SARA HENEN MD
Accepted Insurance Health Plans for NPI 1710362512
Pediatrics - Pediatric Gastroenterology in Paterson, NJ
NPI Status: Active since July 22, 2015
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by SARA HENEN MD. 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.
Anthem Blue Cross and Blue Shield (10 plans)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950008
Dental Only? No
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950021
Dental Only? No
Anthem Bronze Pathway 9200 (+ Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950051
Dental Only? No
Anthem Catastrophic Pathway 9200 (+ Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950016
Dental Only? No
Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950023
Dental Only? No
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950017
Dental Only? No
Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950002
Dental Only? No
Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950022
Dental Only? No
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950013
Dental Only? No
Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 32753MO0950015
Dental Only? No
Oscar Insurance Company (9 plans)
Bronze Classic 4700
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010024
Dental Only? No
Bronze Classic Standard
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010050
Dental Only? No
Bronze Elite + PCP Saver Plus
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010005
Dental Only? No
Gold Classic Standard
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010053
Dental Only? No
Secure
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010011
Dental Only? No
Silver Classic Standard
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010052
Dental Only? No
Silver Elite Saver Plus
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010030
Dental Only? No
Silver Simple Diabetes
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010045
Dental Only? No
Silver Simple PCP Saver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 69512MO0010025
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.
