BAYMONT DIALYSIS
Accepted Insurance Health Plans for NPI 1477927283
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Baytown, TX
Overall Rating: 3 out of 5 stars
NPI Status: Active since November 17, 2015
Contact Information
10424 INTERSTATE 10 E
STE 100
BAYTOWN, TX
ZIP 77523
Phone: (281) 573-2539
Fax: (281) 573-3289
- Aetna CVS Health
- Ambetter from Arizona Complete Health
- Ambetter from Arkansas Health & Wellness
- Ambetter from Home State Health
- Ambetter from Louisiana Healthcare Connections
- Ambetter from Magnolia Health
- Ambetter from Sunflower Health Plan
- Ambetter from Superior HealthPlan
- Ambetter of Oklahoma
- Ambetter of Tennessee
- BannerAetna
- Blue Cross and Blue Shield of Texas
- CHRISTUS Health Plan
- Cigna Healthcare
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by BAYMONT DIALYSIS. 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 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 |
| 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 |
| 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 |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Complete Gold | EPO | 99723MO0090016 | No |
| Complete Gold + Vision + Adult Dental | EPO | 99723MO0110010 | No |
| Complete Silver | EPO | 99723MO0090011 | No |
| Complete Silver + Vision + Adult Dental | EPO | 99723MO0110013 | No |
| Elite Bronze | EPO | 99723MO0090053 | No |
| Elite Bronze + Vision + Adult Dental | EPO | 99723MO0110053 | No |
| Everyday Bronze | EPO | 99723MO0090018 | No |
| Everyday Bronze + Vision + Adult Dental | EPO | 99723MO0110009 | No |
| Everyday Gold | EPO | 99723MO0090063 | No |
| Everyday Gold + Vision + Adult Dental | EPO | 99723MO0110063 | No |
| Premier Silver | EPO | 99723MO0090004 | No |
| Premier Silver + Vision + Adult Dental | EPO | 99723MO0110014 | No |
| Standard Expanded Bronze | EPO | 99723MO0090069 | No |
| Standard Expanded Bronze + Vision + Adult Dental | EPO | 99723MO0110070 | No |
| Standard Gold | EPO | 99723MO0090071 | No |
| Standard Gold + Vision + Adult Dental | EPO | 99723MO0110072 | No |
| Standard Silver | EPO | 99723MO0090070 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| 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 |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Choice Bronze HSA | HMO | 90714MS0010052 | No |
| Choice Bronze HSA + Vision + Adult Dental | HMO | 90714MS0030052 | No |
| Complete Gold | HMO | 90714MS0010019 | No |
| Complete Gold + Vision + Adult Dental | HMO | 90714MS0030019 | No |
| Complete Silver | HMO | 90714MS0010011 | No |
| Complete Silver + Vision + Adult Dental | HMO | 90714MS0030026 | No |
| Everyday Bronze | HMO | 90714MS0010016 | No |
| Everyday Bronze + Vision + Adult Dental | HMO | 90714MS0030010 | No |
| Everyday Gold | HMO | 90714MS0010060 | No |
| Everyday Gold + Vision + Adult Dental | HMO | 90714MS0030060 | No |
| Focused Silver | HMO | 90714MS0010059 | No |
| Focused Silver + Vision + Adult Dental | HMO | 90714MS0030059 | No |
| Standard Expanded Bronze | HMO | 90714MS0010063 | No |
| Standard Expanded Bronze + Vision + Adult Dental | HMO | 90714MS0030064 | No |
| Standard Gold | HMO | 90714MS0010065 | No |
| Standard Gold + Vision + Adult Dental | HMO | 90714MS0030066 | No |
| Standard Silver | HMO | 90714MS0010064 | No |
| 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 |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| 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 |
| 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 |
| Standard Gold | EPO | 29418TX0140109 | No |
| Standard Gold + Vision + Adult Dental | EPO | 29418TX0160052 | No |
| Standard Silver | EPO | 29418TX0140108 | No |
| 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 |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Clear Silver | EPO | 70111TN0110027 | No |
| Elite Bronze | EPO | 70111TN0110026 | No |
| Elite Bronze + Vision + Adult Dental | EPO | 70111TN0120026 | No |
| Elite Gold | EPO | 70111TN0110031 | No |
| Elite Gold + Vision + Adult Dental | EPO | 70111TN0120034 | No |
| Enhanced Diabetes Care Silver with $0 Drug Options | EPO | 70111TN0110018 | No |
| Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO | 70111TN0120001 | No |
| Everyday Bronze | EPO | 70111TN0110023 | No |
| Everyday Bronze + Vision + Adult Dental | EPO | 70111TN0120023 | No |
| Everyday Gold | EPO | 70111TN0110030 | No |
| Everyday Gold + Vision + Adult Dental | EPO | 70111TN0120030 | No |
| Focused Silver | EPO | 70111TN0110029 | No |
| Focused Silver + Vision + Adult Dental | EPO | 70111TN0120029 | No |
| Standard Expanded Bronze | EPO | 70111TN0110033 | No |
| Standard Expanded Bronze + Vision + Adult Dental | EPO | 70111TN0120035 | No |
| Standard Gold | EPO | 70111TN0110035 | No |
| Standard Gold + Vision + Adult Dental | EPO | 70111TN0120037 | No |
| Standard Silver | EPO | 70111TN0110034 | No |
| Standard Silver + Vision + Adult Dental | EPO | 70111TN0120036 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460554 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460705 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460706 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460707 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460708 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460709 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460710 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460711 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460712 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460713 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460714 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460715 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460716 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460717 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460718 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460719 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460721 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460722 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460723 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460724 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460725 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460726 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460727 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460728 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0460869 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0461073 | No |
| Blue Advantage Bronze HMO? 204 | HMO | 33602TX0461074 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460782 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460783 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460787 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460792 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460793 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460794 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460795 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460797 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460799 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460801 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460802 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460803 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460804 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460806 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0460871 | No |
| Blue Advantage Bronze HMO? 301 | HMO | 33602TX0461076 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461033 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461034 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461035 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461036 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461037 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461038 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461039 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461040 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461041 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461042 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461043 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461044 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461045 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461046 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461047 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461048 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461049 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461050 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461051 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461052 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461053 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461054 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461055 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461056 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461057 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461058 | No |
