BETTER HEALTH SUPPLIES INC.
Accepted Insurance Health Plans for NPI 1023656022
Durable Medical Equipment & Medical Supplies in San Francisco, CA

NPI Status: Active since December 20, 2019

Contact Information

680 8TH ST
STE 240 UNIT G
SAN FRANCISCO, CA
ZIP 94103
Phone: (415) 475-8444

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Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by BETTER HEALTH SUPPLIES INC.. Use our filterable tables to quickly find the details of your health plan, including: Plan Name, Plan Type and Plan ID. Search this page to find if your specific insurance is accepted. Please verify directly with the provider to make sure your healthplan is currently accepted.

Plan Name Plan Type Plan ID Dental Only Plan?
Complete Gold EPO 99723MO0090016 No
Complete Gold + Vision + Adult Dental EPO 99723MO0110010 No
Complete Silver EPO 99723MO0090011 No
Complete Silver + Vision + Adult Dental EPO 99723MO0110013 No
Elite Bronze EPO 99723MO0090053 No
Elite Bronze + Vision + Adult Dental EPO 99723MO0110053 No
Everyday Bronze EPO 99723MO0090018 No
Everyday Bronze + Vision + Adult Dental EPO 99723MO0110009 No
Everyday Gold EPO 99723MO0090063 No
Everyday Gold + Vision + Adult Dental EPO 99723MO0110063 No
Premier Silver EPO 99723MO0090004 No
Premier Silver + Vision + Adult Dental EPO 99723MO0110014 No
Standard Expanded Bronze EPO 99723MO0090069 No
Standard Expanded Bronze + Vision + Adult Dental EPO 99723MO0110070 No
Standard Gold EPO 99723MO0090071 No
Standard Gold + Vision + Adult Dental EPO 99723MO0110072 No
Standard Silver EPO 99723MO0090070 No
Plan Name Plan Type Plan ID Dental Only Plan?
Clear Silver HMO 58594MI0030017 No
Elite Bronze HMO 58594MI0030016 No
Elite Bronze + Vision + Adult Dental HMO 58594MI0040016 No
Elite Gold HMO 58594MI0030021 No
Elite Gold + Vision + Adult Dental HMO 58594MI0040023 No
Everyday Bronze HMO 58594MI0030013 No
Everyday Bronze + Vision + Adult Dental HMO 58594MI0040013 No
Everyday Gold HMO 58594MI0030020 No
Everyday Gold + Vision + Adult Dental HMO 58594MI0040020 No
Focused Silver HMO 58594MI0030019 No
Focused Silver + Vision + Adult Dental HMO 58594MI0040019 No
Standard Expanded Bronze HMO 58594MI0030023 No
Standard Expanded Bronze + Vision + Adult Dental HMO 58594MI0040024 No
Standard Gold HMO 58594MI0030025 No
Standard Gold + Vision + Adult Dental HMO 58594MI0040026 No
Standard Silver HMO 58594MI0030024 No
Standard Silver + Vision + Adult Dental HMO 58594MI0040025 No
Plan Name Plan Type Plan ID Dental Only Plan?
Choice Bronze HSA HMO 35065IN0040002 No
Choice Bronze HSA HMO 41047OH0010045 No
Choice Bronze HSA + Vision + Adult Dental HMO 35065IN0050002 No
Choice Bronze HSA + Vision + Adult Dental HMO 41047OH0030045 No
Clear Gold HMO 41047OH0010067 No
Clear Gold + Vision + Adult Dental HMO 41047OH0030071 No
Clear Silver HMO 35065IN0040003 No
Clear Silver HMO 41047OH0010061 No
Complete Gold HMO 35065IN0040004 No
Complete Gold HMO 41047OH0010041 No
Complete Gold HMO 48286IA0010015 No
Complete Gold HMO 49004FL0010011 No
Complete Gold HMO 49004FL0010025 No
Complete Gold + Vision + Adult Dental HMO 35065IN0050003 No
Complete Gold + Vision + Adult Dental HMO 41047OH0030041 No
Complete Gold + Vision + Adult Dental HMO 48286IA0020015 No
Complete Gold + Vision + Adult Dental HMO 49004FL0020010 No
Complete Gold + Vision + Adult Dental HMO 49004FL0020021 No
Complete Silver HMO 41047OH0010025 No
Complete Silver + Vision + Adult Dental HMO 41047OH0030025 No
Elite Bronze HMO 48286IA0010013 No
Elite Bronze HMO 49004FL0010004 No
Elite Bronze HMO 49004FL0010017 No
Elite Bronze + Vision + Adult Dental HMO 48286IA0020013 No
Elite Bronze + Vision + Adult Dental HMO 49004FL0020004 No
Elite Bronze + Vision + Adult Dental HMO 49004FL0020015 No
Elite Gold HMO 35065IN0040007 No
Elite Gold + Vision + Adult Dental HMO 35065IN0050006 No
Elite Silver HMO 48286IA0010022 No
Elite Silver HMO 49004FL0010008 No
Elite Silver HMO 49004FL0010020 No
