DR. VICTOR SONGBANDITH M.D.
Accepted Insurance Health Plans for NPI 1750489043
Family Medicine in Wimauma, FL

NPI Status: Active since September 20, 2006

Contact Information

16521 S US HIGHWAY 301
WIMAUMA, FL
ZIP 33598
Phone: (813) 844-4700

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Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by DR. VICTOR SONGBANDITH M.D.. 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?
Gold 10 Advanced: $0 PCP + Aetna network + $0 walk-in clinic + Adult Dental + Vision HMO 58840TX0110147 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 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110033 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 5 Advanced: Aetna network + $0 walk-in clinic + $0 CVS Health Virtual Care 24/7 HMO 58840TX0110103 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?
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340006 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340016 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340026 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340036 No
AvMed Entrust Bronze 600 (2025) HMO 19898FL0340046 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340007 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340017 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340027 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340037 No
AvMed Entrust Bronze 650 (2025) HMO 19898FL0340047 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340091 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340092 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340093 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340094 No
AvMed Entrust Expanded Bronze Standard (2025) HMO 19898FL0340095 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340001 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340011 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340021 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340031 No
AvMed Entrust Gold 125 (2025) HMO 19898FL0340041 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350001 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350011 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350021 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350031 No
AvMed Entrust Gold 125 Dental+Vision (2025) HMO 19898FL0350041 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340071 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340072 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340073 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340074 No
AvMed Entrust Gold Standard (2025) HMO 19898FL0340075 No
AvMed Entrust Platinum 25 (2025) HMO 19898FL0340020 No
AvMed Entrust Platinum 25 (2025) HMO 19898FL0340061 No
AvMed Entrust Platinum 25 (2025) HMO 19898FL0340064 No
AvMed Entrust Platinum 25 Dental+Vision (2025) HMO 19898FL0350020 No
AvMed Entrust Platinum 25 Dental+Vision (2025) HMO 19898FL0350061 No
AvMed Entrust Platinum 25 Dental+Vision (2025) HMO 19898FL0350064 No
AvMed Entrust Platinum Standard (2025) HMO 19898FL0340062 No
AvMed Entrust Platinum Standard (2025) HMO 19898FL0340063 No
AvMed Entrust Platinum Standard (2025) HMO 19898FL0340065 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340003 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340013 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340023 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340033 No
AvMed Entrust Silver 350 (2025) HMO 19898FL0340043 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350003 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350013 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350023 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350033 No
AvMed Entrust Silver 350 Dental+Vision (2025) HMO 19898FL0350043 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340005 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340015 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340025 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340035 No
AvMed Entrust Silver 550 (2025) HMO 19898FL0340045 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350005 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350015 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350025 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350035 No
AvMed Entrust Silver 550 Dental+Vision (2025) HMO 19898FL0350045 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340081 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340082 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340083 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340084 No
AvMed Entrust Silver Standard (2025) HMO 19898FL0340085 No
Plan Name Plan Type Plan ID Dental Only Plan?
Blue Advantage Bronze HMO? 204 HMO 33602TX0460554 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460705 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460706 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460707 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460708 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460709 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460710 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460711 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460712 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460713 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460714 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460715 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460716 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460717 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460718 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460719 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460721 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460722 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460723 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460724 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460725 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460726 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460727 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460728 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460869 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0461073 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0461074 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460782 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460783 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460787 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460792 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460793 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460794 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460795 