TANYA M GORDER OD
Accepted Insurance for NPI 1689693921
Optometrist in Green Bay, WI

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

TANYA M GORDER OD is enrolled across the following managed care network types: HMO, POS, 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.POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.

Quality Rating: 94.61 out of 100 score

NPI Status: Active since July 18, 2006

Contact Information

1821 S WEBSTER AVE
GREEN BAY, WI
ZIP 54301
Phone: (920) 496-4700
Fax: (920) 496-4705

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with TANYA M GORDER OD, a practicing optometrist professional in Green Bay, WI. 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 44 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, and Network Health. 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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Fitler by Network Type

Anthem Blue Cross and Blue Shield

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560002

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560006

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560005

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560008

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560001

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560004

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560007

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340017

Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340015

Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340010

Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340024

Blue Max Copay (PCP) 60/40 $6000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340023

Blue Max Copay (PCP) 75/55 $2000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340022

Blue Saver 60/40 $6100

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350004

Blue Saver 90/70 $3400

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350003

Network Health

Prestige Bronze $0 Medical Deductible

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIGNATUREPRESTIGEBRONZEZERO Tier

Accepted Plan ID Variations

81413WI048001881413WI0490018

Prestige Bronze $0 Medical Deductible + Dental + Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIGNATUREPRESTIGEBRONZEZERODV Tier

Accepted Plan ID Variations

81413WI0470018

Prestige Bronze $0 Medical Deductible + Dental +Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SIGNATUREPRESTIGEBRONZEZERODV Tier

Accepted Plan ID Variations

81413WI0460018

Prestige Bronze Essential + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEBRONZEESSENTIAL Tier

Accepted Plan ID Variations

81413WI048000881413WI0490008

Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEBRONZEESSENTIALDV Tier

Accepted Plan ID Variations

81413WI046000881413WI0470008

Prestige Bronze Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEBRONZEPLUS Tier

Accepted Plan ID Variations

81413WI048000281413WI0490002

Prestige Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLD Tier

Accepted Plan ID Variations

81413WI048000481413WI0490004

Prestige Gold 50 + 1 Free PCP Visit

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDFIFTY Tier

Accepted Plan ID Variations

81413WI048001681413WI0490016

Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDFIFTYDV Tier

Accepted Plan ID Variations

81413WI0470016

Prestige Gold 50 + Dental + Vision+ 1 Free PCP Visit

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDFIFTYDV Tier

Accepted Plan ID Variations

81413WI0460016

Prestige Gold Essential + 3Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDESSENTIAL Tier

Accepted Plan ID Variations

81413WI048001381413WI0490013

Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGEGOLDESSENTIALDV Tier

Accepted Plan ID Variations

81413WI046001381413WI0470013

Prestige Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGESILVER Tier

Accepted Plan ID Variations

81413WI048000381413WI0490003

Prestige Silver Essential + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGESILVERESSENTIAL Tier

Accepted Plan ID Variations

81413WI048001181413WI0490011

Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PRESTIGESILVERESSENTIALDV Tier

Accepted Plan ID Variations

81413WI046001181413WI0470011

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does TANYA M GORDER OD accept?

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Louisiana, Network Health. 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. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

TANYA M GORDER OD is enrolled across the following managed care network types: HMO, POS, 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.
POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.