SYDNEY HAGA
Accepted Insurance for NPI 1922984921
Social Worker - Clinical in Sioux Falls, SD
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
SYDNEY HAGA, a social worker provider in Sioux Falls, SD, is listed as in-network for 53 health insurance plans from 3 insurance companies, led by Sanford Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc.. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
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
Sanford Individual TRUE $1,750
Sanford Individual TRUE $3,500
Sanford Individual TRUE $4,750
Sanford Individual TRUE $6,500
Sanford Individual TRUE $7,200 HSA Qualified
Sanford Individual TRUE Standardized $2,000
Sanford Individual TRUE Standardized $6,000
Sanford Individual TRUE Standardized $7,500
Wellmark Health Plan of Iowa, Inc.
Wellmark Bronze HDHP HMO HSA Qualified
Wellmark Bronze Traditional HMO
Wellmark Gold Traditional HMO
Wellmark Silver Traditional HMO
Wellmark Standard Bronze HMO
Wellmark Standard Gold HMO
Wellmark Standard Silver HMO
Wellmark of South Dakota, Inc.
Wellmark Bronze HDHP EPO HSA Qualified
Wellmark Bronze Traditional EPO
Wellmark Gold Traditional EPO
Wellmark Silver Traditional EPO
Wellmark Standard Bronze EPO
Wellmark Standard Gold EPO
Wellmark Standard Silver EPO
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 SYDNEY HAGA accept?
Marketplace files for the 2026 plan year list SYDNEY HAGA as in-network for 53 plans from 3 insurance companies. The largest networks are Sanford Health Plan (16 plans), Wellmark Health Plan of Iowa, Inc. (7 plans), Wellmark of South Dakota, Inc. (7 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is SYDNEY HAGA 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 SYDNEY HAGA participate in?
The accepted plans include 15 HMO plans, 8 PPO plans and 7 EPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. 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.