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460797 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460799 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460801 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460802 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460803 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460804 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460806 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460871 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0461076 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461033 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461034 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461035 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461036 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461037 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461038 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461039 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461040 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461041 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461042 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461043 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461044 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461045 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461046 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461047 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461048 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461049 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461050 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461051 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461052 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461053 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461054 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461055 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461056 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461057 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461058 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461079 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460548 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460555 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460556 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460557 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460558 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460559 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460560 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460561 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460562 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460563 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460564 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460565 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460566 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460567 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460568 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460569 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460571 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460572 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460573 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460574 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460575 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460576 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460577 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460578 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460863 No
Blue Advantage Gold HMO? 206 HMO 33602TX0461061 No
Blue Advantage Gold HMO? 206 HMO 33602TX0461062 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460809 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460814 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460819 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460820 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460821 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460822 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460824 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460826 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460828 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460829 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460830 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460831 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460833 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460860 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460865 No
Blue Advantage Gold HMO? 603 HMO 33602TX0461066 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460925 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460928 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460929 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460930 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460931 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460932 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460933 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460934 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460935 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460936 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460937 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460938 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460939 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460940 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460941 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460942 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460943 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460944 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460945 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460946 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460947 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460948 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460949 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460950 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460951 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460952 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460953 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870002 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870038 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870039 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870040 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870041 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870042 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870043 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870044 