FRANCIS MARTINEZ CARMONA D.D.S
Accepted Insurance Health Plans for NPI 1336691344
Dentist - Pediatric Dentistry in Royal Palm Beach, FL
NPI Status: Active since October 26, 2016
Contact Information
11903 SOUTHERN BLVD
UNIT 102
ROYAL PALM BEACH, FL
ZIP 33411
Phone: (561) 459-2733
- Aetna CVS Health
- Ambetter Health
- Ambetter of Alabama
- Anthem Blue Cross and Blue Shield
- Antidote Health Plan of Arizona, Inc.
- Antidote Health Plan of Ohio, Inc.
- BEST Life
- Blue Cross and Blue Shield of Alabama
- Blue Cross and Blue Shield of Illinois
- Blue Cross and Blue Shield of Montana
- Blue Cross and Blue Shield of Oklahoma
- Blue Cross and Blue Shield of Texas
- Cigna Healthcare
- Delta Dental
- Dominion National
- EMI Health
- Florida Combined Life
- Guardian
- Humana
- Paramount
- Paramount Dental
- Renaissance Dental
- Solstice Benefits
- UnitedHealthcare
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by FRANCIS MARTINEZ CARMONA D.D.S. 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 + Adult Dental + Vision | HMO | 18628FL0160060 | No |
| Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160062 | No |
| Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160063 | No |
| Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160065 | 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? |
|---|---|---|---|
| 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 |
| 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 |
| 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 |
| 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 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 Silver | HMO | 49004FL0010006 | No |
| Standard Silver | HMO | 49004FL0010024 | 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? |
|---|---|---|---|
| Anthem Bronze Essential 6500 HSA (+ Incentives) | HMO | 17575IN0700058 | No |
| Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700065 | No |
| Anthem Bronze Essential 9200 (+ Incentives) | HMO | 17575IN0700045 | No |
| Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) | HMO | 17575IN0700101 | No |
| Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS | 17575IN0760005 | No |
| Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS | 17575IN0760007 | No |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950008 | No |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950021 | No |
| Anthem Bronze Pathway 9200 (+ Incentives) | EPO | 32753MO0950051 | No |
| Anthem Bronze Pathway HMO 7450 for HSA | HMO | 29276OH0920417 | No |
| Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920432 | No |
| Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920414 | No |
| Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920916 | No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340103 | No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340141 | No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340142 | No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340143 | No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) | HMO | 79475WI0340102 | No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) | HMO | 79475WI0340132 | No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) | HMO | 79475WI0340133 | No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) | HMO | 79475WI0340134 | No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340169 | No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340178 | No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340187 | No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340188 | No |
| Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340226 | No |
| Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340227 | No |
| Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340257 | No |
| Anthem Bronze Priority/Lean HSA (+ Incentives) | HMO | 79475WI0340212 | No |
| Anthem Bronze Priority/Lean HSA (+ Incentives) | HMO | 79475WI0340213 | No |
| Anthem Bronze Priority/Lean HSA (+ Incentives) | HMO | 79475WI0340251 | No |
| Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340224 | No |
| Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340225 | No |
| Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340256 | No |
| Anthem Catastrophic Pathway 9200 (+ Incentives) | EPO | 32753MO0950016 | No |
| Anthem Catastrophic Pathway HMO 9200 | HMO | 29276OH0920425 | No |
| Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700067 | No |
| Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700056 | No |
| Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950023 | No |
| Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920434 | No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340110 | No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340159 | No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340160 | No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340161 | No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340171 | No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340179 | No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340183 | No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340186 | No |
| Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340218 | No |
| Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340219 | No |
| Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340253 | No |
| Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340230 | No |
| Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340231 | No |
| Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340258 | No |
| Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920429 | No |
| Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700053 | No |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950017 | No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340111 | No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340162 | No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340163 | No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340164 | No |
| Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340220 | No |
| Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340221 | No |
| Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) | HMO | 79475WI0340254 | No |
| Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700061 | No |
| Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950002 | No |
| Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920428 | No |
| Anthem Silver Essential 3500 HSA (+ Incentives) | HMO | 17575IN0700062 | No |
| Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700066 | No |
| Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700055 | No |
| Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700102 | No |
| Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950022 | No |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950013 | No |
| Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950015 | No |
| Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920917 | No |
| Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920433 | No |
| Anthem Silver Pathway HMO 5400 for HSA | HMO | 29276OH0920421 | No |
| Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920424 | No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340106 | No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340150 | No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340151 | No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340152 | No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340109 | No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340156 | No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340157 | No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340158 | No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340170 | No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340180 | No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340181 | No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340184 | No |
| Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340214 | No |
| Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340215 | No |
| Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340252 | No |
| Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340222 | No |
| Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340223 | No |
| Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) | HMO | 79475WI0340255 | No |
| Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340232 | No |
| Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340233 | No |
| Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 79475WI0340259 | No |
| Anthem Dental Family | PPO | 17575IN0860003 | Yes |
| Anthem Dental Family | PPO | 29276OH0830003 | Yes |
| Anthem Dental Family | PPO | 32753MO0860003 | Yes |
| Anthem Dental Family | PPO | 90028WI0420003 | Yes |
| Anthem Dental Family Enhanced | PPO | 17575IN0860004 | Yes |
| Anthem Dental Family Enhanced | PPO | 29276OH0830004 | Yes |
| Anthem Dental Family Enhanced | PPO | 32753MO0860004 | Yes |
| Anthem Dental Family Enhanced | PPO | 90028WI0420004 | Yes |
| Anthem Dental Family Preventive | PPO | 17575IN0860006 | Yes |
| Anthem Dental Family Preventive | PPO | 29276OH0830006 | Yes |
| Anthem Dental Family Preventive | PPO | 32753MO0860006 | Yes |
| Anthem Dental Family Preventive | PPO | 90028WI0420006 | Yes |
| Anthem Dental Family Value | PPO | 17575IN0860005 | Yes |
| Anthem Dental Family Value | PPO | 29276OH0830005 | Yes |
| Anthem Dental Family Value | PPO | 32753MO0860005 | Yes |
| Anthem Dental Family Value | PPO | 90028WI0420005 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 68445AZ0600010 | No |
| Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 68445AZ0600011 | No |
| Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 68445AZ0610010 | No |
| Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 68445AZ0610011 | No |
| Bronze Standard | HMO | 68445AZ0590010 | No |
| Catastrophic Standard | HMO | 68445AZ0590050 | No |
| Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 68445AZ0600030 | No |
| Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 68445AZ0600031 | No |
| Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 68445AZ0610030 | No |
| Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 68445AZ0610031 | No |
| Gold Standard | HMO | 68445AZ0590030 | No |
| Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 68445AZ0600020 | No |
| Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 68445AZ0600021 | No |
| Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 68445AZ0610020 | No |
| Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 68445AZ0610021 | No |
| Silver Standard | HMO | 68445AZ0590020 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020010 | No |
| Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020011 | No |
| Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030010 | No |
| Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030011 | No |
