ASHTON SHEALY MSN, RN, CPNP
Accepted Insurance Health Plans for NPI 1710362827
Nurse Practitioner - Pediatrics in Batesburg-leesville, SC
NPI Status: Active since July 30, 2015
Contact Information
120 W CHURCH ST
STE.E
BATESBURG-LEESVILLE, SC
ZIP 29006
Phone: (803) 532-2208
Fax: (803) 604-0207
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by ASHTON SHEALY MSN, RN, CPNP. 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.
Ambetter from Absolute Total Care (17 plans)
Clear Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010023
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010022
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020022
Dental Only? No
Elite Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010029
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020030
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010011
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020011
Dental Only? No
Everyday Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010026
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020026
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010025
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020025
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010031
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020031
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010033
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020033
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010032
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020032
Dental Only? No
Ambetter of North Carolina (31 plans)
Clear Silver with $0 Insulin Options
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010037
Dental Only? No
Complete Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010007
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020007
Dental Only? No
Complete Gold with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010056
Dental Only? No
Complete Gold with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020053
Dental Only? No
Complete Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010051
Dental Only? No
Complete Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020048
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010036
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020036
Dental Only? No
Elite Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010050
Dental Only? No
Elite Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020047
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010028
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020028
Dental Only? No
Everyday Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010049
Dental Only? No
Everyday Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020046
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010039
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020039
Dental Only? No
Focused Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010054
Dental Only? No
Focused Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020051
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010044
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020055
Dental Only? No
Standard Expanded Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010059
Dental Only? No
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020058
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010046
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020057
Dental Only? No
Standard Gold with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010061
Dental Only? No
Standard Gold with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020060
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010045
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020056
Dental Only? No
Standard Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010060
Dental Only? No
Standard Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020059
Dental Only? No
WellCare of North Carolina (3 plans)
Standard Expanded Bronze WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120004
Dental Only? No
Standard Gold WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120006
Dental Only? No
Standard Silver WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120005
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.