| Blue Advantage Bronze HMO? Standard | HMO | 33602TX0461079 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460548 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460555 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460556 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460557 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460558 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460559 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460560 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460561 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460562 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460563 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460564 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460565 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460566 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460567 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460568 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460569 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460571 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460572 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460573 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460574 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460575 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460576 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460577 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460578 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0460863 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0461061 | No |
| Blue Advantage Gold HMO? 206 | HMO | 33602TX0461062 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460809 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460814 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460819 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460820 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460821 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460822 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460824 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460826 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460828 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460829 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460830 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460831 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460833 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460860 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0460865 | No |
| Blue Advantage Gold HMO? 603 | HMO | 33602TX0461066 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460925 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460928 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460929 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460930 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460931 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460932 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460933 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460934 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460935 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460936 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460937 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460938 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460939 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460940 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460941 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460942 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460943 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460944 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460945 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460946 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460947 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460948 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460949 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460950 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460951 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460952 | No |
| Blue Advantage Gold HMO? Standard | HMO | 33602TX0460953 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870002 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870038 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870039 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870040 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870041 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870042 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870043 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870044 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870045 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870046 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870047 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870048 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870049 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870050 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870051 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870052 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870053 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870054 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870055 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870056 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870057 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870058 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870059 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870060 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870061 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870062 | No |
| Blue Advantage Plus Bronze? 303 | POS | 33602TX0870063 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870003 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870064 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870065 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870066 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870067 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870068 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870069 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870070 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870071 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870072 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870073 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870074 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870075 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870076 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870077 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870078 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870079 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870080 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870081 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870082 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870083 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870084 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870085 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870086 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870087 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870088 | No |
| Blue Advantage Plus Bronze? 305 | POS | 33602TX0870089 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870004 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870090 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870091 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870092 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870093 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870094 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870095 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870096 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870097 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870098 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870099 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870100 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870101 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870102 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870103 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870104 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870105 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870106 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870107 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870108 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870109 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870110 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870111 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870112 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870113 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870114 | No |