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870045 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870046 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870047 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870048 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870049 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870050 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870051 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870052 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870053 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870054 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870055 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870056 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870057 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870058 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870059 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870060 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870061 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870062 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870063 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870003 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870064 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870065 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870066 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870067 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870068 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870069 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870070 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870071 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870072 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870073 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870074 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870075 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870076 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870077 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870078 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870079 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870080 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870081 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870082 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870083 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870084 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870085 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870086 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870087 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870088 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870089 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870004 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870090 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870091 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870092 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870093 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870094 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870095 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870096 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870097 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870098 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870099 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870100 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870101 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870102 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870103 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870104 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870105 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870106 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870107 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870108 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870109 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870110 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870111 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870112 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870113 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870114 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870115 No
Blue Advantage Plus Gold? 203 POS 33602TX0870005 No
Blue Advantage Plus Gold? 203 POS 33602TX0870116 No
Blue Advantage Plus Gold? 203 POS 33602TX0870117 No
Blue Advantage Plus Gold? 203 POS 33602TX0870118 No
Blue Advantage Plus Gold? 203 POS 33602TX0870119 No
Blue Advantage Plus Gold? 203 POS 33602TX0870120 No
Blue Advantage Plus Gold? 203 POS 33602TX0870121 No
Blue Advantage Plus Gold? 203 POS 33602TX0870122 No
Blue Advantage Plus Gold? 203 POS 33602TX0870123 No
Blue Advantage Plus Gold? 203 POS 33602TX0870124 No
Blue Advantage Plus Gold? 203 POS 33602TX0870125 No
Blue Advantage Plus Gold? 203 POS 33602TX0870126 No
Blue Advantage Plus Gold? 203 POS 33602TX0870127 No
Blue Advantage Plus Gold? 203 POS 33602TX0870128 No
Blue Advantage Plus Gold? 203 POS 33602TX0870129 No
Blue Advantage Plus Gold? 203 POS 33602TX0870130 No
Blue Advantage Plus Gold? 203 POS 33602TX0870131 No
Blue Advantage Plus Gold? 203 POS 33602TX0870132 No
Blue Advantage Plus Gold? 203 POS 33602TX0870133 No
Blue Advantage Plus Gold? 203 POS 33602TX0870134 No
Blue Advantage Plus Gold? 203 POS 33602TX0870135 No
Blue Advantage Plus Gold? 203 POS 33602TX0870136 No
Blue Advantage Plus Gold? 203 POS 33602TX0870137 No
Blue Advantage Plus Gold? 203 POS 33602TX0870138 No
Blue Advantage Plus Gold? 203 POS 33602TX0870139 No
Blue Advantage Plus Gold? 203 POS 33602TX0870140 No
Blue Advantage Plus Gold? 203 POS 33602TX0870141 No
Blue Advantage Plus Gold? 803 POS 33602TX0870011 No
Blue Advantage Plus Gold? 803 POS 33602TX0870272 No
Blue Advantage Plus Gold? 803 POS 33602TX0870273 No
Blue Advantage Plus Gold? 803 POS 33602TX0870274 No
Blue Advantage Plus Gold? 803 POS 33602TX0870275 No
Blue Advantage Plus Gold? 803 POS 33602TX0870276 No
Blue Advantage Plus Gold? 803 POS 33602TX0870277 No
Blue Advantage Plus Gold? 803 POS 33602TX0870278 No
Blue Advantage Plus Gold? 803 POS 33602TX0870279 No
Blue Advantage Plus Gold? 803 POS 33602TX0870280 No
Blue Advantage Plus Gold? 803 POS 33602TX0870281 No
Blue Advantage Plus Gold? 803 POS 33602TX0870282 No
Blue Advantage Plus Gold? 803 POS 33602TX0870283 No
Blue Advantage Plus Gold? 803 POS 33602TX0870284 No
Blue Advantage Plus Gold? 803 POS 33602TX0870285 No
Blue Advantage Plus Gold? 803 POS 33602TX0870286 No
Blue Advantage Plus Gold? 803 POS 33602TX0870287 No
Blue Advantage Plus Gold? 803 POS 33602TX0870288 No
Blue Advantage Plus Gold? 803 POS 33602TX0870289 No
