MR. MATTHEW JOHN SAIA M.D.
Accepted Insurance for NPI 1780098160
Pediatrics in Charleston, SC
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MR. MATTHEW JOHN SAIA M.D., a pediatrics provider in Charleston, SC, is listed as in-network for 90 health insurance plans from 2 insurance companies, led by Anthem Blue Cross and Blue Shield and AvMed. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA
Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA
Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value
Anthem Bronze Access Blue New England HMO 8500/50%/9200
Anthem Gold Access Blue New England HMO 1000/20%/7500
Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD
Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA
Anthem Gold Access Blue New England HMO 2000/10%/7500
Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA
Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD
Anthem Gold Access Blue New England HMO 500/30%/9000
Anthem Platinum Access Blue New England HMO 250/10%/3500
Anthem Silver Access Blue New England HMO 2500/30%/10000 Value
Anthem Silver Access Blue New England HMO 3000/30%/9000 Value
Anthem Silver Access Blue New England HMO 3500/20%/10000
Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA
Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD
Anthem Silver Access Blue New England HMO 4000/0%/9000
Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA
Anthem Silver Access Blue New England HMO 4000/20%/8500
Anthem Silver Access Blue New England HMO 4000/30%/9000 Value
Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA
Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA
Anthem Silver Access Blue New England HMO 5000/0%/9000
Anthem Silver Access Blue New England HMO 5000/30%/9000 Value
Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD
AvMed
AvMed Entrust Bronze 600 (2026)
AvMed Entrust Bronze 650 (2026)
AvMed Entrust Expanded Bronze Standard (2026)
AvMed Entrust Gold 125 (2026)
AvMed Entrust Gold 125 Dental+Vision (2026)
AvMed Entrust Gold Standard (2026)
AvMed Entrust Platinum 25 (2026)
AvMed Entrust Platinum 25 Dental+Vision (2026)
AvMed Entrust Platinum Standard (2026)
AvMed Entrust Silver 350 (2026)
AvMed Entrust Silver 350 Dental+Vision (2026)
AvMed Entrust Silver 550 (2026)
AvMed Entrust Silver 550 Dental+Vision (2026)
AvMed Entrust Silver Standard (2026)
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 MR. MATTHEW JOHN SAIA M.D. accept?
Marketplace files for the 2026 plan year list MR. MATTHEW JOHN SAIA M.D. as in-network for 90 plans from 2 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (26 plans), AvMed (14 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is MR. MATTHEW JOHN SAIA M.D. enrolled in Medicare?
The CMS enrollment files for this NPI show a PECOS enrollment record, which certifies the provider to order, refer, and prescribe for Medicare beneficiaries. The files do not currently show a Medicare assignment indicator; verify Medicare participation directly with the practice.
What network types does MR. MATTHEW JOHN SAIA M.D. participate in?
The accepted plans include 40 HMO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists.
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.
