KANSAS CITY UROLOGY CARE, P.A.
Accepted Insurance Health Plans for NPI 1528024676
Urology in Overland Park, KS
NPI Status: Active since April 25, 2006
Contact Information
10701 NALL AVE
SUITE 100
OVERLAND PARK, KS
ZIP 66211
Phone: (913) 341-7985
Fax: (913) 341-7988
- Aetna CVS Health
- Ambetter from Absolute Total Care
- Ambetter from Arkansas Health & Wellness
- Ambetter from Home State Health
- Ambetter from Louisiana Healthcare Connections
- Ambetter from NH Healthy Families
- Ambetter from Sunflower Health Plan
- Ambetter Health
- Ambetter Health of Delaware
- Ambetter of Alabama
- Ambetter of North Carolina
- Ambetter of Oklahoma
- Anthem Blue Cross and Blue Shield
- Avera Health Plans
- BannerAetna
- Baylor Scott and White Health Plan
- Blue Cross and Blue Shield of Illinois
- Blue Cross and Blue Shield of Kansas City
- Blue Cross and Blue Shield of Kansas, Inc.
- Blue Cross and Blue Shield of Montana
- Blue Cross and Blue Shield of Nebraska
- Blue Cross and Blue Shield of Oklahoma
- Blue Cross and Blue Shield of Texas
- Blue Cross Blue Shield of North Dakota
- Blue Cross Blue Shield of Wyoming
- BlueCross BlueShield of Tennessee
- Common Ground Healthcare Cooperative
- Medica
- Oscar Health Insurance
- Oscar Health Plan of North Carolina, Inc
- Oscar Health Plan, Inc.
- Oscar Insurance Company
- Oscar Insurance Company of Florida
- Oscar Insurance Corporation of Ohio
- Primewell Health Services of Mississippi
- Sanford Health Plan
- WellCare of North Carolina
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by KANSAS CITY UROLOGY CARE, P.A.. 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 + 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 | 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 | 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 | 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 | 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 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 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 | 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 | 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 | 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 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 | 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 | 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 | EPO | 48161MO0200044 | No |
| Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision | EPO | 48161MO0200045 | 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 | 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 | EPO | 48161MO0200025 | No |
| Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision | EPO | 48161MO0200046 | 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 | 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? |
|---|---|---|---|
| Clear Silver | HMO | 79222SC0010023 | No |
| Elite Bronze | HMO | 79222SC0010022 | No |
| Elite Bronze + Vision + Adult Dental | HMO | 79222SC0020022 | No |
| Elite Gold | HMO | 79222SC0010029 | No |
| Elite Gold + Vision + Adult Dental | HMO | 79222SC0020030 | No |
| Everyday Bronze | HMO | 79222SC0010011 | No |
| Everyday Bronze + Vision + Adult Dental | HMO | 79222SC0020011 | No |
| Everyday Gold | HMO | 79222SC0010026 | No |
| Everyday Gold + Vision + Adult Dental | HMO | 79222SC0020026 | No |
| Focused Silver | HMO | 79222SC0010025 | No |
| Focused Silver + Vision + Adult Dental | HMO | 79222SC0020025 | No |
| Standard Expanded Bronze | HMO | 79222SC0010031 | No |
| Standard Expanded Bronze + Vision + Adult Dental | HMO | 79222SC0020031 | No |
| Standard Gold | HMO | 79222SC0010033 | No |
| Standard Gold + Vision + Adult Dental | HMO | 79222SC0020033 | No |
| Standard Silver | HMO | 79222SC0010032 | No |
| Standard Silver + Vision + Adult Dental | HMO | 79222SC0020032 | No |
| 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 | EPO | 75841NH0090006 | No |
| Choice Bronze HSA + Vision + Adult Dental | EPO | 75841NH0100002 | No |
| Clear Silver | EPO | 75841NH0090013 | No |
| Clear Silver + Vision + Adult Dental | EPO | 75841NH0100010 | No |
| Complete Gold | EPO | 75841NH0090005 | No |
| Complete Gold + Vision + Adult Dental | EPO | 75841NH0100009 | No |
| Complete Silver | EPO | 75841NH0090011 | No |
| Complete Silver + Vision + Adult Dental | EPO | 75841NH0100011 | No |
| Elite Bronze | EPO | 75841NH0090021 | No |
| Elite Bronze + Vision + Adult Dental | EPO | 75841NH0100021 | No |
| Everyday Gold | EPO | 75841NH0090026 | No |
| Everyday Gold + Vision + Adult Dental | EPO | 75841NH0100026 | No |
| Standard Expanded Bronze | EPO | 75841NH0090028 | No |
| Standard Expanded Bronze + Vision + Adult Dental | EPO | 75841NH0100029 | No |
| Standard Gold | EPO | 75841NH0090030 | No |
| Standard Gold + Vision + Adult Dental | EPO | 75841NH0100031 | No |
| Standard Silver | EPO | 75841NH0090029 | No |
| Standard Silver + Vision + Adult Dental | EPO | 75841NH0100030 | No |
| 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 | HMO | 48286IA0010015 | No |
| Complete Gold + Vision + Adult Dental | HMO | 48286IA0020015 | No |
| Elite Bronze | HMO | 48286IA0010013 | No |
| Elite Bronze + Vision + Adult Dental | HMO | 48286IA0020013 | No |
| Elite Silver | HMO | 48286IA0010022 | No |
| Elite Silver + Vision + Adult Dental | HMO | 48286IA0020021 | No |
| Everyday Bronze | HMO | 48286IA0010012 | No |
| Everyday Bronze + Vision + Adult Dental | HMO | 48286IA0020012 | No |
| Everyday Gold | HMO | 48286IA0010016 | No |
| Everyday Gold + Vision + Adult Dental | HMO | 48286IA0020016 | No |
| Focused Silver | HMO | 48286IA0010019 | No |
| Focused Silver + Vision + Adult Dental | HMO | 48286IA0020019 | No |
| Standard Expanded Bronze | HMO | 48286IA0010014 | No |
| Standard Expanded Bronze + Vision + Adult Dental | HMO | 48286IA0020014 | No |
| Standard Gold | HMO | 48286IA0010017 | No |
| Standard Gold + Vision + Adult Dental | HMO | 48286IA0020017 | No |
| Standard Silver | HMO | 48286IA0010020 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Clear Gold | EPO | 64004DE0090011 | No |
| Clear Gold + Vision + Adult Dental | EPO | 64004DE0100011 | No |
| Complete Gold | EPO | 64004DE0090009 | No |
| Complete Gold + Vision + Adult Dental | EPO | 64004DE0100009 | No |
| Elite Silver | EPO | 64004DE0090013 | No |
| Elite Silver + Vision + Adult Dental | EPO | 64004DE0100013 | No |
| Everyday Bronze | EPO | 64004DE0090002 | No |
| Everyday Bronze + Vision + Adult Dental | EPO | 64004DE0100002 | No |
| Focused Silver | EPO | 64004DE0090007 | No |
| Focused Silver + Vision + Adult Dental | EPO | 64004DE0100007 | No |
| Premier Bronze HSA | EPO | 64004DE0090001 | No |
| Premier Bronze HSA + Vision + Adult Dental | EPO | 64004DE0100001 | No |
| Standard Expanded Bronze | EPO | 64004DE0090004 | No |
| Standard Expanded Bronze + Vision + Adult Dental | EPO | 64004DE0100004 | No |
| Standard Gold | EPO | 64004DE0090012 | No |
| Standard Gold + Vision + Adult Dental | EPO | 64004DE0100012 | No |
| Standard Silver | EPO | 64004DE0090008 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Complete Gold | EPO | 53932AL0100015 | No |
| Complete Gold + Vision + Adult Dental | EPO | 53932AL0110010 | No |
| Elite Bronze | EPO | 53932AL0100014 | No |
| Elite Bronze + Vision + Adult Dental | EPO | 53932AL0110014 | No |
| Elite Gold | EPO | 53932AL0100016 | No |
| Elite Gold + Vision + Adult Dental | EPO | 53932AL0110015 | No |
| Elite Silver | EPO | 53932AL0100017 | No |
| Elite Silver + Vision + Adult Dental | EPO | 53932AL0110016 | No |
| Everyday Bronze | EPO | 53932AL0100003 | No |
| Everyday Bronze + Vision + Adult Dental | EPO | 53932AL0110003 | No |
| Focused Silver | EPO | 53932AL0100005 | No |
| Focused Silver + Vision + Adult Dental | EPO | 53932AL0110005 | No |
| Standard Expanded Bronze | EPO | 53932AL0100011 | No |
| Standard Expanded Bronze + Vision + Adult Dental | EPO | 53932AL0110011 | No |
| Standard Gold | EPO | 53932AL0100013 | No |
| Standard Gold + Vision + Adult Dental | EPO | 53932AL0110013 | No |
| Standard Silver | EPO | 53932AL0100012 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Clear Silver with $0 Insulin Options | HMO | 77264NC0010037 | No |
| Complete Gold | HMO | 77264NC0010007 | No |
| Complete Gold + Vision + Adult Dental | HMO | 77264NC0020007 | No |
