI
ZIP 54911
Phone: (920) 735-7645
Fax: (920) 735-7618

Get Directions

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with ANDREW G KOOPMAN, a practicing physician assistant professional in Appleton, 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 26 individual coverage options managed by medical networks, including networks like CareSource (Common Ground Healthcare), and Providence Health Plan. 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.

Search Insurance Plans

Filter By Insurance Company

CareSource (Common Ground Healthcare)

CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030003

CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060023

CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030027

CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060015

CareSource (Common Ground Healthcare) Bronze Standard $7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030041

CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060003

CareSource (Common Ground Healthcare) Gold $0 Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030005

CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060025

CareSource (Common Ground Healthcare) Gold $3300

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030017

CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060006

CareSource (Common Ground Healthcare) Gold Standard $2000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030043

CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060001

CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030023

CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060012

CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030047

CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060011

CareSource (Common Ground Healthcare) Silver Standard $6000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030042

CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060002

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 ANDREW G KOOPMAN accept?

This provider accepts health insurance plans managed by the following insurance companies: CareSource (Common Ground Healthcare), 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?

ANDREW G KOOPMAN is enrolled across the following managed care network types: EPO.

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.