MR. TOBY NATHAN GERSHON O.D.
Accepted Insurance for NPI 1982919783
Optometrist in Wayne, PA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MR. TOBY NATHAN GERSHON O.D., a optometrist provider in Wayne, PA, is listed as in-network for 224 health insurance plans from 8 insurance companies, led by Anthem Blue Cross and Blue Shield, Ambetter Health and Ambetter Health of Delaware. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Ambetter Health
Balanced Silver + $0 Virtual 24/7 Care Visits
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Elite Bronze + Vision + Adult Dental
Elite Bronze
Elite Gold $0 Deductible + $0 Virtual 24/7 Care Visits
Elite Silver $0 Medical Deductible + $0 Virtual 24/7 Care Visits
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Everyday Gold + Vision + Adult Dental
Everyday Gold
Focused Silver + Vision + Adult Dental
Focused Silver
Premium Silver + $0 Virtual 24/7 Care Visits
Secure Gold + $0 Virtual 24/7 Care Visits
Secure Silver with $0 Insulin Options + $0 Virtual 24/7 Care Visits
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Ambetter Health of Delaware
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Elite Silver + Vision + Adult Dental
Elite Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Focused Silver + Vision + Adult Dental
Focused Silver
Principal Bronze HSA + Vision + Adult Dental
Principal Bronze HSA
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver
Ambetter from Buckeye Health Plan
Choice Bronze HSA + Vision + Adult Dental
Choice Bronze HSA
Clear Gold + Vision + Adult Dental
Clear Gold
Complete Gold + Vision + Adult Dental
Complete Gold
Complete Silver + Vision + Adult Dental
Complete Silver
Everyday Bronze + Vision + Adult Dental
Everyday Bronze
Standard Expanded Bronze + Vision + Adult Dental
Standard Expanded Bronze
Standard Gold + Vision + Adult Dental
Standard Gold
Standard Silver + Vision + Adult Dental
Standard Silver
Anthem Blue Cross and Blue Shield
Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential 6500 HSA (+ Incentives)
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Bronze Pathway 8500 for HSA
Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Pathway/Lean HSA (+ Incentives)
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Catastrophic Essential (+ Incentives)
Anthem Catastrophic Pathway (+ Incentives)
Anthem Catastrophic Pathway Essentials (+ Incentives)
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Essential 3500 HSA (+ Incentives)
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 5500 for HSA
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Bronze HMO Pathway Enhanced with Adult Dental and Vision Benefits
Bronze HMO Pathway Enhanced
Bronze Pathway CT PPO w HSA
Bronze Pathway CT PPO
Bronze PPO Pathway with PreventiveRx HSA
Bronze PPO Standard Pathway HSA
Bronze PPO Standard Pathway
Catastrophic HMO Pathway Enhanced
Gold HMO Pathway Enhanced with Adult Dental and Vision Benefits
Gold Pathway CT PPO
Gold PPO Pathway with Adult Dental and Vision Benefits
Gold PPO Pathway
Gold PPO Standard Pathway
Platinum Pathway CT PPO
Silver Pathway CT PPO w HSA
Silver Pathway CT PPO
Silver PPO Standard Pathway
Blue Cross Blue Shield of Wyoming
BlueSelect Bronze Basic
BlueSelect Bronze Core
BlueSelect Expanded Bronze Standard without Kid's Dental
BlueSelect Gold Core
BlueSelect Gold HealthPlus
BlueSelect Gold Standard without Kid's Dental
BlueSelect Silver Classic without Kid's Dental
BlueSelect Silver Classic
BlueSelect Silver HealthPlus without Kid's Dental
BlueSelect Silver HealthPlus
BlueSelect Silver Standard without Kid's Dental
Blue Cross and Blue Shield of Louisiana
Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible
Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits
Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible
Blue Max Copay (PCP) 60/40 $6000 Standardized
Blue Max Copay (PCP) 75/55 $2000 Standardized
Blue Saver 60/40 $6100
Blue Saver 90/70 $3400
Highmark Blue Cross Blue Shield Delaware
my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits
my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision
my Blue Access Select PPO Bronze 3800
my Blue Access Select PPO Bronze 9200
my Blue Access Select PPO Gold 0 + Adult Dental and Vision
my Blue Access Select PPO Gold 0
my Blue Access Select PPO Gold 1700 HSA
my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision
my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision
my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision
my Blue Access Select PPO Standard Bronze 7500
my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision
my Blue Access Select PPO Standard Gold 2000
my Blue Access Select PPO Standard Platinum 0
my Blue Access Select PPO Standard Silver 6000
Highmark Blue Cross Blue Shield West Virginia
my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision
my Blue Access WV PPO Bronze 3800
my Blue Access WV PPO Bronze 9200
my Blue Access WV PPO Gold 0 + Adult Dental and Vision
my Blue Access WV PPO Gold 0
my Blue Access WV PPO Gold 1700 HSA
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision
my Blue Access WV PPO Premier Gold 0
my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision
my Blue Access WV PPO Premier Silver 0
my Blue Access WV PPO Standard Bronze 7500
my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision
my Blue Access WV PPO Standard Gold 2000
my Blue Access WV PPO Standard Silver 6000
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 MR. TOBY NATHAN GERSHON O.D. accept?
Marketplace files for the 2026 plan year list MR. TOBY NATHAN GERSHON O.D. as in-network for 224 plans from 8 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (72 plans), Ambetter Health (24 plans), Ambetter Health of Delaware (17 plans), followed by 5 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is MR. TOBY NATHAN GERSHON O.D. enrolled in Medicare?
Yes. CMS enrollment files show this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. The provider is also enrolled in PECOS, which certifies them to order, refer, and prescribe for Medicare beneficiaries.
What network types does MR. TOBY NATHAN GERSHON O.D. participate in?
The accepted plans include 71 HMO plans, 62 PPO plans, 43 EPO plans and 2 POS 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. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.
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.