| Complete Gold with Atrium Health | HMO | 77264NC0010056 | No |
| Complete Gold with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020053 | No |
| Complete Silver with Atrium Health | HMO | 77264NC0010051 | No |
| Complete Silver with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020048 | No |
| Elite Bronze | HMO | 77264NC0010036 | No |
| Elite Bronze + Vision + Adult Dental | HMO | 77264NC0020036 | No |
| Elite Bronze with Atrium Health | HMO | 77264NC0010050 | No |
| Elite Bronze with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020047 | No |
| Everyday Bronze | HMO | 77264NC0010028 | No |
| Everyday Bronze + Vision + Adult Dental | HMO | 77264NC0020028 | No |
| Everyday Bronze with Atrium Health | HMO | 77264NC0010049 | No |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020046 | No |
| Focused Silver | HMO | 77264NC0010039 | No |
| Focused Silver + Vision + Adult Dental | HMO | 77264NC0020039 | No |
| Focused Silver with Atrium Health | HMO | 77264NC0010054 | No |
| Focused Silver with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020051 | No |
| Standard Expanded Bronze | HMO | 77264NC0010044 | No |
| Standard Expanded Bronze + Vision + Adult Dental | HMO | 77264NC0020055 | No |
| Standard Expanded Bronze with Atrium Health | HMO | 77264NC0010059 | No |
| Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020058 | No |
| Standard Gold | HMO | 77264NC0010046 | No |
| Standard Gold + Vision + Adult Dental | HMO | 77264NC0020057 | No |
| Standard Gold with Atrium Health | HMO | 77264NC0010061 | No |
| Standard Gold with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020060 | No |
| Standard Silver | HMO | 77264NC0010045 | No |
| Standard Silver + Vision + Adult Dental | HMO | 77264NC0020056 | No |
| Standard Silver with Atrium Health | HMO | 77264NC0010060 | No |
| Standard Silver with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020059 | No |
| 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? |
|---|---|---|---|
| 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 Catastrophic Pathway 9200 (+ Incentives) | EPO | 32753MO0950016 | No |
| Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950023 | No |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950017 | No |
| Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950002 | 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 |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Avera $1800 | PPO | 60536SD0020064 | No |
| Avera $1800 | PPO | 60536SD0020065 | No |
| Avera $2000 | PPO | 60536SD0020007 | No |
| Avera $2000 | PPO | 60536SD0020041 | No |
| Avera $4000 | PPO | 60536SD0020022 | No |
| Avera $4000 | PPO | 60536SD0020043 | No |
| Avera $4500 | PPO | 60536SD0020039 | No |
| Avera $4500 | PPO | 60536SD0020045 | No |
| Avera $6000 | PPO | 60536SD0020023 | No |
| Avera $6000 | PPO | 60536SD0020046 | No |
| Avera $7500 HSA Eligible HDHP | PPO | 60536SD0020024 | No |
| Avera $7500 HSA Eligible HDHP | PPO | 60536SD0020047 | No |
| Avera $9200 | PPO | 60536SD0020018 | No |
| Avera $9200 | PPO | 60536SD0020050 | No |
| Avera Standard $1500 | PPO | 60536SD0020051 | No |
| Avera Standard $1500 | PPO | 60536SD0020057 | No |
| Avera Standard $5000 | PPO | 60536SD0020052 | No |
| Avera Standard $5000 | PPO | 60536SD0020058 | No |
| Avera Standard $7500 | PPO | 60536SD0020066 | No |
| Avera Standard $7500 | PPO | 60536SD0020067 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO | 40788TX0460001 | No |
| BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO | 40788TX0460001 | No |
| BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) | HMO | 40788TX0460004 | No |
| BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) | HMO | 40788TX0460004 | No |
| BSW Elite Gold HMO 012 | HMO | 40788TX0460012 | No |
| BSW Elite Gold HMO 012 | HMO | 40788TX0460012 | No |
| BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO | 40788TX0460003 | No |
| BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO | 40788TX0460003 | No |
| BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) | HMO | 40788TX0460008 | No |
| BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) | HMO | 40788TX0460008 | No |
| BSW Prime Silver HMO 005 | HMO | 40788TX0460005 | No |
| BSW Prime Silver HMO 005 | HMO | 40788TX0460005 | No |
| BSW Savers Bronze HMO H S A 006 | HMO | 40788TX0460006 | No |
| BSW Savers Bronze HMO H S A 006 | HMO | 40788TX0460006 | No |
| BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO | 40788TX0460007 | No |
| BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) | HMO | 40788TX0460007 | No |
| BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) | HMO | 40788TX0460009 | No |
| BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) | HMO | 40788TX0460009 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990127 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990188 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990189 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990190 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990191 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990192 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990193 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990194 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990195 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990196 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990197 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990198 | No |
| Blue Choice Preferred Bronze PPO? 201 | PPO | 36096IL0990199 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990265 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990267 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990268 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990269 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990270 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990271 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990272 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990273 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990274 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990275 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990276 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990277 | No |
| Blue Choice Preferred Bronze PPO? 701 | PPO | 36096IL0990278 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990306 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990332 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990333 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990334 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990335 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990336 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990337 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990338 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990339 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990340 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990341 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990342 | No |
| Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays | PPO | 36096IL0990343 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990122 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990128 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990129 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990130 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990131 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990132 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990133 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990134 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990135 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990136 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990137 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990138 | No |
| Blue Choice Preferred Gold PPO? 204 | PPO | 36096IL0990139 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990279 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990282 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990283 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990284 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990285 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990286 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990287 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990288 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990289 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990290 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990291 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990292 | No |
