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  7. Accepted Health Plans 1215971569

CVS PHARMACY #08872
Accepted Insurance Health Plans for NPI 1215971569
Pharmacy in Aliso Viejo, CA

NPI Status: Active since June 16, 2006

Contact Information

26891 ALISO CREEK RD
ALISO VIEJO, CA
ZIP 92656
Phone: (949) 360-4081

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Table of Contents - List of Insurance Companies

  1. Aetna CVS Health
  2. Ambetter from Absolute Total Care
  3. Ambetter from Arizona Complete Health
  4. Ambetter from Arkansas Health & Wellness
  5. Ambetter from Home State Health
  6. Ambetter from Louisiana Healthcare Connections
  7. Ambetter from Meridian
  8. Ambetter from NH Healthy Families
  9. Ambetter from Sunflower Health Plan
  10. Ambetter from Superior HealthPlan
  11. Ambetter Health
  12. Ambetter Health of Delaware
  13. Ambetter of Alabama
  14. Ambetter of North Carolina
  15. Ambetter of Oklahoma
  16. Avera Health Plans
  17. AvMed
  18. BannerAetna
  19. Baylor Scott and White Health Plan
  20. Blue Cross and Blue Shield of Illinois
  21. Blue Cross Blue Shield of North Dakota
  22. BlueCross BlueShield of Tennessee
  23. Chorus Community Health Plans
  24. CHRISTUS Health Plan
  25. Dean Health Plan
  26. HealthPartners
  27. Highmark Blue Cross Blue Shield Delaware
  28. Highmark Blue Cross Blue Shield West Virginia
  29. Humana
  30. Medica
  31. Moda Health Plan, Inc.
  32. Oscar Health Insurance
  33. Oscar Health Plan of North Carolina, Inc
  34. Oscar Health Plan, Inc.
  35. Oscar Insurance Company
  36. Oscar Insurance Company of Florida
  37. Oscar Insurance Corporation of Ohio
  38. Primewell Health Services of Mississippi
  39. Priority Health
  40. Sanford Health Plan
  41. SummaCare
  42. University of Michigan Health Plan
  43. WellCare of North Carolina

Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by CVS PHARMACY #08872. 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.

Aetna CVS Health

Plan Name Plan Type Plan ID Dental Only Plan?
Bronze 1 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay HMO 99129IL0120001 No
Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care EPO 48161MO0200003 No
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care EPO 84600KS0130001 No
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care HMO 38927UT0380001 No
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care HMO 61671NC0100001 No
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care HMO 84867OH0100001 No
Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care HMO 96992IN0060001 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160054 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060002 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130002 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100016 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100002 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 99129IL0120012 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision EPO 84600KS0130010 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 18628FL0160060 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 61671NC0100022 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 84867OH0100010 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 96992IN0060010 No
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 99129IL0120032 No
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care EPO 48161MO0200028 No
Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision EPO 48161MO0200040 No
Bronze 4 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380002 No
Bronze S: Aetna network + $0 CVS Health Virtual Primary Care EPO 48161MO0200016 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160022 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060003 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130003 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380003 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100006 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100003 No
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 99129IL0120003 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160061 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060011 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130011 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100023 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100011 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 99129IL0120033 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision EPO 84600KS0130012 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 18628FL0160062 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 61671NC0100024 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 84867OH0100012 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 96992IN0060012 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 99129IL0120034 No
Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision HMO 58840TX0110147 No
Gold 10 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380010 No
Gold 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care HMO 58840TX0130001 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160055 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060004 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130004 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380004 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100017 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100004 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay HMO 99129IL0120017 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision EPO 84600KS0130013 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 18628FL0160063 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 61671NC0100025 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 96992IN0060013 No
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay HMO 99129IL0120035 No
Gold 3 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110075 No
Gold 3 Advanced: Aetna network + $0 walk-in clinic + Adult Dental + Vision HMO 58840TX0110149 No
Gold 4 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110085 No
Gold S: Aetna network + $0 CVS Health Virtual Primary Care EPO 48161MO0200019 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160030 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060005 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130005 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380005 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100007 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 67190DE0100008 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100005 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay HMO 99129IL0120005 No
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay PPO 72547IL0170005 No
Gold S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110033 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160064 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060014 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130014 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100026 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100013 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 99129IL0120036 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision EPO 84600KS0130015 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 18628FL0160065 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 61671NC0100027 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 84867OH0100014 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 96992IN0060015 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision HMO 99129IL0120037 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110151 No
Silver 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision HMO 58840TX0110152 No
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care EPO 48161MO0200044 No
Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision EPO 48161MO0200045 No
Silver 10: $0 PCP at Aetna network & MinuteClinic Primary Care + $0 CVS Health Virtual Care HMO 58840TX0130002 No
Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care EPO 48161MO0200015 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160029 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060006 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130006 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380006 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100019 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100006 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Rx Copay HMO 99129IL0120006 No
Silver 5 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision + Rx Copay HMO 99129IL0120038 No
Silver 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110103 No
Silver 6 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380008 No
Silver S: Aetna network + $0 CVS Health Virtual Primary Care EPO 48161MO0200025 No
Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision EPO 48161MO0200046 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 18628FL0160009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 HMO 96992IN0060009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision HMO 18628FL0160067 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision HMO 96992IN0060016 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care EPO 84600KS0130009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 38927UT0380009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 61671NC0100009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 67190DE0100009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 84867OH0100009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care HMO 99129IL0120009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care PPO 72547IL0170009 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision EPO 84600KS0130016 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision HMO 61671NC0100028 No
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision HMO 84867OH0100015 No
Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110055 No
Silver S: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision HMO 58840TX0110154 No

Ambetter from Absolute Total Care

Plan Name Plan Type Plan ID Dental Only Plan?
Clear Silver HMO 79222SC0010023 No
Elite Bronze HMO 79222SC0010022 No
Elite Bronze + Vision + Adult Dental HMO 79222SC0020022 No
Elite Gold HMO 79222SC0010029 No
Elite Gold + Vision + Adult Dental HMO 79222SC0020030 No
Everyday Bronze HMO 79222SC0010011 No
Everyday Bronze + Vision + Adult Dental HMO 79222SC0020011 No
Everyday Gold HMO 79222SC0010026 No
Everyday Gold + Vision + Adult Dental HMO 79222SC0020026 No
Focused Silver HMO 79222SC0010025 No
Focused Silver + Vision + Adult Dental HMO 79222SC0020025 No
Standard Expanded Bronze HMO 79222SC0010031 No
Standard Expanded Bronze + Vision + Adult Dental HMO 79222SC0020031 No
Standard Gold HMO 79222SC0010033 No
Standard Gold + Vision + Adult Dental HMO 79222SC0020033 No
Standard Silver HMO 79222SC0010032 No
Standard Silver + Vision + Adult Dental HMO 79222SC0020032 No

Ambetter from Arizona Complete Health

Plan Name Plan Type Plan ID Dental Only Plan?
Choice Bronze HSA HMO 91450AZ0080037 No
Choice Bronze HSA + Vision + Adult Dental HMO 91450AZ0180037 No
Clear Silver HMO 91450AZ0080097 No
Complete Gold HMO 91450AZ0080059 No
Complete Gold + Vision + Adult Dental HMO 91450AZ0180059 No
Complete Silver HMO 91450AZ0080044 No
Complete Silver + Vision + Adult Dental HMO 91450AZ0180044 No
Elite Gold HMO 91450AZ0080113 No
Elite Gold + Vision + Adult Dental HMO 91450AZ0180113 No
Everyday Bronze HMO 91450AZ0080119 No
Everyday Bronze + Vision + Adult Dental HMO 91450AZ0180119 No
Standard Expanded Bronze HMO 91450AZ0080122 No
Standard Expanded Bronze + Vision + Adult Dental HMO 91450AZ0180104 No
Standard Gold HMO 91450AZ0080124 No
Standard Gold + Vision + Adult Dental HMO 91450AZ0180106 No
Standard Silver HMO 91450AZ0080123 No
Standard Silver + Vision + Adult Dental HMO 91450AZ0180105 No