| Blue Advantage Plus Bronze? Standard | POS | 33602TX0870115 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870005 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870116 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870117 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870118 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870119 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870120 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870121 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870122 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870123 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870124 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870125 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870126 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870127 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870128 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870129 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870130 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870131 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870132 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870133 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870134 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870135 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870136 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870137 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870138 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870139 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870140 | No |
| Blue Advantage Plus Gold? 203 | POS | 33602TX0870141 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870011 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870272 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870273 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870274 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870275 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870276 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870277 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870278 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870279 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870280 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870281 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870282 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870283 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870284 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870285 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870286 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870287 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870288 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870289 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870290 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870291 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870292 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870293 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870294 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870295 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870296 | No |
| Blue Advantage Plus Gold? 803 | POS | 33602TX0870297 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870006 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870142 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870143 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870144 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870145 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870146 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870147 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870148 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870149 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870150 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870151 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870152 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870153 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870154 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870155 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870156 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870157 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870158 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870159 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870160 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870161 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870162 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870163 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870164 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870165 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870166 | No |
| Blue Advantage Plus Gold? Standard | POS | 33602TX0870167 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870007 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870168 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870169 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870170 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870171 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870172 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870173 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870174 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870175 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870176 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870177 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870178 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870179 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870180 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870181 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870182 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870183 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870184 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870185 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870186 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870187 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870188 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870189 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870190 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870191 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870192 | No |
| Blue Advantage Plus Silver? 202 | POS | 33602TX0870193 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870009 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870220 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870221 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870222 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870223 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870224 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870225 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870226 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870227 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870228 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870229 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870230 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870231 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870232 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870233 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870234 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870235 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870236 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870237 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870238 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870239 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870240 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870241 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870242 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870243 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870244 | No |
| Blue Advantage Plus Silver? 605 | POS | 33602TX0870245 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870010 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870246 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870247 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870248 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870249 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870250 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870251 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870252 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870253 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870254 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870255 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870256 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870257 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870258 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870259 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870260 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870261 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870262 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870263 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870264 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870265 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870266 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870267 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870268 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870269 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870270 | No |
