TAYLOR SPELLMAN
Accepted Insurance for NPI 1639645310
Physical Therapist in Aberdeen, SD
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
TAYLOR SPELLMAN, a physical therapist provider in Aberdeen, SD, is listed as in-network for 97 health insurance plans from 4 insurance companies, led by Avera Health Plans, Medica and Blue Cross Blue Shield of North Dakota. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Avera Health Plans
ConnectPlus $0 Gold
ConnectPlus $0 Silver
ConnectPlus $10,600 HSA Eligible HDHP
ConnectPlus $1800
ConnectPlus $4500
ConnectPlus $6500 HSA Eligible HDHP
ConnectPlus $7500 HSA Eligible HDHP
ConnectPlus MyWeighForward $2000
ConnectPlus MyWeighForward $6000
ConnectPlus Standard $2000
ConnectPlus Standard $6000
ConnectPlus Standard $7500 HSA Eligible HDHP
DirectConnect $0 Gold
DirectConnect $0 Silver
DirectConnect $1800
DirectConnect $4500
DirectConnect $6500 HSA Eligible HDHP
DirectConnect $7500 HSA Eligible HDHP
DirectConnect MyWeighForward $2000
DirectConnect MyWeighForward $6000
DirectConnect Standard $2000
DirectConnect Standard $6000
DirectConnect Standard $7500 HSA Eligible HDHP
Blue Cross Blue Shield of North Dakota
BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)
BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)
BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)
BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)
BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible
BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)
BlueValue Gold $30 PCP Copay (Standardized plan)
BlueValue Silver $40 PCP Copay (Standardized plan)
DakotaBlue Altru Gold ($5 Value Based Drug List)
DakotaBlue Altru Silver ($5 Value Based Drug List)
DakotaBlue Trinity Gold ($5 Value Based Drug List)
DakotaBlue Trinity Silver ($5 Value Based Drug List)
Medica
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
Medica Individual Choice Silver Standard
Sanford Health Plan
Sanford Individual TRUE $1,750
Sanford Individual TRUE $10,600
Sanford Individual TRUE $3,500
Sanford Individual TRUE $4,750
Sanford Individual TRUE $6,500
Sanford Individual TRUE $7,200 HSA Qualified
Sanford Individual TRUE Standardized $2,000
Sanford Individual TRUE Standardized $6,000
Sanford Individual TRUE Standardized $7,500
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 TAYLOR SPELLMAN accept?
Marketplace files for the 2026 plan year list TAYLOR SPELLMAN as in-network for 97 plans from 4 insurance companies. The largest networks are Avera Health Plans (23 plans), Medica (18 plans), Blue Cross Blue Shield of North Dakota (14 plans), followed by 1 more company. The full list above shows each plan's metal level, network type, and plan IDs.
Is TAYLOR SPELLMAN 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.
What network types does TAYLOR SPELLMAN participate in?
The accepted plans include 29 HMO plans, 26 PPO plans and 9 EPO plans. 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. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements.
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.
