DR. RADHIKA RAO MD
Accepted Insurance for NPI 1952485708
Psychiatry & Neurology - Psychiatry in Saint Louis, MO

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

443 N NEW BALLAS RD, #249, SAINT LOUIS, MO 63141(314) 872-6808 Get Directions

NPPES record last updated: April 29, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Does Dr. Rao take my insurance?

59 Missouri plans sold on HealthCare.gov for 2026 include Dr. Rao, from Ambetter Health, UnitedHealthcare, Oscar Health and 2 other insurers. Insurers also list Dr. Rao in 10 other states.

InsurersAmbetter Health 16 plans UnitedHealthcare 13 plans Oscar Health 11 plans Anthem Blue Cross and Blue Shield 10 plans Medica 9 plans

Also listed in10 other states

Call before you book: insurer directories can be out of date, so call the office at (314) 872-6808 to confirm your plan is accepted. These are Marketplace (ACA) plans only; employer, Medicare Advantage and Medicaid plans are not listed.

Missouri plans 59 plans

Plans sold to Missouri residents. Costs are for the standard version of each plan.

Ambetter Health

16 plans · EPO

Not accepting new patients

Everyday GoldEPOGold$80099723MO0090063

Everyday Gold + Vision + Adult DentalEPOGold$80099723MO0110063

Complete GoldEPOGold$1,45099723MO0090016

Complete Gold + Vision + Adult DentalEPOGold$1,45099723MO0110010

Standard GoldEPOGold$2,00099723MO0090071

Standard Gold + Vision + Adult DentalEPOGold$2,00099723MO0110072

Complete SilverEPOSilver$5,95099723MO0090011

Complete Silver + Vision + Adult DentalEPOSilver$5,95099723MO0110013

Standard SilverEPOSilver$6,00099723MO0090070

Standard Silver + Vision + Adult DentalEPOSilver$6,00099723MO0110027

Elite BronzeEPOExpanded Bronze$099723MO0090053

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$099723MO0110053

Standard Expanded BronzeEPOExpanded Bronze$7,50099723MO0090069

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50099723MO0110070

Everyday BronzeEPOExpanded Bronze$8,45099723MO0090018

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45099723MO0110009

UnitedHealthcare

13 plans · EPO

Accepting new patients

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)EPOGold$095426MO0410018

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)EPOGold$1,50095426MO0410020

UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)EPOGold$1,50095426MO0420001

UHC Gold Standard (No Referrals)EPOGold$2,00095426MO0410009

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)EPOSilver$095426MO0410006

UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)EPOSilver$3,50095426MO0410016

UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)EPOSilver$3,50095426MO0420002

UHC Silver Standard (No Referrals)EPOSilver$6,00095426MO0410008

UHC Silver Standard+ (Dental + Vision, No Referrals)EPOSilver$6,00095426MO0420004

UHC Bronze Essential (No Referrals)EPOBronze$10,60095426MO0410021

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)EPOExpanded Bronze$095426MO0410019

UHC Bronze Standard (No Referrals)EPOExpanded Bronze$7,50095426MO0410013

UHC Bronze Standard+ (Dental + Vision, No Referrals)EPOExpanded Bronze$7,50095426MO0420005

Oscar Health

11 plans · EPO

Accepting new patients

Gold Classic StandardEPOGold$2,00069512MO0010053

Gold SimpleEPOGold$3,30069512MO0010064

Silver Elite Saver PlusEPOSilver$069512MO0010030

Silver Simple PCP SaverEPOSilver$5,10069512MO0010025

Silver Classic StandardEPOSilver$6,00069512MO0010052

Silver Simple Women's Health with Menopause BenefitsEPOSilver$6,00069512MO0010058

Silver Simple DiabetesEPOSilver$6,50069512MO0010045

Bronze Elite + PCP Saver PlusEPOExpanded Bronze$069512MO0010005

Bronze Classic 4700EPOExpanded Bronze$4,70069512MO0010024

Bronze Simple DiabetesEPOExpanded Bronze$5,50069512MO0010055

Bronze Classic StandardEPOExpanded Bronze$7,50069512MO0010050

Anthem Blue Cross and Blue Shield

10 plans · EPO

Accepting new patients

Pathway and Rx Choice Tiered Network · 7 plans · Participating tier

Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$3,10032753MO0980013

Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$5,35032753MO0980015

Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$7,20032753MO0980016

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOBronze$10,15032753MO0980022

Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$4,90032753MO0980018

Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$6,90032753MO0980014

Anthem Catastrophic Pathway (+ Incentives)EPOCatastrophic$10,60032753MO0980017

Pathway and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOGold$2,00032753MO0980021

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOSilver$6,00032753MO0980020

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)EPOExpanded Bronze$7,50032753MO0980019

Medica

9 plans · EPO

Accepting new patients

Medica with SSM Health Gold $0 Copay PCP VisitsEPOGold$1,50047840MO0010019

Medica with SSM Health Gold StandardEPOGold$2,00047840MO0010015

Medica with SSM Health Gold ShareEPOGold$2,50047840MO0010023

Medica with SSM Health Silver $0 Copay PCP VisitsEPOSilver$3,50047840MO0010020

Medica with SSM Health Silver ShareEPOSilver$3,52547840MO0010024

Medica with SSM Health Silver StandardEPOSilver$6,00047840MO0010016

Medica with SSM Health Bronze $0 Copay PCP VisitsEPOExpanded Bronze$7,50047840MO0010021

Medica with SSM Health Expanded Bronze StandardEPOExpanded Bronze$7,50047840MO0010017

Medica with SSM Health Bronze ShareEPOExpanded Bronze$8,00047840MO0010022

Also listed in other states 174 plans · 10 states

Insurers sometimes list a provider in other states' networks, for example for telehealth or a practice near a state line. These plans are sold to residents of those states.

Ambetter Health · Arkansas

31 plans · POS, PPO

Not accepting new patientsDeductible $0 to $8,450

Premier network · 14 plans · Preferred tier

Complete GoldPPOGold$1,45062141AR0080014

Complete Gold + Vision + Adult DentalPPOGold$1,45062141AR0100014

Standard GoldPPOGold$2,00062141AR0080034

Standard Gold + Vision + Adult DentalPPOGold$2,00062141AR0100035

Standard SilverPPOSilver$6,00062141AR0080033

Standard Silver + Vision + Adult DentalPPOSilver$6,00062141AR0100034

Connected SilverPPOSilver$7,35062141AR0080007

Connected Silver + Vision + Adult DentalPPOSilver$7,35062141AR0100007

Elite BronzePPOExpanded Bronze$062141AR0080026

Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062141AR0100026

Standard Expanded BronzePPOExpanded Bronze$7,50062141AR0080032

Standard Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062141AR0100033

Everyday BronzePPOExpanded Bronze$8,45062141AR0080017

Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$8,45062141AR0100017

Premier network · 10 plans · Preferred tier

Elite Gold (QualChoice)POSGold$070525AR0070268

Elite Gold (QualChoice) + Vision + Adult DentalPOSGold$070525AR0210002

Standard Gold (QualChoice)POSGold$2,00070525AR0070289

Standard Gold (QualChoice) + Vision + Adult DentalPOSGold$2,00070525AR0210003

Standard Silver (QualChoice)POSSilver$6,00070525AR0070288

Standard Silver (QualChoice) + Vision + Adult DentalPOSSilver$6,00070525AR0210005

Connected Silver (QualChoice)POSSilver$7,35070525AR0070261

Connected Silver (QualChoice) + Vision + Adult DentalPOSSilver$7,35070525AR0210001

Choice Bronze HSA (QualChoice)POSExpanded Bronze$7,25070525AR0070285

Standard Expanded Bronze (QualChoice)POSExpanded Bronze$7,50070525AR0070287

Premier network · 7 plans · Preferred tier

Elite Gold (QualChoiceLife)PPOGold$037903AR0070031

Elite Gold (QualChoiceLife) + Vision + Adult DentalPPOGold$037903AR0160002

Standard Gold (QualChoiceLife)PPOGold$2,00037903AR0070034

Standard Gold (QualChoiceLife) + Vision + Adult DentalPPOGold$2,00037903AR0160001

Standard Silver (QualChoiceLife)PPOSilver$6,00037903AR0070033

Connected Silver (QualChoiceLife)PPOSilver$7,35037903AR0070025

Connected Silver (QualChoiceLife) + Vision + Adult DentalPPOSilver$7,35037903AR0160003