| Blue Advantage Plus Silver? Standard | POS | 33602TX0870271 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460552 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460655 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460656 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460657 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460658 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460659 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460660 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460661 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460662 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460663 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460664 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460665 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460666 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460667 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460668 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460669 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460671 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460672 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460673 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460674 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460675 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460676 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460677 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460678 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0460872 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0461077 | No |
| Blue Advantage Security HMO? 200 | HMO | 33602TX0461078 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460553 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460680 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460681 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460682 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460683 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460684 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460685 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460686 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460687 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460688 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460689 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460690 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460691 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460692 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460693 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460694 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460696 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460697 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460698 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460699 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460700 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460701 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460702 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460703 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0460867 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0461069 | No |
| Blue Advantage Silver HMO? 205 | HMO | 33602TX0461070 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461083 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461090 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461094 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461099 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461100 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461101 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461102 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461104 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461105 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461107 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461108 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461109 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461110 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461112 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461114 | No |
| Blue Advantage Silver HMO? 801 | HMO | 33602TX0461115 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460926 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460954 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460955 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460956 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460957 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460958 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460959 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460960 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460961 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460962 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460963 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460964 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460965 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460966 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460967 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460968 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460969 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460970 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460971 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460972 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460973 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460974 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460975 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460976 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460977 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460978 | No |
| Blue Advantage Silver HMO? Standard | HMO | 33602TX0460979 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| CHRISTUS Bronze | HMO | 66252TX0320001 | No |
| CHRISTUS Bronze | HMO | 66252TX0320002 | No |
| CHRISTUS Bronze | HMO | 66252TX0320003 | No |
| CHRISTUS Bronze | HMO | 66252TX0320006 | No |
| CHRISTUS Bronze | HMO | 66252TX0320007 | No |
| CHRISTUS Bronze | HMO | 66252TX0320009 | No |
| CHRISTUS Bronze | HMO | 66252TX0320010 | No |
| CHRISTUS Bronze | HMO | 66252TX0320011 | No |
| CHRISTUS Bronze | HMO | 66252TX0320012 | No |
| CHRISTUS Bronze | HMO | 66252TX0320013 | No |
| CHRISTUS Bronze | HMO | 98780LA0150001 | No |
| CHRISTUS Bronze | HMO | 98780LA0150002 | No |
| CHRISTUS Bronze | HMO | 98780LA0150003 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030001 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030002 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030003 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030006 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030007 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030009 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030010 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030011 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030012 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030013 | No |
| CHRISTUS Bronze Essential | HMO | 98780LA0040001 | No |
| CHRISTUS Bronze Essential | HMO | 98780LA0040002 | No |
| CHRISTUS Bronze Essential | HMO | 98780LA0040003 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140001 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140002 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140003 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140006 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140007 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140009 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140010 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140011 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140012 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140013 | 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 | 66252TX0330001 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330002 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330003 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330006 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330007 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330009 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330010 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330011 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330012 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330013 | No |
| CHRISTUS Bronze Plus | HMO | 98780LA0170001 | No |
| CHRISTUS Bronze Plus | HMO | 98780LA0170002 | No |
| CHRISTUS Bronze Plus | HMO | 98780LA0170003 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010001 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010002 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010003 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010006 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010007 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010009 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010010 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010011 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010012 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010013 | No |