Ambetter from Arkansas Health & Wellness

Plan Name Plan Type Plan ID Dental Only Plan?
Choice Bronze HSA (QualChoice) POS 70525AR0070285 No
Complete Gold PPO 62141AR0080014 No
Complete Gold + Vision + Adult Dental PPO 62141AR0100014 No
Complete Silver (QualChoice) POS 70525AR0070001 No
Connected Silver PPO 62141AR0080007 No
Connected Silver (QualChoice) POS 70525AR0070261 No
Connected Silver (QualChoiceLife) PPO 37903AR0070025 No
Connected Silver + Vision + Adult Dental PPO 62141AR0100007 No
Elite Bronze PPO 62141AR0080026 No
Elite Bronze + Vision + Adult Dental PPO 62141AR0100026 No
Elite Gold (QualChoice) POS 70525AR0070268 No
Elite Gold (QualChoiceLife) PPO 37903AR0070031 No
Everyday Bronze PPO 62141AR0080017 No
Everyday Bronze + Vision + Adult Dental PPO 62141AR0100017 No
Everyday Gold PPO 62141AR0080030 No
Everyday Gold + Vision + Adult Dental PPO 62141AR0100030 No
Everyday Silver (QualChoiceLife) PPO 37903AR0070001 No
Focused Silver PPO 62141AR0080029 No
Focused Silver + Vision + Adult Dental PPO 62141AR0100032 No
Standard Expanded Bronze PPO 62141AR0080032 No
Standard Expanded Bronze (QualChoice) POS 70525AR0070287 No
Standard Expanded Bronze + Vision + Adult Dental PPO 62141AR0100033 No
Standard Gold PPO 62141AR0080034 No
Standard Gold (QualChoice) POS 70525AR0070289 No
Standard Gold (QualChoiceLife) PPO 37903AR0070034 No
Standard Gold + Vision + Adult Dental PPO 62141AR0100035 No
Standard Silver PPO 62141AR0080033 No
Standard Silver (QualChoice) POS 70525AR0070288 No
Standard Silver (QualChoiceLife) PPO 37903AR0070033 No
Standard Silver + Vision + Adult Dental PPO 62141AR0100034 No

Ambetter from Home State Health

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

Ambetter from Louisiana Healthcare Connections

Plan Name Plan Type Plan ID Dental Only Plan?
Complete Gold EPO 90787LA0010006 No
Complete Gold + Vision + Adult Dental EPO 90787LA0020005 No
Elite Bronze EPO 90787LA0010002 No
Elite Bronze + Vision + Adult Dental EPO 90787LA0020002 No
Elite Gold EPO 90787LA0010008 No
Elite Gold + Vision + Adult Dental EPO 90787LA0020008 No
Elite Silver EPO 90787LA0010012 No
Elite Silver + Vision + Adult Dental EPO 90787LA0020012 No
Everyday Bronze EPO 90787LA0010001 No
Everyday Bronze + Vision + Adult Dental EPO 90787LA0020001 No
Focused Silver EPO 90787LA0010005 No
Focused Silver + Vision + Adult Dental EPO 90787LA0020004 No
Standard Expanded Bronze EPO 90787LA0010009 No
Standard Expanded Bronze + Vision + Adult Dental EPO 90787LA0020009 No
Standard Gold EPO 90787LA0010011 No
Standard Gold + Vision + Adult Dental EPO 90787LA0020011 No
Standard Silver EPO 90787LA0010010 No

Ambetter from Meridian

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

Ambetter from NH Healthy Families

Plan Name Plan Type Plan ID Dental Only Plan?
Choice Bronze HSA EPO 75841NH0090006 No
Choice Bronze HSA + Vision + Adult Dental EPO 75841NH0100002 No
Clear Silver EPO 75841NH0090013 No
Clear Silver + Vision + Adult Dental EPO 75841NH0100010 No
Complete Gold EPO 75841NH0090005 No
Complete Gold + Vision + Adult Dental EPO 75841NH0100009 No
Complete Silver EPO 75841NH0090011 No
Complete Silver + Vision + Adult Dental EPO 75841NH0100011 No
Elite Bronze EPO 75841NH0090021 No
Elite Bronze + Vision + Adult Dental EPO 75841NH0100021 No
Everyday Gold EPO 75841NH0090026 No
Everyday Gold + Vision + Adult Dental EPO 75841NH0100026 No
Standard Expanded Bronze EPO 75841NH0090028 No
Standard Expanded Bronze + Vision + Adult Dental EPO 75841NH0100029 No
Standard Gold EPO 75841NH0090030 No
Standard Gold + Vision + Adult Dental EPO 75841NH0100031 No
Standard Silver EPO 75841NH0090029 No
Standard Silver + Vision + Adult Dental EPO 75841NH0100030 No

Ambetter from Sunflower Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
Clear Silver EPO 34368KS0110049 No
Elite Bronze EPO 34368KS0110047 No
Elite Bronze + Vision + Adult Dental EPO 34368KS0120047 No
Elite Gold EPO 34368KS0110066 No
Elite Gold + Vision + Adult Dental EPO 34368KS0120068 No
Everyday Bronze EPO 34368KS0110043 No
Everyday Bronze + Vision + Adult Dental EPO 34368KS0120043 No
Everyday Gold EPO 34368KS0110033 No
Everyday Gold + Vision + Adult Dental EPO 34368KS0120033 No
Focused Silver EPO 34368KS0110053 No
Focused Silver + Vision + Adult Dental EPO 34368KS0120053 No
Standard Expanded Bronze EPO 34368KS0110068 No
Standard Expanded Bronze + Vision + Adult Dental EPO 34368KS0120069 No
Standard Gold EPO 34368KS0110070 No
Standard Gold + Vision + Adult Dental EPO 34368KS0120071 No
Standard Silver EPO 34368KS0110069 No
Standard Silver + Vision + Adult Dental EPO 34368KS0120070 No

Ambetter from Superior HealthPlan

Plan Name Plan Type Plan ID Dental Only Plan?
Clear VALUE Silver HMO 87226TX0060007 No
Clear VALUE Silver HMO 87226TX0070007 No
Clear VALUE Silver HMO 87226TX0080007 No
Clear VALUE Silver HMO 87226TX0100007 No
Complete Gold EPO 29418TX0140064 No
Complete Gold + Vision + Adult Dental EPO 29418TX0160020 No
Complete Silver EPO 29418TX0140019 No
Complete Silver + Vision + Adult Dental EPO 29418TX0160038 No
Complete VALUE Gold HMO 87226TX0060013 No
Complete VALUE Gold HMO 87226TX0070013 No
Complete VALUE Gold HMO 87226TX0080013 No
Complete VALUE Gold HMO 87226TX0100013 No
Everyday Gold EPO 29418TX0140102 No
Everyday Gold + Vision + Adult Dental EPO 29418TX0160102 No
Focused Silver EPO 29418TX0140100 No
Focused Silver + Vision + Adult Dental EPO 29418TX0160100 No
Focused VALUE Silver HMO 87226TX0060009 No
Focused VALUE Silver HMO 87226TX0070009 No
Focused VALUE Silver HMO 87226TX0080009 No
Focused VALUE Silver HMO 87226TX0100009 No
Focused VALUE Silver + Vision + Adult Dental HMO 87226TX0120001 No
Focused VALUE Silver + Vision + Adult Dental HMO 87226TX0130003 No
Focused VALUE Silver + Vision + Adult Dental HMO 87226TX0140003 No
Focused VALUE Silver + Vision + Adult Dental HMO 87226TX0150001 No
Standard Gold EPO 29418TX0140109 No
Standard Gold + Vision + Adult Dental EPO 29418TX0160052 No
Standard Gold VALUE HMO 87226TX0060012 No
Standard Gold VALUE HMO 87226TX0070012 No
Standard Gold VALUE HMO 87226TX0080012 No
Standard Gold VALUE HMO 87226TX0100012 No
Standard Silver EPO 29418TX0140108 No
Standard Silver VALUE HMO 87226TX0060011 No
Standard Silver VALUE HMO 87226TX0070011 No
Standard Silver VALUE HMO 87226TX0080011 No
Standard Silver VALUE HMO 87226TX0100011 No
Standard Silver VALUE + Vision + Adult Dental HMO 87226TX0120005 No
Standard Silver VALUE + Vision + Adult Dental HMO 87226TX0130002 No
Standard Silver VALUE + Vision + Adult Dental HMO 87226TX0140004 No
Standard Silver VALUE + Vision + Adult Dental HMO 87226TX0150003 No

