MR. GODSON IFEANYI OGUCHI M.D.
Accepted Insurance Health Plans for NPI 1245200906
Internal Medicine - Infectious Disease in Orange City, FL
Quality Rating: 75 out of 100 score
NPI Status: Active since January 25, 2006
Contact Information
955 TOWN CENTER DR
SUITE 100
ORANGE CITY, FL
ZIP 32763
Phone: (386) 228-0661
Fax: (386) 228-0662
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by MR. GODSON IFEANYI OGUCHI M.D.. 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? |
|---|---|---|---|
| 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 + Adult Dental + Vision | HMO | 18628FL0160060 | No |
| Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160022 | 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 + Adult Dental + Vision | HMO | 18628FL0160062 | 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 + Adult Dental + Vision | HMO | 18628FL0160063 | No |
| Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160030 | 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 + Adult Dental + Vision | HMO | 18628FL0160065 | No |
| Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160029 | 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 + Adult Dental+Vision | HMO | 18628FL0160067 | No |
| 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 VALUE Gold | HMO | 87226TX0060013 | No |
| Complete VALUE Gold | HMO | 87226TX0070013 | No |
| Complete VALUE Gold | HMO | 87226TX0080013 | No |
| Complete VALUE Gold | HMO | 87226TX0100013 | 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 VALUE | HMO | 87226TX0060012 | No |
| Standard Gold VALUE | HMO | 87226TX0070012 | No |
| Standard Gold VALUE | HMO | 87226TX0080012 | No |
| Standard Gold VALUE | HMO | 87226TX0100012 | 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 |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Complete Gold | HMO | 49004FL0010011 | No |
| Complete Gold | HMO | 49004FL0010025 | No |
| Complete Gold + Vision + Adult Dental | HMO | 49004FL0020010 | No |
| Complete Gold + Vision + Adult Dental | HMO | 49004FL0020021 | No |
| Complete VALUE Gold | HMO | 86382FL0050010 | No |
| Complete VALUE Silver | HMO | 86382FL0050006 | No |
| Elite Bronze | HMO | 49004FL0010004 | No |
| Elite Bronze | HMO | 49004FL0010017 | No |
| Elite Bronze + Vision + Adult Dental | HMO | 49004FL0020004 | No |
| Elite Bronze + Vision + Adult Dental | HMO | 49004FL0020015 | No |
| Elite Silver | HMO | 49004FL0010008 | No |
| Elite Silver | HMO | 49004FL0010020 | No |
| Elite Silver + Vision + Adult Dental | HMO | 49004FL0020007 | No |
| Elite Silver + Vision + Adult Dental | HMO | 49004FL0020017 | No |
| Elite VALUE Bronze | HMO | 86382FL0050005 | 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 | 49004FL0010002 | No |
| Everyday Bronze | HMO | 49004FL0010015 | No |
| Everyday Bronze + Vision + Adult Dental | HMO | 49004FL0020002 | No |
| Everyday Bronze + Vision + Adult Dental | HMO | 49004FL0020013 | No |
| Everyday Gold | HMO | 49004FL0010010 | No |
| Everyday Gold | HMO | 49004FL0010026 | No |
| Everyday Gold + Vision + Adult Dental | HMO | 49004FL0020009 | No |
| Everyday Gold + Vision + Adult Dental | HMO | 49004FL0020022 | No |
| Focused Silver | HMO | 49004FL0010007 | No |
| Focused Silver | HMO | 49004FL0010021 | No |
| Focused Silver + Vision + Adult Dental | HMO | 49004FL0020006 | No |
| Focused Silver + Vision + Adult Dental | HMO | 49004FL0020018 | No |
| Focused VALUE Silver | HMO | 86382FL0050009 | No |
| Standard Expanded Bronze | HMO | 49004FL0010001 | No |
| Standard Expanded Bronze | HMO | 49004FL0010018 | No |
| Standard Expanded Bronze + Vision + Adult Dental | HMO | 49004FL0020001 | No |
| Standard Expanded Bronze + Vision + Adult Dental | HMO | 49004FL0020016 | No |
| Standard Expanded Bronze VALUE | HMO | 86382FL0050017 | No |
| Standard Gold | HMO | 49004FL0010013 | No |
| Standard Gold | HMO | 49004FL0010028 | No |
| Standard Gold + Vision + Adult Dental | HMO | 49004FL0020012 | No |
| Standard Gold + Vision + Adult Dental | HMO | 49004FL0020024 | No |
| Standard Gold VALUE | HMO | 86382FL0050019 | No |
| Standard Silver | HMO | 49004FL0010006 | No |
| Standard Silver | HMO | 49004FL0010024 | No |
| Standard Silver VALUE | HMO | 86382FL0050018 | 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? |
|---|---|---|---|
| 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? |
|---|---|---|---|
| Gym Access IND Bronze HMO 1340 | HMO | 56503FL2730001 | No |
| Gym Access IND Bronze HMO OA 1211 | HMO | 56503FL2930001 | No |
| Gym Access IND Bronze HMO OA Standard 2450 | HMO | 56503FL3040001 | No |
| Gym Access IND Bronze POS 1042 | POS | 56503FL2790001 | No |
| Gym Access IND Bronze POS BC 3841 | POS | 56503FL2540002 | No |