Ambetter Health · Oklahoma

20 plans · PPO

Not accepting new patientsDeductible $0 to $8,450

Elite GoldPPOGold$062505OK0120016

Elite Gold + Vision + Adult DentalPPOGold$062505OK0130017

Everyday GoldPPOGold$80062505OK0120014

Everyday Gold + Vision + Adult DentalPPOGold$80062505OK0130014

Standard GoldPPOGold$2,00062505OK0120021

Standard Gold + Vision + Adult DentalPPOGold$2,00062505OK0130021

Enhanced Diabetes Care Silver with $0 Drug OptionsPPOSilver$5,00062505OK0120024

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalPPOSilver$5,00062505OK0130024

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsPPOSilver$5,90062505OK0120023

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalPPOSilver$5,90062505OK0130023

Standard SilverPPOSilver$6,00062505OK0120020

Standard Silver + Vision + Adult DentalPPOSilver$6,00062505OK0130025

Focused SilverPPOSilver$6,30062505OK0120012

Focused Silver + Vision + Adult DentalPPOSilver$6,30062505OK0130012

Elite BronzePPOExpanded Bronze$062505OK0120006

Elite Bronze + Vision + Adult DentalPPOExpanded Bronze$062505OK0130006

Standard Expanded BronzePPOExpanded Bronze$7,50062505OK0120019

Standard Expanded Bronze + Vision + Adult DentalPPOExpanded Bronze$7,50062505OK0130019

Everyday BronzePPOExpanded Bronze$8,45062505OK0120002

Everyday Bronze + Vision + Adult DentalPPOExpanded Bronze$8,45062505OK0130002

Ambetter Health · Delaware

17 plans · EPO

Not accepting new patientsDeductible $0 to $8,450

Clear GoldEPOGold$1,20064004DE0090011

Clear Gold + Vision + Adult DentalEPOGold$1,20064004DE0100011

Complete GoldEPOGold$1,45064004DE0090009

Complete Gold + Vision + Adult DentalEPOGold$1,45064004DE0100009

Standard GoldEPOGold$2,00064004DE0090012

Standard Gold + Vision + Adult DentalEPOGold$2,00064004DE0100012

Elite SilverEPOSilver$064004DE0090013

Elite Silver + Vision + Adult DentalEPOSilver$064004DE0100013

Standard SilverEPOSilver$6,00064004DE0090008

Focused SilverEPOSilver$6,30064004DE0090007

Focused Silver + Vision + Adult DentalEPOSilver$6,30064004DE0100007

Principal Bronze HSAEPOExpanded Bronze$5,20064004DE0090001

Principal Bronze HSA + Vision + Adult DentalEPOExpanded Bronze$5,20064004DE0100001

Standard Expanded BronzeEPOExpanded Bronze$7,50064004DE0090004

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50064004DE0100004

Everyday BronzeEPOExpanded Bronze$8,45064004DE0090002

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45064004DE0100002

Ambetter Health · Iowa

16 plans · HMO

Not accepting new patientsDeductible $0 to $8,450

Everyday GoldHMOGold$80048286IA0010016

Everyday Gold + Vision + Adult DentalHMOGold$80048286IA0020016

Complete GoldHMOGold$1,45048286IA0010015

Complete Gold + Vision + Adult DentalHMOGold$1,45048286IA0020015

Standard GoldHMOGold$2,00048286IA0010017

Standard Gold + Vision + Adult DentalHMOGold$2,00048286IA0020017

Standard SilverHMOSilver$6,00048286IA0010020

Standard Silver + Vision + Adult DentalHMOSilver$6,00048286IA0020023

Focused SilverHMOSilver$6,30048286IA0010019

Focused Silver + Vision + Adult DentalHMOSilver$6,30048286IA0020019

Elite BronzeHMOExpanded Bronze$048286IA0010013

Elite Bronze + Vision + Adult DentalHMOExpanded Bronze$048286IA0020013

Standard Expanded BronzeHMOExpanded Bronze$7,50048286IA0010014

Standard Expanded Bronze + Vision + Adult DentalHMOExpanded Bronze$7,50048286IA0020014

