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  7. Accepted Health Plans 1609867910

MATTHEW SCOTT DORMANN PT
Accepted Insurance Health Plans for NPI 1609867910
Physical Therapist in Rapid City, SD

NPI Status: Active since November 04, 2005

Contact Information

2050 W MAIN
STE 4
RAPID CITY, SD
ZIP 57702
Phone: (605) 342-9575
Fax: (605) 342-9592

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Table of Contents - List of Insurance Companies

  1. Avera Health Plans
  2. Medica
  3. Sanford Health Plan
  4. Wellmark of South Dakota, Inc.

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by MATTHEW SCOTT DORMANN PT. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.

Avera Health Plans (20 plans)

Avera $1800

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020064

Dental Only? No

Avera $1800

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020065

Dental Only? No

Avera $2000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020007

Dental Only? No

Avera $2000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020041

Dental Only? No

Avera $4000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020022

Dental Only? No

Avera $4000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020043

Dental Only? No

Avera $4500

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020039

Dental Only? No

Avera $4500

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020045

Dental Only? No

Avera $6000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020023

Dental Only? No

Avera $6000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020046

Dental Only? No

Avera $7500 HSA Eligible HDHP

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020024

Dental Only? No

Avera $7500 HSA Eligible HDHP

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020047

Dental Only? No

Avera $9200

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020018

Dental Only? No

Avera $9200

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020050

Dental Only? No

Avera Standard $1500

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020051

Dental Only? No

Avera Standard $1500

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020057

Dental Only? No

Avera Standard $5000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020052

Dental Only? No

Avera Standard $5000

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020058

Dental Only? No

Avera Standard $7500

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020066

Dental Only? No

Avera Standard $7500

Type: PPO

Market: Individual

Network Tier: COMMERCIAL

Plan ID: 60536SD0020067

Dental Only? No

Medica (36 plans)

Medica Individual Choice Bronze $0 Copay PCP Visits

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130041

Dental Only? No

Medica Individual Choice Bronze HSA

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040011

Dental Only? No

Medica Individual Choice Bronze Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040029

Dental Only? No

Medica Individual Choice Bronze Share

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130029

Dental Only? No

Medica Individual Choice Expanded Bronze Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040073

Dental Only? No

Medica Individual Choice Expanded Bronze Standard

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130073

Dental Only? No

Medica Individual Choice Gold $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040074

Dental Only? No

Medica Individual Choice Gold $0 Copay PCP Visits

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130045

Dental Only? No

Medica Individual Choice Gold Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040076

Dental Only? No

Medica Individual Choice Gold Share

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130074

Dental Only? No

Medica Individual Choice Gold Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040055

Dental Only? No

Medica Individual Choice Gold Standard

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130055

Dental Only? No

Medica Individual Choice Silver $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040075

Dental Only? No

Medica Individual Choice Silver $0 Copay PCP Visits

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130047

Dental Only? No

Medica Individual Choice Silver Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040027

Dental Only? No

Medica Individual Choice Silver Share

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130076

Dental Only? No

Medica Individual Choice Silver Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57845WI0040057

Dental Only? No

Medica Individual Choice Silver Standard

Type: HMO

Market: Individual

Network Tier: PREFERREDTIER

Plan ID: 73751ND0130057

Dental Only? No

Medica Insure Bronze $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060041

Dental Only? No

Medica Insure Bronze Premier

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040051

Dental Only? No

Medica Insure Bronze Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040029

Dental Only? No

Medica Insure Bronze Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060029

Dental Only? No

Medica Insure Expanded Bronze Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040073

Dental Only? No

Medica Insure Expanded Bronze Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060073

Dental Only? No

Medica Insure Gold $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040045

Dental Only? No

Medica Insure Gold $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060045

Dental Only? No

Medica Insure Gold Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040025

Dental Only? No

Medica Insure Gold Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060074

Dental Only? No

Medica Insure Gold Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040055

Dental Only? No

Medica Insure Gold Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060055

Dental Only? No

Medica Insure Silver $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040047

Dental Only? No

Medica Insure Silver $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060047

Dental Only? No

Medica Insure Silver Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040027

Dental Only? No

Medica Insure Silver Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060027

Dental Only? No

Medica Insure Silver Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 20305NE0040057

Dental Only? No

Medica Insure Silver Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 93078IA0060057

Dental Only? No

Sanford Health Plan (18 plans)

Sanford Individual Simplicity $1,750

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110001

Dental Only? No

Sanford Individual Simplicity $1,750

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120001

Dental Only? No

Sanford Individual Simplicity $3,500

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110003

Dental Only? No

Sanford Individual Simplicity $3,500

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120003

Dental Only? No

Sanford Individual Simplicity $4,750

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110005

Dental Only? No

Sanford Individual Simplicity $4,750

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120005

Dental Only? No

Sanford Individual Simplicity $6,000

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110007

Dental Only? No

Sanford Individual Simplicity $6,000

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120007

Dental Only? No

Sanford Individual Simplicity $7,100 HSA Qualified

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110006

Dental Only? No

Sanford Individual Simplicity $7,100 HSA Qualified

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120006

Dental Only? No

Sanford Individual Simplicity $9,200

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110009

Dental Only? No

Sanford Individual Simplicity $9,200

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120009

Dental Only? No

Sanford Individual Simplicity Standardized $1,500

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110018

Dental Only? No

Sanford Individual Simplicity Standardized $1,500

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120018

Dental Only? No

Sanford Individual Simplicity Standardized $5,000

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110017

Dental Only? No

Sanford Individual Simplicity Standardized $5,000

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120017

Dental Only? No

Sanford Individual Simplicity Standardized $7,500

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 31195SD0110016

Dental Only? No

Sanford Individual Simplicity Standardized $7,500

Type: PPO

Market: Individual

Network Tier: SIMPLICITY

Plan ID: 89364ND0120016

Dental Only? No

Wellmark of South Dakota, Inc. (14 plans)

Wellmark Bronze HDHP EPO HSA Qualified

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310002

Dental Only? No

Wellmark Bronze HDHP EPO HSA Qualified

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310009

Dental Only? No

Wellmark Bronze Traditional EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310001

Dental Only? No

Wellmark Bronze Traditional EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310008

Dental Only? No

Wellmark Gold Traditional EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310004

Dental Only? No

Wellmark Gold Traditional EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310011

Dental Only? No

Wellmark Silver Traditional EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310003

Dental Only? No

Wellmark Silver Traditional EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310010

Dental Only? No

Wellmark Standard Bronze EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310005

Dental Only? No

Wellmark Standard Bronze EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310012

Dental Only? No

Wellmark Standard Gold EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310007

Dental Only? No

Wellmark Standard Gold EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310014

Dental Only? No

Wellmark Standard Silver EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310006

Dental Only? No

Wellmark Standard Silver EPO

Type: EPO

Market: Individual

Network Tier: BLUERX-ESSENTIALS

Plan ID: 50305SD0310013

Dental Only? No

Frequently Asked Questions

EPO
See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
HMO
Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
POS
Acts like HMO in-network but allows out-of-network visits at a higher cost.
PPO
No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
Indemnity
Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
Individual & Family
Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
SHOP
Small group coverage for businesses with up to 50 full-time employees.
Tier-One
Lowest-cost, highest-value in-network providers.
Preferred
Good in-network options with slightly higher copays than Tier-One.
Non-Preferred
More expensive tier within the network. Cheaper than going out-of-network.
Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.
A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.