MAGGIE SEM MD
Accepted Insurance for NPI 1750148037
Physician Assistant - Medical in Duluth, MN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MAGGIE SEM MD, a physician assistant provider in Duluth, MN, is listed as in-network for 48 health insurance plans from 3 insurance companies, led by Blue Cross Blue Shield of North Dakota, Providence Health Plan and Sanford Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
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)
Providence Health Plan
HSA Qualified 7500 Bronze - Choice Network
HSA-E Qualified 7500 Bronze - Signature Network
Providence Oregon Standard Bronze Plan - Choice Network
Providence Oregon Standard Bronze Plan - Signature Network
Providence Oregon Standard Gold Plan - Choice Network
Providence Oregon Standard Gold Plan - Signature Network
Providence Oregon Standard Silver Plan - Choice Network
Providence Oregon Standard Silver Plan - Signature Network
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $3,500
Sanford Individual Simplicity $4,750
Sanford Individual Simplicity $6,500
Sanford Individual Simplicity $7,200 HSA Qualified
Sanford Individual Simplicity Standardized $2,000
Sanford Individual Simplicity Standardized $6,000
Sanford Individual Simplicity 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 MAGGIE SEM MD accept?
Marketplace files for the 2026 plan year list MAGGIE SEM MD as in-network for 48 plans from 3 insurance companies. The largest networks are Blue Cross Blue Shield of North Dakota (14 plans), Providence Health Plan (8 plans), Sanford Health Plan (8 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is MAGGIE SEM MD 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. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does MAGGIE SEM MD participate in?
The accepted plans include 22 PPO plans and 8 EPO plans. 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.