Elite Silver + Vision + Adult Dental HMO 48286IA0020021 No
Elite Silver + Vision + Adult Dental HMO 49004FL0020007 No
Elite Silver + Vision + Adult Dental HMO 49004FL0020017 No
Enhanced Diabetes Care Silver with $0 Drug Options HMO 49004FL0010009 No
Enhanced Diabetes Care Silver with $0 Drug Options HMO 49004FL0010023 No
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental HMO 49004FL0020008 No
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental HMO 49004FL0020020 No
Everyday Bronze HMO 35065IN0040008 No
Everyday Bronze HMO 41047OH0010057 No
Everyday Bronze HMO 48286IA0010012 No
Everyday Bronze HMO 49004FL0010002 No
Everyday Bronze HMO 49004FL0010015 No
Everyday Bronze + Vision + Adult Dental HMO 35065IN0050007 No
Everyday Bronze + Vision + Adult Dental HMO 41047OH0030057 No
Everyday Bronze + Vision + Adult Dental HMO 48286IA0020012 No
Everyday Bronze + Vision + Adult Dental HMO 49004FL0020002 No
Everyday Bronze + Vision + Adult Dental HMO 49004FL0020013 No
Everyday Gold HMO 48286IA0010016 No
Everyday Gold HMO 49004FL0010010 No
Everyday Gold HMO 49004FL0010026 No
Everyday Gold + Vision + Adult Dental HMO 48286IA0020016 No
Everyday Gold + Vision + Adult Dental HMO 49004FL0020009 No
Everyday Gold + Vision + Adult Dental HMO 49004FL0020022 No
Focused Silver HMO 35065IN0040010 No
Focused Silver HMO 48286IA0010019 No
Focused Silver HMO 49004FL0010007 No
Focused Silver HMO 49004FL0010021 No
Focused Silver + Vision + Adult Dental HMO 35065IN0050009 No
Focused Silver + Vision + Adult Dental HMO 48286IA0020019 No
Focused Silver + Vision + Adult Dental HMO 49004FL0020006 No
Focused Silver + Vision + Adult Dental HMO 49004FL0020018 No
Standard Expanded Bronze HMO 35065IN0040012 No
Standard Expanded Bronze HMO 41047OH0010069 No
Standard Expanded Bronze HMO 48286IA0010014 No
Standard Expanded Bronze HMO 49004FL0010001 No
Standard Expanded Bronze HMO 49004FL0010018 No
Standard Expanded Bronze + Vision + Adult Dental HMO 35065IN0050011 No
Standard Expanded Bronze + Vision + Adult Dental HMO 41047OH0030072 No
Standard Expanded Bronze + Vision + Adult Dental HMO 48286IA0020014 No
Standard Expanded Bronze + Vision + Adult Dental HMO 49004FL0020001 No
Standard Expanded Bronze + Vision + Adult Dental HMO 49004FL0020016 No
Standard Gold HMO 35065IN0040013 No
Standard Gold HMO 41047OH0010071 No
Standard Gold HMO 48286IA0010017 No
Standard Gold HMO 49004FL0010013 No
Standard Gold HMO 49004FL0010028 No
Standard Gold + Vision + Adult Dental HMO 35065IN0050012 No
Standard Gold + Vision + Adult Dental HMO 41047OH0030074 No
Standard Gold + Vision + Adult Dental HMO 48286IA0020017 No
Standard Gold + Vision + Adult Dental HMO 49004FL0020012 No
Standard Gold + Vision + Adult Dental HMO 49004FL0020024 No
Standard Silver HMO 35065IN0040001 No
Standard Silver HMO 41047OH0010070 No
Standard Silver HMO 48286IA0010020 No
Standard Silver HMO 49004FL0010006 No
Standard Silver HMO 49004FL0010024 No
Standard Silver + Vision + Adult Dental HMO 35065IN0050001 No
Standard Silver + Vision + Adult Dental HMO 41047OH0030073 No
Plan Name Plan Type Plan ID Dental Only Plan?
Clear Gold EPO 64004DE0090011 No
Clear Gold + Vision + Adult Dental EPO 64004DE0100011 No
Complete Gold EPO 64004DE0090009 No
Complete Gold + Vision + Adult Dental EPO 64004DE0100009 No
Elite Silver EPO 64004DE0090013 No
Elite Silver + Vision + Adult Dental EPO 64004DE0100013 No
Everyday Bronze EPO 64004DE0090002 No
Everyday Bronze + Vision + Adult Dental EPO 64004DE0100002 No
Focused Silver EPO 64004DE0090007 No
Focused Silver + Vision + Adult Dental EPO 64004DE0100007 No
Premier Bronze HSA EPO 64004DE0090001 No
Premier Bronze HSA + Vision + Adult Dental EPO 64004DE0100001 No
Standard Expanded Bronze EPO 64004DE0090004 No
Standard Expanded Bronze + Vision + Adult Dental EPO 64004DE0100004 No
Standard Gold EPO 64004DE0090012 No
Standard Gold + Vision + Adult Dental EPO 64004DE0100012 No
Standard Silver EPO 64004DE0090008 No
Plan Name Plan Type Plan ID Dental Only Plan?
