DR. SETH L HEPNER MD
Accepted Insurance for NPI 1609131663
Psychiatry & Neurology - Neurology in Bridgeton, MO
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. SETH L HEPNER MD, a psychiatry & neurology provider in Bridgeton, MO, is listed as in-network for 331 health insurance plans from 16 insurance companies, led by Ambetter Health, Ambetter from Arkansas Health & Wellness and Security Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold + Vision + Adult Dental
Everyday Gold
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver + Vision + Adult Dental
Focused Silver
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver + Vision + Adult Dental
Standard Silver
Standard Silver
Ambetter Health of Delaware
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Silver + Vision + Adult Dental
Elite Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Bronze HSA + Vision + Adult Dental
Principal Bronze HSA
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver
Ambetter from Arkansas Health & Wellness
Choice Bronze HSA (QualChoice)
Complete Gold + Vision + Adult Dental
Complete Gold
Connected Silver (QualChoice) + Vision + Adult Dental
Connected Silver (QualChoice)
Connected Silver (QualChoiceLife) + Vision + Adult Dental
Connected Silver (QualChoiceLife)
Connected Silver + Vision + Adult Dental
Connected Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold (QualChoice) + Vision + Adult Dental
Elite Gold (QualChoice)
Elite Gold (QualChoiceLife) + Vision + Adult Dental
Elite Gold (QualChoiceLife)
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze (QualChoice)
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold (QualChoice) + Vision + Adult Dental
Standard Gold (QualChoice)
Standard Gold (QualChoiceLife) + Vision + Adult Dental
Standard Gold (QualChoiceLife)
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver (QualChoice) + Vision + Adult Dental
Standard Silver (QualChoice)
Standard Silver (QualChoiceLife)
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter from Sunflower Health Plan
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of Oklahoma
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Asthma/COPD Care Silver with $0 Drug Options
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter of Tennessee
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold + Vision + Adult Dental
Elite Gold
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Enhanced Diabetes Care Silver with $0 Drug Options
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Anthem Blue Cross and Blue Shield
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Catastrophic Pathway (+ Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Aspirus Health Plan
HMO Bronze $0 Medical Deductible
HMO Bronze 10000
HMO Bronze 7500
HMO Catastrophic 10600 with 3 free PCP visits
HMO Gold 2000
HMO Gold 2700
HMO HDHP Silver 5900
HMO Silver 6000
HMO Silver 6600
POS Bronze 7500
POS Bronze 8500
POS Silver 6000
Blue Cross and Blue Shield of Kansas, Inc.
BlueCare EPO Bronze
BlueCare EPO Gold Plus
BlueCare EPO Gold
BlueCare EPO Silver Plus
BlueCare EPO Simple Bronze HDHP
BlueCare EPO Simple Silver HDHP
BlueCare EPO Standardized Expanded Bronze
BlueCare EPO Standardized Gold
BlueCare EPO Standardized Silver
CareSource (Common Ground Healthcare)
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam
CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)
CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam
CareSource (Common Ground Healthcare) Bronze Standard $7500
CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam
CareSource (Common Ground Healthcare) Gold $0 Ded
CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam
CareSource (Common Ground Healthcare) Gold $3300
CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam
CareSource (Common Ground Healthcare) Gold Standard $2000
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam
CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded
CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam
CareSource (Common Ground Healthcare) Silver Standard $6000
Cigna Healthcare
Connect Bronze 5500 Indiv Med Deductible
Connect Bronze 6500 Indiv Med Deductible
Connect Bronze CMS Standard
Connect Bronze RD 5000 Indiv Med Deductible
Connect Bronze RD 6000 Indiv Med Deductible
Connect Bronze RD CMS Standard
Connect Gold 1500 Indiv Med Deductible
Connect Gold CMS Standard
Connect Gold RD CMS Standard
Connect myDiabetesCare Bronze
Connect myDiabetesCare Silver
Connect Silver 3600 Indiv Med Deductible
Connect Silver 5000 Indiv Med Deductible
Connect Silver CMS Standard
Connect Silver RD 3500 Indiv Med Deductible
Connect Silver RD 5000 Indiv Med Deductible
Connect Silver RD CMS Standard
Medica
Medica with SSM Health Bronze $0 Copay PCP Visits
Medica with SSM Health Bronze Share
Medica with SSM Health Expanded Bronze Standard
Medica with SSM Health Gold $0 Copay PCP Visits
Medica with SSM Health Gold Share
Medica with SSM Health Gold Standard
Medica with SSM Health Silver $0 Copay PCP Visits
Medica with SSM Health Silver Share
Medica with SSM Health Silver Standard
Oscar Health Maintenance Organization of Florida
Bronze Classic 4700 | with AdventHealth
Bronze Classic 4700
Bronze Classic Standard | with AdventHealth
Bronze Classic Standard
Bronze Elite + PCP Saver Plus | with AdventHealth
Bronze Elite + PCP Saver Plus
Bronze Simple Breathe Easy with Enhanced COPD Benefits
Bronze Simple Chronic Care CKM
Bronze Simple Diabetes
Gold Classic Standard | with AdventHealth
Gold Classic Standard
Gold Elite Saver Plus | with AdventHealth
Gold Simple | with AdventHealth
Gold Simple
Silver Classic Standard | with AdventHealth
Silver Classic Standard
Silver Elite | with AdventHealth
Silver Elite
Silver Simple Breathe Easy with Enhanced COPD Benefits
Silver Simple Chronic Care CKM | with AdventHealth
Silver Simple Chronic Care CKM
Silver Simple Diabetes | with AdventHealth
Silver Simple Diabetes
Silver Simple PCP Saver | with AdventHealth
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Elite + PCP Saver Plus
Bronze Simple Diabetes
Gold Classic Standard
Gold Simple
Silver Classic Standard
Silver Elite Saver Plus
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
Security Health Plan
Premier $2,000 - 25%
Premier $3,500 - 30%
Premier $4,000 - 50%
Premier $5,000 HDHP
Premier $6,000 - 40%
Premier $7,500 HDHP
Premier $7,500
Premier HMO $1,500 - 30%
Premier HMO $2,500 - 20% Copay
Premier HMO $3,400 - 30% HDHP
Premier HMO $3,500 - 30%
Premier HMO $3,500 HDHP
Premier HMO $4,000 - 20% HDHP
Premier HMO $5,000 - 20% HDHP
Premier HMO $5,500 - 40% Copay
Premier HMO $7,500 HDHP
Premier HMO $750 - 10%
Premier HMO $9,500
Premier POS $1,500 - 30%
Premier POS $2,500 - 20% Copay
Premier POS $3,400 - 30% HDHP
Premier POS $3,500 - 30%
Premier POS $3,500 HDHP
Premier POS $4,000 - 20% HDHP
Premier POS $5,000 - 20% HDHP
Premier POS $5,500 - 40% Copay
Premier POS $7,500 HDHP
Premier POS $750 - 10%
Premier POS $9,500
Wellmark Health Plan of Iowa, Inc.
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Bronze Traditional HMO
Wellmark Gold Traditional HMO
Wellmark Silver Traditional HMO
Wellmark Standard Bronze HMO
Wellmark Standard Gold HMO
Wellmark Standard Silver HMO
Coverage Questions FAQs
Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.
What insurance does DR. SETH L HEPNER MD accept?
Marketplace files for the 2026 plan year list DR. SETH L HEPNER MD as in-network for 331 plans from 16 insurance companies. The largest networks are Ambetter Health (40 plans), Ambetter from Arkansas Health & Wellness (31 plans), Security Health Plan (29 plans), followed by 13 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. SETH L HEPNER MD enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does DR. SETH L HEPNER MD participate in?
The accepted plans include 130 EPO plans, 93 HMO plans, 41 PPO plans and 33 POS plans. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
Where does this insurance data come from and how current is it?
Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.
