DR. SETH L HEPNER MD
Accepted Insurance for NPI 1609131663
Psychiatry & Neurology - Neurology in Bridgeton, MO
NPI Status: Active since July 05, 2012
Contact Information
12266 DE PAUL DR STE 100
BRIDGETON, MO
ZIP 63044
Phone: (314) 738-2770
Fax: (314) 355-6584
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with DR. SETH L HEPNER MD, a practicing psychiatry & neurology professional in Bridgeton, MO. 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 179 individual coverage options managed by medical networks, including networks like Ambetter from Home State Health, Ambetter from Sunflower Health Plan, and Ambetter Health. 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
Ambetter Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter Health of Delaware
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Home State Health
Market Classification Rank: Individual Coverage Framework
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Ambetter from Sunflower Health Plan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of Oklahoma
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Anthem Blue Cross and Blue Shield
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PARTICIPATING Tier
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Aspirus Health Plan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: ASPIRUSSIGN Tier
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Blue Cross and Blue Shield of Kansas, Inc.
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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CareSource (Common Ground Healthcare)
Market Classification Rank: Individual Coverage Framework
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Medica
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERREDTIER Tier
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Oscar Insurance Company
Market Classification Rank: Individual Coverage Framework
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Coverage Information & FAQs
- 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.