Ambetter Health

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 + Vision + Adult Dental HMO 35065IN0050003 No
Complete Gold + Vision + Adult Dental HMO 41047OH0030041 No
Complete Gold + Vision + Adult Dental HMO 48286IA0020015 No
Complete Silver HMO 41047OH0010025 No
Complete Silver + Vision + Adult Dental HMO 41047OH0030025 No
Elite Bronze HMO 48286IA0010013 No
Elite Bronze + Vision + Adult Dental HMO 48286IA0020013 No
Elite Gold HMO 35065IN0040007 No
Elite Gold + Vision + Adult Dental HMO 35065IN0050006 No
Elite Silver HMO 48286IA0010022 No
Elite Silver + Vision + Adult Dental HMO 48286IA0020021 No
Everyday Bronze HMO 35065IN0040008 No
Everyday Bronze HMO 41047OH0010057 No
Everyday Bronze HMO 48286IA0010012 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 Gold HMO 48286IA0010016 No
Everyday Gold + Vision + Adult Dental HMO 48286IA0020016 No
Focused Silver HMO 35065IN0040010 No
Focused Silver HMO 48286IA0010019 No
Focused Silver + Vision + Adult Dental HMO 35065IN0050009 No
Focused Silver + Vision + Adult Dental HMO 48286IA0020019 No
Standard Expanded Bronze HMO 35065IN0040012 No
Standard Expanded Bronze HMO 41047OH0010069 No
Standard Expanded Bronze HMO 48286IA0010014 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 Gold HMO 35065IN0040013 No
Standard Gold HMO 41047OH0010071 No
Standard Gold HMO 48286IA0010017 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 Silver HMO 35065IN0040001 No
Standard Silver HMO 41047OH0010070 No
Standard Silver HMO 48286IA0010020 No
Standard Silver + Vision + Adult Dental HMO 35065IN0050001 No
Standard Silver + Vision + Adult Dental HMO 41047OH0030073 No

Ambetter Health of Delaware

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

Ambetter of Alabama

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

Ambetter of North Carolina

Plan Name Plan Type Plan ID Dental Only Plan?
Clear Silver with $0 Insulin Options HMO 77264NC0010037 No
Complete Gold HMO 77264NC0010007 No
Complete Gold + Vision + Adult Dental HMO 77264NC0020007 No
Complete Gold with Atrium Health HMO 77264NC0010056 No
Complete Gold with Atrium Health + Vision + Adult Dental HMO 77264NC0020053 No
Complete Silver with Atrium Health HMO 77264NC0010051 No
Complete Silver with Atrium Health + Vision + Adult Dental HMO 77264NC0020048 No
Elite Bronze HMO 77264NC0010036 No
Elite Bronze + Vision + Adult Dental HMO 77264NC0020036 No
Elite Bronze with Atrium Health HMO 77264NC0010050 No
Elite Bronze with Atrium Health + Vision + Adult Dental HMO 77264NC0020047 No
Everyday Bronze HMO 77264NC0010028 No
Everyday Bronze + Vision + Adult Dental HMO 77264NC0020028 No
Everyday Bronze with Atrium Health HMO 77264NC0010049 No
Everyday Bronze with Atrium Health + Vision + Adult Dental HMO 77264NC0020046 No
Focused Silver HMO 77264NC0010039 No
Focused Silver + Vision + Adult Dental HMO 77264NC0020039 No
Focused Silver with Atrium Health HMO 77264NC0010054 No
Focused Silver with Atrium Health + Vision + Adult Dental HMO 77264NC0020051 No
Standard Expanded Bronze HMO 77264NC0010044 No
Standard Expanded Bronze + Vision + Adult Dental HMO 77264NC0020055 No
Standard Expanded Bronze with Atrium Health HMO 77264NC0010059 No
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental HMO 77264NC0020058 No
Standard Gold HMO 77264NC0010046 No
Standard Gold + Vision + Adult Dental HMO 77264NC0020057 No
Standard Gold with Atrium Health HMO 77264NC0010061 No
Standard Gold with Atrium Health + Vision + Adult Dental HMO 77264NC0020060 No
Standard Silver HMO 77264NC0010045 No
Standard Silver + Vision + Adult Dental HMO 77264NC0020056 No
Standard Silver with Atrium Health HMO 77264NC0010060 No
Standard Silver with Atrium Health + Vision + Adult Dental HMO 77264NC0020059 No

Ambetter of Oklahoma

Plan Name Plan Type Plan ID Dental Only Plan?
Elite Bronze PPO 62505OK0120006 No
Elite Bronze + Vision + Adult Dental PPO 62505OK0130006 No
Elite Gold PPO 62505OK0120016 No
Elite Gold + Vision + Adult Dental PPO 62505OK0130017 No
Everyday Bronze PPO 62505OK0120002 No
Everyday Bronze + Vision + Adult Dental PPO 62505OK0130002 No
Everyday Gold PPO 62505OK0120014 No
Everyday Gold + Vision + Adult Dental PPO 62505OK0130014 No
Focused Silver PPO 62505OK0120012 No
Focused Silver + Vision + Adult Dental PPO 62505OK0130012 No
Standard Expanded Bronze PPO 62505OK0120019 No
Standard Expanded Bronze + Vision + Adult Dental PPO 62505OK0130019 No
Standard Gold PPO 62505OK0120021 No
Standard Gold + Vision + Adult Dental PPO 62505OK0130021 No
Standard Silver PPO 62505OK0120020 No

Avera Health Plans

Plan Name Plan Type Plan ID Dental Only Plan?
Avera $1800 PPO 60536SD0020064 No
Avera $1800 PPO 60536SD0020065 No
Avera $2000 PPO 60536SD0020007 No
Avera $2000 PPO 60536SD0020041 No
Avera $4000 PPO 60536SD0020022 No
Avera $4000 PPO 60536SD0020043 No
Avera $4500 PPO 60536SD0020039 No
Avera $4500 PPO 60536SD0020045 No
Avera $6000 PPO 60536SD0020023 No
Avera $6000 PPO 60536SD0020046 No
Avera $7500 HSA Eligible HDHP PPO 60536SD0020024 No
Avera $7500 HSA Eligible HDHP PPO 60536SD0020047 No
Avera $9200 PPO 60536SD0020018 No
Avera $9200 PPO 60536SD0020050 No
Avera Standard $1500 PPO 60536SD0020051 No
Avera Standard $1500 PPO 60536SD0020057 No
Avera Standard $5000 PPO 60536SD0020052 No
Avera Standard $5000 PPO 60536SD0020058 No
Avera Standard $7500 PPO 60536SD0020066 No
Avera Standard $7500 PPO 60536SD0020067 No

AvMed

Plan Name Plan Type Plan ID Dental Only Plan?
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340006 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340016 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340026 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340036 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340046 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340007 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340017 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340027 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340037 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340047 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340091 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340092 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340093 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340094 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340095 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340001 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340011 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340021 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340031 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340041 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350001 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350011 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350021 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350031 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350041 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340071 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340072 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340073 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340074 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340075 No
AvMed Entrust Platinum 25 (2025) HMO 19898FL0340020 No
AvMed Entrust Platinum 25 (2025) HMO 19898FL0340061 No
AvMed Entrust Platinum 25 (2025) HMO 19898FL0340064 No
AvMed Entrust Platinum 25 Dental+Vision (2025) HMO 19898FL0350020 No
AvMed Entrust Platinum 25 Dental+Vision (2025) HMO 19898FL0350061 No
AvMed Entrust Platinum 25 Dental+Vision (2025) HMO 19898FL0350064 No
AvMed Entrust Platinum Standard (2025) HMO 19898FL0340062 No
AvMed Entrust Platinum Standard (2025) HMO 19898FL0340063 No
AvMed Entrust Platinum Standard (2025) HMO 19898FL0340065 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340003 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340013 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340023 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340033 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340043 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350003 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350013 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350023 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350033 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350043 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340005 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340015 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340025 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340035 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340045 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350005 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350015 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350025 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350035 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350045 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340081 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340082 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340083 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340084 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340085 No

