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  7. Accepted Health Plans 1689642845

DR. MICHAEL D JOHNSON MD
Accepted Insurance Health Plans for NPI 1689642845
Internal Medicine in Sheboygan, WI

NPI Status: Active since March 14, 2006

Contact Information

2920 SUPERIOR AVE
SHEBOYGAN, WI
ZIP 53081
Phone: (920) 453-5410
Fax: (920) 803-2990

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Table of Contents - List of Insurance Companies

  1. Anthem Blue Cross and Blue Shield
  2. Chorus Community Health Plans
  3. Dean Health Plan
  4. Molina Healthcare
  5. Network Health
  6. Quartz
  7. UnitedHealthcare

Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by DR. MICHAEL D JOHNSON 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.

Anthem Blue Cross and Blue Shield

Plan Name Plan Type Plan ID Dental Only Plan?
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) POS 79475WI0530005 No
Anthem Bronze Preferred/Broad HSA (+ Incentives) POS 79475WI0530004 No
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 79475WI0530008 No
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340226 No
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340227 No
Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340257 No
Anthem Bronze Priority/Lean HSA (+ Incentives) HMO 79475WI0340212 No
Anthem Bronze Priority/Lean HSA (+ Incentives) HMO 79475WI0340213 No
Anthem Bronze Priority/Lean HSA (+ Incentives) HMO 79475WI0340251 No
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340224 No
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340225 No
Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340256 No
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 79475WI0530007 No
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 79475WI0530010 No
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340218 No
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340219 No
Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340253 No
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340230 No
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340231 No
Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340258 No
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) POS 79475WI0530001 No
Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) HMO 79475WI0340220 No
Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) HMO 79475WI0340221 No
Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) HMO 79475WI0340254 No
Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) POS 79475WI0530017 No
Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) POS 79475WI0530006 No
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 79475WI0530009 No
Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340214 No
Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340215 No
Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340252 No
Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340222 No
Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340223 No
Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) HMO 79475WI0340255 No
Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340232 No
Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340233 No
Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 79475WI0340259 No

Chorus Community Health Plans

Plan Name Plan Type Plan ID Dental Only Plan?
Chorus Bronze Complete EPO 14630WI0010010 No
Chorus Bronze HDHP EPO 14630WI0010005 No
Chorus Catastrophic EPO 14630WI0010008 No
Chorus Core Bronze EPO 14630WI0010015 No
Chorus Core Gold EPO 14630WI0010014 No
Chorus Core Silver EPO 14630WI0010013 No
Chorus Elite Gold EPO 14630WI0010016 No
Chorus Gold EPO 14630WI0010004 No
Chorus Silver EPO 14630WI0010003 No
Chorus Silver Select EPO 14630WI0010007 No

Dean Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
Prevea360 Bronze HSA HMO 38345WI0240009 No
Prevea360 Bronze Share HMO 38345WI0240022 No
Prevea360 Catastrophic HMO 38345WI0240010 No
Prevea360 Expanded Bronze Standard HMO 38345WI0240017 No
Prevea360 Gold HSA HMO 38345WI0240011 No
Prevea360 Gold Share HMO 38345WI0240020 No
Prevea360 Gold Standard HMO 38345WI0240015 No
Prevea360 Silver $0 Copay PCP Visits HMO 38345WI0240019 No
Prevea360 Silver Share HMO 38345WI0240021 No
Prevea360 Silver Standard HMO 38345WI0240016 No

Molina Healthcare

Plan Name Plan Type Plan ID Dental Only Plan?
Gold 1 HMO 52697WI0010001 No
Gold 1 with Adult Vision Services HMO 52697WI0050001 No
Gold 8 HMO 52697WI0010008 No
Silver 1 HMO 52697WI0010002 No
Silver 1 with Adult Vision Services HMO 52697WI0050002 No
Silver 12 with First 4 Primary Care Visits Free HMO 52697WI0010010 No
Silver 8 HMO 52697WI0010009 No