Complete Gold EPO 53932AL0100015 No
Complete Gold + Vision + Adult Dental EPO 53932AL0110010 No
Elite Bronze EPO 53932AL0100014 No
Elite Bronze + Vision + Adult Dental EPO 53932AL0110014 No
Elite Gold EPO 53932AL0100016 No
Elite Gold + Vision + Adult Dental EPO 53932AL0110015 No
Elite Silver EPO 53932AL0100017 No
Elite Silver + Vision + Adult Dental EPO 53932AL0110016 No
Everyday Bronze EPO 53932AL0100003 No
Everyday Bronze + Vision + Adult Dental EPO 53932AL0110003 No
Focused Silver EPO 53932AL0100005 No
Focused Silver + Vision + Adult Dental EPO 53932AL0110005 No
Standard Expanded Bronze EPO 53932AL0100011 No
Standard Expanded Bronze + Vision + Adult Dental EPO 53932AL0110011 No
Standard Gold EPO 53932AL0100013 No
Standard Gold + Vision + Adult Dental EPO 53932AL0110013 No
Standard Silver EPO 53932AL0100012 No
Plan Name Plan Type Plan ID Dental Only Plan?
Central Bronze HMO 27833IL0140069 No
Central Bronze + Vision + Adult Dental HMO 27833IL0150069 No
Central Gold HMO 27833IL0140071 No
Central Gold + Vision + Adult Dental HMO 27833IL0150071 No
Clear Silver HMO 27833IL0140061 No
Everyday Bronze HMO 27833IL0140016 No
Everyday Bronze + Vision + Adult Dental HMO 27833IL0150016 No
Everyday Gold HMO 27833IL0140064 No
Everyday Gold + Vision + Adult Dental HMO 27833IL0150059 No
Focused Silver HMO 27833IL0140063 No
Focused Silver + Vision + Adult Dental HMO 27833IL0150058 No
Standard Expanded Bronze HMO 27833IL0140073 No
Standard Expanded Bronze + Vision + Adult Dental HMO 27833IL0150072 No
Standard Gold HMO 27833IL0140075 No
Standard Gold + Vision + Adult Dental HMO 27833IL0150074 No
Standard Silver HMO 27833IL0140074 No
Standard Silver + Vision + Adult Dental HMO 27833IL0150073 No
Plan Name Plan Type Plan ID Dental Only Plan?
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990127 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990188 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990189 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990190 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990191 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990192 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990193 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990194 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990195 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990196 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990197 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990198 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990199 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990265 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990267 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990268 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990269 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990270 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990271 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990272 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990273 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990274 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990275 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990276 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990277 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990278 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990306 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990332 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990333 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990334 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990335 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990336 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990337 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990338 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990339 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990340 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990341 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990342 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990343 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990122 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990128 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990129 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990130 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990131 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990132 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990133 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990134 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990135 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990136 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990137 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990138 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990139 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990374 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990375 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990376 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990377 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990378 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990379 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990380 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990381 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990382 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990383 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990384 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990385 No
Blue Choice Preferred Gold PPO? 901 PPO 36096IL0990386 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990279 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990282 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990283 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990284 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990285 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990286 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990287 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990288 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990289 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990290 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990291 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990292 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990293 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990126 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990176 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990177 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990178 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990179 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990180 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990181 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990182 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990183 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990184 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990185 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990186 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990187 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990123 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990140 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990141 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990142 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990143 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990144 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990145 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990146 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990147 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990148 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990149 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990150 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990151 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990361 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990362 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990363 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990364 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990365 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990366 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990367 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990368 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990369 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990370 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990371 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990372 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990373 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990280 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990294 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990295 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990296 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990297 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990298 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990299 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990300 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990344 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990345 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990346 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990347 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990348 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810083 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810108 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810109 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810110 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810111 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810112 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810123 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810134 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810135 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810136 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810137 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810138 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810172 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810173 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810174 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810175 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810176 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810177 No
Blue Precision Gold HMO? 207 HMO 36096IL0810080 No
Blue Precision Gold HMO? 207 HMO 36096IL0810090 No
Blue Precision Gold HMO? 207 HMO 36096IL0810091 No
Blue Precision Gold HMO? 207 HMO 36096IL0810092 No
Blue Precision Gold HMO? 207 HMO 36096IL0810093 No
Blue Precision Gold HMO? 207 HMO 36096IL0810094 No
Blue Precision Gold HMO? 703 HMO 36096IL0810121 No
Blue Precision Gold HMO? 703 HMO 36096IL0810124 No
Blue Precision Gold HMO? 703 HMO 36096IL0810125 No
Blue Precision Gold HMO? 703 HMO 36096IL0810126 No
Blue Precision Gold HMO? 703 HMO 36096IL0810127 No
Blue Precision Gold HMO? 703 HMO 36096IL0810128 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810139 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810142 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810143 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810144 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810145 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810146 No
Blue Precision Silver HMO? 206 HMO 36096IL0810081 No
Blue Precision Silver HMO? 206 HMO 36096IL0810096 No
Blue Precision Silver HMO? 206 HMO 36096IL0810097 No
Blue Precision Silver HMO? 206 HMO 36096IL0810098 No
Blue Precision Silver HMO? 206 HMO 36096IL0810099 No
Blue Precision Silver HMO? 206 HMO 36096IL0810100 No
Blue Precision Silver HMO? 704 HMO 36096IL0810122 No
Blue Precision Silver HMO? 704 HMO 36096IL0810129 No
Blue Precision Silver HMO? 704 HMO 36096IL0810130 No
Blue Precision Silver HMO? 704 HMO 36096IL0810131 No
Blue Precision Silver HMO? 704 HMO 36096IL0810132 No
Blue Precision Silver HMO? 704 HMO 36096IL0810133 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810140 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810147 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810148 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810149 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810150 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810151 No
Plan Name Plan Type Plan ID Dental Only Plan?