Blue Advantage Plus Gold? 803 POS 33602TX0870290 No
Blue Advantage Plus Gold? 803 POS 33602TX0870291 No
Blue Advantage Plus Gold? 803 POS 33602TX0870292 No
Blue Advantage Plus Gold? 803 POS 33602TX0870293 No
Blue Advantage Plus Gold? 803 POS 33602TX0870294 No
Blue Advantage Plus Gold? 803 POS 33602TX0870295 No
Blue Advantage Plus Gold? 803 POS 33602TX0870296 No
Blue Advantage Plus Gold? 803 POS 33602TX0870297 No
Blue Advantage Plus Gold? Standard POS 33602TX0870006 No
Blue Advantage Plus Gold? Standard POS 33602TX0870142 No
Blue Advantage Plus Gold? Standard POS 33602TX0870143 No
Blue Advantage Plus Gold? Standard POS 33602TX0870144 No
Blue Advantage Plus Gold? Standard POS 33602TX0870145 No
Blue Advantage Plus Gold? Standard POS 33602TX0870146 No
Blue Advantage Plus Gold? Standard POS 33602TX0870147 No
Blue Advantage Plus Gold? Standard POS 33602TX0870148 No
Blue Advantage Plus Gold? Standard POS 33602TX0870149 No
Blue Advantage Plus Gold? Standard POS 33602TX0870150 No
Blue Advantage Plus Gold? Standard POS 33602TX0870151 No
Blue Advantage Plus Gold? Standard POS 33602TX0870152 No
Blue Advantage Plus Gold? Standard POS 33602TX0870153 No
Blue Advantage Plus Gold? Standard POS 33602TX0870154 No
Blue Advantage Plus Gold? Standard POS 33602TX0870155 No
Blue Advantage Plus Gold? Standard POS 33602TX0870156 No
Blue Advantage Plus Gold? Standard POS 33602TX0870157 No
Blue Advantage Plus Gold? Standard POS 33602TX0870158 No
Blue Advantage Plus Gold? Standard POS 33602TX0870159 No
Blue Advantage Plus Gold? Standard POS 33602TX0870160 No
Blue Advantage Plus Gold? Standard POS 33602TX0870161 No
Blue Advantage Plus Gold? Standard POS 33602TX0870162 No
Blue Advantage Plus Gold? Standard POS 33602TX0870163 No
Blue Advantage Plus Gold? Standard POS 33602TX0870164 No
Blue Advantage Plus Gold? Standard POS 33602TX0870165 No
Blue Advantage Plus Gold? Standard POS 33602TX0870166 No
Blue Advantage Plus Gold? Standard POS 33602TX0870167 No
Blue Advantage Plus Silver? 202 POS 33602TX0870007 No
Blue Advantage Plus Silver? 202 POS 33602TX0870168 No
Blue Advantage Plus Silver? 202 POS 33602TX0870169 No
Blue Advantage Plus Silver? 202 POS 33602TX0870170 No
Blue Advantage Plus Silver? 202 POS 33602TX0870171 No
Blue Advantage Plus Silver? 202 POS 33602TX0870172 No
Blue Advantage Plus Silver? 202 POS 33602TX0870173 No
Blue Advantage Plus Silver? 202 POS 33602TX0870174 No
Blue Advantage Plus Silver? 202 POS 33602TX0870175 No
Blue Advantage Plus Silver? 202 POS 33602TX0870176 No
Blue Advantage Plus Silver? 202 POS 33602TX0870177 No
Blue Advantage Plus Silver? 202 POS 33602TX0870178 No
Blue Advantage Plus Silver? 202 POS 33602TX0870179 No
Blue Advantage Plus Silver? 202 POS 33602TX0870180 No
Blue Advantage Plus Silver? 202 POS 33602TX0870181 No
Blue Advantage Plus Silver? 202 POS 33602TX0870182 No
Blue Advantage Plus Silver? 202 POS 33602TX0870183 No
Blue Advantage Plus Silver? 202 POS 33602TX0870184 No
Blue Advantage Plus Silver? 202 POS 33602TX0870185 No
Blue Advantage Plus Silver? 202 POS 33602TX0870186 No
Blue Advantage Plus Silver? 202 POS 33602TX0870187 No
Blue Advantage Plus Silver? 202 POS 33602TX0870188 No
Blue Advantage Plus Silver? 202 POS 33602TX0870189 No
Blue Advantage Plus Silver? 202 POS 33602TX0870190 No
Blue Advantage Plus Silver? 202 POS 33602TX0870191 No
Blue Advantage Plus Silver? 202 POS 33602TX0870192 No
Blue Advantage Plus Silver? 202 POS 33602TX0870193 No
Blue Advantage Plus Silver? 605 POS 33602TX0870009 No
Blue Advantage Plus Silver? 605 POS 33602TX0870220 No
Blue Advantage Plus Silver? 605 POS 33602TX0870221 No
Blue Advantage Plus Silver? 605 POS 33602TX0870222 No
Blue Advantage Plus Silver? 605 POS 33602TX0870223 No
Blue Advantage Plus Silver? 605 POS 33602TX0870224 No
Blue Advantage Plus Silver? 605 POS 33602TX0870225 No
Blue Advantage Plus Silver? 605 POS 33602TX0870226 No
Blue Advantage Plus Silver? 605 POS 33602TX0870227 No
Blue Advantage Plus Silver? 605 POS 33602TX0870228 No
Blue Advantage Plus Silver? 605 POS 33602TX0870229 No
Blue Advantage Plus Silver? 605 POS 33602TX0870230 No
Blue Advantage Plus Silver? 605 POS 33602TX0870231 No
Blue Advantage Plus Silver? 605 POS 33602TX0870232 No
Blue Advantage Plus Silver? 605 POS 33602TX0870233 No
Blue Advantage Plus Silver? 605 POS 33602TX0870234 No
Blue Advantage Plus Silver? 605 POS 33602TX0870235 No
Blue Advantage Plus Silver? 605 POS 33602TX0870236 No
Blue Advantage Plus Silver? 605 POS 33602TX0870237 No
Blue Advantage Plus Silver? 605 POS 33602TX0870238 No
Blue Advantage Plus Silver? 605 POS 33602TX0870239 No
Blue Advantage Plus Silver? 605 POS 33602TX0870240 No
Blue Advantage Plus Silver? 605 POS 33602TX0870241 No
Blue Advantage Plus Silver? 605 POS 33602TX0870242 No
Blue Advantage Plus Silver? 605 POS 33602TX0870243 No
Blue Advantage Plus Silver? 605 POS 33602TX0870244 No
Blue Advantage Plus Silver? 605 POS 33602TX0870245 No
Blue Advantage Plus Silver? Standard POS 33602TX0870010 No
Blue Advantage Plus Silver? Standard POS 33602TX0870246 No
Blue Advantage Plus Silver? Standard POS 33602TX0870247 No
Blue Advantage Plus Silver? Standard POS 33602TX0870248 No
Blue Advantage Plus Silver? Standard POS 33602TX0870249 No
Blue Advantage Plus Silver? Standard POS 33602TX0870250 No
Blue Advantage Plus Silver? Standard POS 33602TX0870251 No
Blue Advantage Plus Silver? Standard POS 33602TX0870252 No
Blue Advantage Plus Silver? Standard POS 33602TX0870253 No
Blue Advantage Plus Silver? Standard POS 33602TX0870254 No
Blue Advantage Plus Silver? Standard POS 33602TX0870255 No
Blue Advantage Plus Silver? Standard POS 33602TX0870256 No
Blue Advantage Plus Silver? Standard POS 33602TX0870257 No
Blue Advantage Plus Silver? Standard POS 33602TX0870258 No
Blue Advantage Plus Silver? Standard POS 33602TX0870259 No
Blue Advantage Plus Silver? Standard POS 33602TX0870260 No
Blue Advantage Plus Silver? Standard POS 33602TX0870261 No
Blue Advantage Plus Silver? Standard POS 33602TX0870262 No
Blue Advantage Plus Silver? Standard POS 33602TX0870263 No
Blue Advantage Plus Silver? Standard POS 33602TX0870264 No
Blue Advantage Plus Silver? Standard POS 33602TX0870265 No
Blue Advantage Plus Silver? Standard POS 33602TX0870266 No
Blue Advantage Plus Silver? Standard POS 33602TX0870267 No
Blue Advantage Plus Silver? Standard POS 33602TX0870268 No
Blue Advantage Plus Silver? Standard POS 33602TX0870269 No
Blue Advantage Plus Silver? Standard POS 33602TX0870270 No
Blue Advantage Plus Silver? Standard POS 33602TX0870271 No
Blue Advantage Security HMO? 200 HMO 33602TX0460552 No
Blue Advantage Security HMO? 200 HMO 33602TX0460655 No
Blue Advantage Security HMO? 200 HMO 33602TX0460656 No
Blue Advantage Security HMO? 200 HMO 33602TX0460657 No
Blue Advantage Security HMO? 200 HMO 33602TX0460658 No
Blue Advantage Security HMO? 200 HMO 33602TX0460659 No
