CHARLES L BACKUS DO
Accepted Insurance for NPI 1801856414
Emergency Medicine in Bulls Gap, TN
NPI Status: Active since March 27, 2006
Contact Information
273 HIGHWAY 11 E
BULLS GAP, TN
ZIP 37711
Phone: (423) 393-4146
Fax: (423) 393-4377
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with CHARLES L BACKUS DO, a practicing emergency medicine professional in Bulls Gap, TN. 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 148 individual coverage options managed by medical networks, including networks like Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, and Ambetter from Magnolia Health. 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.
Insurance Carrier Navigation Index
Ambetter from Arkansas Health & Wellness
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Home State Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Ambetter from Magnolia Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of Alabama
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of North Carolina
Market Classification Rank: Individual Coverage Framework
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Ambetter of Tennessee
Market Classification Rank: Individual Coverage Framework
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BlueCross BlueShield of Tennessee
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-NETWORK-S Tier
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Coverage Information & FAQs
- HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
- PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
- EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
- 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.