Blue Max 70/50 $6700 PPO 97176LA0340017 No
Blue Max 90/70 $1500 PPO 97176LA0340015 No
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $3300 PPO 97176LA0340010 No
Blue Max Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan PPO 97176LA0340024 No
Blue Max Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan PPO 97176LA0340023 No
Blue Max Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan PPO 97176LA0340022 No
Blue Saver 60/40 $6100 PPO 97176LA0350004 No
Blue Saver 90/70 $3200 PPO 97176LA0350003 No
Plan Name Plan Type Plan ID Dental Only Plan?
Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors PPO 11512NC0060004 No
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors PPO 11512NC0060031 No
Blue Advantage Bronze Standard | Nationwide Doctors PPO 11512NC0060052 No
Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors PPO 11512NC0060018 No
Blue Advantage Gold Standard | Nationwide Doctors PPO 11512NC0060050 No
Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors PPO 11512NC0060028 No
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors PPO 11512NC0060002 No
Blue Advantage Silver Standard | Nationwide Doctors PPO 11512NC0060051 No
Blue Care Bronze Standard | Statewide Doctors HMO 11512NC0430003 No
Blue Care Gold Standard | Statewide Doctors HMO 11512NC0430001 No
Blue Care Silver Standard | Statewide Doctors HMO 11512NC0430002 No
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health EPO 11512NC0400021 No
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Novant Health EPO 11512NC0400022 No
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance EPO 11512NC0390031 No
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance EPO 11512NC0390032 No
Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance EPO 11512NC0390033 No
Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390028 No
Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390029 No
Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390030 No
Blue Home Bronze Standard | with Novant Health EPO 11512NC0400023 No
Blue Home Bronze Standard | with Novant Health EPO 11512NC0400024 No
Blue Home Bronze Standard | with UNC Health Alliance EPO 11512NC0390034 No
Blue Home Bronze Standard | with UNC Health Alliance EPO 11512NC0390035 No
Blue Home Bronze Standard | with UNC Health Alliance EPO 11512NC0390036 No
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health EPO 11512NC0400001 No
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Novant Health EPO 11512NC0400002 No
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390001 No
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390002 No
Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390003 No
Blue Home Gold Standard | with Novant Health EPO 11512NC0400003 No
Blue Home Gold Standard | with Novant Health EPO 11512NC0400004 No
Blue Home Gold Standard | with UNC Health Alliance EPO 11512NC0390004 No
Blue Home Gold Standard | with UNC Health Alliance EPO 11512NC0390005 No
Blue Home Gold Standard | with UNC Health Alliance EPO 11512NC0390006 No
Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390022 No
Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390023 No
Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance EPO 11512NC0390024 No
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health EPO 11512NC0400009 No
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Novant Health EPO 11512NC0400010 No
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance EPO 11512NC0390013 No
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance EPO 11512NC0390014 No
Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance EPO 11512NC0390015 No
Blue Home Silver Standard | with Novant Health EPO 11512NC0400017 No
Blue Home Silver Standard | with Novant Health EPO 11512NC0400018 No
Blue Home Silver Standard | with UNC Health Alliance EPO 11512NC0390025 No
Blue Home Silver Standard | with UNC Health Alliance EPO 11512NC0390026 No
Blue Home Silver Standard | with UNC Health Alliance EPO 11512NC0390027 No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410011 No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410046 No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410047 No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410048 No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410055 No
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health EPO 11512NC0410009 No
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health EPO 11512NC0410044 No
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health EPO 11512NC0410045 No
Blue Local Bronze Standard | with Atrium Health EPO 11512NC0410012 No
Blue Local Bronze Standard | with Atrium Health EPO 11512NC0410049 No
Blue Local Bronze Standard | with Atrium Health EPO 11512NC0410050 No
Blue Local Bronze Standard | with Atrium Health EPO 11512NC0410051 No
Blue Local Bronze Standard | with Atrium Health EPO 11512NC0410056 No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health EPO 11512NC0410001 No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health EPO 11512NC0410016 No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health EPO 11512NC0410017 No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health EPO 11512NC0410018 No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health EPO 11512NC0410022 No
Blue Local Gold Standard | with Atrium Health EPO 11512NC0410002 No
Blue Local Gold Standard | with Atrium Health EPO 11512NC0410019 No
Blue Local Gold Standard | with Atrium Health EPO 11512NC0410020 No
Blue Local Gold Standard | with Atrium Health EPO 11512NC0410021 No
Blue Local Gold Standard | with Atrium Health EPO 11512NC0410023 No
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health EPO 11512NC0410008 No
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health EPO 11512NC0410038 No
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health EPO 11512NC0410039 No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410005 No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410024 No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410028 No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410029 No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health EPO 11512NC0410030 No
Blue Local Silver Standard | with Atrium Health EPO 11512NC0410010 No
