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FARMACIA SANDUT
Accepted Insurance Health Plans for NPI 1588897581
Pharmacy - Community/Retail Pharmacy in San Sebastian, PR

NPI Status: Active since August 25, 2009

Contact Information

CARR. 435 INT. 433 KM 4.1
CALABAZAS
SAN SEBASTIAN, PR
ZIP 00685
Phone: (787) 896-1111
Fax: (787) 280-4188

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Table of Contents - List of Insurance Companies

  1. Aetna CVS Health
  2. Avera Health Plans
  3. BannerAetna
  4. BlueCross BlueShield of Tennessee
  5. Humana

Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by FARMACIA SANDUT. Use our filterable tables to quickly find the details of your health plan, including: Plan Name, Plan Type and Plan ID. Search this page to find if your specific insurance is accepted. Please verify directly with the provider to make sure your healthplan is currently accepted.

Aetna CVS Health

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

Avera Health Plans

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

BannerAetna

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

BlueCross BlueShield of Tennessee

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

Humana

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