| Bronze Standard | HMO | 31981OH0010010 | No |
| Catastrophic Standard | HMO | 31981OH0010050 | No |
| Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020030 | No |
| Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020031 | No |
| Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030030 | No |
| Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030031 | No |
| Gold Standard | HMO | 31981OH0010030 | No |
| Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020020 | No |
| Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020021 | No |
| Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030020 | No |
| Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030021 | No |
| Silver Standard | HMO | 31981OH0010020 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BEST Life Superior Dental Plan | PPO | 94482NC0020003 | Yes |
| BEST Essential Basic Dental Plan | PPO | 29416MO0020008 | Yes |
| BEST Life Essentail Basic Dental Plan | PPO | 42757UT0020008 | Yes |
| BEST Life Essentail Value Dental Plan | PPO | 42757UT0020006 | Yes |
| BEST Life Essental Value Dental Plan | PPO | 89281SC0020006 | Yes |
| BEST Life Essential Basic Dental | PPO | 94482NC0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 17121FL0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 74819AK0020012 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 75329ND0020008 | Yes |
| BEST Life Essential Basic Dental | PPO | 78461LA0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 10046HI0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 11324MS0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 12538AL0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 24601TN0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 26904AR0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 35700MI0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 40254OK0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 47509OH0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 47665TX0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 50022NE0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 61214SD0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 63790KS0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 71051IA0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 77352AZ0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 83557IN0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 89281SC0020008 | Yes |
| BEST Life Essential Basic Dental Plan | PPO | 93895MT0020008 | Yes |
| BEST Life Essential Vakue Dental Plan | PPO | 17121FL0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 29416MO0020006 | Yes |
| BEST Life Essential Value Dental | PPO | 94482NC0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 10046HI0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 11324MS0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 12538AL0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 24601TN0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 26904AR0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 35700MI0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 40254OK0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 47509OH0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 47665TX0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 50022NE0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 61214SD0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 63790KS0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 71051IA0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 74819AK0020010 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 75329ND0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 77352AZ0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 78461LA0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 83557IN0020006 | Yes |
| BEST Life Essential Value Dental Plan | PPO | 93895MT0020006 | Yes |
| BEST Life Preferred Dental Plan | PPO | 47665TX0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 74819AK0020011 | Yes |
| BEST Life Preferred Dental | PPO | 17121FL0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 10046HI0020007 | Yes |
| BEST Life Preferred Dental plan | PPO | 11324MS0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 12538AL0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 24601TN0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 26904AR0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 29416MO0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 35700MI0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 40254OK0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 42757UT0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 47509OH0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 50022NE0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 61214SD0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 63790KS0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 71051IA0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 75329ND0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 77352AZ0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 78461LA0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 83557IN0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 89281SC0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 93895MT0020007 | Yes |
| BEST Life Preferred Dental Plan | PPO | 94482NC0020007 | Yes |