BannerAetna

Plan Name Plan Type Plan ID Dental Only Plan?
BannerAetna Bronze 2 HSA: No PCP required + 98point6 virtual care 24/7 HMO 23435AZ0040001 No
BannerAetna Bronze 4: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision HMO 23435AZ0040022 No
BannerAetna Bronze 4: No PCP required + $0 PCP + free 98point6 virtual care 24/7 HMO 23435AZ0040016 No
BannerAetna Bronze S: No PCP required + free 98point6 virtual care 24/7 HMO 23435AZ0040011 No
BannerAetna Gold 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental + Vision HMO 23435AZ0040023 No
BannerAetna Gold 10: No PCP required + $0 PCP + free 98point6 virtual care 24/7 HMO 23435AZ0040028 No
BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 HMO 23435AZ0040017 No
BannerAetna Gold 3: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision HMO 23435AZ0040024 No
BannerAetna Gold S: No PCP required + free 98point6 virtual care 24/7 HMO 23435AZ0040012 No
BannerAetna Silver 10: No PCP required + $0 PCP + free 98.6 virtual care 24/7 + Adult Dental +Vision HMO 23435AZ0040025 No
BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 HMO 23435AZ0040014 No
BannerAetna Silver 4: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision HMO 23435AZ0040026 No
BannerAetna Silver 5: No PCP required + free 98point6 virtual care 24/7 HMO 23435AZ0040019 No
BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 HMO 23435AZ0040015 No
BannerAetna Silver S: No PCP required + free 98point6 virtual care 24/7 + Adult Dental + Vision HMO 23435AZ0040027 No

Baylor Scott and White Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460001 No
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460001 No
BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) HMO 40788TX0460004 No
BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) HMO 40788TX0460004 No
BSW Elite Gold HMO 012 HMO 40788TX0460012 No
BSW Elite Gold HMO 012 HMO 40788TX0460012 No
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460003 No
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460003 No
BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) HMO 40788TX0460008 No
BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) HMO 40788TX0460008 No
BSW Prime Silver HMO 005 HMO 40788TX0460005 No
BSW Prime Silver HMO 005 HMO 40788TX0460005 No
BSW Savers Bronze HMO H S A 006 HMO 40788TX0460006 No
BSW Savers Bronze HMO H S A 006 HMO 40788TX0460006 No
BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460007 No
BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460007 No
BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) HMO 40788TX0460009 No
BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) HMO 40788TX0460009 No

Blue Cross and Blue Shield of Illinois

Plan Name Plan Type Plan ID Dental Only Plan?
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
BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate HMO 36096IL0810195 No
BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate HMO 36096IL0810212 No
BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate HMO 36096IL0810213 No
BlueCare Direct Gold? Standard - Rx Copays with Advocate HMO 36096IL0810193 No
BlueCare Direct Gold? Standard - Rx Copays with Advocate HMO 36096IL0810208 No
BlueCare Direct Gold? Standard - Rx Copays with Advocate HMO 36096IL0810209 No
BlueCare Direct Silver? Standard - Select Rx Copays with Advocate HMO 36096IL0810194 No
BlueCare Direct Silver? Standard - Select Rx Copays with Advocate HMO 36096IL0810210 No
BlueCare Direct Silver? Standard - Select Rx Copays with Advocate HMO 36096IL0810211 No

Blue Cross Blue Shield of North Dakota

Plan Name Plan Type Plan ID Dental Only Plan?
BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) PPO 37160ND2410005 No
BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) PPO 37160ND2410002 No
BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) PPO 37160ND2410020 No
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) PPO 37160ND2410022 No
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) PPO 37160ND2410014 No
BlueEssential Catastrophic 100 $9200 Deductible PPO 37160ND2410021 No
BlueValue Bronze $50 PCP Copay (Standardized plan) PPO 37160ND2410028 No
BlueValue Gold $30 PCP Copay (Standardized plan) PPO 37160ND2410026 No
BlueValue Silver $40 PCP Copay (Standardized plan) PPO 37160ND2410027 No
DakotaBlue Altru Gold ($5 Value Based Drug List) PPO 37160ND2480001 No
DakotaBlue Altru Silver ($5 Value Based Drug List) PPO 37160ND2480003 No
DakotaBlue Trinity Gold ($5 Value Based Drug List) PPO 37160ND2480009 No
DakotaBlue Trinity Silver ($5 Value Based Drug List) PPO 37160ND2480010 No

BlueCross BlueShield of Tennessee

Plan Name Plan Type Plan ID Dental Only Plan?
BlueCross B07E HSA EPO 14002TN0400285 No
BlueCross B07E HSA EPO 14002TN0400300 No
BlueCross B07E HSA EPO 14002TN0400301 No
BlueCross B07E HSA EPO 14002TN0400302 No
BlueCross B07S HSA EPO 14002TN0400001 No
BlueCross B07S HSA EPO 14002TN0400005 No
BlueCross B15E $0 virtual care from Teladoc Health � EPO 14002TN0400239 No
BlueCross B15E $0 virtual care from Teladoc Health � EPO 14002TN0400240 No
BlueCross B15E $0 virtual care from Teladoc Health � EPO 14002TN0400287 No
BlueCross B15E $0 virtual care from Teladoc Health � EPO 14002TN0400303 No
BlueCross B15E $0 virtual care from Teladoc Health � EPO 14002TN0400304 No
BlueCross B15E $0 virtual care from Teladoc Health � EPO 14002TN0400305 No
BlueCross B15S $0 virtual care from Teladoc Health � EPO 14002TN0400091 No
BlueCross B15S $0 virtual care from Teladoc Health � EPO 14002TN0400097 No
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400253 No
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400254 No
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400288 No
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400306 No
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400307 No
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400308 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400241 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400242 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400243 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400244 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400245 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400246 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400247 No
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400248 No
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400311 No
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400312 No
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400313 No
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400314 No
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400315 No
BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400316 No
BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400309 No
BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400310 No
BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400295 No
BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400353 No
BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400354 No
BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400355 No
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400200 No
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400201 No
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400202 No
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400203 No
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400204 No
BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400205 No
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400234 No
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400235 No
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400297 No
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400356 No
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400357 No
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400358 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400222 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400223 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400224 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400225 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400226 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400227 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400228 No
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400229 No
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400255 No
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400256 No
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400292 No
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400328 No
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400329 No
BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400330 No
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400188 No
BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400194 No
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400269 No
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400270 No
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400293 No
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400331 No
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400332 No
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400333 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400257 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400258 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400259 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400260 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400261 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400262 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400263 No
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400264 No
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400294 No
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400334 No
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400335 No
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400336 No
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400271 No
BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � EPO 14002TN0400277 No
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400339 No
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400340 No
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400341 No
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400342 No
BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400337 No
BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental EPO 14002TN0400338 No

Chorus Community Health Plans

Plan Name Plan Type Plan ID Dental Only Plan?
Chorus Bronze Complete EPO 14630WI0010010 No
Chorus Bronze HDHP EPO 14630WI0010005 No
Chorus Catastrophic EPO 14630WI0010008 No
Chorus Core Bronze EPO 14630WI0010015 No
Chorus Core Gold EPO 14630WI0010014 No
Chorus Core Silver EPO 14630WI0010013 No
Chorus Gold EPO 14630WI0010004 No
Chorus Silver EPO 14630WI0010003 No
Chorus Silver Select EPO 14630WI0010007 No

