DR. NATASHA A. TELESFORD MD
Accepted Insurance Health Plans for NPI 1639593395
Internal Medicine in Rapid City, SD
NPI Status: Active since February 14, 2014
Contact Information
502 E MONROE ST
RAPID CITY, SD
ZIP 57701
Phone: (605) 755-4060
Fax: (605) 755-4012
Recently Updated NPI Information
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by DR. NATASHA A. TELESFORD MD. 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? |
|---|---|---|---|
| Anthem Bronze Essential 6500 HSA (+ Incentives) | HMO | 17575IN0700058 | No |
| Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700065 | No |
| Anthem Bronze Essential 9200 (+ Incentives) | HMO | 17575IN0700045 | No |
| Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) | HMO | 17575IN0700101 | No |
| Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS | 17575IN0760005 | No |
| Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | POS | 17575IN0760007 | No |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950008 | No |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950021 | No |
| Anthem Bronze Pathway 9200 (+ Incentives) | EPO | 32753MO0950051 | No |
| Anthem Bronze Pathway HMO 7450 for HSA | HMO | 29276OH0920417 | No |
| Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920432 | No |
| Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920414 | No |
| Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920916 | No |
| Anthem Catastrophic Pathway 9200 (+ Incentives) | EPO | 32753MO0950016 | No |
| Anthem Catastrophic Pathway HMO 9200 | HMO | 29276OH0920425 | No |
| Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700067 | No |
| Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700056 | No |
| Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950023 | No |
| Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920434 | No |
| Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920429 | No |
| Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700053 | No |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950017 | No |
| Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700061 | No |
| Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950002 | No |
| Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920428 | No |
| Anthem Silver Essential 3500 HSA (+ Incentives) | HMO | 17575IN0700062 | No |
| Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700066 | No |
| Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700055 | No |
| Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) | HMO | 17575IN0700102 | No |
| Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950022 | No |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950013 | No |
| Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) | EPO | 32753MO0950015 | No |
| Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920917 | No |
| Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920433 | No |
| Anthem Silver Pathway HMO 5400 for HSA | HMO | 29276OH0920421 | No |
| Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) | HMO | 29276OH0920424 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020010 | No |
| Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020011 | No |
| Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030010 | No |
| Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030011 | No |
| Bronze Standard | HMO | 31981OH0010010 | No |
| Catastrophic Standard | HMO | 31981OH0010050 | No |
| Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020030 | No |
| Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020031 | No |
| Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030030 | No |
| Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030031 | No |
| Gold Standard | HMO | 31981OH0010030 | No |
| Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020020 | No |
| Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx | HMO | 31981OH0020021 | No |
| Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030020 | No |
| Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx | HMO | 31981OH0030021 | No |
| Silver Standard | HMO | 31981OH0010020 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| AultCare Bronze 5500 | PPO | 28162OH0090031 | No |
| AultCare Bronze 7050 | PPO | 28162OH0090062 | No |
| AultCare Gold 1000 | PPO | 28162OH0090043 | No |
| AultCare Gold 1200 | PPO | 28162OH0090042 | No |
| AultCare Gold 1800 | PPO | 28162OH0090041 | No |
| AultCare Gold 2850 | PPO | 28162OH0090057 | No |
| AultCare Gold 3150 | PPO | 28162OH0090058 | No |
| AultCare Platinum 1200 | PPO | 28162OH0090047 | No |
| AultCare Platinum 1800 Health Savings 500 | PPO | 28162OH0090046 | No |
| AultCare Platinum 300 | PPO | 28162OH0090050 | No |
| AultCare Platinum 500 | PPO | 28162OH0090048 | No |
| AultCare Silver 2550 | PPO | 28162OH0090038 | No |
| AultCare Silver 3000 | PPO | 28162OH0090035 | No |
| AultCare Silver 4300 | PPO | 28162OH0090036 | No |
| AultCare Silver 5100 | PPO | 28162OH0090059 | No |
| AultCare Silver 6450 | PPO | 28162OH0090060 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze First 7500 $25 Generic Drugs | HMO | 54192IN0010015 | No |