| CHRISTUS Gold | HMO | 66252TX0360001 | No |
| CHRISTUS Gold | HMO | 66252TX0360002 | No |
| CHRISTUS Gold | HMO | 66252TX0360003 | No |
| CHRISTUS Gold | HMO | 66252TX0360006 | No |
| CHRISTUS Gold | HMO | 66252TX0360007 | No |
| CHRISTUS Gold | HMO | 66252TX0360009 | No |
| CHRISTUS Gold | HMO | 66252TX0360010 | No |
| CHRISTUS Gold | HMO | 66252TX0360011 | No |
| CHRISTUS Gold | HMO | 66252TX0360012 | No |
| CHRISTUS Gold | HMO | 66252TX0360013 | No |
| CHRISTUS Gold | HMO | 98780LA0200001 | No |
| CHRISTUS Gold | HMO | 98780LA0200002 | No |
| CHRISTUS Gold | HMO | 98780LA0200003 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070001 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070002 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070003 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070006 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070007 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070009 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070010 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070011 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070012 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070013 | No |
| CHRISTUS Gold Essential | HMO | 98780LA0030001 | No |
| CHRISTUS Gold Essential | HMO | 98780LA0030002 | No |
| CHRISTUS Gold Essential | HMO | 98780LA0030003 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130001 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130002 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130003 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130006 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130007 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130009 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130010 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130011 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130012 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130013 | 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 | 66252TX0370001 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370002 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370003 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370006 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370007 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370009 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370010 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370011 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370012 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370013 | No |
| CHRISTUS Gold Plus | HMO | 98780LA0210001 | No |
| CHRISTUS Gold Plus | HMO | 98780LA0210002 | No |
| CHRISTUS Gold Plus | HMO | 98780LA0210003 | No |
| CHRISTUS Silver | HMO | 66252TX0040001 | No |
| CHRISTUS Silver | HMO | 66252TX0040002 | No |
| CHRISTUS Silver | HMO | 66252TX0040003 | No |
| CHRISTUS Silver | HMO | 66252TX0040006 | No |
| CHRISTUS Silver | HMO | 66252TX0040007 | No |
| CHRISTUS Silver | HMO | 66252TX0040009 | No |
| CHRISTUS Silver | HMO | 66252TX0040010 | No |
| CHRISTUS Silver | HMO | 66252TX0040011 | No |
| CHRISTUS Silver | HMO | 66252TX0040012 | No |
| CHRISTUS Silver | HMO | 66252TX0040013 | No |
| CHRISTUS Silver | HMO | 98780LA0010001 | No |
| CHRISTUS Silver | HMO | 98780LA0010002 | No |
| CHRISTUS Silver | HMO | 98780LA0010003 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160001 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160002 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160003 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160006 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160007 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160009 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160010 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160011 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160012 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160013 | No |
| CHRISTUS Silver Essential | HMO | 98780LA0080001 | No |
| CHRISTUS Silver Essential | HMO | 98780LA0080002 | No |
| CHRISTUS Silver Essential | HMO | 98780LA0080003 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340001 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340002 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340003 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340006 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340007 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340009 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340010 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340011 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340012 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340013 | 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 | 66252TX0350001 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350002 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350003 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350006 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350007 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350009 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350010 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350011 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350012 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350013 | No |
| CHRISTUS Silver Plus | HMO | 98780LA0190001 | No |
| CHRISTUS Silver Plus | HMO | 98780LA0190002 | No |
| CHRISTUS Silver Plus | HMO | 98780LA0190003 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300001 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300002 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300003 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300006 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300007 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300009 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300010 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300011 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300012 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300013 | 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 | 66252TX0290001 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290002 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290003 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290006 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290007 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290009 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290010 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290011 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290012 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290013 | No |
| CHRISTUS Standard Gold | HMO | 98780LA0130001 | No |
| CHRISTUS Standard Gold | HMO | 98780LA0130002 | No |
| CHRISTUS Standard Gold | HMO | 98780LA0130003 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280001 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280002 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280003 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280006 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280007 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280009 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280010 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280011 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280012 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280013 | No |
| CHRISTUS Standard Silver | HMO | 98780LA0120001 | No |
| CHRISTUS Standard Silver | HMO | 98780LA0120002 | No |
| CHRISTUS Standard Silver | HMO | 98780LA0120003 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Connect Bronze 5500 Indiv Med Deductible | HMO | 76589TX0010044 | No |
| Connect Bronze 6000 Indiv Med Deductible | HMO | 76589TX0010015 | No |
| Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care | HMO | 76589TX0010047 | No |
| Connect Bronze 8500 Indiv Med Deductible | HMO | 76589TX0010018 | No |
| Connect Bronze 8500 Indiv Med Deductible | HMO | 76589TX0010045 | No |
| Connect Bronze CMS Standard | HMO | 76589TX0010029 | No |
| Connect Bronze CMS Standard | HMO | 76589TX0010048 | No |
| Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care | HMO | 76589TX0010016 | No |
| Connect Gold 1000 Indiv Med Deductible | HMO | 76589TX0010035 | No |
| Connect Gold 1000 Indiv Med Deductible | HMO | 76589TX0010050 | No |
| Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care | HMO | 76589TX0010026 | No |
| Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care | HMO | 76589TX0010036 | No |
| Connect Gold 3250 Indiv Med Deductible | HMO | 76589TX0010025 | No |
| Connect Gold 3500 Indiv Med Deductible | HMO | 76589TX0010037 | No |
| Connect Gold CMS Standard | HMO | 76589TX0010031 | No |
| Connect Gold CMS Standard | HMO | 76589TX0010038 | No |
| Connect Silver 3000 Indiv Med Deductible | HMO | 76589TX0010024 | No |
| Connect Silver 3000 Indiv Med Deductible | HMO | 76589TX0010040 | No |
| Connect Silver 4000 Indiv Med Deductible | HMO | 76589TX0010021 | No |
| Connect Silver 4000 Indiv Med Deductible | HMO | 76589TX0010041 | No |
| Connect Silver CMS Standard | HMO | 76589TX0010030 | No |
| Connect Silver CMS Standard | HMO | 76589TX0010043 | No |