| BEST Life Superior Dental | PPO | 17121FL0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 89281SC0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 10046HI0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 11324MS0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 12538AL0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 24601TN0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 26904AR0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 29416MO0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 35700MI0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 40254OK0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 42757UT0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 47509OH0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 47665TX0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 50022NE0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 61214SD0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 63790KS0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 71051IA0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 74819AK0020007 | Yes |
| BEST Life Superior Dental Plan | PPO | 75329ND0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 77352AZ0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 78461LA0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 83557IN0020003 | Yes |
| BEST Life Superior Dental Plan | PPO | 93895MT0020003 | Yes |
| BESTOne Dental Plus Silver | PPO | 84033IL0020001 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue HSA Bronze | PPO | 46944AL0560001 | No |
| Blue Protect | PPO | 46944AL0470001 | No |
| Blue Saver Bronze | PPO | 46944AL0460001 | No |
| Blue Value Gold | PPO | 46944AL0370001 | No |
| Blue Value Silver | PPO | 46944AL0410001 | No |
| Blue Access Gold for Business | PPO | 46944AL0340001 | No |
| Blue Choice Platinum for Business | PPO | 46944AL0280001 | No |
| Blue HSA Silver for Business | PPO | 46944AL0680001 | No |
| Blue Saver Bronze for Business | PPO | 46944AL0430001 | No |
| Blue Saver Gold for Business | PPO | 46944AL0760001 | No |
| Blue Secure Gold for Business | PPO | 46944AL0670001 | No |
| Blue Secure Silver for Business | PPO | 46944AL0380001 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCare Dental 4 Kids? 1A | PPO | 36096IL0830003 | Yes |
| BlueCare Dental 4 Kids? 1B | PPO | 36096IL0830004 | Yes |
| BlueCare Dental? 1A | PPO | 36096IL0830001 | Yes |
| BlueCare Dental? 1B | PPO | 36096IL0830002 | Yes |
| BlueCare Dental? 1C | PPO | 36096IL0830005 | Yes |
| BlueCare Dental? 1D | PPO | 36096IL0830006 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCare Dental 4 Kids? 1A | PPO | 30751MT0580003 | Yes |
| BlueCare Dental 4 Kids? 1B | PPO | 30751MT0580004 | Yes |
| BlueCare Dental? 1A | PPO | 30751MT0580001 | Yes |
| BlueCare Dental? 1B | PPO | 30751MT0580002 | Yes |
| BlueCare Dental? 1C | PPO | 30751MT0580005 | Yes |
| BlueCare Dental? 1D | PPO | 30751MT0580006 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCare Dental 4 Kids? 1A | PPO | 87571OK0390003 | Yes |
| BlueCare Dental 4 Kids? 1B | PPO | 87571OK0390004 | Yes |
| BlueCare Dental? 1A | PPO | 87571OK0390001 | Yes |
| BlueCare Dental? 1B | PPO | 87571OK0390002 | Yes |
| BlueCare Dental? 1C | PPO | 87571OK0390005 | Yes |
| BlueCare Dental? 1D | PPO | 87571OK0390006 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCare Dental 1D | PPO | 33602TX0500007 | Yes |
| BlueCare Dental 4 Kids? 1A | PPO | 33602TX0500003 | Yes |
| BlueCare Dental 4 Kids? 1B | PPO | 33602TX0500004 | Yes |
| BlueCare Dental? 1A | PPO | 33602TX0500001 | Yes |
| BlueCare Dental? 1B | PPO | 33602TX0500002 | Yes |
| BlueCare Dental? 1C | PPO | 33602TX0500006 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Cigna Dental Family + Pediatric | PPO | 48121FL0030002 | Yes |
| Cigna Dental Pediatric | PPO | 48121FL0030001 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Delta Dental PPO Basic Plan for Families | PPO | 97725FL0010006 | Yes |
| Delta Dental PPO Preferred Plan for Families | PPO | 97725FL0010004 | Yes |
| Delta Dental PPO Preventive Plan for Families | PPO | 97725FL0010007 | Yes |
| DeltaCare USA Basic Plan for Families | HMO | 97725FL0030006 | Yes |
| DeltaCare USA Preferred Plan for Families | HMO | 97725FL0030004 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Choice PPO Basic | PPO | 74243FL0010001 | Yes |
| Choice PPO Basic Kids | PPO | 74243FL0010005 | Yes |
| Choice PPO Plus | PPO | 74243FL0010003 | Yes |
| Choice PPO Premium | PPO | 74243FL0010002 | Yes |
| Choice PPO Premium Kids | PPO | 74243FL0010006 | Yes |
| Choice PPO Preventive | PPO | 74243FL0010004 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| EMI Health Advantage Co-Pay | PPO | 98869FL0010003 | Yes |
| EMI Health Advantage PPO | PPO | 98869FL0010004 | Yes |
| EMI Health Advantage PPO Low | PPO | 98869FL0020001 | Yes |
| EMI Health Premier PPO (High) | PPO | 98869FL0010005 | Yes |
| EMI Health Premier PPO (Low) | PPO | 98869FL0010006 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueDental Copayment Q | PPO | 30115FL0010001 | Yes |
| BlueDental Copayment QF | PPO | 30115FL0040001 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Guardian Basics for Familes and Individuals | PPO | 15833FL0150004 | Yes |
| Guardian Essentials for Families and Individuals | PPO | 15833FL0130004 | Yes |
| Guardian Preventive Plus for Families and Individuals | PPO | 15833FL0160004 | Yes |
| Guardian Select for Families and Individuals | PPO | 15833FL0140004 | Yes |