Blue Advantage Security HMO? 200 HMO 33602TX0460660 No
Blue Advantage Security HMO? 200 HMO 33602TX0460661 No
Blue Advantage Security HMO? 200 HMO 33602TX0460662 No
Blue Advantage Security HMO? 200 HMO 33602TX0460663 No
Blue Advantage Security HMO? 200 HMO 33602TX0460664 No
Blue Advantage Security HMO? 200 HMO 33602TX0460665 No
Blue Advantage Security HMO? 200 HMO 33602TX0460666 No
Blue Advantage Security HMO? 200 HMO 33602TX0460667 No
Blue Advantage Security HMO? 200 HMO 33602TX0460668 No
Blue Advantage Security HMO? 200 HMO 33602TX0460669 No
Blue Advantage Security HMO? 200 HMO 33602TX0460671 No
Blue Advantage Security HMO? 200 HMO 33602TX0460672 No
Blue Advantage Security HMO? 200 HMO 33602TX0460673 No
Blue Advantage Security HMO? 200 HMO 33602TX0460674 No
Blue Advantage Security HMO? 200 HMO 33602TX0460675 No
Blue Advantage Security HMO? 200 HMO 33602TX0460676 No
Blue Advantage Security HMO? 200 HMO 33602TX0460677 No
Blue Advantage Security HMO? 200 HMO 33602TX0460678 No
Blue Advantage Security HMO? 200 HMO 33602TX0460872 No
Blue Advantage Security HMO? 200 HMO 33602TX0461077 No
Blue Advantage Security HMO? 200 HMO 33602TX0461078 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460553 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460680 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460681 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460682 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460683 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460684 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460685 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460686 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460687 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460688 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460689 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460690 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460691 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460692 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460693 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460694 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460696 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460697 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460698 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460699 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460700 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460701 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460702 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460703 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460867 No
Blue Advantage Silver HMO? 205 HMO 33602TX0461069 No
Blue Advantage Silver HMO? 205 HMO 33602TX0461070 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461083 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461090 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461094 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461099 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461100 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461101 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461102 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461104 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461105 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461107 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461108 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461109 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461110 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461112 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461114 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461115 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460926 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460954 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460955 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460956 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460957 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460958 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460959 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460960 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460961 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460962 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460963 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460964 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460965 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460966 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460967 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460968 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460969 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460970 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460971 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460972 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460973 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460974 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460975 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460976 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460977 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460978 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460979 No
Plan Name Plan Type Plan ID Dental Only Plan?
Connect Bronze 5500 Indiv Med Deductible HMO 76589TX0010044 No
Connect Bronze 6000 Indiv Med Deductible HMO 76589TX0010015 No
Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care HMO 76589TX0010047 No
Connect Bronze 8500 Indiv Med Deductible HMO 76589TX0010018 No
Connect Bronze 8500 Indiv Med Deductible HMO 76589TX0010045 No
Connect Bronze CMS Standard HMO 76589TX0010029 No
Connect Bronze CMS Standard HMO 76589TX0010048 No
Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care HMO 76589TX0010016 No
Connect Gold 1000 Indiv Med Deductible HMO 76589TX0010035 No
Connect Gold 1000 Indiv Med Deductible HMO 76589TX0010050 No
Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care HMO 76589TX0010026 No
Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care HMO 76589TX0010036 No
Connect Gold 3250 Indiv Med Deductible HMO 76589TX0010025 No
Connect Gold 3500 Indiv Med Deductible HMO 76589TX0010037 No
Connect Gold CMS Standard HMO 76589TX0010031 No
Connect Gold CMS Standard HMO 76589TX0010038 No
Connect Silver 3000 Indiv Med Deductible HMO 76589TX0010024 No
Connect Silver 3000 Indiv Med Deductible HMO 76589TX0010040 No
Connect Silver 4000 Indiv Med Deductible HMO 76589TX0010021 No
Connect Silver 4000 Indiv Med Deductible HMO 76589TX0010041 No
Connect Silver CMS Standard HMO 76589TX0010030 No
Connect Silver CMS Standard HMO 76589TX0010043 No
Plan Name Plan Type Plan ID Dental Only Plan?
