LOUIS SCOTT SIMON OD
Accepted Insurance for NPI 1962928721
Optometrist in Edmond, OK

Q: What managed care network types are accepted by this provider?

LOUIS SCOTT SIMON OD is enrolled across the following managed care network types: EPO, HMO, PPO. 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.

NPI Status: Active since August 14, 2017

Contact Information

701 S BROADWAY
EDMOND, OK
ZIP 73034
Phone: (405) 341-7055

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with LOUIS SCOTT SIMON OD, a practicing optometrist professional in Edmond, OK. 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 89 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Oklahoma, Providence Health Plan, and UnitedHealthcare. 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.

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Fitler by Network Type

Blue Cross and Blue Shield of Oklahoma

Blue Advantage Bronze PPO? 202

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035007087571OK035009187571OK035009287571OK035009387571OK0350094

Blue Advantage Bronze PPO? 203

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035006887571OK035008387571OK035008487571OK035008587571OK0350086

Blue Advantage Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035017687571OK035021987571OK035022087571OK035022187571OK0350222

Blue Advantage Gold PPO? 309

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035009787571OK035010687571OK035010787571OK035010887571OK0350109

Blue Advantage Gold PPO? 604

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035011887571OK035012787571OK035012887571OK035012987571OK0350130

Blue Advantage Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035017887571OK035022787571OK035022887571OK035022987571OK0350230

Blue Advantage Silver PPO? 204

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035006987571OK035008787571OK035008887571OK035008987571OK0350090

Blue Advantage Silver PPO? 501

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035011587571OK035023987571OK035024087571OK035024187571OK0350242

Blue Advantage Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-PPO Tier

Accepted Plan ID Variations

87571OK035017787571OK035022387571OK035022487571OK035022587571OK0350226

Blue Preferred Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035017387571OK035019187571OK035019287571OK035019387571OK0350194

Blue Preferred Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035017187571OK035019987571OK035020087571OK035020187571OK0350202

Blue Preferred Security PPO? 200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035016587571OK035020387571OK035020487571OK035020587571OK0350206

Blue Preferred Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

87571OK035017287571OK035021587571OK035021687571OK035021787571OK0350218

Providence Health Plan

Connect 1500 Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380008

Connect 6000 Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380013

Connect 9800 Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380014

HSA Qualified 7500 Bronze - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1420003

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1400003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1320004

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1330004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

UnitedHealthcare

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050035

UHC Bronze Essential (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050039

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050030

UHC Bronze Standard+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110005

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050038

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110001

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050034

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050028

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050037

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110002

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050029

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0050036

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45480OK0110004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does LOUIS SCOTT SIMON OD accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Oklahoma, Providence Health Plan, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

LOUIS SCOTT SIMON OD is enrolled across the following managed care network types: EPO, HMO, PPO.

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.