DR. SAMUEL WAYNE JONES MD
Accepted Insurance for NPI 1609846708
Surgery in Iowa City, IA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
DR. SAMUEL WAYNE JONES MD, a surgery provider in Iowa City, IA, is listed as in-network for 180 health insurance plans from 7 insurance companies, led by Ambetter Health, Oscar Health and Ambetter from NH Healthy Families. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Balanced Silver + $0 Virtual 24/7 Care Visits
Central Gold + Vision + Adult Dental
Central Gold
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Clear Silver
Complete Gold + Vision + Adult Dental
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver + Vision + Adult Dental
Complete Silver
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Bronze
Elite Gold $0 Deductible + $0 Virtual 24/7 Care Visits
Elite Gold + Vision + Adult Dental
Elite Gold
Elite Silver $0 Medical Deductible + $0 Virtual 24/7 Care Visits
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
Premium Silver + $0 Virtual 24/7 Care Visits
Secure Gold + $0 Virtual 24/7 Care Visits
Secure Silver with $0 Insulin Options + $0 Virtual 24/7 Care Visits
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 NH Healthy Families
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Silver + Vision + Adult Dental
Clear Silver
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite 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
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
Oscar Health
Bronze Classic 4700 Guided Care HMO $4700 $70
Bronze Classic 4700 HMO $4700 $70
Bronze Classic Saver Plus Guided Care HMO $8000 $0
Bronze Classic Saver Plus HMO $8000 $0
Bronze Classic Standard Guided Care HMO $7500 $50
Bronze Classic Standard HMO $7500 $50
Bronze Elite Saver Plus HMO $0 $50
Bronze Simple 2 Guided Care HMO $9150 10%
Bronze Simple 2 HMO $9150 10%
Bronze Simple Breathe Easy with Enhanced COPD Benefits HMO $5500 $50
Bronze Simple Diabetes HMO $5500 $50
Buena Salud Bronce Estandar Clasico HMO $7500 $50
Buena Salud Plateado Estandar Clasico HMO $6000 $40
Gold Classic Standard HMO $2000 $30
Gold Elite Saver Plus HMO $1000 $10
Silver Classic Standard Guided Care HMO $6000 $40
Silver Classic Standard HMO $6000 $40
Silver Simple Breathe Easy with Enhanced COPD Benefits HMO $6200 $0
Silver Simple Diabetes HMO $6500 $0
Silver Simple Saver Guided Care HMO $5750 $10
Silver Simple Saver HMO $5750 $10
Silver Simple Women's Health with Menopause Benefits HMO $6000 $0
Oscar Insurance Company
Bronze Classic 4700
Bronze Classic Standard
Bronze Classic
Bronze Elite + PCP Saver Plus
Bronze Simple Diabetes
Gold Classic Standard
Gold Elite
Secure
Silver Classic Standard
Silver Classic
Silver Simple Diabetes
Silver Simple PCP Saver
Silver Simple Women's Health with Menopause Benefits
Wellmark Health Plan of Iowa, Inc.
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Bronze Standard | UnityPoint Health
Wellmark Bronze Traditional HMO
Wellmark Gold Primary Care | UnityPoint Health
Wellmark Gold Traditional HMO
Wellmark Silver Primary Care | UnityPoint Health
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. SAMUEL WAYNE JONES MD accept?
Marketplace files for the 2026 plan year list DR. SAMUEL WAYNE JONES MD as in-network for 180 plans from 7 insurance companies. The largest networks are Ambetter Health (51 plans), Oscar Health (22 plans), Ambetter from NH Healthy Families (18 plans), followed by 4 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is DR. SAMUEL WAYNE JONES 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. SAMUEL WAYNE JONES MD participate in?
The accepted plans include 94 EPO plans and 53 HMO 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.
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.
