KELLY RAPHAEL NELSON MD
Accepted Insurance Health Plans for NPI 1760435838
Family Medicine in Bridgeport, WV
Quality Rating: 96.44 out of 100 score
NPI Status: Active since May 18, 2006
Contact Information
120 MEDICAL PARK DR
SUITE 300
BRIDGEPORT, WV
ZIP 26330
Phone: (304) 624-7200
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by KELLY RAPHAEL NELSON 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.
CareSource (39 plans)
Bronze First 7500 $25 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010024
Dental Only? No
Bronze First 7500 $25 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010204
Dental Only? No
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020024
Dental Only? No
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020204
Dental Only? No
Core Gold 1500 $10 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010212
Dental Only? No
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020212
Dental Only? No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010032
Dental Only? No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010210
Dental Only? No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020032
Dental Only? No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020210
Dental Only? No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010031
Dental Only? No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010209
Dental Only? No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020031
Dental Only? No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020209
Dental Only? No
Gold 1500 $15 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010022
Dental Only? No
Gold 1500 $15 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010202
Dental Only? No
Gold 1500 $15 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020022
Dental Only? No
Gold 1500 $15 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020202
Dental Only? No
HDHP Preventive Silver 5500 $0 Select Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010219
Dental Only? No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010035
Dental Only? No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010215
Dental Only? No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020035
Dental Only? No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020215
Dental Only? No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010036
Dental Only? No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010218
Dental Only? No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020036
Dental Only? No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020218
Dental Only? No
Low Deductible Silver 4500 $3 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010025
Dental Only? No
Low Deductible Silver 4500 $3 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020025
Dental Only? No
Low Premium Silver 6000 $3 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010021
Dental Only? No
Low Premium Silver 6000 $3 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010201
Dental Only? No
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020021
Dental Only? No
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020201
Dental Only? No
Platinum Zero $5 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010034
Dental Only? No
Platinum Zero $5 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020034
Dental Only? No
Silver 5000 $20 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0010023
Dental Only? No
Silver 5000 $20 Generic Drugs
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0010203
Dental Only? No
Silver 5000 $20 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 50328WV0020023
Dental Only? No
Silver 5000 $20 Generic Drugs Adult Vision & Fitness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77552OH0020203
Dental Only? No
Highmark Blue Cross Blue Shield West Virginia (15 plans)
my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560010
Dental Only? No
my Blue Access WV PPO Bronze 3800
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560001
Dental Only? No
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0570001
Dental Only? No
my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0580001
Dental Only? No
my Blue Access WV PPO Bronze 8900
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560006
Dental Only? No
my Blue Access WV PPO Gold 0
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560005
Dental Only? No
my Blue Access WV PPO Gold 0 + Adult Dental and Vision
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0570003
Dental Only? No
my Blue Access WV PPO Gold 1700 HSA
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0580002
Dental Only? No
my Blue Access WV PPO Premier Gold 0
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0590002
Dental Only? No
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0600002
Dental Only? No
my Blue Access WV PPO Silver 7000
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560003
Dental Only? No
my Blue Access WV PPO Standard Bronze 7500
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560007
Dental Only? No
my Blue Access WV PPO Standard Gold 1500
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560009
Dental Only? No
my Blue Access WV PPO Standard Silver 5000
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0560008
Dental Only? No
my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision
Type: PPO
Market: Individual
Network Tier: IN-NETWORK
Plan ID: 31274WV0570004
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.