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) PPO 16842FL0260010 No
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) PPO 16842FL0260004 No
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) PPO 16842FL0260006 No
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) PPO 16842FL0260017 No
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) PPO 16842FL0260018 No
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) PPO 16842FL0260009 No
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) PPO 16842FL0260012 No
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) PPO 16842FL0260020 No
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) PPO 16842FL0260005 No
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) PPO 16842FL0260008 No
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) PPO 16842FL0260021 No
BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) PPO 16842FL0260003 No
BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) PPO 16842FL0260007 No
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) PPO 16842FL0260019 No
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) EPO 16842FL0120078 No
BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) EPO 16842FL0120068 No
BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) EPO 16842FL0120091 No
BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) EPO 16842FL0320014 No
BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) EPO 16842FL0310014 No
BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120093 No
BlueSelect Bronze 24L01-01 ($0 Virtual PCP Visits / Rewards) EPO 16842FL0120001 No
BlueSelect Gold 1535 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) EPO 16842FL0120076 No
BlueSelect Gold 1535V ($0 Virtual PCP Visits / $15 PCP Visits / Adult Vision / Rewards) EPO 16842FL0310001 No
BlueSelect Gold 1835 ($0 Virtual PCP Visits / $15 Labs / Rewards) EPO 16842FL0120086 No
BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120095 No
BlueSelect Platinum 1451 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) EPO 16842FL0120062 No
BlueSelect Platinum 1457 ($0 Deductible / $0 Virtual PCP Visits / $10 PCP Visits / Rewards) EPO 16842FL0120070 No
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) EPO 16842FL0120096 No
BlueSelect Silver 1443 ($0 Virtual PCP Visits / $0 Labs / Rewards) EPO 16842FL0120072 No
BlueSelect Silver 1443E ($0 Virtual PCP Visits / $0 Labs / Adult Dental & Vision / Rewards) EPO 16842FL0320004 No
BlueSelect Silver 1443V ($0 Virtual PCP Visits / $0 Labs / Adult Vision / Rewards) EPO 16842FL0310004 No
BlueSelect Silver 1456 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) EPO 16842FL0120033 No
BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120094 No
Plan Name Plan Type Plan ID Dental Only Plan?
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) POS 30252FL0140009 No
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) POS 30252FL0140003 No
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) POS 30252FL0140005 No
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140025 No
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) POS 30252FL0140031 No
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) POS 30252FL0140017 No
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) POS 30252FL0140018 No
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140023 No
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) POS 30252FL0140026 No
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) POS 30252FL0140008 No
BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) POS 30252FL0140010 No
BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) POS 30252FL0140033 No
BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) POS 30252FL0140020 No
BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140028 No
BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) POS 30252FL0140004 No
BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) POS 30252FL0140007 No
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) POS 30252FL0140034 No
BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) POS 30252FL0140015 No
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) POS 30252FL0140029 No
BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) POS 30252FL0140002 No
BlueCare Silver 24K01-06 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140006 No
BlueCare Silver 24K01-32S ($40 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140032 No
BlueCare Silver 24K02-21 ($0 Virtual PCP Visits / $0 Labs / Rewards) POS 30252FL0140021 No
BlueCare Silver 24K02-27S ($40 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140027 No
myBlue Bronze 1601 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $45 / Rewards) HMO 30252FL0070001 No
myBlue Bronze 2013 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $30 / Rewards) HMO 30252FL0070025 No
myBlue Bronze 2129 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) HMO 30252FL0070031 No