Everyday BronzeHMOExpanded Bronze$8,45048286IA0010012

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45048286IA0020012

Ambetter Health · Kansas

16 plans · EPO

Not accepting new patientsDeductible $0 to $8,450

Elite GoldEPOGold$034368KS0110066

Elite Gold + Vision + Adult DentalEPOGold$034368KS0120068

Everyday GoldEPOGold$80034368KS0110033

Everyday Gold + Vision + Adult DentalEPOGold$80034368KS0120033

Standard GoldEPOGold$2,00034368KS0110070

Standard Gold + Vision + Adult DentalEPOGold$2,00034368KS0120071

Standard SilverEPOSilver$6,00034368KS0110069

Standard Silver + Vision + Adult DentalEPOSilver$6,00034368KS0120070

Focused SilverEPOSilver$6,30034368KS0110053

Focused Silver + Vision + Adult DentalEPOSilver$6,30034368KS0120053

Elite BronzeEPOExpanded Bronze$034368KS0110047

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$034368KS0120047

Standard Expanded BronzeEPOExpanded Bronze$7,50034368KS0110068

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50034368KS0120069

Everyday BronzeEPOExpanded Bronze$8,45034368KS0110043

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45034368KS0120043

Ambetter Health · Kentucky

16 plans · HMO

Not accepting new patientsDeductible $800 to $8,450

Everyday GoldHMOGold$80072001KY0020010

Everyday Gold + Vision + Adult DentalHMOGold$80072001KY0030010

Complete GoldHMOGold$1,45072001KY0020009

Complete Gold + Vision + Adult DentalHMOGold$1,45072001KY0030009

Enhanced Asthma/COPD Care Silver with $0 Drug OptionsHMOSilver$5,90072001KY0020012

Enhanced Asthma/COPD Care Silver with $0 Drug Options + Vision + Adult DentalHMOSilver$5,90072001KY0030012

Complete SilverHMOSilver$5,95072001KY0020005

Complete Silver + Vision + Adult DentalHMOSilver$5,95072001KY0030005

Focused SilverHMOSilver$6,30072001KY0020007

Focused Silver + Vision + Adult DentalHMOSilver$6,30072001KY0030007

Clear SilverHMOSilver$7,00072001KY0020006

Clear Silver + Vision + Adult DentalHMOSilver$7,00072001KY0030013

Choice Bronze HSAHMOExpanded Bronze$7,25072001KY0020002

Choice Bronze HSA + Vision + Adult DentalHMOExpanded Bronze$7,25072001KY0030002

Everyday BronzeHMOExpanded Bronze$8,45072001KY0020003

Everyday Bronze + Vision + Adult DentalHMOExpanded Bronze$8,45072001KY0030003

Ambetter Health · Nebraska

16 plans · EPO

Not accepting new patientsDeductible $0 to $7,500

Elite GoldEPOGold$013484NE0090005

Elite Gold + Vision + Adult DentalEPOGold$013484NE0100005

Clear GoldEPOGold$1,20013484NE0090002

Clear Gold + Vision + Adult DentalEPOGold$1,20013484NE0100002

Standard GoldEPOGold$2,00013484NE0090006

Standard Gold + Vision + Adult DentalEPOGold$2,00013484NE0100006

Standard SilverEPOSilver$6,00013484NE0090009

Standard Silver + Vision + Adult DentalEPOSilver$6,00013484NE0100009

Focused SilverEPOSilver$6,30013484NE0090004

Focused Silver + Vision + Adult DentalEPOSilver$6,30013484NE0100004

Elite BronzeEPOExpanded Bronze$013484NE0090007

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$013484NE0100007

Choice Bronze HSAEPOExpanded Bronze$7,25013484NE0090001

Choice Bronze HSA + Vision + Adult DentalEPOExpanded Bronze$7,25013484NE0100001

Standard Expanded BronzeEPOExpanded Bronze$7,50013484NE0090008

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50013484NE0100008

Ambetter Health · Tennessee

16 plans · EPO

Not accepting new patientsDeductible $0 to $8,450

Elite GoldEPOGold$070111TN0110031

Elite Gold + Vision + Adult DentalEPOGold$070111TN0120034

Everyday GoldEPOGold$80070111TN0110030

Everyday Gold + Vision + Adult DentalEPOGold$80070111TN0120030

Standard GoldEPOGold$2,00070111TN0110035

Standard Gold + Vision + Adult DentalEPOGold$2,00070111TN0120037

Enhanced Diabetes Care Silver with $0 Drug OptionsEPOSilver$5,00070111TN0110018

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult DentalEPOSilver$5,00070111TN0120001

Standard SilverEPOSilver$6,00070111TN0110034

Standard Silver + Vision + Adult DentalEPOSilver$6,00070111TN0120036

Elite BronzeEPOExpanded Bronze$070111TN0110026

Elite Bronze + Vision + Adult DentalEPOExpanded Bronze$070111TN0120026

Standard Expanded BronzeEPOExpanded Bronze$7,50070111TN0110033

Standard Expanded Bronze + Vision + Adult DentalEPOExpanded Bronze$7,50070111TN0120035