Network Health

Plan Name Plan Type Plan ID Dental Only Plan?
Prestige Bronze Essential + 3 Free PCP Visits HMO 81413WI0480008 No
Prestige Bronze Essential + 3 Free PCP Visits HMO 81413WI0490008 No
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0460008 No
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0460008 No
Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0470008 No
Prestige Bronze Plus HMO 81413WI0480002 No
Prestige Bronze Plus HMO 81413WI0490002 No
Prestige Gold HMO 81413WI0480004 No
Prestige Gold HMO 81413WI0490004 No
Prestige Gold 50 + 1 Free PCP Visit HMO 81413WI0480016 No
Prestige Gold 50 + 1 Free PCP Visit HMO 81413WI0490016 No
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit HMO 81413WI0460016 No
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit HMO 81413WI0460016 No
Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit HMO 81413WI0470016 No
Prestige Gold Essential + 3Free PCP Visits HMO 81413WI0480013 No
Prestige Gold Essential + 3Free PCP Visits HMO 81413WI0490013 No
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0460013 No
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0460013 No
Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0470013 No
Prestige Silver HMO 81413WI0480003 No
Prestige Silver HMO 81413WI0490003 No
Prestige Silver Essential + 3 Free PCP Visits HMO 81413WI0480011 No
Prestige Silver Essential + 3 Free PCP Visits HMO 81413WI0490011 No
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0460011 No
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0460011 No
Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits HMO 81413WI0470011 No
Signature Prestige Bronze $0 Deductible HMO 81413WI0480018 No
Signature Prestige Bronze $0 Deductible HMO 81413WI0490018 No
Signature Prestige Bronze $0 Deductible + Dental + Vision HMO 81413WI0460018 No
Signature Prestige Bronze $0 Deductible + Dental + Vision HMO 81413WI0460018 No
Signature Prestige Bronze $0 Deductible + Dental + Vision HMO 81413WI0470018 No