Blue Local Silver Standard | with Atrium Health EPO 11512NC0410027 No
Blue Local Silver Standard | with Atrium Health EPO 11512NC0410040 No
Blue Local Silver Standard | with Atrium Health EPO 11512NC0410041 No
Blue Local Silver Standard | with Atrium Health EPO 11512NC0410042 No
Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors POS 11512NC0100070 No
Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors POS 11512NC0100071 No
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors POS 11512NC0100012 No
Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors POS 11512NC0100054 No
Blue Value Bronze Standard | Limited Statewide Doctors POS 11512NC0100074 No
Blue Value Bronze Standard | Limited Statewide Doctors POS 11512NC0100077 No
Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors POS 11512NC0100009 No
Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors POS 11512NC0100034 No
Blue Value Gold Standard | Limited Statewide Doctors POS 11512NC0100072 No
Blue Value Gold Standard | Limited Statewide Doctors POS 11512NC0100075 No
Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors POS 11512NC0100011 No
Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors POS 11512NC0100044 No
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors POS 11512NC0100064 No
Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors POS 11512NC0100065 No
Blue Value Silver Standard | Limited Statewide Doctors POS 11512NC0100073 No
Blue Value Silver Standard | Limited Statewide Doctors POS 11512NC0100076 No
Plan Name Plan Type Plan ID Dental Only Plan?
Blue Cross� Premier PPO Bronze Extra PPO 15560MI1120001 No
Blue Cross� Premier PPO Bronze HSA PPO 15560MI0350002 No
Blue Cross� Premier PPO Bronze Secure PPO 15560MI0350005 No
Blue Cross� Premier PPO Gold PPO 15560MI0350004 No
Blue Cross� Premier PPO Gold Extra PPO 15560MI1130002 No
Blue Cross� Premier PPO Silver PPO 15560MI0350003 No
Blue Cross� Premier PPO Silver Extra PPO 15560MI1130001 No
Blue Cross� Premier PPO Silver Saver HSA PPO 15560MI0350006 No
Blue Cross� Premier PPO Value PPO 15560MI0350001 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze First 7500 $25 Generic Drugs HMO 77552OH0010204 No
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness HMO 77552OH0020204 No
Core Gold 1500 $10 Generic Drugs HMO 77552OH0010212 No
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness HMO 77552OH0020212 No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services HMO 77552OH0010210 No
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness HMO 77552OH0020210 No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services HMO 77552OH0010209 No
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness HMO 77552OH0020209 No
Gold 1500 $15 Generic Drugs HMO 77552OH0010202 No
Gold 1500 $15 Generic Drugs Adult Vision & Fitness HMO 77552OH0020202 No
HDHP Preventive Silver 5500 $0 Select Drugs HMO 77552OH0010219 No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services HMO 77552OH0010215 No
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness HMO 77552OH0020215 No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services HMO 77552OH0010218 No
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness HMO 77552OH0020218 No
Low Premium Silver 6000 $3 Generic Drugs HMO 77552OH0010201 No
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness HMO 77552OH0020201 No
Silver 5000 $20 Generic Drugs HMO 77552OH0010203 No
Silver 5000 $20 Generic Drugs Adult Vision & Fitness HMO 77552OH0020203 No
Plan Name Plan Type Plan ID Dental Only Plan?
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) PPO 16842FL0260010 No
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) PPO 16842FL0260004 No
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) PPO 16842FL0260006 No
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) PPO 16842FL0260017 No
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) PPO 16842FL0260018 No
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) PPO 16842FL0260009 No
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) PPO 16842FL0260012 No
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) PPO 16842FL0260020 No
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) PPO 16842FL0260005 No
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) PPO 16842FL0260008 No
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) PPO 16842FL0260021 No
BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) PPO 16842FL0260003 No
BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) PPO 16842FL0260007 No
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) PPO 16842FL0260019 No
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) EPO 16842FL0120078 No
BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) EPO 16842FL0120068 No
BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) EPO 16842FL0120091 No
BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) EPO 16842FL0320014 No
BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) EPO 16842FL0310014 No
BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120093 No
BlueSelect Bronze 24L01-01 ($0 Virtual PCP Visits / Rewards) EPO 16842FL0120001 No
BlueSelect Gold 1535 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) EPO 16842FL0120076 No
BlueSelect Gold 1535V ($0 Virtual PCP Visits / $15 PCP Visits / Adult Vision / Rewards) EPO 16842FL0310001 No
BlueSelect Gold 1835 ($0 Virtual PCP Visits / $15 Labs / Rewards) EPO 16842FL0120086 No
BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120095 No
BlueSelect Platinum 1451 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) EPO 16842FL0120062 No
BlueSelect Platinum 1457 ($0 Deductible / $0 Virtual PCP Visits / $10 PCP Visits / Rewards) EPO 16842FL0120070 No
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) EPO 16842FL0120096 No
BlueSelect Silver 1443 ($0 Virtual PCP Visits / $0 Labs / Rewards) EPO 16842FL0120072 No
BlueSelect Silver 1443E ($0 Virtual PCP Visits / $0 Labs / Adult Dental & Vision / Rewards) EPO 16842FL0320004 No
BlueSelect Silver 1443V ($0 Virtual PCP Visits / $0 Labs / Adult Vision / Rewards) EPO 16842FL0310004 No
BlueSelect Silver 1456 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) EPO 16842FL0120033 No
BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120094 No
Plan Name Plan Type Plan ID Dental Only Plan?