| Blue Choice Preferred Gold PPO? Standard - Rx Copays | PPO | 36096IL0990293 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990126 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990176 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990177 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990178 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990179 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990180 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990181 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990182 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990183 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990184 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990185 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990186 | No |
| Blue Choice Preferred Security PPO? 200 | PPO | 36096IL0990187 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990123 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990140 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990141 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990142 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990143 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990144 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990145 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990146 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990147 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990148 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990149 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990150 | No |
| Blue Choice Preferred Silver PPO? 203 | PPO | 36096IL0990151 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990361 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990362 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990363 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990364 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990365 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990366 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990367 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990368 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990369 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990370 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990371 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990372 | No |
| Blue Choice Preferred Silver PPO? 801 | PPO | 36096IL0990373 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990280 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990294 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990295 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990296 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990297 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990298 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990299 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990300 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990344 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990345 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990346 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990347 | No |
| Blue Choice Preferred Silver PPO? Standard - Select Rx Copays | PPO | 36096IL0990348 | No |
| Blue Precision Bronze HMO? 205 | HMO | 36096IL0810083 | No |
| Blue Precision Bronze HMO? 205 | HMO | 36096IL0810108 | No |
| Blue Precision Bronze HMO? 205 | HMO | 36096IL0810109 | No |
| Blue Precision Bronze HMO? 205 | HMO | 36096IL0810110 | No |
| Blue Precision Bronze HMO? 205 | HMO | 36096IL0810111 | No |
| Blue Precision Bronze HMO? 205 | HMO | 36096IL0810112 | No |
| Blue Precision Bronze HMO? 701 | HMO | 36096IL0810123 | No |
| Blue Precision Bronze HMO? 701 | HMO | 36096IL0810134 | No |
| Blue Precision Bronze HMO? 701 | HMO | 36096IL0810135 | No |
| Blue Precision Bronze HMO? 701 | HMO | 36096IL0810136 | No |
| Blue Precision Bronze HMO? 701 | HMO | 36096IL0810137 | No |
| Blue Precision Bronze HMO? 701 | HMO | 36096IL0810138 | No |
| Blue Precision Bronze HMO? Standard - Select Rx Copays | HMO | 36096IL0810172 | No |
| Blue Precision Bronze HMO? Standard - Select Rx Copays | HMO | 36096IL0810173 | No |
| Blue Precision Bronze HMO? Standard - Select Rx Copays | HMO | 36096IL0810174 | No |
| Blue Precision Bronze HMO? Standard - Select Rx Copays | HMO | 36096IL0810175 | No |
| Blue Precision Bronze HMO? Standard - Select Rx Copays | HMO | 36096IL0810176 | No |
| Blue Precision Bronze HMO? Standard - Select Rx Copays | HMO | 36096IL0810177 | No |
| Blue Precision Gold HMO? 207 | HMO | 36096IL0810080 | No |
| Blue Precision Gold HMO? 207 | HMO | 36096IL0810090 | No |
| Blue Precision Gold HMO? 207 | HMO | 36096IL0810091 | No |
| Blue Precision Gold HMO? 207 | HMO | 36096IL0810092 | No |
| Blue Precision Gold HMO? 207 | HMO | 36096IL0810093 | No |
| Blue Precision Gold HMO? 207 | HMO | 36096IL0810094 | No |
| Blue Precision Gold HMO? 703 | HMO | 36096IL0810121 | No |
| Blue Precision Gold HMO? 703 | HMO | 36096IL0810124 | No |
| Blue Precision Gold HMO? 703 | HMO | 36096IL0810125 | No |
| Blue Precision Gold HMO? 703 | HMO | 36096IL0810126 | No |
| Blue Precision Gold HMO? 703 | HMO | 36096IL0810127 | No |
| Blue Precision Gold HMO? 703 | HMO | 36096IL0810128 | No |
| Blue Precision Gold HMO? Standard - Rx Copays | HMO | 36096IL0810139 | No |
| Blue Precision Gold HMO? Standard - Rx Copays | HMO | 36096IL0810142 | No |
| Blue Precision Gold HMO? Standard - Rx Copays | HMO | 36096IL0810143 | No |
| Blue Precision Gold HMO? Standard - Rx Copays | HMO | 36096IL0810144 | No |
| Blue Precision Gold HMO? Standard - Rx Copays | HMO | 36096IL0810145 | No |
| Blue Precision Gold HMO? Standard - Rx Copays | HMO | 36096IL0810146 | No |
| Blue Precision Silver HMO? 206 | HMO | 36096IL0810081 | No |
| Blue Precision Silver HMO? 206 | HMO | 36096IL0810096 | No |
| Blue Precision Silver HMO? 206 | HMO | 36096IL0810097 | No |
| Blue Precision Silver HMO? 206 | HMO | 36096IL0810098 | No |
| Blue Precision Silver HMO? 206 | HMO | 36096IL0810099 | No |
| Blue Precision Silver HMO? 206 | HMO | 36096IL0810100 | No |
| Blue Precision Silver HMO? 704 | HMO | 36096IL0810122 | No |
| Blue Precision Silver HMO? 704 | HMO | 36096IL0810129 | No |
| Blue Precision Silver HMO? 704 | HMO | 36096IL0810130 | No |
| Blue Precision Silver HMO? 704 | HMO | 36096IL0810131 | No |
| Blue Precision Silver HMO? 704 | HMO | 36096IL0810132 | No |
| Blue Precision Silver HMO? 704 | HMO | 36096IL0810133 | No |
| Blue Precision Silver HMO? Standard - Select Rx Copays | HMO | 36096IL0810140 | No |
| Blue Precision Silver HMO? Standard - Select Rx Copays | HMO | 36096IL0810147 | No |
| Blue Precision Silver HMO? Standard - Select Rx Copays | HMO | 36096IL0810148 | No |
| Blue Precision Silver HMO? Standard - Select Rx Copays | HMO | 36096IL0810149 | No |
| Blue Precision Silver HMO? Standard - Select Rx Copays | HMO | 36096IL0810150 | No |
| Blue Precision Silver HMO? Standard - Select Rx Copays | HMO | 36096IL0810151 | No |
| BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate | HMO | 36096IL0810195 | No |
| BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate | HMO | 36096IL0810212 | No |
| BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate | HMO | 36096IL0810213 | No |
| BlueCare Direct Gold? Standard - Rx Copays with Advocate | HMO | 36096IL0810193 | No |
| BlueCare Direct Gold? Standard - Rx Copays with Advocate | HMO | 36096IL0810208 | No |
| BlueCare Direct Gold? Standard - Rx Copays with Advocate | HMO | 36096IL0810209 | No |
| BlueCare Direct Silver? Standard - Select Rx Copays with Advocate | HMO | 36096IL0810194 | No |
| BlueCare Direct Silver? Standard - Select Rx Copays with Advocate | HMO | 36096IL0810210 | No |
| BlueCare Direct Silver? Standard - Select Rx Copays with Advocate | HMO | 36096IL0810211 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue KC Catastrophic BlueSelect EPO | EPO | 34762MO0590023 | No |