| Bronze First 7500 $25 Generic Drugs | HMO | 77552OH0010204 | No |
| Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness | HMO | 54192IN0020015 | No |
| Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness | HMO | 77552OH0020204 | No |
| Core Gold 1500 $10 Generic Drugs | HMO | 77552OH0010212 | No |
| Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness | HMO | 77552OH0020212 | No |
| Diabetes Gold 1100 $0 Select Drugs & Specialized Services | HMO | 54192IN0010026 | No |
| Diabetes Gold 1100 $0 Select Drugs & Specialized Services | HMO | 77552OH0010210 | No |
| Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 54192IN0020026 | No |
| Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 77552OH0020210 | No |
| Diabetes Silver 4000 $0 Select Drugs & Specialized Services | HMO | 54192IN0010025 | No |
| Diabetes Silver 4000 $0 Select Drugs & Specialized Services | HMO | 77552OH0010209 | No |
| Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 54192IN0020025 | No |
| Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 77552OH0020209 | No |
| Gold 1500 $15 Generic Drugs | HMO | 54192IN0010012 | No |
| Gold 1500 $15 Generic Drugs | HMO | 77552OH0010202 | No |
| Gold 1500 $15 Generic Drugs Adult Vision & Fitness | HMO | 54192IN0020012 | No |
| Gold 1500 $15 Generic Drugs Adult Vision & Fitness | HMO | 77552OH0020202 | No |
| HDHP Preventive Silver 5500 $0 Select Drugs | HMO | 54192IN0010033 | No |
| HDHP Preventive Silver 5500 $0 Select Drugs | HMO | 77552OH0010219 | No |
| Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services | HMO | 54192IN0010030 | No |
| Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services | HMO | 77552OH0010215 | No |
| Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 54192IN0020030 | No |
| Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 77552OH0020215 | No |
| Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services | HMO | 54192IN0010032 | No |
| Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services | HMO | 77552OH0010218 | No |
| Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 54192IN0020032 | No |
| Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness | HMO | 77552OH0020218 | No |
| HSA Eligible Bronze 6000 | HMO | 54192IN0010010 | No |
| Low Premium Bronze 9200 $25 Generic Drugs | HMO | 54192IN0010020 | No |
| Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness | HMO | 54192IN0020020 | No |
| Low Premium Silver 6000 $3 Generic Drugs | HMO | 54192IN0010011 | No |
| Low Premium Silver 6000 $3 Generic Drugs | HMO | 77552OH0010201 | No |
| Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness | HMO | 54192IN0020011 | No |
| Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness | HMO | 77552OH0020201 | No |
| Platinum Zero $5 Generic Drugs | HMO | 54192IN0010029 | No |
| Platinum Zero $5 Generic Drugs Adult Vision & Fitness | HMO | 54192IN0020029 | No |
| Silver 5000 $20 Generic Drugs | HMO | 54192IN0010014 | No |
| Silver 5000 $20 Generic Drugs | HMO | 77552OH0010203 | No |
| Silver 5000 $20 Generic Drugs Adult Vision & Fitness | HMO | 54192IN0020014 | No |
| Silver 5000 $20 Generic Drugs Adult Vision & Fitness | HMO | 77552OH0020203 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| CHRISTUS Bronze | HMO | 66252TX0320001 | No |
| CHRISTUS Bronze | HMO | 66252TX0320002 | No |
| CHRISTUS Bronze | HMO | 66252TX0320003 | No |
| CHRISTUS Bronze | HMO | 66252TX0320006 | No |
| CHRISTUS Bronze | HMO | 66252TX0320007 | No |
| CHRISTUS Bronze | HMO | 66252TX0320009 | No |
| CHRISTUS Bronze | HMO | 66252TX0320010 | No |
| CHRISTUS Bronze | HMO | 66252TX0320011 | No |
| CHRISTUS Bronze | HMO | 66252TX0320012 | No |
| CHRISTUS Bronze | HMO | 66252TX0320013 | No |
| CHRISTUS Bronze | HMO | 98780LA0150001 | No |
| CHRISTUS Bronze | HMO | 98780LA0150002 | No |
| CHRISTUS Bronze | HMO | 98780LA0150003 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030001 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030002 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030003 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030006 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030007 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030009 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030010 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030011 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030012 | No |
| CHRISTUS Bronze Essential | HMO | 66252TX0030013 | No |
| CHRISTUS Bronze Essential | HMO | 98780LA0040001 | No |
| CHRISTUS Bronze Essential | HMO | 98780LA0040002 | No |
| CHRISTUS Bronze Essential | HMO | 98780LA0040003 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140001 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140002 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140003 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140006 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140007 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140009 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140010 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140011 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140012 | No |
