NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER
Accepted Insurance for NPI 1740887298
Clinic/Center - Federally Qualified Health Center (FQHC) in Chesterton, IN

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

NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER is enrolled across the following managed care network types: HMO, POS. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.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.

NPI Status: Active since October 07, 2020

Contact Information

651 W MORGAN AVE RM F168
CHESTERTON, IN
ZIP 46304
Phone: (219) 763-8112
Fax: (219) 764-5380

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER, a practicing clinic/center professional in Chesterton, IN. 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 37 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, and CareSource. 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 Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990010

Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990008

Anthem Bronze Essential 6500 HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990011

Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990009

Anthem Bronze Essential POS 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

17575IN1000002

Anthem Bronze Essential POS 7500 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

17575IN1000001

Anthem Catastrophic Essential (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990004

Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990006

Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990012

Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990007

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990002

Anthem Silver Essential 3500 HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990013

Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990005

Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990003

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990001

CareSource

Bronze 7500 $25 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010015

Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020015

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010026

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020026

Diabetes Silver 5000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010025

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020025

Gold 2000 $15 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010012

Gold 2000 $15 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020012

HDHP Preventive Silver 5500 $0 Chronic Care Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010033

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010030

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020030

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010032

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020032

HSA Eligible Bronze 6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010010

Low Premium Bronze 10600 $25 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010020

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020020

Low Premium Silver 6200 $3 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010011

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020011

Platinum Zero $5 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010029

Platinum Zero $5 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020029

Silver 6000 $20 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010014

Silver 6000 $20 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020014

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER accept?

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, CareSource. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

NORTHSHORE CHESTERTON MIDDLE SCHOOL HEALTH CENTER is enrolled across the following managed care network types: HMO, POS.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
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.