AMY JO DRAWBAUGH RN
Accepted Insurance for NPI 1831375708
Nurse Practitioner - Neonatal in Hershey, PA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
AMY JO DRAWBAUGH RN, a nurse practitioner provider in Hershey, PA, is listed as in-network for 36 health insurance plans from 2 insurance companies, led by CareSource and Antidote Health Plan of Ohio, Inc.. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Antidote Health Plan of Ohio, Inc.
Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Bronze Standard
Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Gold Standard
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Silver Standard
CareSource
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
Bronze 7500 $25 Generic Drugs
Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness
Core Gold 1500 $10 Generic Drugs
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
Gold 2000 $15 Generic Drugs
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
Low Premium Bronze 10600 $25 Generic Drugs
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
Low Premium Silver 6200 $3 Generic Drugs
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
Silver 6000 $20 Generic Drugs
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 AMY JO DRAWBAUGH RN accept?
Marketplace files for the 2026 plan year list AMY JO DRAWBAUGH RN as in-network for 36 plans from 2 insurance companies. The largest networks are CareSource (21 plans), Antidote Health Plan of Ohio, Inc. (15 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is AMY JO DRAWBAUGH RN 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 AMY JO DRAWBAUGH RN participate in?
The accepted plans include 36 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.