| Blue KC Catastrophic BlueSelect EPO | EPO | 94248KS0560012 | No |
| Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care | EPO | 34762MO0590014 | No |
| Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care | EPO | 94248KS0560008 | No |
| Blue KC Choice Silver 1 BlueSelect EPO with Spira Care | EPO | 34762MO0590004 | No |
| Blue KC Choice Silver 1 BlueSelect EPO with Spira Care | EPO | 94248KS0560004 | No |
| Blue KC Choice Silver BlueSelect Plus EPO with Spira Care | EPO | 34762MO0590002 | No |
| Blue KC Choice Silver BlueSelect Plus EPO with Spira Care | EPO | 94248KS0560002 | No |
| Blue KC Community Silver Preferred-Care Blue EPO | EPO | 34762MO0590009 | No |
| Blue KC First Bronze Preferred-Care Blue EPO | EPO | 34762MO0590010 | No |
| Blue KC Saver Bronze Preferred-Care Blue EPO | EPO | 34762MO0590003 | No |
| Blue KC Saver Bronze Preferred-Care Blue EPO | EPO | 94248KS0560009 | No |
| Blue KC Standard Bronze BlueSelect EPO | EPO | 34762MO0590018 | No |
| Blue KC Standard Bronze BlueSelect EPO | EPO | 94248KS0560015 | No |
| Blue KC Standard Bronze Preferred-Care Blue EPO | EPO | 34762MO0590020 | No |
| Blue KC Standard Gold Preferred-Care Blue EPO | EPO | 34762MO0590013 | No |
| Blue KC Standard Gold Preferred-Care Blue EPO | EPO | 94248KS0560007 | No |
| Blue KC Standard Silver BlueSelect EPO | EPO | 34762MO0590022 | No |
| Blue KC Standard Silver BlueSelect EPO | EPO | 94248KS0560014 | No |
| Blue KC Standard Silver Preferred-Care Blue EPO | EPO | 34762MO0590019 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCare EPO Bronze | EPO | 18558KS0400009 | No |
| BlueCare EPO Gold | EPO | 18558KS0400006 | No |
| BlueCare EPO Gold Plus | EPO | 18558KS0400014 | No |
| BlueCare EPO Silver Plus | EPO | 18558KS0400013 | No |
| BlueCare EPO Simple Bronze HDHP | EPO | 18558KS0400010 | No |
| BlueCare EPO Simple Silver HDHP | EPO | 18558KS0400008 | No |
| BlueCare EPO Standardized Expanded Bronze | EPO | 18558KS0420002 | No |
| BlueCare EPO Standardized Gold | EPO | 18558KS0420004 | No |
| BlueCare EPO Standardized Silver | EPO | 18558KS0420003 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue Focus Bronze POS? 205 | POS | 30751MT0670003 | No |
| Blue Focus Bronze POS? 205 | POS | 30751MT0670012 | No |
| Blue Focus Bronze POS? 205 | POS | 30751MT0670013 | No |
| Blue Focus Bronze POS? 705 | POS | 30751MT0670006 | No |
| Blue Focus Bronze POS? 705 | POS | 30751MT0670016 | No |
| Blue Focus Bronze POS? 705 | POS | 30751MT0670017 | No |
| Blue Focus Bronze POS? Standard | POS | 30751MT0670009 | No |
| Blue Focus Bronze POS? Standard | POS | 30751MT0670018 | No |
| Blue Focus Bronze POS? Standard | POS | 30751MT0670019 | No |
| Blue Focus Gold POS? 207 | POS | 30751MT0670001 | No |
| Blue Focus Gold POS? 207 | POS | 30751MT0670020 | No |
| Blue Focus Gold POS? 207 | POS | 30751MT0670021 | No |
| Blue Focus Gold POS? Standard | POS | 30751MT0670007 | No |
| Blue Focus Gold POS? Standard | POS | 30751MT0670022 | No |
| Blue Focus Gold POS? Standard | POS | 30751MT0670023 | No |
| Blue Focus Silver POS? 206 | POS | 30751MT0670002 | No |
| Blue Focus Silver POS? 206 | POS | 30751MT0670024 | No |
| Blue Focus Silver POS? 206 | POS | 30751MT0670025 | No |
| Blue Focus Silver POS? Standard | POS | 30751MT0670008 | No |
| Blue Focus Silver POS? Standard | POS | 30751MT0670028 | No |
| Blue Focus Silver POS? Standard | POS | 30751MT0670029 | No |
| Blue Preferred Bronze PPO? 201 | PPO | 30751MT0550040 | No |
| Blue Preferred Bronze PPO? 201 | PPO | 30751MT0550049 | No |
| Blue Preferred Bronze PPO? 201 | PPO | 30751MT0550050 | No |
| Blue Preferred Bronze PPO? 201 | PPO | 30751MT0550051 | No |
| Blue Preferred Bronze PPO? 202 | PPO | 30751MT0550041 | No |
| Blue Preferred Bronze PPO? 202 | PPO | 30751MT0550052 | No |
| Blue Preferred Bronze PPO? 202 | PPO | 30751MT0550053 | No |
| Blue Preferred Bronze PPO? 202 | PPO | 30751MT0550054 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 30751MT0550092 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 30751MT0550093 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 30751MT0550100 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 30751MT0550101 | No |
| Blue Preferred Gold PPO? 204 | PPO | 30751MT0550038 | No |
| Blue Preferred Gold PPO? 204 | PPO | 30751MT0550043 | No |
| Blue Preferred Gold PPO? 204 | PPO | 30751MT0550044 | No |
| Blue Preferred Gold PPO? 204 | PPO | 30751MT0550045 | No |
| Blue Preferred Gold PPO? Standard | PPO | 30751MT0550086 | No |
| Blue Preferred Gold PPO? Standard | PPO | 30751MT0550089 | No |
| Blue Preferred Gold PPO? Standard | PPO | 30751MT0550094 | No |
| Blue Preferred Gold PPO? Standard | PPO | 30751MT0550095 | No |
| Blue Preferred Security PPO? 200 | PPO | 30751MT0550042 | No |
| Blue Preferred Security PPO? 200 | PPO | 30751MT0550055 | No |
| Blue Preferred Security PPO? 200 | PPO | 30751MT0550056 | No |
| Blue Preferred Security PPO? 200 | PPO | 30751MT0550057 | No |
| Blue Preferred Silver PPO? 203 | PPO | 30751MT0550039 | No |
| Blue Preferred Silver PPO? 203 | PPO | 30751MT0550046 | No |
| Blue Preferred Silver PPO? 203 | PPO | 30751MT0550047 | No |
| Blue Preferred Silver PPO? 203 | PPO | 30751MT0550048 | No |
| Blue Preferred Silver PPO? 308 | PPO | 30751MT0550061 | No |
| Blue Preferred Silver PPO? 308 | PPO | 30751MT0550071 | No |
| Blue Preferred Silver PPO? 308 | PPO | 30751MT0550072 | No |
| Blue Preferred Silver PPO? 308 | PPO | 30751MT0550073 | No |
| Blue Preferred Silver PPO? Standard | PPO | 30751MT0550087 | No |
| Blue Preferred Silver PPO? Standard | PPO | 30751MT0550090 | No |
| Blue Preferred Silver PPO? Standard | PPO | 30751MT0550096 | No |
| Blue Preferred Silver PPO? Standard | PPO | 30751MT0550097 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue | EPO | 29678NE1450002 | No |
| HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO | PPO | 29678NE1510002 | No |
| HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision | EPO | 29678NE1560014 | No |
| HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision | EPO | 29678NE1570014 | No |
| HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision | EPO | 29678NE1580014 | No |
| HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision | EPO | 29678NE1530014 | No |
| HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision | EPO | 29678NE1540014 | No |
| HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision | EPO | 29678NE1550014 | No |
| HeartlandBlue Bronze HSA 6500 Blueprint Health | EPO | 29678NE1480001 | No |
| HeartlandBlue Bronze HSA 6500 Blueprint Health | EPO | 29678NE1490001 | No |
| HeartlandBlue Bronze HSA 6500 Blueprint Health | EPO | 29678NE1500001 | No |
| HeartlandBlue Bronze HSA 6500 NEtwork Blue | EPO | 29678NE1450001 | No |
| HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO | PPO | 29678NE1510001 | No |
| HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice | EPO | 29678NE1460001 | No |
| HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice | EPO | 29678NE1470001 | No |
| HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice | EPO | 29678NE1520001 | No |
| HeartlandBlue Bronze Standard 7500 Blueprint Health | EPO | 29678NE1480006 | No |
| HeartlandBlue Bronze Standard 7500 Blueprint Health | EPO | 29678NE1490006 | No |
| HeartlandBlue Bronze Standard 7500 Blueprint Health | EPO | 29678NE1500006 | No |
| HeartlandBlue Bronze Standard 7500 NEtwork Blue | EPO | 29678NE1450006 | No |
| HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO | PPO | 29678NE1510006 | No |
| HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice | EPO | 29678NE1460006 | No |
| HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice | EPO | 29678NE1470006 | No |
| HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice | EPO | 29678NE1520006 | No |
| HeartlandBlue Gold $0 Deductible NEtwork Blue | EPO | 29678NE1450012 | No |
| HeartlandBlue Gold $0 Deductible NEtwork Blue PPO | PPO | 29678NE1510012 | No |
| HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue | EPO | 29678NE1450011 | No |
| HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO | PPO | 29678NE1510011 | No |
| HeartlandBlue Gold Standard 1500 Blueprint Health | EPO | 29678NE1480013 | No |
| HeartlandBlue Gold Standard 1500 Blueprint Health | EPO | 29678NE1490013 | No |