Quartz

Plan Name Plan Type Plan ID Dental Only Plan?
QUARTZ GUNDERSEN PERFORMANCE BRONZE $0 MEDICAL DED HMO 37833WI0510292 No
QUARTZ GUNDERSEN PERFORMANCE BRONZE $7250 HSA HMO 37833WI0540083 No
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) $0 MEDICAL DED HMO 37833WI0380292 No
QUARTZ GUNDERSEN PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380289 No
QUARTZ GUNDERSEN PERFORMANCE BRONZE STANDARD EASY PRICING HMO 37833WI0510289 No
QUARTZ GUNDERSEN PERFORMANCE CATASTROPHIC $9200 DED HMO 37833WI0540084 No
QUARTZ GUNDERSEN PERFORMANCE GOLD $2500 DED HMO 37833WI0510280 No
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) $2500 DED HMO 37833WI0380280 No
QUARTZ GUNDERSEN PERFORMANCE GOLD (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380281 No
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE $500 DED HMO 37833WI0510305 No
QUARTZ GUNDERSEN PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED HMO 37833WI0380305 No
QUARTZ GUNDERSEN PERFORMANCE GOLD STANDARD EASY PRICING HMO 37833WI0510281 No
QUARTZ GUNDERSEN PERFORMANCE SILVER $0 DED FLAT RX COPAYS HMO 37833WI0510287 No
QUARTZ GUNDERSEN PERFORMANCE SILVER $7000 DED HMO 37833WI0510284 No
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS HMO 37833WI0380287 No
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) $7000 DED HMO 37833WI0380284 No
QUARTZ GUNDERSEN PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380288 No
QUARTZ GUNDERSEN PERFORMANCE SILVER STANDARD EASY PRICING HMO 37833WI0510288 No
QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL HMO 85773IL0040040 No
QUARTZ ONE ACHIEVE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL HMO 85773IL0040044 No
QUARTZ ONE ACHIEVE BRONZE (VISION) $7250 HSA - IL HMO 85773IL0030011 No
QUARTZ ONE ACHIEVE BRONZE (VISION) $9100 DED FLAT RX COPAYS - IL HMO 85773IL0030040 No
QUARTZ ONE ACHIEVE BRONZE (VISION) STANDARD EASY PRICING - IL HMO 85773IL0030044 No
QUARTZ ONE ACHIEVE CATASTROPHIC (VISION) - IL HMO 85773IL0030012 No
QUARTZ ONE ACHIEVE GOLD (DENTAL & VISION) $2500 DED - IL HMO 85773IL0040051 No
QUARTZ ONE ACHIEVE GOLD (VISION) $2500 DED - IL HMO 85773IL0030051 No
QUARTZ ONE ACHIEVE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - IL HMO 85773IL0040033 No
QUARTZ ONE ACHIEVE GOLD MAINTENANCE (VISION) $500 DED - IL HMO 85773IL0030033 No
QUARTZ ONE ACHIEVE GOLD STANDARD (DENTAL & VISION) FLAT RX COPAYS EASY PRICING - IL HMO 85773IL0040035 No
QUARTZ ONE ACHIEVE GOLD STANDARD (VISION) FLAT RX COPAYS EASY PRICING - IL HMO 85773IL0030035 No
QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - IL HMO 85773IL0040038 No
QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) $7000 DED - IL HMO 85773IL0040054 No
QUARTZ ONE ACHIEVE SILVER (DENTAL & VISION) STANDARD EASY PRICING - IL HMO 85773IL0040039 No
QUARTZ ONE ACHIEVE SILVER (VISION) $0 DED FLAT RX COPAYS - IL HMO 85773IL0030038 No
QUARTZ ONE ACHIEVE SILVER (VISION) $7000 DED - IL HMO 85773IL0030054 No
QUARTZ ONE ACHIEVE SILVER (VISION) STANDARD EASY PRICING - IL HMO 85773IL0030039 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE $0 MEDICAL DED HMO 37833WI0510251 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE $7250 HSA HMO 37833WI0540065 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE (DENTAL & VISION) $0 MEDICAL DED HMO 37833WI0380251 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380282 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE BRONZE STANDARD EASY PRICING HMO 37833WI0510252 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE CATASTROPHIC $9200 DED HMO 37833WI0540066 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE GOLD $2500 DED HMO 37833WI0510269 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE GOLD (DENTAL & VISION) $2500 DED HMO 37833WI0380337 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE GOLD (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380243 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE GOLD MAINTENANCE $500 DED HMO 37833WI0510241 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE GOLD MAINTENANCE (DENTAL & VISION) $500 DED HMO 37833WI0380241 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE GOLD STANDARD EASY PRICING HMO 37833WI0510243 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE SILVER $0 DED FLAT RX COPAYS HMO 37833WI0510246 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE SILVER $7000 DED HMO 37833WI0510273 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS HMO 37833WI0380246 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE SILVER (DENTAL & VISION) $7000 DED HMO 37833WI0380273 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE SILVER (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380271 No
QUARTZ ONE ACHIEVE W/ADVOCATE HEALTH CARE SILVER STANDARD EASY PRICING HMO 37833WI0510247 No
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $0 MEDICAL DED HMO 37833WI0510325 No
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE $7250 HSA HMO 37833WI0540088 No
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) $0 MEDICAL DED HMO 37833WI0380325 No
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380326 No
QUARTZ ONE ACHIEVE W/GUNDERSEN BRONZE STANDARD EASY PRICING HMO 37833WI0510326 No