| CHRISTUS Bronze Essential Plus | HMO | 66252TX0140013 | No |
| CHRISTUS Bronze Essential Plus | HMO | 98780LA0160001 | No |
| CHRISTUS Bronze Essential Plus | HMO | 98780LA0160002 | No |
| CHRISTUS Bronze Essential Plus | HMO | 98780LA0160003 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330001 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330002 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330003 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330006 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330007 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330009 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330010 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330011 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330012 | No |
| CHRISTUS Bronze Plus | HMO | 66252TX0330013 | No |
| CHRISTUS Bronze Plus | HMO | 98780LA0170001 | No |
| CHRISTUS Bronze Plus | HMO | 98780LA0170002 | No |
| CHRISTUS Bronze Plus | HMO | 98780LA0170003 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010001 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010002 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010003 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010006 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010007 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010009 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010010 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010011 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010012 | No |
| CHRISTUS Catastrophic | HMO | 66252TX0010013 | No |
| CHRISTUS Gold | HMO | 66252TX0360001 | No |
| CHRISTUS Gold | HMO | 66252TX0360002 | No |
| CHRISTUS Gold | HMO | 66252TX0360003 | No |
| CHRISTUS Gold | HMO | 66252TX0360006 | No |
| CHRISTUS Gold | HMO | 66252TX0360007 | No |
| CHRISTUS Gold | HMO | 66252TX0360009 | No |
| CHRISTUS Gold | HMO | 66252TX0360010 | No |
| CHRISTUS Gold | HMO | 66252TX0360011 | No |
| CHRISTUS Gold | HMO | 66252TX0360012 | No |
| CHRISTUS Gold | HMO | 66252TX0360013 | No |
| CHRISTUS Gold | HMO | 98780LA0200001 | No |
| CHRISTUS Gold | HMO | 98780LA0200002 | No |
| CHRISTUS Gold | HMO | 98780LA0200003 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070001 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070002 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070003 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070006 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070007 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070009 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070010 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070011 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070012 | No |
| CHRISTUS Gold Essential | HMO | 66252TX0070013 | No |
| CHRISTUS Gold Essential | HMO | 98780LA0030001 | No |
| CHRISTUS Gold Essential | HMO | 98780LA0030002 | No |
| CHRISTUS Gold Essential | HMO | 98780LA0030003 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130001 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130002 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130003 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130006 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130007 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130009 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130010 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130011 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130012 | No |
| CHRISTUS Gold Essential Plus | HMO | 66252TX0130013 | No |
| CHRISTUS Gold Essential Plus | HMO | 98780LA0090001 | No |
| CHRISTUS Gold Essential Plus | HMO | 98780LA0090002 | No |
| CHRISTUS Gold Essential Plus | HMO | 98780LA0090003 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370001 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370002 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370003 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370006 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370007 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370009 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370010 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370011 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370012 | No |
| CHRISTUS Gold Plus | HMO | 66252TX0370013 | No |
| CHRISTUS Gold Plus | HMO | 98780LA0210001 | No |
| CHRISTUS Gold Plus | HMO | 98780LA0210002 | No |
| CHRISTUS Gold Plus | HMO | 98780LA0210003 | No |
| CHRISTUS Silver | HMO | 66252TX0040001 | No |
| CHRISTUS Silver | HMO | 66252TX0040002 | No |
| CHRISTUS Silver | HMO | 66252TX0040003 | No |
| CHRISTUS Silver | HMO | 66252TX0040006 | No |
| CHRISTUS Silver | HMO | 66252TX0040007 | No |
| CHRISTUS Silver | HMO | 66252TX0040009 | No |
| CHRISTUS Silver | HMO | 66252TX0040010 | No |