| HeartlandBlue Gold Standard 1500 Blueprint Health | EPO | 29678NE1500013 | No |
| HeartlandBlue Gold Standard 1500 NEtwork Blue | EPO | 29678NE1450013 | No |
| HeartlandBlue Gold Standard 1500 NEtwork Blue PPO | PPO | 29678NE1510013 | No |
| HeartlandBlue Gold Standard 1500 Premier Select BlueChoice | EPO | 29678NE1460013 | No |
| HeartlandBlue Gold Standard 1500 Premier Select BlueChoice | EPO | 29678NE1470013 | No |
| HeartlandBlue Gold Standard 1500 Premier Select BlueChoice | EPO | 29678NE1520013 | No |
| HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue | EPO | 29678NE1450009 | No |
| HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO | PPO | 29678NE1510009 | No |
| HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue | EPO | 29678NE1450008 | No |
| HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO | PPO | 29678NE1510008 | No |
| HeartlandBlue Silver Standard 5000 Blueprint Health | EPO | 29678NE1480010 | No |
| HeartlandBlue Silver Standard 5000 Blueprint Health | EPO | 29678NE1490010 | No |
| HeartlandBlue Silver Standard 5000 Blueprint Health | EPO | 29678NE1500010 | No |
| HeartlandBlue Silver Standard 5000 NEtwork Blue | EPO | 29678NE1450010 | No |
| HeartlandBlue Silver Standard 5000 NEtwork Blue PPO | PPO | 29678NE1510010 | No |
| HeartlandBlue Silver Standard 5000 Premier Select BlueChoice | EPO | 29678NE1460010 | No |
| HeartlandBlue Silver Standard 5000 Premier Select BlueChoice | EPO | 29678NE1470010 | No |
| HeartlandBlue Silver Standard 5000 Premier Select BlueChoice | EPO | 29678NE1520010 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue Advantage Bronze PPO? 202 | PPO | 87571OK0350070 | No |
| Blue Advantage Bronze PPO? 202 | PPO | 87571OK0350091 | No |
| Blue Advantage Bronze PPO? 202 | PPO | 87571OK0350092 | No |
| Blue Advantage Bronze PPO? 202 | PPO | 87571OK0350093 | No |
| Blue Advantage Bronze PPO? 202 | PPO | 87571OK0350094 | No |
| Blue Advantage Bronze PPO? 203 | PPO | 87571OK0350068 | No |
| Blue Advantage Bronze PPO? 203 | PPO | 87571OK0350083 | No |
| Blue Advantage Bronze PPO? 203 | PPO | 87571OK0350084 | No |
| Blue Advantage Bronze PPO? 203 | PPO | 87571OK0350085 | No |
| Blue Advantage Bronze PPO? 203 | PPO | 87571OK0350086 | No |
| Blue Advantage Bronze PPO? Standard | PPO | 87571OK0350176 | No |
| Blue Advantage Bronze PPO? Standard | PPO | 87571OK0350219 | No |
| Blue Advantage Bronze PPO? Standard | PPO | 87571OK0350220 | No |
| Blue Advantage Bronze PPO? Standard | PPO | 87571OK0350221 | No |
| Blue Advantage Bronze PPO? Standard | PPO | 87571OK0350222 | No |
| Blue Advantage Gold PPO? 309 | PPO | 87571OK0350097 | No |
| Blue Advantage Gold PPO? 309 | PPO | 87571OK0350106 | No |
| Blue Advantage Gold PPO? 309 | PPO | 87571OK0350107 | No |
| Blue Advantage Gold PPO? 309 | PPO | 87571OK0350108 | No |
| Blue Advantage Gold PPO? 309 | PPO | 87571OK0350109 | No |
| Blue Advantage Gold PPO? 604 | PPO | 87571OK0350118 | No |
| Blue Advantage Gold PPO? 604 | PPO | 87571OK0350127 | No |
| Blue Advantage Gold PPO? 604 | PPO | 87571OK0350128 | No |
| Blue Advantage Gold PPO? 604 | PPO | 87571OK0350129 | No |
| Blue Advantage Gold PPO? 604 | PPO | 87571OK0350130 | No |
| Blue Advantage Gold PPO? Standard | PPO | 87571OK0350178 | No |
| Blue Advantage Gold PPO? Standard | PPO | 87571OK0350227 | No |
| Blue Advantage Gold PPO? Standard | PPO | 87571OK0350228 | No |
| Blue Advantage Gold PPO? Standard | PPO | 87571OK0350229 | No |
| Blue Advantage Gold PPO? Standard | PPO | 87571OK0350230 | No |
| Blue Advantage Silver PPO? 204 | PPO | 87571OK0350069 | No |
| Blue Advantage Silver PPO? 204 | PPO | 87571OK0350087 | No |
| Blue Advantage Silver PPO? 204 | PPO | 87571OK0350088 | No |
| Blue Advantage Silver PPO? 204 | PPO | 87571OK0350089 | No |
| Blue Advantage Silver PPO? 204 | PPO | 87571OK0350090 | No |
| Blue Advantage Silver PPO? 501 | PPO | 87571OK0350115 | No |
| Blue Advantage Silver PPO? Standard | PPO | 87571OK0350177 | No |
| Blue Advantage Silver PPO? Standard | PPO | 87571OK0350223 | No |
| Blue Advantage Silver PPO? Standard | PPO | 87571OK0350224 | No |
| Blue Advantage Silver PPO? Standard | PPO | 87571OK0350225 | No |
| Blue Advantage Silver PPO? Standard | PPO | 87571OK0350226 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 87571OK0350173 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 87571OK0350191 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 87571OK0350192 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 87571OK0350193 | No |
| Blue Preferred Bronze PPO? Standard | PPO | 87571OK0350194 | No |
| Blue Preferred Gold PPO? Standard | PPO | 87571OK0350171 | No |
| Blue Preferred Gold PPO? Standard | PPO | 87571OK0350199 | No |
| Blue Preferred Gold PPO? Standard | PPO | 87571OK0350200 | No |
| Blue Preferred Gold PPO? Standard | PPO | 87571OK0350201 | No |
| Blue Preferred Gold PPO? Standard | PPO | 87571OK0350202 | No |
| Blue Preferred Security PPO? 200 | PPO | 87571OK0350165 | No |
| Blue Preferred Security PPO? 200 | PPO | 87571OK0350203 | No |
| Blue Preferred Security PPO? 200 | PPO | 87571OK0350204 | No |
| Blue Preferred Security PPO? 200 | PPO | 87571OK0350205 | No |
| Blue Preferred Security PPO? 200 | PPO | 87571OK0350206 | No |
| Blue Preferred Silver PPO? Standard | PPO | 87571OK0350172 | No |
| Blue Preferred Silver PPO? Standard | PPO | 87571OK0350215 | No |
| Blue Preferred Silver PPO? Standard | PPO | 87571OK0350216 | No |
| Blue Preferred Silver PPO? Standard | PPO | 87571OK0350217 | No |
| Blue Preferred Silver PPO? Standard | PPO | 87571OK0350218 | No |
| MyBlue Gold HMO? 704 | HMO | 87571OK0510057 | No |
| MyBlue Gold HMO? 704 | HMO | 87571OK0510060 | No |
| MyBlue Gold HMO? 804 | HMO | 87571OK0510071 | No |
| MyBlue Gold HMO? 804 | HMO | 87571OK0510073 | No |
| MyBlue Gold HMO? Standard | HMO | 87571OK0510063 | No |
| MyBlue Gold HMO? Standard | HMO | 87571OK0510066 | No |
| MyBlue Silver HMO? 705 | HMO | 87571OK0510058 | No |
| MyBlue Silver HMO? 705 | HMO | 87571OK0510061 | No |
| MyBlue Silver HMO? 803 | HMO | 87571OK0510070 | No |
| MyBlue Silver HMO? 803 | HMO | 87571OK0510072 | No |
| MyBlue Silver HMO? Standard | HMO | 87571OK0510064 | No |
| MyBlue Silver HMO? Standard | HMO | 87571OK0510067 | 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 |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461080 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461116 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461117 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461118 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461119 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461120 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461121 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461122 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461179 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461196 | No |
| MyBlue Health Bronze? 402 | HMO | 33602TX0461197 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461087 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461159 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461160 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461161 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461163 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461164 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461185 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461198 | No |
| MyBlue Health Bronze? Standard | HMO | 33602TX0461199 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461081 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461123 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461124 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461125 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461126 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461127 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461128 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461129 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461180 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461200 | No |
