TAYLOR SPELLMAN
Accepted Insurance for NPI 1639645310
Physical Therapist in Aberdeen, SD

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

TAYLOR SPELLMAN is enrolled across the following managed care network types: EPO, HMO, PPO. 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.

NPI Status: Active since October 19, 2018

Contact Information

6 N ROOSEVELT ST
ABERDEEN, SD
ZIP 57401
Phone: (605) 725-9900

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with TAYLOR SPELLMAN, a practicing physical therapist professional in Aberdeen, SD. 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 97 individual coverage options managed by medical networks, including networks like Avera Health Plans, Blue Cross Blue Shield of North Dakota, and Medica. 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.

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Avera Health Plans

ConnectPlus $0 Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007260536SD002007374980IA0020021

ConnectPlus $0 Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007660536SD002007774980IA0020025

ConnectPlus $10,600 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002001860536SD002005074980IA0020032

ConnectPlus $1800

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002000760536SD002004174980IA0020022

ConnectPlus $4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007460536SD002007574980IA0020028

ConnectPlus $6500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002002360536SD002004674980IA0020029

ConnectPlus $7500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002002460536SD002004774980IA0020030

ConnectPlus MyWeighForward $2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002006860536SD002006974980IA0020024

ConnectPlus MyWeighForward $6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007060536SD002007174980IA0020027

ConnectPlus Standard $2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002005160536SD002005774980IA0020023

ConnectPlus Standard $6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002005260536SD002005874980IA0020026

ConnectPlus Standard $7500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002006660536SD002006774980IA0020031

DirectConnect $0 Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060030

DirectConnect $0 Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060032

DirectConnect $1800

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060022

DirectConnect $4500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060031

DirectConnect $6500 HSA Eligible HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060014

DirectConnect $7500 HSA Eligible HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060015

DirectConnect MyWeighForward $2000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060027

DirectConnect MyWeighForward $6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060028

DirectConnect Standard $2000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060017

DirectConnect Standard $6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060018

DirectConnect Standard $7500 HSA Eligible HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060021

Blue Cross Blue Shield of North Dakota

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410030

BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410005

BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410002

BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410020

BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410022

BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410014

BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410021

BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410028

BlueValue Gold $30 PCP Copay (Standardized plan)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410026

BlueValue Silver $40 PCP Copay (Standardized plan)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410027

DakotaBlue Altru Gold ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480001

DakotaBlue Altru Silver ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480003

DakotaBlue Trinity Gold ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480009

DakotaBlue Trinity Silver ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480010

Medica

Medica Individual Choice Bronze $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130041

Medica Individual Choice Bronze HSA

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040011

Medica Individual Choice Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040029

Medica Individual Choice Bronze Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130029

Medica Individual Choice Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040073

Medica Individual Choice Expanded Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130073

Medica Individual Choice Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040074

Medica Individual Choice Gold $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130045

Medica Individual Choice Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040076

Medica Individual Choice Gold Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130074

Medica Individual Choice Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040055

Medica Individual Choice Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130055

Medica Individual Choice Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040075

Medica Individual Choice Silver $0 Copay PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130047

Medica Individual Choice Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040027

Medica Individual Choice Silver Share

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130076

Medica Individual Choice Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040057

Medica Individual Choice Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130057

Sanford Health Plan

Sanford Individual TRUE $1,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001889364ND0090018

Sanford Individual TRUE $10,600

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001589364ND0090015

Sanford Individual TRUE $3,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000889364ND0090008

Sanford Individual TRUE $4,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008001689364ND0090016

Sanford Individual TRUE $6,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000789364ND0090007

Sanford Individual TRUE $7,200 HSA Qualified

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008000989364ND0090009

Sanford Individual TRUE Standardized $2,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002889364ND0090028

Sanford Individual TRUE Standardized $6,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002789364ND0090027

Sanford Individual TRUE Standardized $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SHPTRUE Tier

Accepted Plan ID Variations

31195SD008002689364ND0090026

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does TAYLOR SPELLMAN accept?

This provider accepts health insurance plans managed by the following insurance companies: Avera Health Plans, Blue Cross Blue Shield of North Dakota, Medica, Sanford 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.

What managed care network types are accepted by this provider?

TAYLOR SPELLMAN is enrolled across the following managed care network types: EPO, HMO, PPO.

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.