myBlue Bronze 2129E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) HMO 30252FL0200009 No
myBlue Bronze 2129V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) HMO 30252FL0190009 No
myBlue Bronze 2149 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) HMO 30252FL0070033 No
myBlue Bronze 2149E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) HMO 30252FL0200010 No
myBlue Bronze 2149V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) HMO 30252FL0190010 No
myBlue Bronze 2219 ($0 Virtual PCP Visits / Rewards) HMO 30252FL0070039 No
myBlue Bronze 2286 ($0 Virtual PCP Visits / Rewards) HMO 30252FL0070041 No
myBlue Bronze 2312S ($50 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070044 No
myBlue Bronze 2322S ($50 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070045 No
myBlue Bronze 2329 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards) HMO 30252FL0070046 No
myBlue Bronze 2329E ($0 Virtual PCP Visits / $75 PCP Visits / Adult Dental & Vision / Rewards) HMO 30252FL0200022 No
myBlue Bronze 2329V ($0 Virtual PCP Visits / $75 PCP Visits / Adult Vision / Rewards) HMO 30252FL0190018 No
myBlue Bronze 2349 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards) HMO 30252FL0070036 No
myBlue Connected Care Silver 24M03-70 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards) HMO 30252FL0070070 No
myBlue Gold 1605 ($0 Virtual PCP Visits / $0 Labs / Rewards) HMO 30252FL0070009 No
myBlue Gold 2011 ($0 Virtual PCP Visits / $0 Labs / Rewards) HMO 30252FL0070023 No
myBlue Gold 2016 ($0 Deductible / $0 Virtual PCP Visits / Rewards) HMO 30252FL0070028 No
myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070055 No
myBlue Gold 2325S ($30 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070056 No
myBlue Gold 24M05-74 ($0 Deductible / $0 Virtual PCP Visits / Rewards) HMO 30252FL0070074 No
myBlue Platinum 2015 ($0 Deductible / $0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) HMO 30252FL0070027 No
myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) HMO 30252FL0070058 No
myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070100 No
myBlue Platinum 24M05-75 ($0 Deductible / $0 Virtual PCP Visits / $0 Labs / Rewards) HMO 30252FL0070075 No
myBlue Silver 2010 ($0 Virtual PCP Visits / Rewards) HMO 30252FL0070022 No
myBlue Silver 2010E ($0 Virtual PCP Visits / Adult Dental & Vision / Rewards) HMO 30252FL0200003 No
myBlue Silver 2010V ($0 Virtual PCP Visits / Adult Vision / Rewards) HMO 30252FL0190003 No
myBlue Silver 2237 ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Rewards) HMO 30252FL0070035 No
myBlue Silver 2237E ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Adult Dental & Vision / Rewards) HMO 30252FL0200011 No
myBlue Silver 2237V ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Adult Vision / Adult Vision / Rewards) HMO 30252FL0190011 No
myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070053 No
myBlue Silver 2323S ($40 PCP Visits / Multilingual Available / Rewards) HMO 30252FL0070054 No
myBlue Silver 24M02-78 ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Rewards) HMO 30252FL0070078 No
myBlue Silver 24M02-78E ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards) HMO 30252FL0200032 No
myBlue Silver 24M02-78V ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Adult Vision / Rewards) HMO 30252FL0190028 No
myBlue Silver 24M03-70E ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards) HMO 30252FL0200029 No
myBlue Silver 24M03-70V ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / Adult Vision / Rewards) HMO 30252FL0190025 No
myBlue Silver 24M06-76 ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Rewards) HMO 30252FL0070076 No
myBlue Silver 24M06-76E ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Adult Dental & Vision / Rewards) HMO 30252FL0200034 No
myBlue Silver 24M06-76V ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Adult Vision / Rewards) HMO 30252FL0190030 No
myBlue Silver 25M02-03 ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Rewards) HMO 30252FL0070103 No
myBlue Silver 25M02-03E ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) HMO 30252FL0200038 No
myBlue Silver 25M02-03V ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Vision / Rewards) HMO 30252FL0190034 No
myBlue Silver 25M03-01 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Rewards) HMO 30252FL0070101 No
myBlue Silver 25M03-01E ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Adult Dental & Vision / Rewards) HMO 30252FL0200036 No
myBlue Silver 25M03-01V ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Adult Vision / Rewards) HMO 30252FL0190032 No
myBlue Silver 25M06-02 ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Rewards) HMO 30252FL0070102 No
myBlue Silver 25M06-02E ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) HMO 30252FL0200037 No
myBlue Silver 25M06-02V ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Vision / Rewards) HMO 30252FL0190033 No
Plan Name Plan Type Plan ID Dental Only Plan?