CHRISTUS Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
CHRISTUS Bronze HMO 98780LA0150001 No
CHRISTUS Bronze HMO 98780LA0150002 No
CHRISTUS Bronze HMO 98780LA0150003 No
CHRISTUS Bronze Essential HMO 98780LA0040001 No
CHRISTUS Bronze Essential HMO 98780LA0040002 No
CHRISTUS Bronze Essential HMO 98780LA0040003 No
CHRISTUS Bronze Essential Plus HMO 98780LA0160001 No
CHRISTUS Bronze Essential Plus HMO 98780LA0160002 No
CHRISTUS Bronze Essential Plus HMO 98780LA0160003 No
CHRISTUS Bronze Plus HMO 98780LA0170001 No
CHRISTUS Bronze Plus HMO 98780LA0170002 No
CHRISTUS Bronze Plus HMO 98780LA0170003 No
CHRISTUS Gold HMO 98780LA0200001 No
CHRISTUS Gold HMO 98780LA0200002 No
CHRISTUS Gold HMO 98780LA0200003 No
CHRISTUS Gold Essential HMO 98780LA0030001 No
CHRISTUS Gold Essential HMO 98780LA0030002 No
CHRISTUS Gold Essential HMO 98780LA0030003 No
CHRISTUS Gold Essential Plus HMO 98780LA0090001 No
CHRISTUS Gold Essential Plus HMO 98780LA0090002 No
CHRISTUS Gold Essential Plus HMO 98780LA0090003 No
CHRISTUS Gold Plus HMO 98780LA0210001 No
CHRISTUS Gold Plus HMO 98780LA0210002 No
CHRISTUS Gold Plus HMO 98780LA0210003 No
CHRISTUS Silver HMO 98780LA0010001 No
CHRISTUS Silver HMO 98780LA0010002 No
CHRISTUS Silver HMO 98780LA0010003 No
CHRISTUS Silver Essential HMO 98780LA0080001 No
CHRISTUS Silver Essential HMO 98780LA0080002 No
CHRISTUS Silver Essential HMO 98780LA0080003 No
CHRISTUS Silver Essential Plus HMO 98780LA0180001 No
CHRISTUS Silver Essential Plus HMO 98780LA0180002 No
CHRISTUS Silver Essential Plus HMO 98780LA0180003 No
CHRISTUS Silver Plus HMO 98780LA0190001 No
CHRISTUS Silver Plus HMO 98780LA0190002 No
CHRISTUS Silver Plus HMO 98780LA0190003 No
CHRISTUS Standard Expanded Bronze HMO 98780LA0140001 No
CHRISTUS Standard Expanded Bronze HMO 98780LA0140002 No
CHRISTUS Standard Expanded Bronze HMO 98780LA0140003 No
CHRISTUS Standard Gold HMO 98780LA0130001 No
CHRISTUS Standard Gold HMO 98780LA0130002 No
CHRISTUS Standard Gold HMO 98780LA0130003 No
CHRISTUS Standard Silver HMO 98780LA0120001 No
CHRISTUS Standard Silver HMO 98780LA0120002 No
CHRISTUS Standard Silver HMO 98780LA0120003 No

Dean Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
Dean Bronze $0 Copay PCP Visits HMO 38345WI0010183 No
Dean Bronze Share HMO 38345WI0010186 No
Dean Catastrophic HMO 38345WI0010063 No
Dean Expanded Bronze Standard HMO 38345WI0010164 No
Dean Focus Bronze $0 Copay PCP Visits EPO 38345WI0080073 No
Dean Focus Bronze Share EPO 38345WI0080076 No
Dean Focus Catastrophic EPO 38345WI0080064 No
Dean Focus Expanded Bronze Standard EPO 38345WI0080070 No
Dean Focus Gold HSA EPO 38345WI0080063 No
Dean Focus Gold Share EPO 38345WI0080074 No
Dean Focus Gold Standard EPO 38345WI0080068 No
Dean Focus Silver $0 Copay PCP Visits EPO 38345WI0080072 No
Dean Focus Silver Share EPO 38345WI0080075 No
Dean Focus Silver Standard EPO 38345WI0080069 No
Dean Gold HSA HMO 38345WI0010158 No
Dean Gold Share HMO 38345WI0010184 No
Dean Gold Standard HMO 38345WI0010162 No
Dean Silver $0 Copay PCP Visits HMO 38345WI0010182 No
Dean Silver Share HMO 38345WI0010185 No
Dean Silver Standard HMO 38345WI0010163 No
Prevea360 Bronze HSA HMO 38345WI0240009 No
Prevea360 Bronze Share HMO 38345WI0240022 No
Prevea360 Catastrophic HMO 38345WI0240010 No
Prevea360 Expanded Bronze Standard HMO 38345WI0240017 No
Prevea360 Gold HSA HMO 38345WI0240011 No
Prevea360 Gold Share HMO 38345WI0240020 No
Prevea360 Gold Standard HMO 38345WI0240015 No
Prevea360 Silver $0 Copay PCP Visits HMO 38345WI0240019 No
Prevea360 Silver Share HMO 38345WI0240021 No
Prevea360 Silver Standard HMO 38345WI0240016 No

HealthPartners

Plan Name Plan Type Plan ID Dental Only Plan?
Atlas $1,000 Gold PPO 20173WI0130020 No
Atlas $1,500 Standard Gold PPO 20173WI0130040 No
Atlas $2,650 Plus Silver PPO 20173WI0130021 No
Atlas $3,500 HSA Silver PPO 20173WI0130026 No
Atlas $5,000 Standard Silver PPO 20173WI0130041 No
Atlas $6,500 Plus Bronze PPO 20173WI0130023 No
Atlas $7,500 Standard Bronze PPO 20173WI0130042 No
Atlas $8,200 HSA Bronze PPO 20173WI0130027 No
Atlas $9,200 Catastrophic PPO 20173WI0130025 No
Robin Oak $1,000 Gold PPO 20173WI0130001 No
Robin Oak $1,500 Standard Gold PPO 20173WI0130011 No
Robin Select $2,800 Plus Silver PPO 20173WI0130033 No
Robin Select $3,500 HSA Silver PPO 20173WI0130037 No
Robin Select $5,000 Standard Silver PPO 20173WI0130034 No
Robin Select $6,500 Plus Bronze PPO 20173WI0130035 No
Robin Select $7,500 Standard Bronze PPO 20173WI0130036 No
Robin Select $8,200 HSA Bronze PPO 20173WI0130038 No
Robin Select $9,200 Catastrophic PPO 20173WI0130039 No

Highmark Blue Cross Blue Shield Delaware

Plan Name Plan Type Plan ID Dental Only Plan?
my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits PPO 76168DE0690013 No
my Blue Access PPO Bronze 3800 PPO 76168DE0690001 No
my Blue Access PPO Bronze 3800 + Adult Dental and Vision PPO 76168DE0700001 No
my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit PPO 76168DE0710001 No
my Blue Access PPO Bronze 8900 PPO 76168DE0690008 No
my Blue Access PPO Gold 0 PPO 76168DE0690004 No
my Blue Access PPO Gold 0 + Adult Dental and Vision PPO 76168DE0700004 No
my Blue Access PPO Gold 1700 HSA PPO 76168DE0710003 No
my Blue Access PPO Premier Gold 0 PPO 76168DE0730001 No
my Blue Access PPO Premier Gold 0 + Adult Dental and Vision PPO 76168DE0740002 No
my Blue Access PPO Premier Platinum 0 PPO 76168DE0730003 No
my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision PPO 76168DE0740004 No
my Blue Access PPO Silver 7000 PPO 76168DE0690007 No
my Blue Access PPO Standard Bronze 7500 PPO 76168DE0690012 No
my Blue Access PPO Standard Gold 1500 PPO 76168DE0690010 No
my Blue Access PPO Standard Platinum 0 PPO 76168DE0690011 No
my Blue Access PPO Standard Silver 5000 PPO 76168DE0690009 No
my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision PPO 76168DE0700006 No

Highmark Blue Cross Blue Shield West Virginia

Plan Name Plan Type Plan ID Dental Only Plan?
my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits PPO 31274WV0560010 No
my Blue Access WV PPO Bronze 3800 PPO 31274WV0560001 No
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision PPO 31274WV0570001 No
my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit PPO 31274WV0580001 No
my Blue Access WV PPO Bronze 8900 PPO 31274WV0560006 No
my Blue Access WV PPO Gold 0 PPO 31274WV0560005 No
my Blue Access WV PPO Gold 0 + Adult Dental and Vision PPO 31274WV0570003 No
my Blue Access WV PPO Gold 1700 HSA PPO 31274WV0580002 No
my Blue Access WV PPO Premier Gold 0 PPO 31274WV0590002 No
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision PPO 31274WV0600002 No
my Blue Access WV PPO Silver 7000 PPO 31274WV0560003 No
my Blue Access WV PPO Standard Bronze 7500 PPO 31274WV0560007 No
my Blue Access WV PPO Standard Gold 1500 PPO 31274WV0560009 No
my Blue Access WV PPO Standard Silver 5000 PPO 31274WV0560008 No
my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision PPO 31274WV0570004 No