| CHRISTUS Silver | HMO | 66252TX0040011 | No |
| CHRISTUS Silver | HMO | 66252TX0040012 | No |
| CHRISTUS Silver | HMO | 66252TX0040013 | No |
| CHRISTUS Silver | HMO | 98780LA0010001 | No |
| CHRISTUS Silver | HMO | 98780LA0010002 | No |
| CHRISTUS Silver | HMO | 98780LA0010003 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160001 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160002 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160003 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160006 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160007 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160009 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160010 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160011 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160012 | No |
| CHRISTUS Silver Essential | HMO | 66252TX0160013 | No |
| CHRISTUS Silver Essential | HMO | 98780LA0080001 | No |
| CHRISTUS Silver Essential | HMO | 98780LA0080002 | No |
| CHRISTUS Silver Essential | HMO | 98780LA0080003 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340001 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340002 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340003 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340006 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340007 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340009 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340010 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340011 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340012 | No |
| CHRISTUS Silver Essential Plus | HMO | 66252TX0340013 | No |
| CHRISTUS Silver Essential Plus | HMO | 98780LA0180001 | No |
| CHRISTUS Silver Essential Plus | HMO | 98780LA0180002 | No |
| CHRISTUS Silver Essential Plus | HMO | 98780LA0180003 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350001 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350002 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350003 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350006 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350007 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350009 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350010 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350011 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350012 | No |
| CHRISTUS Silver Plus | HMO | 66252TX0350013 | No |
| CHRISTUS Silver Plus | HMO | 98780LA0190001 | No |
| CHRISTUS Silver Plus | HMO | 98780LA0190002 | No |
| CHRISTUS Silver Plus | HMO | 98780LA0190003 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300001 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300002 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300003 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300006 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300007 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300009 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300010 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300011 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300012 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 66252TX0300013 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 98780LA0140001 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 98780LA0140002 | No |
| CHRISTUS Standard Expanded Bronze | HMO | 98780LA0140003 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290001 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290002 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290003 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290006 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290007 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290009 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290010 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290011 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290012 | No |
| CHRISTUS Standard Gold | HMO | 66252TX0290013 | No |
| CHRISTUS Standard Gold | HMO | 98780LA0130001 | No |
| CHRISTUS Standard Gold | HMO | 98780LA0130002 | No |
| CHRISTUS Standard Gold | HMO | 98780LA0130003 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280001 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280002 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280003 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280006 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280007 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280009 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280010 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280011 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280012 | No |
| CHRISTUS Standard Silver | HMO | 66252TX0280013 | No |
| CHRISTUS Standard Silver | HMO | 98780LA0120001 | No |
| CHRISTUS Standard Silver | HMO | 98780LA0120002 | No |
| CHRISTUS Standard Silver | HMO | 98780LA0120003 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze First | HMO | 40356MI0010009 | No |