| MyBlue Health Gold? 403 | HMO | 33602TX0461201 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461088 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461166 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461167 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461168 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461170 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461171 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461186 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461202 | No |
| MyBlue Health Gold? Standard | HMO | 33602TX0461203 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461082 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461130 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461131 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461132 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461133 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461134 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461135 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461136 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461181 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461204 | No |
| MyBlue Health Silver? 405 | HMO | 33602TX0461205 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461089 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461173 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461174 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461175 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461177 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461178 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461187 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461208 | No |
| MyBlue Health Silver? Standard | HMO | 33602TX0461209 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) | PPO | 37160ND2410005 | No |
| BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) | PPO | 37160ND2410002 | No |
| BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) | PPO | 37160ND2410020 | No |
| BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) | PPO | 37160ND2410022 | No |
| BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) | PPO | 37160ND2410014 | No |
| BlueEssential Catastrophic 100 $9200 Deductible | PPO | 37160ND2410021 | No |
| BlueValue Bronze $50 PCP Copay (Standardized plan) | PPO | 37160ND2410028 | No |
| BlueValue Gold $30 PCP Copay (Standardized plan) | PPO | 37160ND2410026 | No |
| BlueValue Silver $40 PCP Copay (Standardized plan) | PPO | 37160ND2410027 | No |
| DakotaBlue Altru Gold ($5 Value Based Drug List) | PPO | 37160ND2480001 | No |
| DakotaBlue Altru Silver ($5 Value Based Drug List) | PPO | 37160ND2480003 | No |
| DakotaBlue Trinity Gold ($5 Value Based Drug List) | PPO | 37160ND2480009 | No |
| DakotaBlue Trinity Silver ($5 Value Based Drug List) | PPO | 37160ND2480010 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueSelect Bronze Basic | PPO | 11269WY0070026 | No |
| BlueSelect Bronze Core | PPO | 11269WY0070004 | No |
| BlueSelect Expanded Bronze Standard without Kid's Dental | PPO | 11269WY0170020 | No |
| BlueSelect Gold Core | PPO | 11269WY0070025 | No |
| BlueSelect Gold HealthPlus | PPO | 11269WY0070013 | No |
| BlueSelect Gold Standard without Kid's Dental | PPO | 11269WY0170017 | No |
| BlueSelect Silver Classic | PPO | 11269WY0070014 | No |
| BlueSelect Silver Classic without Kid's Dental | PPO | 11269WY0170016 | No |
| BlueSelect Silver HealthPlus | PPO | 11269WY0070016 | No |
| BlueSelect Silver HealthPlus without Kid's Dental | PPO | 11269WY0170021 | No |
| BlueSelect Silver Standard without Kid's Dental | PPO | 11269WY0170018 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCross B07E HSA | EPO | 14002TN0400285 | No |
| BlueCross B07E HSA | EPO | 14002TN0400300 | No |
| BlueCross B07E HSA | EPO | 14002TN0400301 | No |
| BlueCross B07E HSA | EPO | 14002TN0400302 | No |
| BlueCross B07S HSA | EPO | 14002TN0400001 | No |
| BlueCross B07S HSA | EPO | 14002TN0400005 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400239 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400240 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400287 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400303 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400304 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400305 | No |
| BlueCross B15S $0 virtual care from Teladoc Health � | EPO | 14002TN0400091 | No |
| BlueCross B15S $0 virtual care from Teladoc Health � | EPO | 14002TN0400097 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400253 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400254 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400288 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400306 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400307 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400308 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400241 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400242 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400243 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400244 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400245 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400246 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400247 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400248 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400311 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400312 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400313 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400314 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400315 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400316 | No |
| BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400309 | No |
| BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400310 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400295 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400353 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400354 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400355 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400200 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400201 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400202 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400203 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400204 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400205 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400234 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400235 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400297 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400356 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400357 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400358 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400222 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400223 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400224 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400225 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400226 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400227 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400228 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400229 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400255 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400256 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400292 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400328 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400329 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400330 | No |
| BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400188 | No |
| BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400194 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400269 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400270 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400293 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400331 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400332 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400333 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400257 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400258 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400259 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400260 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400261 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400262 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400263 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400264 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400294 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400334 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400335 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400336 | No |
| BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400271 | No |
| BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400277 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400339 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400340 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400341 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400342 | No |
| BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400337 | No |
| BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400338 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network | EPO | 87416WI0030003 | No |
| CGHC Bronze $0 Ded / $2250 Rx Ded - Envision Network (Vision Exam) | EPO | 87416WI0060023 | No |
| CGHC Bronze $9200 ($40 PCP Copay) - Envision Network | EPO | 87416WI0030027 | No |
| CGHC Bronze $9200 ($40 PCP Copay) - Envision Network (Vision Exam) | EPO | 87416WI0060015 | No |
| CGHC Bronze Standard $7500 - Envision Network | EPO | 87416WI0030041 | No |
| CGHC Catastrophic $9200 - Envision Network | EPO | 87416WI0030026 | No |
| CGHC Gold $0 Ded - Envision Network | EPO | 87416WI0030005 | No |
| CGHC Gold $0 Ded - Envision Network (Vision Exam) | EPO | 87416WI0060025 | No |
| CGHC Gold $3000 - Envision Network | EPO | 87416WI0030017 | No |
| CGHC Gold $3000 - Envision Network (Vision Exam) | EPO | 87416WI0060006 | No |
| CGHC Gold Standard $1500 - Envision Network | EPO | 87416WI0030043 | No |
| CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network | EPO | 87416WI0030023 | No |
| CGHC Silver $4200 Ded / $5000 Rx Ded - Envision Network (Vision Exam) | EPO | 87416WI0060012 | No |
| CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network | EPO | 87416WI0030047 | No |
| CGHC Silver $4700 Ded / $6000 Rx Ded - Envision Network (Vision Exam) | EPO | 87416WI0060011 | No |
| CGHC Silver Standard $5000 - Envision Network | EPO | 87416WI0030042 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Select by Medica Bronze $0 Copay PCP Visits | EPO | 39520KS0040041 | No |
| Select by Medica Bronze $0 Copay PCP Visits | EPO | 53461MO0010041 | No |
| Select by Medica Bronze Share | EPO | 39520KS0040029 | No |
| Select by Medica Bronze Share | EPO | 53461MO0010029 | No |
| Select by Medica Catastrophic | EPO | 53461MO0010013 | No |
| Select by Medica Expanded Bronze Standard | EPO | 39520KS0040073 | No |
| Select by Medica Expanded Bronze Standard | EPO | 53461MO0010073 | No |
| Select by Medica Gold $0 Copay PCP Visits | EPO | 39520KS0040045 | No |
| Select by Medica Gold $0 Copay PCP Visits | EPO | 53461MO0010045 | No |
| Select by Medica Gold Share | EPO | 39520KS0040075 | No |
| Select by Medica Gold Share | EPO | 53461MO0010074 | No |
| Select by Medica Gold Standard | EPO | 39520KS0040055 | No |
| Select by Medica Gold Standard | EPO | 53461MO0010055 | No |
| Select by Medica Silver $0 Copay PCP Visits | EPO | 39520KS0040074 | No |
| Select by Medica Silver $0 Copay PCP Visits | EPO | 53461MO0010047 | No |
| Select by Medica Silver Share | EPO | 39520KS0040076 | No |
| Select by Medica Silver Share | EPO | 53461MO0010075 | No |
| Select by Medica Silver Standard | EPO | 39520KS0040057 | No |
| Select by Medica Silver Standard | EPO | 53461MO0010057 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic 4700 (Select) | HMO | 29341OH0100024 | No |
| Bronze Classic PCP Saver (Select) | HMO | 29341OH0100002 | No |
| Bronze Classic Standard (Select) | HMO | 29341OH0100050 | No |
| Gold Classic (Select) | HMO | 29341OH0100013 | No |
| Gold Classic Standard (Select) | HMO | 29341OH0100053 | No |
| Gold Elite Saver Plus (Select) | HMO | 29341OH0100035 | No |
| Secure (Select) | HMO | 29341OH0100011 | No |
| Silver Classic Standard (Select) | HMO | 29341OH0100052 | No |
| Silver Elite Saver Plus (Select) | HMO | 29341OH0100030 | No |
| Silver Simple Chronic Care CKM (Select) | HMO | 29341OH0100060 | No |
| Silver Simple PCP Saver (Select) | HMO | 29341OH0100025 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic 4700 | HMO | 69803NC0010024 | No |
| Bronze Classic 4700 | with Atrium Health | HMO | 69803NC0010061 | No |
| Bronze Classic Standard | HMO | 69803NC0010050 | No |
| Bronze Classic Standard | with Atrium Health | HMO | 69803NC0010055 | No |
| Bronze Elite + PCP Saver Plus | HMO | 69803NC0010005 | No |
| Bronze Elite + PCP Saver Plus | with Atrium Health | HMO | 69803NC0010062 | No |
| Gold Classic Standard | HMO | 69803NC0010053 | No |
| Gold Classic Standard | with Atrium Health | HMO | 69803NC0010057 | No |
| Gold Elite Saver Plus | HMO | 69803NC0010035 | No |
| Gold Elite Saver Plus | with Atrium Health | HMO | 69803NC0010066 | No |
| Secure | HMO | 69803NC0010011 | No |
| Secure | with Atrium Health | HMO | 69803NC0010060 | No |
| Silver Classic | HMO | 69803NC0010006 | No |
| Silver Classic | with Atrium Health | HMO | 69803NC0010063 | No |
| Silver Classic Standard | HMO | 69803NC0010052 | No |
| Silver Classic Standard | with Atrium Health | HMO | 69803NC0010056 | No |
| Silver Simple Diabetes | HMO | 69803NC0010045 | No |
| Silver Simple Diabetes | with Atrium Health | HMO | 69803NC0010064 | No |
| Silver Simple PCP Saver | HMO | 69803NC0010025 | No |
| Silver Simple PCP Saver | with Atrium Health | HMO | 69803NC0010065 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic 4700 | HMO | 13877AZ0070024 | No |
| Bronze Classic 4700 (Select) | HMO | 11574IL0020024 | No |
| Bronze Classic PCP Saver Plus Rx Copay (Select) | HMO | 11574IL0020021 | No |
| Bronze Classic Standard | HMO | 13877AZ0070050 | No |
| Bronze Classic Standard (Choice) | HMO | 11574IL0010050 | No |
| Bronze Classic Standard (Select) | HMO | 11574IL0020050 | No |
| Bronze Elite + PCP Saver Plus | HMO | 13877AZ0070005 | No |
| Gold Classic | HMO | 13877AZ0070013 | No |
| Gold Classic Standard | HMO | 13877AZ0070053 | No |
| Gold Classic Standard (Choice) | HMO | 11574IL0010053 | No |
| Gold Classic Standard (Select) | HMO | 11574IL0020053 | No |
| Secure | HMO | 13877AZ0070011 | No |
| Secure (Choice) | HMO | 11574IL0010011 | No |
| Silver Classic Standard | HMO | 13877AZ0070052 | No |
| Silver Classic Standard (Choice) | HMO | 11574IL0010052 | No |
| Silver Classic Standard (Select) | HMO | 11574IL0020052 | No |
| Silver Elite Saver Plus | HMO | 13877AZ0070030 | No |
| Silver Elite Saver Plus Rx Copay (Select) | HMO | 11574IL0020030 | No |
| Silver Simple Chronic Care CKM | HMO | 13877AZ0070060 | No |
| Silver Simple Diabetes (Choice) | HMO | 11574IL0010045 | No |
| Silver Simple Diabetes (Select) | HMO | 11574IL0020060 | No |
| Silver Simple PCP Saver | HMO | 13877AZ0070025 | No |
| Silver Simple PCP Saver (Select) | HMO | 11574IL0020025 | No |
| Silver Simple Specialist Saver with COPD | HMO | 13877AZ0070008 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic | EPO | 57424NE0010003 | No |
| Bronze Classic 4700 | EPO | 23552TN0020024 | No |
| Bronze Classic 4700 | EPO | 43490KS0010024 | No |
| Bronze Classic 4700 | EPO | 45819IA0010060 | No |
| Bronze Classic 4700 | EPO | 69512MO0010024 | No |
| Bronze Classic 4700 | EPO | 77739MI0070024 | No |
| Bronze Classic 4700 | PPO | 91908OK0010024 | No |
| Bronze Classic 4700 | MercyOne | EPO | 45819IA0010024 | No |
| Bronze Classic Standard | EPO | 23552TN0020050 | No |
| Bronze Classic Standard | EPO | 43490KS0010050 | No |
| Bronze Classic Standard | EPO | 45819IA0010065 | No |
| Bronze Classic Standard | EPO | 57424NE0010050 | No |
| Bronze Classic Standard | EPO | 69512MO0010050 | No |
| Bronze Classic Standard | EPO | 77739MI0070050 | No |
| Bronze Classic Standard | PPO | 91908OK0010050 | No |
| Bronze Classic Standard | MercyOne | EPO | 45819IA0010050 | No |
| Bronze Elite + PCP Saver | EPO | 43490KS0010005 | No |
| Bronze Elite + PCP Saver Plus | EPO | 23552TN0020005 | No |
| Bronze Elite + PCP Saver Plus | EPO | 45819IA0010056 | No |
| Bronze Elite + PCP Saver Plus | EPO | 57424NE0010005 | No |