| ManagedCare FL Essentials 1 | HMO | 15833FL0120006 | Yes |
| 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 | 68303IL0700002 | 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 | 31358HI0010001 | 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 | 68303IL0700001 | 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 |
| Humana Dental Smart Choice- Lite | PPO | 68303IL0700003 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Paramount Dental Essential Plus Plan | EPO | 95233MI0210002 | Yes |
| Paramount Dental Preventive Family Plan | EPO | 95233MI0210001 | Yes |
| Paramount Dental Total Care Plan | EPO | 95233MI0210003 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| HRI Essential Plus Plan | HMO | 33086IN0060002 | Yes |
| HRI Essential Plus Plan | PPO | 25945OH0020002 | Yes |
| HRI Preventive Family Plan | HMO | 33086IN0060001 | Yes |
| HRI Preventive Family Plan | PPO | 25945OH0020001 | Yes |
| HRI Total Care Plan | HMO | 33086IN0060003 | Yes |
| HRI Total Care Plan | PPO | 25945OH0020003 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Alabama Preferred Plan | PPO | 28725AL0110002 | Yes |
| Alabama Preferred Plan (Pediatric Only) | PPO | 28725AL0130002 | Yes |
| Alabama Preferred Plus Plan | PPO | 28725AL0110001 | Yes |
| Alabama Preferred Plus Plan (Pediatric Only) | PPO | 28725AL0130001 | Yes |
| Alabama Wellness Essentials Plan | PPO | 28725AL0150001 | Yes |
| Florida Preferred Plan | PPO | 48129FL0130004 | Yes |
| Florida Preferred Plan (Pediatric Only) | PPO | 48129FL0150004 | Yes |
| Florida Preferred Plus Plan | PPO | 48129FL0130003 | Yes |
| Florida Preferred Plus Plan (Pediatric Only) | PPO | 48129FL0150003 | Yes |
| Florida Wellness Essentials Plan | PPO | 48129FL0180001 | Yes |
| High PPO Dental Plan | PPO | 28419LA0040001 | Yes |
| High PPO Dental Plan (Pediatric Only) | PPO | 28419LA0050001 | Yes |
| Kansas Preferred Plan | PPO | 95038KS0040003 | Yes |
| Kansas Preferred Plan (Pediatric Only) | PPO | 95038KS0050002 | Yes |
| Kansas Wellness Essentials Plan | PPO | 95038KS0070001 | Yes |
| Low PPO Dental Plan | PPO | 28419LA0040002 | Yes |
| Low PPO Dental Plan (Pediatric Only) | PPO | 28419LA0050002 | Yes |
| Mississippi Preferred Plan | PPO | 84254MS0050003 | Yes |
| Mississippi Preferred Plan (Pediatric Only) | PPO | 84254MS0060002 | Yes |
| Mississippi Wellness Essentials Plan | PPO | 84254MS0090001 | Yes |
| Missouri Preferred Plan | PPO | 35853MO0040004 | Yes |
| Missouri Preferred Plan (Pediatric Only) | PPO | 35853MO0050004 | Yes |
| Missouri Preferred Plus Plan | PPO | 35853MO0040003 | Yes |
| Missouri Preferred Plus Plan (Pediatric Only) | PPO | 35853MO0050003 | Yes |
| Missouri Wellness Essentials Plan | PPO | 35853MO0070001 | Yes |
| New Hampshire Preferred Plan | PPO | 72953NH0040002 | Yes |
| New Hampshire Preferred Plan (Pediatric Only) | PPO | 72953NH0060002 | Yes |
| New Hampshire Preferred Plus Plan | PPO | 72953NH0040001 | Yes |
| New Hampshire Preferred Plus Plan (Pediatric Only) | PPO | 72953NH0060001 | Yes |
| Oklahoma Preferred Plan | PPO | 13711OK0040003 | Yes |
| Oklahoma Preferred Plan (Pediatric Only) | PPO | 13711OK0050002 | Yes |
| Oklahoma Wellness Essentials (On Exchange) | PPO | 13711OK0100001 | Yes |
| South Carolina Preferred Plan | PPO | 97325SC0060004 | Yes |
| South Carolina Preferred Plan (Pediatric Only) | PPO | 97325SC0070004 | Yes |
| South Carolina Preferred Plus Plan | PPO | 97325SC0060003 | Yes |
| South Carolina Preferred Plus Plan (Pediatric Only) | PPO | 97325SC0070003 | Yes |
| South Carolina Wellness Essentials Plan | PPO | 97325SC0090001 | Yes |
| Texas Preferred Plan | PPO | 40540TX0060005 | Yes |
| Texas Preferred Plan (Pediatric Only) | PPO | 40540TX0070004 | Yes |
| Texas Preferred Plus Plan | PPO | 40540TX0060003 | Yes |
| Texas Preferred Plus Plan (Pediatric Only) | PPO | 40540TX0070003 | Yes |
| Texas Wellness Essentials Plan | PPO | 40540TX0100001 | Yes |
| Utah Preferred Plan | PPO | 87169UT0040004 | Yes |
| Utah Preferred Plan (Pediatric Only) | PPO | 87169UT0050004 | Yes |
| Utah Preferred Plus Plan | PPO | 87169UT0040003 | Yes |
| Utah Preferred Plus Plan (Pediatric Only) | PPO | 87169UT0050003 | Yes |
| Wisconsin Preferred Plan | PPO | 34210WI0040003 | Yes |
| Wisconsin Preferred Plan (Pediatric Only) | PPO | 34210WI0050002 | Yes |
| Wisconsin Wellness Essentials | PPO | 34210WI0070001 | Yes |
| Wyoming Preferred Plan | PPO | 80132WY0040004 | Yes |
| Wyoming Preferred Plan (Pediatric Only) | PPO | 80132WY0050004 | Yes |
| Wyoming Preferred Plus Plan | PPO | 80132WY0040003 | Yes |
| Wyoming Preferred Plus Plan (Pediatric Only) | PPO | 80132WY0050003 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| EssentialSmile Florida - Total Care | EPO | 43274FL0030002 | Yes |
| EssentialSmile Ped 221 | PPO | 43274FL0010001 | Yes |
| Smile Now Florida - No Waiting Period PPO | PPO | 43274FL0010002 | Yes |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Smile Now Arizona - No Waiting Period PPO | PPO | 82011AZ0110001 | Yes |
| Smile Now Illinois - No Waiting Period PPO | PPO | 13947IL0080001 | Yes |
| Smile Now Michigan - No Waiting Period PPO | PPO | 63631MI0140001 | Yes |
| Smile Now Ohio - No Waiting Period PPO | PPO | 56726OH0080001 | Yes |
| Smile Now Tennessee - No Waiting Period PPO | PPO | 69443TN0200001 | Yes |
| Smile Now Texas- No Waiting Period Plan | PPO | 98809TX0690001 | Yes |
| Smile Now Utah - No Waiting Period PPO | PPO | 97462UT0100001 | Yes |