QUARTZ ONE ACHIEVE W/GUNDERSEN CATASTROPHIC $9200 DED HMO 37833WI0540089 No
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD $2500 DED HMO 37833WI0510318 No
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) $2500 DED HMO 37833WI0380318 No
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380320 No
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE $500 DED HMO 37833WI0510319 No
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD MAINTENANCE (DENTAL & VISION) $500 DED HMO 37833WI0380319 No
QUARTZ ONE ACHIEVE W/GUNDERSEN GOLD STANDARD EASY PRICING HMO 37833WI0510320 No
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $0 DED FLAT RX COPAYS HMO 37833WI0510322 No
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER $7000 DED HMO 37833WI0510321 No
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS HMO 37833WI0380322 No
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) $7000 DED HMO 37833WI0380321 No
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380323 No
QUARTZ ONE ACHIEVE W/GUNDERSEN SILVER STANDARD EASY PRICING HMO 37833WI0510323 No
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $0 MEDICAL DED HMO 37833WI0510204 No
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE $7250 HSA HMO 37833WI0540007 No
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) $0 MEDICAL DED HMO 37833WI0380204 No
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380275 No
QUARTZ ONE ACHIEVE W/UW HEALTH BRONZE STANDARD EASY PRICING HMO 37833WI0510205 No
QUARTZ ONE ACHIEVE W/UW HEALTH CATASTROPHIC $9200 DED HMO 37833WI0540008 No
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD $2500 DED HMO 37833WI0510268 No
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) $2500 DED HMO 37833WI0380268 No
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380196 No
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE $500 DED HMO 37833WI0510194 No
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD MAINTENANCE (DENTAL & VISION) $500 DED HMO 37833WI0380194 No
QUARTZ ONE ACHIEVE W/UW HEALTH GOLD STANDARD EASY PRICING HMO 37833WI0510196 No
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $0 DED FLAT RX COPAYS HMO 37833WI0510199 No
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER $7000 DED HMO 37833WI0510272 No
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS HMO 37833WI0380199 No
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) $7000 DED HMO 37833WI0380272 No
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER (DENTAL & VISION) STANDARD EASY PRICING HMO 37833WI0380274 No
QUARTZ ONE ACHIEVE W/UW HEALTH SILVER STANDARD EASY PRICING HMO 37833WI0510200 No
QUARTZ PERFORMANCE BRONZE (DENTAL & VISION) $9100 DED FLAT RX COPAYS - IL HMO 85773IL0040070 No
QUARTZ PERFORMANCE BRONZE (DENTAL & VISION) STANDARD EASY PRICING - IL HMO 85773IL0040074 No
QUARTZ PERFORMANCE BRONZE (VISION) $7250 HSA - IL HMO 85773IL0030071 No
QUARTZ PERFORMANCE BRONZE (VISION) $9100 DED FLAT RX COPAYS - IL HMO 85773IL0030070 No
QUARTZ PERFORMANCE BRONZE (VISION) STANDARD EASY PRICING - IL HMO 85773IL0030074 No
QUARTZ PERFORMANCE CATASTROPHIC (VISION) - IL HMO 85773IL0030075 No
QUARTZ PERFORMANCE GOLD (DENTAL & VISION) $2500 DED - IL HMO 85773IL0040059 No
QUARTZ PERFORMANCE GOLD (VISION) $2500 DED - IL HMO 85773IL0030059 No
QUARTZ PERFORMANCE GOLD MAINTENANCE (DENTAL & VISION) $500 DED - IL HMO 85773IL0040060 No
QUARTZ PERFORMANCE GOLD MAINTENANCE (VISION) $500 DED - IL HMO 85773IL0030060 No
QUARTZ PERFORMANCE GOLD STANDARD (DENTAL & VISION) FLAT RX COPAYS EASY PRICING - IL HMO 85773IL0040062 No
QUARTZ PERFORMANCE GOLD STANDARD (VISION) FLAT RX COPAYS EASY PRICING - IL HMO 85773IL0030062 No
QUARTZ PERFORMANCE SILVER (DENTAL & VISION) $0 DED FLAT RX COPAYS - IL HMO 85773IL0040067 No
QUARTZ PERFORMANCE SILVER (DENTAL & VISION) $7000 DED - IL HMO 85773IL0040065 No
QUARTZ PERFORMANCE SILVER (DENTAL & VISION) STANDARD EASY PRICING - IL HMO 85773IL0040068 No
QUARTZ PERFORMANCE SILVER (VISION) $0 DED FLAT RX COPAYS - IL HMO 85773IL0030067 No
QUARTZ PERFORMANCE SILVER (VISION) $7000 DED - IL HMO 85773IL0030065 No
QUARTZ PERFORMANCE SILVER (VISION) STANDARD EASY PRICING - IL HMO 85773IL0030068 No

UnitedHealthcare

Plan Name Plan Type Plan ID Dental Only Plan?
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) HMO 80180WI0100004 No
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) HMO 80180WI0110003 No
UHC Bronze Standard (No Referrals) HMO 80180WI0100001 No
UHC Bronze Value HSA (No Referrals) HMO 80180WI0100003 No
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) HMO 80180WI0100002 No
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) HMO 80180WI0110002 No
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) HMO 80180WI0100012 No
UHC Gold Standard (No Referrals) HMO 80180WI0100010 No
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) HMO 80180WI0100009 No
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) HMO 80180WI0110001 No
UHC Silver Standard (No Referrals) HMO 80180WI0100005 No
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) HMO 80180WI0100008 No
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) HMO 80180WI0110004 No