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) POS 30252FL0140009 No
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) POS 30252FL0140003 No
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) POS 30252FL0140005 No
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140025 No
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) POS 30252FL0140031 No
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) POS 30252FL0140017 No
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) POS 30252FL0140018 No
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140023 No
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) POS 30252FL0140026 No
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) POS 30252FL0140008 No
BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) POS 30252FL0140010 No
BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) POS 30252FL0140033 No
BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) POS 30252FL0140020 No
BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140028 No
BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) POS 30252FL0140004 No
BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) POS 30252FL0140007 No
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) POS 30252FL0140034 No
BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) POS 30252FL0140015 No
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) POS 30252FL0140029 No
BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) POS 30252FL0140002 No
BlueCare Silver 24K01-06 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140006 No
BlueCare Silver 24K01-32S ($40 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140032 No
BlueCare Silver 24K02-21 ($0 Virtual PCP Visits / $0 Labs / Rewards) POS 30252FL0140021 No
BlueCare Silver 24K02-27S ($40 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140027 No
Plan Name Plan Type Plan ID Dental Only Plan?
Blue POS 60/40 $6500 POS 19636LA0220012 No
Blue POS 70/50 $4550 POS 19636LA0220013 No
Blue POS 80/60 $3200 POS 19636LA0220014 No
Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan POS 19636LA0220017 No
Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan POS 19636LA0220018 No
Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan POS 19636LA0220019 No
Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 POS 19636LA0220005 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze 10 HMO 64353OH0010013 No
Bronze 8 HMO 64353OH0010011 No
Bronze 9 HMO 64353OH0010012 No
Gold 1 HMO 42326SC0010001 No
Gold 1 HMO 52697WI0010001 No
Gold 1 HMO 64353OH0010001 No
Gold 1 with Adult Vision Services HMO 42326SC0020001 No
Gold 1 with Adult Vision Services HMO 52697WI0050001 No
Gold 1 with Adult Vision Services HMO 64353OH0040001 No
Gold 8 HMO 42326SC0010008 No
Gold 8 HMO 52697WI0010008 No
Gold 8 HMO 64353OH0010008 No
Silver 1 HMO 42326SC0010002 No
Silver 1 HMO 52697WI0010002 No
Silver 1 HMO 64353OH0010002 No
Silver 1 with Adult Vision Services HMO 42326SC0020002 No
Silver 1 with Adult Vision Services HMO 52697WI0050002 No
Silver 1 with Adult Vision Services HMO 64353OH0040002 No
Silver 12 HMO 42326SC0010010 No
Silver 12 with first 4 free PCP or MH visits HMO 64353OH0010010 No
Silver 12 with First 4 Primary Care Visits Free HMO 52697WI0010010 No
Silver 8 HMO 42326SC0010009 No
Silver 8 HMO 52697WI0010009 No
Silver 8 HMO 64353OH0010009 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Classic 4700 (Select) HMO 29341OH0100024 No
Bronze Classic PCP Saver (Select) HMO 29341OH0100002 No
Bronze Classic Standard (Select) HMO 29341OH0100050 No
Gold Classic (Select) HMO 29341OH0100013 No
Gold Classic Standard (Select) HMO 29341OH0100053 No
Gold Elite Saver Plus (Select) HMO 29341OH0100035 No
Secure (Select) HMO 29341OH0100011 No
Silver Classic Standard (Select) HMO 29341OH0100052 No
Silver Elite Saver Plus (Select) HMO 29341OH0100030 No
Silver Simple Chronic Care CKM (Select) HMO 29341OH0100060 No
