SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES - ERIE
Accepted Insurance for NPI 1982971503
Orthopaedic Surgery - Pediatric Orthopaedic Surgery in Erie, PA
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES - ERIE, a orthopaedic surgery provider in Erie, PA, is listed as in-network for 148 health insurance plans from 6 insurance companies, led by CareSource, Ambetter Health and Molina Healthcare. 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
AmeriHealth Caritas Next
AmeriHealth Caritas Next Bronze Essential + No Referrals
AmeriHealth Caritas Next Bronze Premier + No Referrals
AmeriHealth Caritas Next Bronze Signature + No Referrals
AmeriHealth Caritas Next Gold Premier + No Referrals
AmeriHealth Caritas Next Gold Signature + No Referrals
AmeriHealth Caritas Next Silver Essential + No Referrals
AmeriHealth Caritas Next Silver Premier + No Referrals
AmeriHealth Caritas Next Silver Signature + No Referrals
CareSource
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
Bronze 7500 $25 Generic Drugs
Core Gold 1500 $10 Generic Drugs + Adult Vision & Fitness
Core Gold 1500 $10 Generic Drugs
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
Gold 2000 $15 Generic Drugs
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness
Low Deductible Silver 5000 $3 Generic Drugs
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
Low Premium Bronze 10600 $25 Generic Drugs
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
Low Premium Silver 6200 $3 Generic Drugs
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness
Platinum Zero $5 Generic Drugs
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
Silver 6000 $20 Generic Drugs
Molina Healthcare
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision
Molina Bronze Enhanced 3500 Plus with Adult Vision
Molina Bronze Enhanced 3500
Molina Bronze Saver 7000 Plus with Adult Dental and Vision
Molina Bronze Saver 7000 Plus with Adult Vision
Molina Bronze Saver 7000
Molina Bronze Smart Heart Health
Molina Bronze Standard
Molina Gold Core 1640 Plus with Adult Dental and Vision
Molina Gold Core 1640 Plus with Adult Vision
Molina Gold Core 1640
Molina Gold Enhanced 895 Plus with Adult Dental and Vision
Molina Gold Enhanced 895 Plus with Adult Vision
Molina Gold Enhanced 895
Molina Gold Smart Heart Health
Molina Gold Standard
Molina Silver Core Plus with Adult Dental and Vision
Molina Silver Core Plus with Adult Vision
Molina Silver Core
Molina Silver Saver with Four Free PCP Visits
Molina Silver Smart Heart Health
Molina Silver Standard
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 SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES - ERIE accept?
Marketplace files for the 2026 plan year list SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES - ERIE as in-network for 148 plans from 6 insurance companies. The largest networks are CareSource (25 plans), Ambetter Health (24 plans), Molina Healthcare (22 plans), followed by 3 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES - ERIE enrolled in Medicare?
The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.
What network types does SHRINERS HOSPITALS FOR CHILDREN PROFESSIONAL SERVICES - ERIE participate in?
The accepted plans include 89 HMO plans and 23 EPO 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.
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.