Bronze 1826 ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) HMO 36194FL0160009 No
Bronze 1826 + Adult Dental + Adult Vision ($0 Medical Deductible, $0 Primary Care Copay- Visits 1 & 2, Specialist & Urgent Care Copay, Open Access) HMO 36194FL0460003 No
Bronze Savings 1820 (Primary Care Copay Visits 1-5, Open Access) HMO 36194FL0440001 No
Bronze Savings 1820 + Adult Dental + Adult Vision (Primary Care Copay Visits 1-5, Open Access) HMO 36194FL0480001 No
Bronze Standard 1828 HMO 36194FL0160011 No
Bronze Value 1814 (High Value Network Savings, Open Access) HMO 36194FL0410001 No
Bronze Value 1814 + Adult Dental + Adult Vision (High Value Network Savings, Open Access) HMO 36194FL0470001 No
Catastrophic 1746 (Primary Care Copay Visits 1-3, Open Access) HMO 36194FL0450003 No
Gold 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) HMO 36194FL0450002 No
Gold 1742 + Adult Dental + Adult Vision (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) HMO 36194FL0460002 No
Gold Savings 1825 ($25 Primary Care Copay, $50 Specialist Copay, Open Access) HMO 36194FL0440003 No
Gold Savings 1825 + Adult Dental + Adult Vision ($25 Primary Care Copay, $50 Specialist Copay, Open Access) HMO 36194FL0480003 No
Gold Standard 1833 HMO 36194FL0160013 No
Gold Value 1819 ($1,300 Tier 1 Medical Deductible, High Value Network Savings, Open Access) HMO 36194FL0410003 No
Gold Value 1819 + Adult Dental + Adult Vision ($1,300 Tier 1 Medical Deductible, High Value Network Savings, Open Access) HMO 36194FL0470003 No
Silver 1664 (Primary Care & Specialist Copays, Open Access) HMO 36194FL0450001 No
Silver 1664 + Adult Dental + Adult Vision (Primary Care & Specialist Copays, Open Access) HMO 36194FL0460001 No
Silver Savings 1821 (Primary Care Copay, Open Access) HMO 36194FL0440002 No
Silver Savings 1821 + Adult Dental + Adult Vision (Primary Care Copay, Open Access) HMO 36194FL0480002 No
Silver Standard 1829 HMO 36194FL0160012 No
Silver Value 1815 ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings) HMO 36194FL0410002 No
Silver Value 1815 + Adult Dental + Adult Vision ($25 Tier 1 Primary Care Copay, Specialist & Urgent Care Copays, High Value Network Savings) HMO 36194FL0470002 No
Plan Name Plan Type Plan ID Dental Only Plan?
Imperial Preferred Bronze HMO 34826TX0030001 No
Imperial Preferred Gold HMO 34826TX0030003 No
Imperial Preferred Gold Zero HMO 34826TX0010001 No
Imperial Preferred Silver HMO 34826TX0030002 No
Imperial Standard Bronze HMO 34826TX0020001 No
Imperial Standard Gold HMO 34826TX0020003 No
Imperial Standard Silver HMO 34826TX0020002 No
Plan Name Plan Type Plan ID Dental Only Plan?
Gold 1 HMO 45786TX0020001 No
Gold 1 with Adult Vision Services HMO 45786TX0050001 No
Gold 12 HMO 45786TX0020013 No
Gold 8 HMO 45786TX0020010 No
Silver 1 HMO 45786TX0020002 No
Silver 1 with Adult Vision Services HMO 45786TX0050002 No
Silver 12 with First 4 Primary Care Visits Free HMO 45786TX0020012 No
Silver 8 HMO 45786TX0020011 No
Plan Name Plan Type Plan ID Dental Only Plan?
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) HMO 40220TX0080031 No
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) HMO 68398FL0030045 No
UHC Bronze Standard HMO 40220TX0080015 No
UHC Bronze Standard HMO 68398FL0030042 No
UHC Bronze Value ($0 Virtual Urgent Care) HMO 68398FL0030041 No
UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080010 No
UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision) HMO 68398FL0060003 No
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) HMO 68398FL0030057 No
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080028 No
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) HMO 68398FL0060001 No
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) HMO 40220TX0090002 No
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 68398FL0030034 No
UHC Gold Standard HMO 40220TX0080024 No
UHC Gold Standard HMO 68398FL0030036 No
UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) HMO 40220TX0080013 No
UHC Silver Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx) HMO 68398FL0030048 No
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080026 No
UHC Silver Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision) HMO 68398FL0060002 No
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) HMO 40220TX0090001 No
UHC Silver Standard HMO 40220TX0080020 No
UHC Silver Standard HMO 68398FL0030040 No
UHC Silver Standard+ (Dental + Vision) HMO 68398FL0060005 No
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080025 No
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 68398FL0030046 No
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) HMO 68398FL0060004 No