Silver Simple PCP Saver (Select) HMO 29341OH0100025 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Classic 4700 HMO 69803NC0010024 No
Bronze Classic 4700 | with Atrium Health HMO 69803NC0010061 No
Bronze Classic Standard HMO 69803NC0010050 No
Bronze Classic Standard | with Atrium Health HMO 69803NC0010055 No
Bronze Elite + PCP Saver Plus HMO 69803NC0010005 No
Bronze Elite + PCP Saver Plus | with Atrium Health HMO 69803NC0010062 No
Gold Classic Standard HMO 69803NC0010053 No
Gold Classic Standard | with Atrium Health HMO 69803NC0010057 No
Gold Elite Saver Plus HMO 69803NC0010035 No
Gold Elite Saver Plus | with Atrium Health HMO 69803NC0010066 No
Secure HMO 69803NC0010011 No
Secure | with Atrium Health HMO 69803NC0010060 No
Silver Classic HMO 69803NC0010006 No
Silver Classic | with Atrium Health HMO 69803NC0010063 No
Silver Classic Standard HMO 69803NC0010052 No
Silver Classic Standard | with Atrium Health HMO 69803NC0010056 No
Silver Simple Diabetes HMO 69803NC0010045 No
Silver Simple Diabetes | with Atrium Health HMO 69803NC0010064 No
Silver Simple PCP Saver HMO 69803NC0010025 No
Silver Simple PCP Saver | with Atrium Health HMO 69803NC0010065 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Classic 4700 HMO 13877AZ0070024 No
Bronze Classic 4700 (Select) HMO 11574IL0020024 No
Bronze Classic PCP Saver Plus Rx Copay (Select) HMO 11574IL0020021 No
Bronze Classic Standard HMO 13877AZ0070050 No
Bronze Classic Standard (Choice) HMO 11574IL0010050 No
Bronze Classic Standard (Select) HMO 11574IL0020050 No
Bronze Elite + PCP Saver Plus HMO 13877AZ0070005 No
Gold Classic HMO 13877AZ0070013 No
Gold Classic Standard HMO 13877AZ0070053 No
Gold Classic Standard (Choice) HMO 11574IL0010053 No
Gold Classic Standard (Select) HMO 11574IL0020053 No
Secure HMO 13877AZ0070011 No
Secure (Choice) HMO 11574IL0010011 No
Silver Classic Standard HMO 13877AZ0070052 No
Silver Classic Standard (Choice) HMO 11574IL0010052 No
Silver Classic Standard (Select) HMO 11574IL0020052 No
Silver Elite Saver Plus HMO 13877AZ0070030 No
Silver Elite Saver Plus Rx Copay (Select) HMO 11574IL0020030 No
Silver Simple Chronic Care CKM HMO 13877AZ0070060 No
Silver Simple Diabetes (Choice) HMO 11574IL0010045 No
Silver Simple Diabetes (Select) HMO 11574IL0020060 No
Silver Simple PCP Saver HMO 13877AZ0070025 No
Silver Simple PCP Saver (Select) HMO 11574IL0020025 No
Silver Simple Specialist Saver with COPD HMO 13877AZ0070008 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Classic EPO 57424NE0010003 No
Bronze Classic 4700 EPO 23552TN0020024 No
Bronze Classic 4700 EPO 43490KS0010024 No
Bronze Classic 4700 EPO 45819IA0010060 No
Bronze Classic 4700 EPO 69512MO0010024 No
Bronze Classic 4700 EPO 77739MI0070024 No
Bronze Classic 4700 PPO 91908OK0010024 No
Bronze Classic 4700 | MercyOne EPO 45819IA0010024 No
Bronze Classic Standard EPO 23552TN0020050 No
Bronze Classic Standard EPO 43490KS0010050 No
Bronze Classic Standard EPO 45819IA0010065 No
Bronze Classic Standard EPO 57424NE0010050 No
Bronze Classic Standard EPO 69512MO0010050 No
Bronze Classic Standard EPO 77739MI0070050 No
Bronze Classic Standard PPO 91908OK0010050 No
Bronze Classic Standard | MercyOne EPO 45819IA0010050 No
Bronze Elite + PCP Saver EPO 43490KS0010005 No
Bronze Elite + PCP Saver Plus EPO 23552TN0020005 No
Bronze Elite + PCP Saver Plus EPO 45819IA0010056 No
Bronze Elite + PCP Saver Plus EPO 57424NE0010005 No
Bronze Elite + PCP Saver Plus EPO 69512MO0010005 No
Bronze Elite + PCP Saver Plus EPO 77739MI0070005 No
Bronze Elite + PCP Saver Plus PPO 91908OK0010005 No
Bronze Elite + PCP Saver Plus | MercyOne EPO 45819IA0010005 No
Gold Classic EPO 23552TN0020013 No
Gold Classic Standard EPO 23552TN0020053 No
Gold Classic Standard EPO 43490KS0010053 No
Gold Classic Standard EPO 45819IA0010067 No
Gold Classic Standard EPO 57424NE0010053 No
Gold Classic Standard EPO 69512MO0010053 No
Gold Classic Standard EPO 77739MI0070053 No
Gold Classic Standard PPO 91908OK0010053 No
Gold Classic Standard | MercyOne EPO 45819IA0010053 No