| Bronze Elite + PCP Saver Plus | EPO | 69512MO0010005 | No |
| Bronze Elite + PCP Saver Plus | EPO | 77739MI0070005 | No |
| Bronze Elite + PCP Saver Plus | PPO | 91908OK0010005 | No |
| Bronze Elite + PCP Saver Plus | MercyOne | EPO | 45819IA0010005 | No |
| Gold Classic | EPO | 23552TN0020013 | No |
| Gold Classic Standard | EPO | 23552TN0020053 | No |
| Gold Classic Standard | EPO | 43490KS0010053 | No |
| Gold Classic Standard | EPO | 45819IA0010067 | No |
| Gold Classic Standard | EPO | 57424NE0010053 | No |
| Gold Classic Standard | EPO | 69512MO0010053 | No |
| Gold Classic Standard | EPO | 77739MI0070053 | No |
| Gold Classic Standard | PPO | 91908OK0010053 | No |
| Gold Classic Standard | MercyOne | EPO | 45819IA0010053 | No |
| Gold Elite | EPO | 23552TN0020036 | No |
| Gold Elite | EPO | 45819IA0010063 | No |
| Gold Elite | EPO | 57424NE0010036 | No |
| Gold Elite | MercyOne | EPO | 45819IA0010036 | No |
| Gold Elite Saver Plus | EPO | 77739MI0070035 | No |
| Secure | EPO | 23552TN0020011 | No |
| Secure | EPO | 43490KS0010011 | No |
| Secure | EPO | 45819IA0010058 | No |
| Secure | EPO | 57424NE0010011 | No |
| Secure | EPO | 69512MO0010011 | No |
| Secure | EPO | 77739MI0070011 | No |
| Secure | PPO | 91908OK0010011 | No |
| Secure | MercyOne | EPO | 45819IA0010011 | No |
| Silver Classic | EPO | 23552TN0020006 | No |
| Silver Classic | EPO | 43490KS0010006 | No |
| Silver Classic | EPO | 45819IA0010057 | No |
| Silver Classic | EPO | 57424NE0010006 | No |
| Silver Classic | EPO | 77739MI0070006 | No |
| Silver Classic | MercyOne | EPO | 45819IA0010006 | No |
| Silver Classic Standard | EPO | 23552TN0020052 | No |
| Silver Classic Standard | EPO | 43490KS0010052 | No |
| Silver Classic Standard | EPO | 45819IA0010066 | No |
| Silver Classic Standard | EPO | 57424NE0010052 | No |
| Silver Classic Standard | EPO | 69512MO0010052 | No |
| Silver Classic Standard | EPO | 77739MI0070052 | No |
| Silver Classic Standard | PPO | 91908OK0010052 | No |
| Silver Classic Standard | MercyOne | EPO | 45819IA0010052 | No |
| Silver Elite Saver Plus | EPO | 69512MO0010030 | No |
| Silver Elite Saver Plus | PPO | 91908OK0010030 | No |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | EPO | 23552TN0020056 | No |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | PPO | 91908OK0010055 | No |
| Silver Simple Diabetes | EPO | 23552TN0020055 | No |
| Silver Simple Diabetes | EPO | 43490KS0010045 | No |
| Silver Simple Diabetes | EPO | 45819IA0010064 | No |
| Silver Simple Diabetes | EPO | 57424NE0010045 | No |
| Silver Simple Diabetes | EPO | 69512MO0010045 | No |
| Silver Simple Diabetes | PPO | 91908OK0010045 | No |
| Silver Simple Diabetes | MercyOne | EPO | 45819IA0010045 | No |
| Silver Simple PCP Saver | EPO | 23552TN0020025 | No |
| Silver Simple PCP Saver | EPO | 43490KS0010025 | No |
| Silver Simple PCP Saver | EPO | 45819IA0010061 | No |
| Silver Simple PCP Saver | EPO | 57424NE0010025 | No |
| Silver Simple PCP Saver | EPO | 69512MO0010025 | No |
| Silver Simple PCP Saver | EPO | 77739MI0070025 | No |
| Silver Simple PCP Saver | PPO | 91908OK0010025 | No |
| Silver Simple PCP Saver | MercyOne | EPO | 45819IA0010025 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic 4700 | EPO | 40572FL0070024 | No |
| Bronze Classic 4700 | EPO | 40572FL0200024 | No |
| Bronze Classic Standard | EPO | 40572FL0070050 | No |
| Bronze Classic Standard | EPO | 40572FL0200050 | No |
| Bronze Elite + PCP Saver Plus | EPO | 40572FL0070005 | No |
| Bronze Elite + PCP Saver Plus | EPO | 40572FL0200005 | No |
| Gold Classic Standard | EPO | 40572FL0070053 | No |
| Gold Classic Standard | EPO | 40572FL0200053 | No |
| Gold Elite | EPO | 40572FL0070036 | No |
| Gold Elite Saver Plus | EPO | 40572FL0070035 | No |
| Secure | EPO | 40572FL0070011 | No |
| Secure | EPO | 40572FL0200011 | No |
| Silver Classic Standard | EPO | 40572FL0070052 | No |
| Silver Classic Standard | EPO | 40572FL0200052 | No |
| Silver Elite | EPO | 40572FL0070016 | No |
| Silver Elite | EPO | 40572FL0200016 | No |
| Silver Simple Chronic Care CKM | EPO | 40572FL0070060 | No |
| Silver Simple Chronic Care CKM | EPO | 40572FL0200060 | No |
| Silver Simple Diabetes | EPO | 40572FL0070061 | No |
| Silver Simple Diabetes | EPO | 40572FL0200061 | No |
| Silver Simple PCP Saver | EPO | 40572FL0070025 | No |
| Silver Simple PCP Saver | EPO | 40572FL0200025 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic PCP Saver | HMO | 45845OH0100002 | No |
| Bronze Classic Standard | HMO | 45845OH0100050 | No |
| Bronze Simple HSA | HMO | 45845OH0100014 | No |
| Gold Classic Standard | HMO | 45845OH0100053 | No |
| Gold Elite | HMO | 45845OH0100036 | No |
| Gold Elite Saver Plus | HMO | 45845OH0100035 | No |
| Secure | HMO | 45845OH0100011 | No |
| Silver Classic Standard | HMO | 45845OH0100052 | No |
| Silver Elite Saver Plus | HMO | 45845OH0100030 | No |
| Silver Simple Chronic Care CKM | HMO | 45845OH0100060 | No |
| Silver Simple Diabetes | HMO | 45845OH0100045 | No |
| Silver Simple PCP Saver | HMO | 45845OH0100025 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Essential Bronze 6500 | POS | 14624MS0010001 | No |
| Essential Gold 1500 | POS | 14624MS0010002 | No |
| Freedom Silver 4000 | POS | 14624MS0010004 | No |
| Savings Bronze 7700 | POS | 14624MS0010006 | No |
| Standard Bronze 7500 | POS | 14624MS0010009 | No |
| Standard Gold 1500 | POS | 14624MS0010007 | No |
| Standard Silver 5000 | POS | 14624MS0010008 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Sanford Individual Simplicity $1,750 | PPO | 31195SD0110001 | No |
| Sanford Individual Simplicity $1,750 | PPO | 89364ND0120001 | No |
| Sanford Individual Simplicity $3,500 | PPO | 31195SD0110003 | No |
| Sanford Individual Simplicity $3,500 | PPO | 89364ND0120003 | No |
| Sanford Individual Simplicity $4,750 | PPO | 31195SD0110005 | No |
| Sanford Individual Simplicity $4,750 | PPO | 89364ND0120005 | No |
| Sanford Individual Simplicity $6,000 | PPO | 31195SD0110007 | No |
| Sanford Individual Simplicity $6,000 | PPO | 89364ND0120007 | No |
| Sanford Individual Simplicity $7,100 HSA Qualified | PPO | 31195SD0110006 | No |
| Sanford Individual Simplicity $7,100 HSA Qualified | PPO | 89364ND0120006 | No |
| Sanford Individual Simplicity $9,200 | PPO | 31195SD0110009 | No |
| Sanford Individual Simplicity $9,200 | PPO | 89364ND0120009 | No |
| Sanford Individual Simplicity Standardized $1,500 | PPO | 31195SD0110018 | No |
| Sanford Individual Simplicity Standardized $1,500 | PPO | 89364ND0120018 | No |
| Sanford Individual Simplicity Standardized $5,000 | PPO | 31195SD0110017 | No |
| Sanford Individual Simplicity Standardized $5,000 | PPO | 89364ND0120017 | No |
| Sanford Individual Simplicity Standardized $7,500 | PPO | 31195SD0110016 | No |
| Sanford Individual Simplicity Standardized $7,500 | PPO | 89364ND0120016 | No |
| Sanford Individual TRUE $1,750 | HMO | 31195SD0080018 | No |
| Sanford Individual TRUE $1,750 | HMO | 89364ND0090018 | No |
| Sanford Individual TRUE $3,500 | HMO | 31195SD0080008 | No |
| Sanford Individual TRUE $3,500 | HMO | 89364ND0090008 | No |
| Sanford Individual TRUE $4,750 | HMO | 31195SD0080016 | No |
| Sanford Individual TRUE $4,750 | HMO | 89364ND0090016 | No |
| Sanford Individual TRUE $6,000 | HMO | 31195SD0080007 | No |
| Sanford Individual TRUE $6,000 | HMO | 89364ND0090007 | No |
| Sanford Individual TRUE $7,100 HSA Qualified | HMO | 31195SD0080009 | No |
| Sanford Individual TRUE $7,100 HSA Qualified | HMO | 89364ND0090009 | No |
| Sanford Individual TRUE $9,200 | HMO | 31195SD0080015 | No |
| Sanford Individual TRUE $9,200 | HMO | 89364ND0090015 | No |
| Sanford Individual TRUE Standardized $1,500 | HMO | 31195SD0080028 | No |
| Sanford Individual TRUE Standardized $1,500 | HMO | 89364ND0090028 | No |
| Sanford Individual TRUE Standardized $5,000 | HMO | 31195SD0080027 | No |
| Sanford Individual TRUE Standardized $5,000 | HMO | 89364ND0090027 | No |
| Sanford Individual TRUE Standardized $7,500 | HMO | 31195SD0080026 | No |
| Sanford Individual TRUE Standardized $7,500 | HMO | 89364ND0090026 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Standard Expanded Bronze WellCare | PPO | 44007NC0120004 | No |
| Standard Gold WellCare | PPO | 44007NC0120006 | No |
| Standard Silver WellCare | PPO | 44007NC0120005 | No |