Humana

Plan Name Plan Type Plan ID Dental Only Plan?
Humana Dental Smart Choice PPO 44965LA0590001 Yes
Humana Dental Smart Choice PPO 62294MI0420001 Yes
Humana Dental Smart Choice PPO 91604WI0490002 Yes
Humana Dental Smart Choice PPO 97596OH0580003 Yes
Humana Dental Smart Choice - High PPO 15980FL0160004 Yes
Humana Dental Smart Choice - High PPO 23468OK0200002 Yes
Humana Dental Smart Choice - High PPO 31358HI0010002 Yes
Humana Dental Smart Choice - High PPO 32237NC0290002 Yes
Humana Dental Smart Choice - High PPO 44580AL0380003 Yes
Humana Dental Smart Choice - High PPO 48963MS0510003 Yes
Humana Dental Smart Choice - High PPO 63141TX0760002 Yes
Humana Dental Smart Choice - High PPO 66105AZ0620003 Yes
Humana Dental Smart Choice - High PPO 82120TN0630005 Yes
Humana Dental Smart Choice - High PPO 99791IN0540002 Yes
Humana Dental Smart Choice - Lite PPO 15980FL0160005 Yes
Humana Dental Smart Choice - Lite PPO 30613MO0560002 Yes
Humana Dental Smart Choice - Lite PPO 32237NC0290003 Yes
Humana Dental Smart Choice - Lite PPO 44580AL0380004 Yes
Humana Dental Smart Choice - Lite PPO 63141TX0760003 Yes
Humana Dental Smart Choice - Lite PPO 82120TN0630006 Yes
Humana Dental Smart Choice - Low PPO 15980FL0160003 Yes
Humana Dental Smart Choice - Low PPO 23468OK0200001 Yes
Humana Dental Smart Choice - Low PPO 30613MO0560001 Yes
Humana Dental Smart Choice - Low PPO 32237NC0290001 Yes
Humana Dental Smart Choice - Low PPO 44580AL0380001 Yes
Humana Dental Smart Choice - Low PPO 48963MS0510002 Yes
Humana Dental Smart Choice - Low PPO 63141TX0760001 Yes
Humana Dental Smart Choice - Low PPO 66105AZ0620002 Yes
Humana Dental Smart Choice - Low PPO 82120TN0630004 Yes
Humana Dental Smart Choice - Low PPO 99791IN0540001 Yes
Humana Dental Smart Choice Basic PPO 46958UT0470002 Yes

Medica

Plan Name Plan Type Plan ID Dental Only Plan?
Balance by Medica Bronze $0 Copay PCP Visits EPO 53461MO0080041 No
Balance by Medica Bronze $0 Copay PCP Visits PPO 21333OK0060074 No
Balance by Medica Bronze Premier EPO 53461MO0080051 No
Balance by Medica Bronze Premier PPO 21333OK0060051 No
Balance by Medica Catastrophic EPO 53461MO0080013 No
Balance by Medica Catastrophic PPO 21333OK0060013 No
Balance by Medica Expanded Bronze Standard EPO 53461MO0080073 No
Balance by Medica Expanded Bronze Standard PPO 21333OK0060073 No
Balance by Medica Gold $0 Copay PCP Visits EPO 53461MO0080045 No
Balance by Medica Gold $0 Copay PCP Visits PPO 21333OK0060045 No
Balance by Medica Gold Share EPO 53461MO0080074 No
Balance by Medica Gold Share PPO 21333OK0060075 No
Balance by Medica Gold Standard EPO 53461MO0080055 No
Balance by Medica Gold Standard PPO 21333OK0060055 No
Balance by Medica Silver $0 Copay PCP Visits EPO 53461MO0080047 No
Balance by Medica Silver $0 Copay PCP Visits PPO 21333OK0060047 No
Balance by Medica Silver Share EPO 53461MO0080075 No
Balance by Medica Silver Share PPO 21333OK0060076 No
Balance by Medica Silver Standard EPO 53461MO0080057 No
Balance by Medica Silver Standard PPO 21333OK0060057 No
Elevate by Medica Bronze $0 Copay PCP Visits EPO 93078IA0050041 No
Elevate by Medica Bronze Share EPO 93078IA0050029 No
Elevate by Medica Expanded Bronze Standard EPO 93078IA0050073 No
Elevate by Medica Gold $0 Copay PCP Visits EPO 93078IA0050045 No
Elevate by Medica Gold Share EPO 93078IA0050074 No
Elevate by Medica Gold Standard EPO 93078IA0050055 No
Elevate by Medica Silver $0 Copay PCP Visits EPO 93078IA0050047 No
Elevate by Medica Silver Share EPO 93078IA0050075 No
Elevate by Medica Silver Standard EPO 93078IA0050057 No
Harmony by Medica Bronze $0 Copay PCP Visits PPO 21333OK0010041 No
Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam PPO 21333OK0070003 No
Harmony by Medica Bronze Premier PPO 21333OK0010051 No
Harmony by Medica Bronze Premier + Adult Eye Exam PPO 21333OK0070006 No
Harmony by Medica Catastrophic PPO 21333OK0010013 No
Harmony by Medica Catastrophic + Adult Eye Exam PPO 21333OK0070010 No
Harmony by Medica Expanded Bronze Standard PPO 21333OK0010073 No
Harmony by Medica Expanded Bronze Standard + Adult Eye Exam PPO 21333OK0070009 No
Harmony by Medica Gold $0 Copay PCP Visits PPO 21333OK0010045 No
Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam PPO 21333OK0070001 No
Harmony by Medica Gold Share PPO 21333OK0010074 No
Harmony by Medica Gold Share + Adult Eye Exam PPO 21333OK0070004 No
Harmony by Medica Gold Standard PPO 21333OK0010055 No
Harmony by Medica Gold Standard + Adult Eye Exam PPO 21333OK0070007 No
Harmony by Medica Silver $0 Copay PCP Visits PPO 21333OK0010047 No
Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam PPO 21333OK0070002 No
Harmony by Medica Silver Share PPO 21333OK0010075 No
Harmony by Medica Silver Share + Adult Eye Exam PPO 21333OK0070005 No
Harmony by Medica Silver Standard PPO 21333OK0010057 No
Harmony by Medica Silver Standard + Adult Eye Exam PPO 21333OK0070008 No
Inspire by Medica Bronze $0 Copay PCP Visits EPO 93078IA0070074 No
Inspire by Medica Bronze Share EPO 93078IA0070029 No
Inspire by Medica Expanded Bronze Standard EPO 93078IA0070073 No
Inspire by Medica Gold $0 Copay PCP Visits EPO 93078IA0070045 No
Inspire by Medica Gold Share EPO 93078IA0070075 No
Inspire by Medica Gold Standard EPO 93078IA0070055 No
Inspire by Medica Silver $0 Copay PCP Visits EPO 93078IA0070047 No
Inspire by Medica Silver Share EPO 93078IA0070027 No
Inspire by Medica Silver Standard EPO 93078IA0070057 No
Medica Insure Bronze $0 Copay PCP Visits EPO 93078IA0060041 No
Medica Insure Bronze Share EPO 93078IA0060029 No
Medica Insure Expanded Bronze Standard EPO 93078IA0060073 No
Medica Insure Gold $0 Copay PCP Visits EPO 93078IA0060045 No
Medica Insure Gold Share EPO 93078IA0060074 No
Medica Insure Gold Standard EPO 93078IA0060055 No
Medica Insure Silver $0 Copay PCP Visits EPO 93078IA0060047 No
Medica Insure Silver Share EPO 93078IA0060027 No
Medica Insure Silver Standard EPO 93078IA0060057 No
Medica with CHI Health Bronze $0 Copay PCP Visits EPO 93078IA0080041 No
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam EPO 93078IA0130003 No
Medica with CHI Health Bronze Share EPO 93078IA0080029 No
Medica with CHI Health Bronze Share + Adult Eye Exam EPO 93078IA0130006 No
Medica with CHI Health Expanded Bronze Standard EPO 93078IA0080073 No
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam EPO 93078IA0130009 No
Medica with CHI Health Gold $0 Copay PCP Visits EPO 93078IA0080045 No
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam EPO 93078IA0130001 No
Medica with CHI Health Gold Share EPO 93078IA0080074 No
Medica with CHI Health Gold Share + Adult Eye Exam EPO 93078IA0130004 No
Medica with CHI Health Gold Standard EPO 93078IA0080055 No
Medica with CHI Health Gold Standard + Adult Eye Exam EPO 93078IA0130007 No
Medica with CHI Health Silver $0 Copay PCP Visits EPO 93078IA0080047 No
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam EPO 93078IA0130002 No
Medica with CHI Health Silver Share EPO 93078IA0080075 No
Medica with CHI Health Silver Share + Adult Eye Exam EPO 93078IA0130005 No
Medica with CHI Health Silver Standard EPO 93078IA0080057 No
Medica with CHI Health Silver Standard + Adult Eye Exam EPO 93078IA0130008 No
Medica with MU Health Care Bronze $0 Copay PCP Visits EPO 53461MO0070041 No
Medica with MU Health Care Bronze Premier EPO 53461MO0070051 No
Medica with MU Health Care Catastrophic EPO 53461MO0070013 No
Medica with MU Health Care Expanded Bronze Standard EPO 53461MO0070073 No
Medica with MU Health Care Gold $0 Copay PCP Visits EPO 53461MO0070045 No
Medica with MU Health Care Gold Share EPO 53461MO0070074 No
Medica with MU Health Care Gold Standard EPO 53461MO0070055 No
Medica with MU Health Care Silver $0 Copay PCP Visits EPO 53461MO0070047 No
Medica with MU Health Care Silver Share EPO 53461MO0070075 No
Medica with MU Health Care Silver Standard EPO 53461MO0070057 No
Select by Medica Bronze $0 Copay PCP Visits EPO 53461MO0010041 No
Select by Medica Bronze Share EPO 53461MO0010029 No
Select by Medica Catastrophic EPO 53461MO0010013 No
Select by Medica Expanded Bronze Standard EPO 53461MO0010073 No
Select by Medica Gold $0 Copay PCP Visits EPO 53461MO0010045 No
Select by Medica Gold Share EPO 53461MO0010074 No
Select by Medica Gold Standard EPO 53461MO0010055 No
Select by Medica Silver $0 Copay PCP Visits EPO 53461MO0010047 No
Select by Medica Silver Share EPO 53461MO0010075 No
Select by Medica Silver Standard EPO 53461MO0010057 No
WellFirst by Medica Bronze $0 Copay PCP Visits EPO 47840MO0010021 No
WellFirst by Medica Bronze Share EPO 47840MO0010022 No
WellFirst by Medica Catastrophic EPO 47840MO0010010 No
WellFirst by Medica Expanded Bronze Standard EPO 47840MO0010017 No
WellFirst by Medica Gold $0 Copay PCP Visits EPO 47840MO0010019 No
WellFirst by Medica Gold Copay Plus EPO 47840MO0010001 No
WellFirst by Medica Gold Standard EPO 47840MO0010015 No
WellFirst by Medica Silver $0 Copay PCP Visits EPO 47840MO0010020 No
WellFirst by Medica Silver Copay Plus EPO 47840MO0010002 No
WellFirst by Medica Silver Standard EPO 47840MO0010016 No