Gold Elite EPO 23552TN0020036 No
Gold Elite EPO 45819IA0010063 No
Gold Elite EPO 57424NE0010036 No
Gold Elite | MercyOne EPO 45819IA0010036 No
Gold Elite Saver Plus EPO 77739MI0070035 No
Secure EPO 23552TN0020011 No
Secure EPO 43490KS0010011 No
Secure EPO 45819IA0010058 No
Secure EPO 57424NE0010011 No
Secure EPO 69512MO0010011 No
Secure EPO 77739MI0070011 No
Secure PPO 91908OK0010011 No
Secure | MercyOne EPO 45819IA0010011 No
Silver Classic EPO 23552TN0020006 No
Silver Classic EPO 43490KS0010006 No
Silver Classic EPO 45819IA0010057 No
Silver Classic EPO 57424NE0010006 No
Silver Classic EPO 77739MI0070006 No
Silver Classic | MercyOne EPO 45819IA0010006 No
Silver Classic Standard EPO 23552TN0020052 No
Silver Classic Standard EPO 43490KS0010052 No
Silver Classic Standard EPO 45819IA0010066 No
Silver Classic Standard EPO 57424NE0010052 No
Silver Classic Standard EPO 69512MO0010052 No
Silver Classic Standard EPO 77739MI0070052 No
Silver Classic Standard PPO 91908OK0010052 No
Silver Classic Standard | MercyOne EPO 45819IA0010052 No
Silver Elite Saver Plus EPO 69512MO0010030 No
Silver Elite Saver Plus PPO 91908OK0010030 No
Silver Simple Breathe Easy with Enhanced COPD Benefits EPO 23552TN0020056 No
Silver Simple Breathe Easy with Enhanced COPD Benefits PPO 91908OK0010055 No
Silver Simple Diabetes EPO 23552TN0020055 No
Silver Simple Diabetes EPO 43490KS0010045 No
Silver Simple Diabetes EPO 45819IA0010064 No
Silver Simple Diabetes EPO 57424NE0010045 No
Silver Simple Diabetes EPO 69512MO0010045 No
Silver Simple Diabetes PPO 91908OK0010045 No
Silver Simple Diabetes | MercyOne EPO 45819IA0010045 No
Silver Simple PCP Saver EPO 23552TN0020025 No
Silver Simple PCP Saver EPO 43490KS0010025 No
Silver Simple PCP Saver EPO 45819IA0010061 No
Silver Simple PCP Saver EPO 57424NE0010025 No
Silver Simple PCP Saver EPO 69512MO0010025 No
Silver Simple PCP Saver EPO 77739MI0070025 No
Silver Simple PCP Saver PPO 91908OK0010025 No
Silver Simple PCP Saver | MercyOne EPO 45819IA0010025 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Classic 4700 EPO 40572FL0070024 No
Bronze Classic 4700 EPO 40572FL0200024 No
Bronze Classic Standard EPO 40572FL0070050 No
Bronze Classic Standard EPO 40572FL0200050 No
Bronze Elite + PCP Saver Plus EPO 40572FL0070005 No
Bronze Elite + PCP Saver Plus EPO 40572FL0200005 No
Gold Classic Standard EPO 40572FL0070053 No
Gold Classic Standard EPO 40572FL0200053 No
Gold Elite EPO 40572FL0070036 No
Gold Elite Saver Plus EPO 40572FL0070035 No
Secure EPO 40572FL0070011 No
Secure EPO 40572FL0200011 No
Silver Classic Standard EPO 40572FL0070052 No
Silver Classic Standard EPO 40572FL0200052 No
Silver Elite EPO 40572FL0070016 No
Silver Elite EPO 40572FL0200016 No
Silver Simple Chronic Care CKM EPO 40572FL0070060 No
Silver Simple Chronic Care CKM EPO 40572FL0200060 No
Silver Simple Diabetes EPO 40572FL0070061 No
Silver Simple Diabetes EPO 40572FL0200061 No
Silver Simple PCP Saver EPO 40572FL0070025 No
Silver Simple PCP Saver EPO 40572FL0200025 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Classic PCP Saver HMO 45845OH0100002 No
Bronze Classic Standard HMO 45845OH0100050 No
Bronze Simple HSA HMO 45845OH0100014 No
Gold Classic Standard HMO 45845OH0100053 No
Gold Elite HMO 45845OH0100036 No
Gold Elite Saver Plus HMO 45845OH0100035 No
Secure HMO 45845OH0100011 No
Silver Classic Standard HMO 45845OH0100052 No
Silver Elite Saver Plus HMO 45845OH0100030 No
Silver Simple Chronic Care CKM HMO 45845OH0100060 No
Silver Simple Diabetes HMO 45845OH0100045 No
Silver Simple PCP Saver HMO 45845OH0100025 No
Plan Name Plan Type Plan ID Dental Only Plan?
Wellmark Bronze HDHP HMO HSA Qualified HMO 25896IA0370002 No
Wellmark Bronze Traditional HMO HMO 25896IA0370005 No
Wellmark Gold Traditional HMO HMO 25896IA0370006 No
Wellmark Silver Traditional HMO HMO 25896IA0370003 No
Wellmark Standard Bronze HMO HMO 25896IA0370012 No
Wellmark Standard Gold HMO HMO 25896IA0370014 No
Wellmark Standard Silver HMO HMO 25896IA0370013 No