STEPHANIE SISSON
Accepted Insurance for NPI 1982986261
Social Worker in Beloit, WI
Accepted Insurance & Health Plans Health Insurance Marketplace
Marketplace plan participation on file for this provider · 2026 plan year
STEPHANIE SISSON, a social worker provider in Beloit, WI, is listed as in-network for 112 health insurance plans from 5 insurance companies, led by Quartz, Medica and UnitedHealthcare. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.
Anthem Blue Cross and Blue Shield
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
Anthem Bronze Preferred/Broad HSA (+ Incentives)
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
Medica
Engage by Medica Bronze HSA
Engage by Medica Bronze Share
Engage by Medica Expanded Bronze Standard
Engage by Medica Gold $0 Copay PCP Visits
Engage by Medica Gold Share
Engage by Medica Gold Standard
Engage by Medica Silver $0 Copay PCP Visits
Engage by Medica Silver Share
Engage by Medica Silver Standard
Essentia Choice Care with Medica Bronze HSA
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 HSA
Medica Individual Choice Bronze Share
Medica Individual Choice Expanded Bronze Standard
Medica Individual Choice Gold $0 Copay PCP Visits
Medica Individual Choice Gold Share
Medica Individual Choice Gold Standard
Medica Individual Choice Silver $0 Copay PCP Visits
Medica Individual Choice Silver Share
Medica Individual Choice Silver Standard
MercyCare Health Plans
MercyCare Bronze 10,000 (1 Free PCP Visit)
MercyCare Bronze Standard Expanded
MercyCare Gold Standard
MercyCare Silver 2,500 (3 Free PCP Visits)
MercyCare Silver Health Savings
MercyCare Silver Standard
Quartz
QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE $10,150 DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $10,150 DED
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $10,600 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD $4,000 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $4,000 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $700 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $700 DED
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE SILVER $8,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER $9,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $8,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $9,000 DED
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $10,150 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $10,150 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $10,600 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $4,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $4,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $700 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $700 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $8,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $9,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $8,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $9,000 DED
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $10,150 DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $10,150 DED
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $10,600 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $4,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $4,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $700 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $700 DED
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $8,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $9,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $8,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $9,000 DED
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING
UnitedHealthcare
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)
UHC Bronze Standard (No Referrals)
UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Gold Standard (No Referrals)
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)
UHC Silver Standard (No Referrals)
UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)
UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)
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 STEPHANIE SISSON accept?
Marketplace files for the 2026 plan year list STEPHANIE SISSON as in-network for 112 plans from 5 insurance companies. The largest networks are Quartz (57 plans), Medica (27 plans), UnitedHealthcare (13 plans), followed by 2 more companies. The full list above shows each plan's metal level, network type, and plan IDs.
Is STEPHANIE SISSON 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 STEPHANIE SISSON participate in?
The accepted plans include 76 HMO plans, 27 EPO plans and 9 POS 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. 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.