Moda Health Plan, Inc.

Plan Name Plan Type Plan ID Dental Only Plan?
Moda Health Affinity Bronze 7750 EPO 39424OR1680005 No
Moda Health Affinity Bronze 9000 EPO 39424OR1660002 No
Moda Health Affinity Bronze HDHP 7500 EPO 39424OR1680007 No
Moda Health Affinity Gold 1000 EPO 39424OR1700001 No
Moda Health Affinity Gold 1500 EPO 39424OR1680008 No
Moda Health Affinity Gold 250 EPO 39424OR1690001 No
Moda Health Affinity Silver 3000 EPO 39424OR1690003 No
Moda Health Affinity Silver 3400 EPO 39424OR1680002 No
Moda Health Affinity Silver 4500 EPO 39424OR1680004 No
Moda Health Affinity Silver 6000 EPO 39424OR1660001 No
Moda Health Oregon Standard Bronze Affinity EPO 39424OR1670003 No
Moda Health Oregon Standard Gold Affinity EPO 39424OR1670001 No
Moda Health Oregon Standard Silver Affinity EPO 39424OR1670002 No
Moda Pioneer Alaska Standard Bronze PPO 73836AK0960001 No
Moda Pioneer Alaska Standard Gold PPO 73836AK0940001 No
Moda Pioneer Alaska Standard Silver PPO 73836AK0950001 No
Moda Pioneer Bronze 6500 PPO 73836AK0930003 No
Moda Pioneer Bronze HDHP 5500 PPO 73836AK0970002 No
Moda Pioneer Gold 1500 PPO 73836AK0930001 No
Moda Pioneer Silver 4500 PPO 73836AK0930002 No
Moda Select Bronze 8700 ($0 Virtual Urgent Care through CirrusMD) EPO 17933TX0010006 No
Moda Select Bronze HDHP 7500 EPO 17933TX0010007 No
Moda Select Gold 1000 ($0 Virtual Urgent Care through CirrusMD) EPO 17933TX0010001 No
Moda Select Gold 1800 ($0 Virtual Urgent Care through CirrusMD) EPO 17933TX0010002 No
Moda Select Silver 3500 ($0 Virtual Urgent Care through CirrusMD) EPO 17933TX0010003 No
Moda Select Silver 4800 ($0 Virtual Urgent Care through CirrusMD) EPO 17933TX0010004 No
Moda Select Silver 6400 ($0 Virtual Urgent Care through CirrusMD) EPO 17933TX0010005 No
Moda Select Texas Standard Bronze EPO 17933TX0010010 No
Moda Select Texas Standard Gold EPO 17933TX0010009 No
Moda Select Texas Standard Silver EPO 17933TX0010008 No

Oscar Health Insurance

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

Oscar Health Plan of North Carolina, Inc

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

Oscar Health Plan, Inc.

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

Oscar Insurance Company

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

Oscar Insurance Company of Florida

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

Oscar Insurance Corporation of Ohio

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

Primewell Health Services of Mississippi

Plan Name Plan Type Plan ID Dental Only Plan?
Essential Bronze 6500 POS 14624MS0010001 No
Essential Gold 1500 POS 14624MS0010002 No
Freedom Silver 4000 POS 14624MS0010004 No
Savings Bronze 7700 POS 14624MS0010006 No
Standard Bronze 7500 POS 14624MS0010009 No
Standard Gold 1500 POS 14624MS0010007 No
Standard Silver 5000 POS 14624MS0010008 No