| Gym Access IND Bronze POS OA 1211 | POS | 56503FL3340001 | No |
| Gym Access IND Bronze POS OA Standard 2450 | POS | 56503FL3290001 | No |
| Gym Access IND Bronze Standardized HMO | HMO | 56503FL2670001 | No |
| Gym Access IND Essential Plus Catastrophic HMO 36 | HMO | 56503FL1300001 | No |
| Gym Access IND Essential Plus Catastrophic POS 37 | POS | 56503FL1320001 | No |
| Gym Access IND Essential Plus Platinum POS 65 | POS | 56503FL3360001 | No |
| Gym Access IND Gold HMO 4500 | HMO | 56503FL2090002 | No |
| Gym Access IND Gold HMO BC 5651 | HMO | 56503FL2590002 | No |
| Gym Access IND Gold HMO H.S.A 9010 | HMO | 56503FL2860001 | No |
| Gym Access IND Gold HMO OA Standard 3450 | HMO | 56503FL3060001 | No |
| Gym Access IND Gold POS 55001 | POS | 56503FL2010001 | No |
| Gym Access IND Gold POS BC 5651 | POS | 56503FL2600002 | No |
| Gym Access IND Gold POS OA Standard 3450 | POS | 56503FL3310001 | No |
| Gym Access IND Platinum POS BC 1941 | POS | 56503FL2640002 | No |
| Gym Access IND Platinum POS OA Standard 4450 | POS | 56503FL3320001 | No |
| Gym Access IND Silver HMO BC 0941 | HMO | 56503FL2550002 | No |
| Gym Access IND Silver HMO BC 7741 | HMO | 56503FL2570001 | No |
| Gym Access IND Silver HMO OA 1009 | HMO | 56503FL2940001 | No |
| Gym Access IND Silver HMO OA Standard 1440 | HMO | 56503FL3050001 | No |
| Gym Access IND Silver POS BC 0941 | POS | 56503FL2560002 | No |
| Gym Access IND Silver POS BC 7741 | POS | 56503FL2580002 | No |
| Gym Access IND Silver POS OA 1009 | POS | 56503FL3370001 | No |
| Gym Access IND Silver POS OA Standard 1440 | POS | 56503FL3300001 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) | HMO | 36194FL0160009 | No |
| Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) | HMO | 36194FL0460003 | No |
| Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) | HMO | 36194FL0440001 | No |
| Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) | HMO | 36194FL0480001 | No |
| Bronze Standard 1828 | HMO | 36194FL0160011 | No |
| Bronze Value 1814 (High Value Network Savings, Open Access) | HMO | 36194FL0410001 | No |
| Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) | HMO | 36194FL0470001 | No |
| Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) | HMO | 36194FL0450003 | No |
| Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) | HMO | 36194FL0450002 | No |
| Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) | HMO | 36194FL0460002 | No |
| Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access) | HMO | 36194FL0440003 | No |
| Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access) | HMO | 36194FL0480003 | No |
| Gold Standard 1833 | HMO | 36194FL0160013 | No |
| Gold Value 1819 ($1,300 Tier 1 Medical Deductible, High Value Network Savings, Open Access) | HMO | 36194FL0410003 | No |
| Gold Value 1819 + Adult Dental + Adult Vision ($1,300 Tier 1 Medical Deductible, High Value Network Savings, Open Access) | HMO | 36194FL0470003 | No |
| Silver 1664 (Primary Care & Specialist Copays, Open Access) | HMO | 36194FL0450001 | No |
| Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access) | HMO | 36194FL0460001 | No |
| Silver Savings 1821 (Primary Care Copay, Open Access) | HMO | 36194FL0440002 | No |
| Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access) | HMO | 36194FL0480002 | No |
| Silver Standard 1829 | HMO | 36194FL0160012 | No |
| Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings) | HMO | 36194FL0410002 | No |
| Silver Value 1815 + Adult Dental + Adult Vision ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings) | HMO | 36194FL0470002 | 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? |
|---|---|---|---|
| Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040008 | No |
| Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 44228FL0040007 | No |
| Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040005 | No |
| Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO | 44228FL0040001 | No |
| Wellpoint Essential Catastrophic 9200 (+ Incentives) | HMO | 44228FL0040004 | No |
| Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040009 | No |
| Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO | 44228FL0040003 | No |
| Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040010 | No |
| Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040014 | No |
| Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040011 | No |
| Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040012 | No |
| Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 44228FL0040013 | No |
| Wellpoint Essential Silver 5000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard | HMO | 44228FL0040002 | No |