| Bronze First Adult Vision & Fitness | HMO | 40356MI0020009 | No |
| Diabetes Gold | HMO | 40356MI0010001 | No |
| Diabetes Gold Adult Vision & Fitness | HMO | 40356MI0020001 | No |
| Diabetes Silver | HMO | 40356MI0010004 | No |
| Diabetes Silver Adult Vision & Fitness | HMO | 40356MI0020004 | No |
| Gold | HMO | 40356MI0010002 | No |
| Gold Adult Vision & Fitness | HMO | 40356MI0020002 | No |
| HDHP Preventive Silver | HMO | 40356MI0010008 | No |
| Healthy Heart Gold | HMO | 40356MI0010003 | No |
| Healthy Heart Gold Adult Vision & Fitness | HMO | 40356MI0020003 | No |
| Healthy Heart Silver | HMO | 40356MI0010007 | No |
| Healthy Heart Silver Adult Vision & Fitness | HMO | 40356MI0020007 | No |
| Low Premium Silver | HMO | 40356MI0010006 | No |
| Low Premium Silver Adult Vision & Fitness | HMO | 40356MI0020006 | No |
| Silver | HMO | 40356MI0010005 | No |
| Silver Adult Vision & Fitness | HMO | 40356MI0020005 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Blue Connect 80/60 $3200 (L) | POS | 19636LA0240010 | No |
| Blue Connect 80/60 $3200 (N) | POS | 19636LA0240007 | No |
| Blue Connect 80/60 $3200 (S) | POS | 19636LA0240013 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (L) | POS | 19636LA0240027 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (N) | POS | 19636LA0240026 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (S) | POS | 19636LA0240028 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (L) | POS | 19636LA0240024 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (N) | POS | 19636LA0240023 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (S) | POS | 19636LA0240025 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (L) | POS | 19636LA0240021 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (N) | POS | 19636LA0240020 | No |
| Blue Connect Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (S) | POS | 19636LA0240022 | No |
| Blue POS 60/40 $6500 | POS | 19636LA0220012 | No |
| Blue POS 70/50 $4550 | POS | 19636LA0220013 | No |
| Blue POS 80/60 $3200 | POS | 19636LA0220014 | No |
| Blue POS Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan | POS | 19636LA0220017 | No |
| Blue POS Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan | POS | 19636LA0220018 | No |
| Blue POS Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan | POS | 19636LA0220019 | No |
| Blue POS Copay (PCP, Specialist, Urgent Care) 80/60 $1000 | POS | 19636LA0220005 | No |
| Community Blue 80/60 $3200 | POS | 19636LA0230008 | No |
| Community Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan | POS | 19636LA0230011 | No |
| Community Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan | POS | 19636LA0230010 | No |
| Community Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan | POS | 19636LA0230009 | No |
| Precision Blue 80/60 $3200 (BR) | POS | 19636LA0610005 | No |
| Precision Blue 80/60 $3200 (M) | POS | 19636LA0610010 | No |
| Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (BR) | POS | 19636LA0610015 | No |
| Precision Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan (M) | POS | 19636LA0610016 | No |
| Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (BR) | POS | 19636LA0610013 | No |
| Precision Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan (M) | POS | 19636LA0610014 | No |
| Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (BR) | POS | 19636LA0610011 | No |
| Precision Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan (M) | POS | 19636LA0610012 | No |
| Signature Blue 80/60 $3200 | POS | 19636LA0590003 | No |
| Signature Blue Copay (PCP, Specialist, Urgent Care) 50/50 $7500 Standardized Plan | POS | 19636LA0590007 | No |
| Signature Blue Copay (PCP, Specialist, Urgent Care) 60/40 $5000 Standardized Plan | POS | 19636LA0590006 | No |
| Signature Blue Copay (PCP, Specialist, Urgent Care) 75/55 $1500 Standardized Plan | POS | 19636LA0590005 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze 10 | HMO | 64353OH0010013 | No |
| Bronze 8 | HMO | 64353OH0010011 | No |
| Bronze 9 | HMO | 64353OH0010012 | No |
| Gold 1 | HMO | 64353OH0010001 | No |
| Gold 1 with Adult Vision Services | HMO | 64353OH0040001 | No |
| Gold 8 | HMO | 64353OH0010008 | No |
| Silver 1 | HMO | 64353OH0010002 | No |
| Silver 1 with Adult Vision Services | HMO | 64353OH0040002 | No |
| Silver 12 with first 4 free PCP or MH visits | HMO | 64353OH0010010 | No |
| Silver 8 | HMO | 64353OH0010009 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| MyPriority Balanced Silver | HMO | 29698MI0541020 | No |
| MyPriority Premier Silver | HMO | 29698MI0541060 | No |
| MyPriority Standard Bronze | HMO | 29698MI0541100 | No |
| MyPriority Standard Bronze - Travel | HMO | 29698MI0541106 | No |
| MyPriority Standard Gold | HMO | 29698MI0541120 | No |
| MyPriority Standard Silver | HMO | 29698MI0541110 | No |
| MyPriority Standard Silver - Travel | HMO | 29698MI0541116 | No |
| MyPriority Value Bronze | HMO | 29698MI0541010 | No |
| MyPriority Value Bronze HSA | HMO | 29698MI0541000 | No |