Which Insurance Plans Does Dr. Oldham Accept?
Dr. Jedidiah Oldham, DO is in-network with over 30 insurance carriers at his Spanish Fork family medicine practice. The list below includes plans verified as of April 2026. Insurance networks change periodically, so call (385) 265-6060 to confirm your specific plan and benefit details before your appointment.
| Insurance Carrier | Plan Types Accepted |
|---|---|
| Aetna | HMO, PPO, POS |
| Anthem | HMO, PPO |
| Assurant Health | Individual and group plans |
| Blue Cross Blue Shield | HMO, PPO, HDHP |
| CareFirst Blue Cross Blue Shield | PPO |
| Cigna | HMO, PPO, Open Access |
| Curative | Individual and group plans |
| First Health | PPO network |
| Humana | HMO, PPO, Medicare Advantage |
| Medicaid (Utah) | Traditional Medicaid, Medicaid Expansion |
| Medicare | Part B, Medicare Advantage |
| MetLife | Group plans |
| Molina Healthcare | Medicaid managed care, Marketplace |
| MultiPlan | PPO network |
| PEHP (Public Employees Health Program) | All PEHP plan tiers |
| SelectHealth | HMO, PPO, Value, Share |
| TRICARE | Prime, Select, For Life |
| UnitedHealthcare | HMO, PPO, Choice Plus |
| Self-Pay | Cash, credit card, HSA, FSA accepted |
How Do Patients Verify Insurance Coverage with Dr. Oldham’s Office?
When you call (385) 265-6060 to schedule, the front desk team will verify your insurance eligibility and estimate your copay or out-of-pocket cost. Bring your insurance card (front and back) to every appointment. If your employer recently changed insurance carriers, verify that Dr. Oldham is still in-network under the new plan before your visit to avoid unexpected charges.
What If Dr. Oldham Is Out of Network with a Patient’s Plan?
If Dr. Oldham is not in-network with your specific insurance plan, you may still see him as an out-of-network provider. Out-of-network visits typically cost more because your plan applies a higher deductible and coinsurance rate. Some PPO plans still cover a portion of out-of-network visits. Contact your insurance company directly or call Dr. Oldham’s office at (385) 265-6060 to discuss your options, including self-pay rates.
Does Dr. Oldham Accept Medicaid and Medicare in Spanish Fork?
Yes. Dr. Jedidiah Oldham accepts both Utah Medicaid and Medicare at his Spanish Fork office. Medicare Part B covers annual wellness visits at no cost to the patient, and most other services are covered at 80% after the deductible. Medicaid patients typically have $0 to $5 copays for primary care visits. Dr. Oldham also accepts Medicare Advantage plans from Humana, UnitedHealthcare, and other carriers. Patients enrolled in Medicaid managed care through Molina Healthcare are also welcome.
What Are Dr. Oldham’s Self-Pay Rates?
Patients without insurance can see Dr. Oldham on a self-pay basis. A standard office visit costs $150 to $250 depending on complexity. The office accepts credit cards, debit cards, HSA cards, FSA cards, cash, and personal checks. Call (385) 265-6060 for a cost estimate before your visit. For detailed pricing information, see the pricing and cost expectations page.
What Insurance Terms Should Patients Know?
The team recommends understanding your insurance benefits to help avoid surprises after a visit with Dr. Oldham. A copay is the fixed amount you pay at check-in, typically $25 to $50 for primary care. Your deductible is the annual amount you pay before insurance begins covering costs. Coinsurance is the percentage you pay after meeting your deductible. Your out-of-pocket maximum is the most you pay in a plan year before insurance covers 100% of eligible charges. The front desk can explain how these apply to your specific plan.
Does Dr. Oldham Accept Employer-Sponsored Insurance?
Dr. Oldham accepts most employer-sponsored health plans that use one of the major carrier networks listed above. If your employer provides coverage through Aetna, BCBS, Cigna, Humana, SelectHealth, PEHP, UnitedHealthcare, or another listed carrier, Dr. Oldham is likely in-network. State of Utah employees with PEHP coverage and federal employees with TRICARE are confirmed in-network. Call (385) 265-6060 with your insurance card handy, and the scheduling team will verify your benefits in minutes.
Does Dr. Oldham Accept Marketplace (ACA) Insurance Plans?
Many plans purchased through the Healthcare.gov marketplace, including those offered by SelectHealth, Molina Healthcare, and other carriers operating in Utah. Marketplace plan coverage depends on the specific carrier and tier you selected during enrollment. Preventive services including annual wellness exams, immunizations, and recommended screenings are covered at no cost under all ACA-compliant plans regardless of deductible. Contact the office to verify your marketplace plan before scheduling.
Frequently Asked Questions About Insurance at Dr. Oldham’s Office
Accepted insurance networks are renegotiated annually. This list reflects verified carriers as of April 2026. Always call (385) 265-6060 to confirm your plan is still in-network before scheduling.
Yes. The front desk verifies your eligibility and estimates your copay when you schedule. For complex benefit questions, the billing team can review your plan details and explain expected costs.
Dr. Oldham treats work-related injuries covered under Utah workers compensation and accepts workers’ compensation cases. Bring your claim number and employer information to your appointment. See the work injury care page for details.
The billing team at Dr. Oldham’s office can help review denied claims and submit appeals when appropriate. Contact the office at (385) 265-6060 if you receive an unexpected denial.
Verify Your Insurance with Dr. Oldham’s Office
Dr. Oldham’s office encourages you to call to confirm your plan is accepted and get a copay estimate before your visit.