MARK RAYMOND HIGHTOWER MD
Accepted Insurance for NPI 1982959664
Surgery in Brainerd, MN
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
MARK RAYMOND HIGHTOWER MD, a surgery provider in Brainerd, MN, is listed as in-network for 45 health insurance plans from 2 insurance companies, led by Medica and Sanford Health Plan. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Medica
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits
Essentia Choice Care with Medica Bronze Share
Essentia Choice Care with Medica Expanded Bronze Standard
Essentia Choice Care with Medica Gold $0 Copay PCP Visits
Essentia Choice Care with Medica Gold Share
Essentia Choice Care with Medica Gold Standard
Essentia Choice Care with Medica Silver $0 Copay PCP Visits
Essentia Choice Care with Medica Silver Share
Essentia Choice Care with Medica Silver Standard
Medica Individual Choice Bronze $0 Copay PCP Visits
Medica Individual Choice Bronze HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
Medica Individual Choice Silver Standard
Sanford Health Plan
Sanford Individual Simplicity $1,750
Sanford Individual Simplicity $10,600
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
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 MARK RAYMOND HIGHTOWER MD accept?
Marketplace files for the 2026 plan year list MARK RAYMOND HIGHTOWER MD as in-network for 45 plans from 2 insurance companies. The largest networks are Medica (27 plans), Sanford Health Plan (9 plans). The full list above shows each plan's metal level, network type, and plan IDs.
Is MARK RAYMOND HIGHTOWER MD 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 MARK RAYMOND HIGHTOWER MD participate in?
The accepted plans include 18 HMO plans, 9 EPO plans and 9 PPO plans. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals.
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.