Everyday BronzeEPOExpanded Bronze$8,45070111TN0110023

Everyday Bronze + Vision + Adult DentalEPOExpanded Bronze$8,45070111TN0120023

Ambetter Health · Illinois

11 plans · HMO

Not accepting new patientsDeductible $800 to $7,000

Everyday GoldHMOGold$80027833IL0140064

Everyday Gold + Vision + Adult DentalHMOGold$80027833IL0150059

Central GoldHMOGold$1,00027833IL0140071

Central Gold + Vision + Adult DentalHMOGold$1,00027833IL0150071

Standard GoldHMOGold$2,00027833IL0140075

Standard Gold + Vision + Adult DentalHMOGold$2,00027833IL0150074

Standard SilverHMOSilver$6,00027833IL0140074

Standard Silver + Vision + Adult DentalHMOSilver$6,00027833IL0150073

Focused SilverHMOSilver$6,30027833IL0140063

Focused Silver + Vision + Adult DentalHMOSilver$6,30027833IL0150058

Clear SilverHMOSilver$7,00027833IL0140061

Anthem Blue Cross and Blue Shield · Wisconsin

9 plans · POS

Accepting new patientsDeductible $0 to $8,450

Blue Preferred and Rx Choice Tiered Network · 6 plans · Participating tier

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$1,00079475WI0560005

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)POSSilver$4,00079475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$5,50079475WI0560004

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)POSExpanded Bronze$079475WI0560001

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)POSExpanded Bronze$5,00079475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)POSExpanded Bronze$8,45079475WI0560002

Blue Preferred and Pharmacy Base Network · 3 plans · Participating tier

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSGold$2,00079475WI0560008

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSSilver$6,00079475WI0560007

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)POSExpanded Bronze$7,50079475WI0560006

Oscar Health · Kansas

6 plans · EPO

Accepting new patientsDeductible $0 to $7,500

Gold Classic StandardEPOGold$2,00043490KS0010053

Silver Classic StandardEPOSilver$6,00043490KS0010052

Bronze Elite + PCP SaverEPOExpanded Bronze$043490KS0010005

Bronze Classic 4700EPOExpanded Bronze$4,70043490KS0010024

Bronze Simple DiabetesEPOExpanded Bronze$5,50043490KS0010055

Bronze Classic StandardEPOExpanded Bronze$7,50043490KS0010050

Questions about Dr. Rao’s insurance

What insurance does Dr. Rao take?

In Missouri, Ambetter Health, UnitedHealthcare, Oscar Health, Anthem Blue Cross and Blue Shield and Medica include Dr. Rao in 59 Marketplace plans for 2026. Call the office at (314) 872-6808 to confirm your plan before booking.

Do I need a referral to see Dr. Rao?

Not under the Missouri plans that list Dr. Rao: the 2026 plan files say a specialist referral is not required.

Does Dr. Rao accept Medicare?

Yes. CMS files show Dr. Rao accepts Medicare assignment and is enrolled in PECOS, which allows ordering and referring for Medicare patients.

About this data

This page combines public files from insurers and from CMS. NPI Profile does not contract with insurers and does not decide who is in network.

Source	What it provides here	Source date
Insurer provider directory files	Which plans list this provider, network tier, accepting new patients, years listed. Insurers selling on HealthCare.gov must publish these files under CMS rules.	Anthem Blue Cross and Blue Shield: Oct 15, 2026 Oscar Health: Oct 15, 2026 Ambetter Health: Oct 14, 2026 UnitedHealthcare: Oct 13, 2026 Medica: Oct 1, 2026
CMS Health Insurance Exchange public use files	Plan details and Summary of Benefits links for HealthCare.gov states.	Plan year 2026
CMS state-based exchange public use files	Plan details for states that run their own exchange, here Illinois and Kentucky. No document links.	Plan year 2026, Jun 3, 2026

Only Marketplace (ACA) plans are covered. Employer, Medicare Advantage and Medicaid managed care networks are not in these files.
Costs are for the standard version of each plan. People who qualify for cost-sharing reductions pay less on Silver plans.
Accepting new patients and network tier are reported by each insurer, and can differ from what the practice tells you.
Networks change during the year. Confirm with your insurer or the practice before booking.