Priority Health

Plan Name Plan Type Plan ID Dental Only Plan?
MyPriority Balanced Silver HMO 29698MI0541020 No
MyPriority Balanced Silver Bronson Healthcare Partners HMO 29698MI0541022 No
MyPriority Balanced Silver Corewell Health West Michigan Network HMO 29698MI0541021 No
MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541037 No
MyPriority Balanced Silver Southeast Michigan Network HMO 29698MI0541023 No
MyPriority Balanced Silver Trinity Health East Network HMO 29698MI0541025 No
MyPriority Enhanced Gold Bronson Healthcare Partners HMO 29698MI0540596 No
MyPriority Enhanced Gold Corewell Health West Michigan Network HMO 29698MI0540595 No
MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0540742 No
MyPriority Enhanced Gold Southeast Michigan Network HMO 29698MI0540597 No
MyPriority Enhanced Gold Trinity Health East Network HMO 29698MI0540599 No
MyPriority Premier Silver HMO 29698MI0541060 No
MyPriority Premier Silver Bronson Healthcare Partners HMO 29698MI0541062 No
MyPriority Premier Silver Corewell Health West Michigan Network HMO 29698MI0541061 No
MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541039 No
MyPriority Premier Silver Southeast Michigan Network HMO 29698MI0541063 No
MyPriority Premier Silver Trinity Health East Network HMO 29698MI0541065 No
MyPriority Standard Bronze HMO 29698MI0541100 No
MyPriority Standard Bronze - Bronson Healthcare Partners HMO 29698MI0541102 No
MyPriority Standard Bronze - Corewell Health West Michigan Network HMO 29698MI0541101 No
MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541143 No
MyPriority Standard Bronze - Southeast Michigan Network HMO 29698MI0541103 No
MyPriority Standard Bronze - Travel HMO 29698MI0541106 No
MyPriority Standard Bronze - Trinity Health East Network HMO 29698MI0541105 No
MyPriority Standard Gold HMO 29698MI0541120 No
MyPriority Standard Gold Bronson Healthcare Partners HMO 29698MI0541122 No
MyPriority Standard Gold Corewell Health West Michigan Network HMO 29698MI0541121 No
MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541145 No
MyPriority Standard Gold Southeast Michigan Network HMO 29698MI0541123 No
MyPriority Standard Gold Trinity Health East Network HMO 29698MI0541125 No
MyPriority Standard Silver HMO 29698MI0541110 No
MyPriority Standard Silver - Bronson Healthcare Partners HMO 29698MI0541112 No
MyPriority Standard Silver - Corewell Health West Michigan Network HMO 29698MI0541111 No
MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541144 No
MyPriority Standard Silver - Southeast Michigan Network HMO 29698MI0541113 No
MyPriority Standard Silver - Travel HMO 29698MI0541116 No
MyPriority Standard Silver - Trinity Health East Network HMO 29698MI0541115 No
MyPriority Value Bronze HMO 29698MI0541010 No
MyPriority Value Bronze Bronson Healthcare Partners HMO 29698MI0541012 No
MyPriority Value Bronze Corewell Health West Michigan Network HMO 29698MI0541011 No
MyPriority Value Bronze Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541036 No
MyPriority Value Bronze HSA HMO 29698MI0541000 No
MyPriority Value Bronze HSA Bronson Healthcare Partners HMO 29698MI0541002 No
MyPriority Value Bronze HSA Corewell Health West Michigan Network HMO 29698MI0541001 No
MyPriority Value Bronze HSA Corewell Health West Michigan Network (Allegan, Barry) HMO 29698MI0541035 No
MyPriority Value Bronze HSA Southeast Michigan Network HMO 29698MI0541003 No
MyPriority Value Bronze HSA Trinity Health East Network HMO 29698MI0541005 No
MyPriority Value Bronze Southeast Michigan Network HMO 29698MI0541013 No
MyPriority Value Bronze Trinity Health East Network HMO 29698MI0541015 No

Sanford Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
Sanford Individual Simplicity $1,750 PPO 31195SD0110001 No
Sanford Individual Simplicity $1,750 PPO 89364ND0120001 No
Sanford Individual Simplicity $3,500 PPO 31195SD0110003 No
Sanford Individual Simplicity $3,500 PPO 89364ND0120003 No
Sanford Individual Simplicity $4,750 PPO 31195SD0110005 No
Sanford Individual Simplicity $4,750 PPO 89364ND0120005 No
Sanford Individual Simplicity $6,000 PPO 31195SD0110007 No
Sanford Individual Simplicity $6,000 PPO 89364ND0120007 No
Sanford Individual Simplicity $7,100 HSA Qualified PPO 31195SD0110006 No
Sanford Individual Simplicity $7,100 HSA Qualified PPO 89364ND0120006 No
Sanford Individual Simplicity $9,200 PPO 31195SD0110009 No
Sanford Individual Simplicity $9,200 PPO 89364ND0120009 No
Sanford Individual Simplicity Standardized $1,500 PPO 31195SD0110018 No
Sanford Individual Simplicity Standardized $1,500 PPO 89364ND0120018 No
Sanford Individual Simplicity Standardized $5,000 PPO 31195SD0110017 No
Sanford Individual Simplicity Standardized $5,000 PPO 89364ND0120017 No
Sanford Individual Simplicity Standardized $7,500 PPO 31195SD0110016 No
Sanford Individual Simplicity Standardized $7,500 PPO 89364ND0120016 No
Sanford Individual TRUE $1,750 HMO 31195SD0080018 No
Sanford Individual TRUE $1,750 HMO 89364ND0090018 No
Sanford Individual TRUE $3,500 HMO 31195SD0080008 No
Sanford Individual TRUE $3,500 HMO 89364ND0090008 No
Sanford Individual TRUE $4,750 HMO 31195SD0080016 No
Sanford Individual TRUE $4,750 HMO 89364ND0090016 No
Sanford Individual TRUE $6,000 HMO 31195SD0080007 No
Sanford Individual TRUE $6,000 HMO 89364ND0090007 No
Sanford Individual TRUE $7,100 HSA Qualified HMO 31195SD0080009 No
Sanford Individual TRUE $7,100 HSA Qualified HMO 89364ND0090009 No
Sanford Individual TRUE $9,200 HMO 31195SD0080015 No
Sanford Individual TRUE $9,200 HMO 89364ND0090015 No
Sanford Individual TRUE Standardized $1,500 HMO 31195SD0080028 No
Sanford Individual TRUE Standardized $1,500 HMO 89364ND0090028 No
Sanford Individual TRUE Standardized $5,000 HMO 31195SD0080027 No
Sanford Individual TRUE Standardized $5,000 HMO 89364ND0090027 No
Sanford Individual TRUE Standardized $7,500 HMO 31195SD0080026 No
Sanford Individual TRUE Standardized $7,500 HMO 89364ND0090026 No

SummaCare

Plan Name Plan Type Plan ID Dental Only Plan?
SummaCare Bronze 8000 HMO 52664OH1530023 No
SummaCare Bronze 8000 with Adult Vision Exam HMO 52664OH1540003 No
SummaCare Bronze 9200 with 3 Free PCP Visits HMO 52664OH1530022 No
SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision HMO 52664OH1540002 No
SummaCare Gold 2000 with 3 Free PCP Visits HMO 52664OH1530026 No
SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision HMO 52664OH1540006 No
SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision HMO 52664OH1540005 No
SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits HMO 52664OH1530025 No
SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam HMO 52664OH1540004 No
SummaCare Silver 7000 with 3 Free PCP Visits HMO 52664OH1530030 No
SummaCare Standard Bronze HMO 52664OH1530032 No
SummaCare Standard Bronze with Adult Vision HMO 52664OH1540010 No
SummaCare Standard Gold HMO 52664OH1530036 No
SummaCare Standard Gold with Adult Vision HMO 52664OH1540012 No
SummaCare Standard Silver HMO 52664OH1530035 No
SummaCare Standard Silver with Adult Vision HMO 52664OH1540011 No
SummaCare Value with 3 Free PCP Visits + Adult Vision HMO 52664OH1540001 No

University of Michigan Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
University of Michigan Health Plan HMO Exclusive Bronze HMO 60829MI0190030 No
University of Michigan Health Plan HMO Exclusive Bronze HSA HMO 60829MI0220002 No
University of Michigan Health Plan HMO Exclusive Bronze Standard HMO 60829MI0190034 No
University of Michigan Health Plan HMO Exclusive Catastrophic HMO 60829MI0190026 No
University of Michigan Health Plan HMO Exclusive Gold Classic HMO 60829MI0190009 No
University of Michigan Health Plan HMO Exclusive Gold Select HMO 60829MI0190016 No
University of Michigan Health Plan HMO Exclusive Gold Standard HMO 60829MI0190032 No
University of Michigan Health Plan HMO Exclusive Silver HMO 60829MI0190017 No
University of Michigan Health Plan HMO Exclusive Silver Select Plus HMO 60829MI0190020 No
University of Michigan Health Plan HMO Exclusive Silver Standard HMO 60829MI0190033 No

WellCare of North Carolina

Plan Name Plan Type Plan ID Dental Only Plan?
Standard Expanded Bronze WellCare PPO 44007NC0120004 No
Standard Gold WellCare PPO 44007NC0120006 No
Standard Silver WellCare PPO 44007NC0120005 No