JESSICA RENEE FORDHAM NP
Accepted Insurance for NPI 1982953402
Nurse Practitioner - Family in Jackson, MS

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

JESSICA RENEE FORDHAM NP 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.

Quality Rating: 89.76 out of 100 score

NPI Status: Active since August 29, 2012

Contact Information

3800 I-55 NORTH FRONTAGE RD
SUITE 101
JACKSON, MS
ZIP 39216
Phone: (601) 200-6880
Fax: (601) 200-6805

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with JESSICA RENEE FORDHAM NP, a practicing nurse practitioner professional in Jackson, MS. 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 38 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of Alabama, Molina Healthcare, and Oscar Health Plan, Inc.. 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 Alabama

Blue HSA Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0560001

Blue Protect

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0470001

Blue Saver Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0460001

Blue Standardized Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0780001

Blue Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0770001

Blue Value Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0370001

Blue Value Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0410001

Blue Access Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0340001

Blue Choice Platinum for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0280001

Blue HSA Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0680001

Blue Saver Bronze for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0430001

Blue Saver Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0760001

Blue Secure Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0670001

Blue Secure Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0380001

Molina Healthcare

Molina Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79975MS0010008

Molina Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

79975MS0010009

Oscar Health Plan, Inc.

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010001

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010002

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010003

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010007

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010004

Silver Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010005

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010006

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

97560MS0030028

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($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

97560MS0080006

UHC Bronze Essential (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

97560MS0030033

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

97560MS0030025

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

97560MS0080007

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

97560MS0030032

UHC Gold Copay Focus + $0 Indiv Med Ded ($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

97560MS0080003

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

97560MS0030014

UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

97560MS0030031

UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

97560MS0080004

UHC Silver 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

97560MS0030029

UHC Silver 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

97560MS0080001

UHC Silver 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

97560MS0030018

UHC Silver Copay Focus+ $0 Indiv Med Ded ($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

97560MS0080002

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

97560MS0030021

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does JESSICA RENEE FORDHAM NP accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of Alabama, Molina Healthcare, Oscar Health Plan, Inc., 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?

JESSICA RENEE FORDHAM NP 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.