ACE BRANDON GLASPY MS, BA, LPC-MHSP
Accepted Insurance Health Plans for NPI 1790173391
Counselor - Mental Health in Harriman, TN
NPI Status: Active since January 05, 2015
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by ACE BRANDON GLASPY MS, BA, LPC-MHSP. Use our filterable tables to quickly find the details of your health plan, including: Plan Name, Plan Type and Plan ID. Search this page to find if your specific insurance is accepted. Please verify directly with the provider to make sure your healthplan is currently accepted.
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160054 | No |
| Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160060 | No |
| Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160022 | No |
| Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160061 | No |
| Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160062 | No |
| Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160055 | No |
| Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160063 | No |
| Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160030 | No |
| Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160064 | No |
| Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160065 | No |
| Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160029 | No |
| Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160009 | No |
| Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision | HMO | 18628FL0160067 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| BlueCross B07E HSA | EPO | 14002TN0400285 | No |
| BlueCross B07E HSA | EPO | 14002TN0400300 | No |
| BlueCross B07E HSA | EPO | 14002TN0400301 | No |
| BlueCross B07E HSA | EPO | 14002TN0400302 | No |
| BlueCross B07S HSA | EPO | 14002TN0400001 | No |
| BlueCross B07S HSA | EPO | 14002TN0400005 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400239 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400240 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400287 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400303 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400304 | No |
| BlueCross B15E $0 virtual care from Teladoc Health � | EPO | 14002TN0400305 | No |
| BlueCross B15S $0 virtual care from Teladoc Health � | EPO | 14002TN0400091 | No |
| BlueCross B15S $0 virtual care from Teladoc Health � | EPO | 14002TN0400097 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400253 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400254 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400288 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400306 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400307 | No |
| BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400308 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400241 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400242 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400243 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400244 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400245 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400246 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400247 | No |
| BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400248 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400311 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400312 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400313 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400314 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400315 | No |
| BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400316 | No |
| BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400309 | No |
| BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400310 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400295 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400353 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400354 | No |
| BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400355 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400200 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400201 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400202 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400203 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400204 | No |
| BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400205 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400234 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400235 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400297 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400356 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400357 | No |
| BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400358 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400222 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400223 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400224 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400225 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400226 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400227 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400228 | No |
| BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400229 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400255 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400256 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400292 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400328 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400329 | No |
| BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400330 | No |
| BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400188 | No |
| BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400194 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400269 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400270 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400293 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400331 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400332 | No |
| BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400333 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400257 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400258 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400259 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400260 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400261 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400262 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400263 | No |
| BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400264 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400294 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400334 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400335 | No |
| BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400336 | No |
| BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400271 | No |
| BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health � | EPO | 14002TN0400277 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400339 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400340 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400341 | No |
| BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400342 | No |
| BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400337 | No |
| BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental | EPO | 14002TN0400338 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care | EPO | 99248TN0060101 | No |
| Connect Bronze 7500 Indiv Med Deductible | EPO | 99248TN0060033 | No |
| Connect Bronze 8500 Indiv Med Deductible | EPO | 99248TN0060102 | No |
| Connect Bronze CMS Standard | EPO | 99248TN0060110 | No |
| Connect Gold CMS Standard | EPO | 99248TN0060112 | No |
| Connect Silver 2500 Indiv Med Deductible Enhanced Diabetes Care | EPO | 99248TN0060093 | No |
| Connect Silver 2875 Indiv Med Deductible | EPO | 99248TN0060044 | No |
| Connect Silver 3825 Indiv Med Deductible | EPO | 99248TN0060005 | No |
| Connect Silver CMS Standard | EPO | 99248TN0060111 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze 4 | HMO | 79975MS0010005 | No |
| Bronze 8 | HMO | 79975MS0010010 | No |
| Gold 1 | HMO | 18167UT0010001 | No |
| Gold 1 | HMO | 32355IL0010001 | No |
| Gold 1 | HMO | 40047MI0010001 | No |
| Gold 1 | HMO | 45786TX0020001 | No |
| Gold 1 | HMO | 52697WI0010001 | No |
| Gold 1 | HMO | 79975MS0010001 | No |
| Gold 1 with Adult Vision Services | HMO | 18167UT0040001 | No |
| Gold 1 with Adult Vision Services | HMO | 32355IL0020001 | No |
| Gold 1 with Adult Vision Services | HMO | 40047MI0080001 | No |
| Gold 1 with Adult Vision Services | HMO | 45786TX0050001 | No |
| Gold 1 with Adult Vision Services | HMO | 52697WI0050001 | No |
| Gold 1 with Adult Vision Services | HMO | 79975MS0020001 | No |
| Gold 12 | HMO | 45786TX0020013 | No |
| Gold 8 | HMO | 18167UT0010008 | No |
| Gold 8 | HMO | 40047MI0010008 | No |
| Gold 8 | HMO | 45786TX0020010 | No |
| Gold 8 | HMO | 52697WI0010008 | No |
| Gold 8 | HMO | 79975MS0010008 | No |
| Gold 8 with Rx Copay | HMO | 32355IL0010009 | No |
| Silver 1 | HMO | 18167UT0010002 | No |
| Silver 1 | HMO | 32355IL0010002 | No |
| Silver 1 | HMO | 40047MI0010002 | No |
| Silver 1 | HMO | 45786TX0020002 | No |
| Silver 1 | HMO | 52697WI0010002 | No |
| Silver 1 | HMO | 79975MS0010002 | No |
| Silver 1 with Adult Vision Services | HMO | 18167UT0040002 | No |
| Silver 1 with Adult Vision Services | HMO | 40047MI0080002 | No |
| Silver 1 with Adult Vision Services | HMO | 45786TX0050002 | No |
| Silver 1 with Adult Vision Services | HMO | 52697WI0050002 | No |
| Silver 1 with Adult Vision Services | HMO | 79975MS0020002 | No |
| Silver 1 with Rx Copay and Adult Vision Services | HMO | 32355IL0020002 | No |
| Silver 12 with first 4 free PCP or MH visits | HMO | 32355IL0010011 | No |
| Silver 12 with First 4 Primary Care Visits Free | HMO | 18167UT0010010 | No |
| Silver 12 with First 4 Primary Care Visits Free | HMO | 40047MI0010010 | No |
| Silver 12 with First 4 Primary Care Visits Free | HMO | 45786TX0020012 | No |
| Silver 12 with First 4 Primary Care Visits Free | HMO | 52697WI0010010 | No |
| Silver 12 with First 4 Primary Care Visits Free | HMO | 79975MS0010011 | No |
| Silver 8 | HMO | 18167UT0010009 | No |
| Silver 8 | HMO | 32355IL0010010 | No |
| Silver 8 | HMO | 40047MI0010009 | No |
| Silver 8 | HMO | 45786TX0020011 | No |
| Silver 8 | HMO | 52697WI0010009 | No |
| Silver 8 | HMO | 79975MS0010009 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| Bronze Classic 4700 | EPO | 23552TN0020024 | No |
| Bronze Classic Standard | EPO | 23552TN0020050 | No |
| Bronze Elite + PCP Saver Plus | EPO | 23552TN0020005 | No |
| Gold Classic | EPO | 23552TN0020013 | No |
| Gold Classic Standard | EPO | 23552TN0020053 | No |
| Gold Elite | EPO | 23552TN0020036 | No |
| Secure | EPO | 23552TN0020011 | No |
| Silver Classic | EPO | 23552TN0020006 | No |
| Silver Classic Standard | EPO | 23552TN0020052 | No |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | EPO | 23552TN0020056 | No |
| Silver Simple Diabetes | EPO | 23552TN0020055 | No |
| Silver Simple PCP Saver | EPO | 23552TN0020025 | No |
| Plan Name | Plan Type | Plan ID | Dental Only Plan? |
|---|---|---|---|
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | EPO | 95426MO0410019 | No |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO | 97560MS0030028 | No |
| UHC Bronze Copay Focus (No Referrals) | EPO | 69443TN0140028 | No |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO | 97560MS0080006 | No |
| UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) | EPO | 69443TN0180003 | No |
| UHC Bronze Standard (No Referrals) | EPO | 69443TN0140025 | No |
| UHC Bronze Standard (No Referrals) | EPO | 95426MO0410013 | No |
| UHC Bronze Standard (No Referrals) | HMO | 97560MS0030025 | No |
| UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | EPO | 95426MO0410011 | No |
| UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | HMO | 97560MS0030023 | No |
| UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | HMO | 97560MS0030023 | No |
| UHC Bronze Value (No Referrals) | EPO | 69443TN0140007 | No |
| UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | HMO | 97560MS0080005 | No |
| UHC Gold Advantage (No Referrals) | EPO | 69443TN0140031 | No |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | EPO | 95426MO0420001 | No |
| UHC Gold Advantage+ (Dental + Vision, No Referrals) | EPO | 69443TN0180002 | No |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | HMO | 97560MS0030032 | No |
| UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | EPO | 95426MO0410018 | No |
| UHC Gold Copay Focus (No Referrals) | EPO | 69443TN0140030 | No |
| UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | HMO | 97560MS0080003 | No |
| UHC Gold Standard (No Referrals) | EPO | 69443TN0140016 | No |
| UHC Gold Standard (No Referrals) | EPO | 95426MO0410009 | No |
| UHC Gold Standard (No Referrals) | HMO | 97560MS0030014 | No |
| UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) | HMO | 97560MS0030031 | No |
| UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) | HMO | 97560MS0080004 | No |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | EPO | 95426MO0410016 | No |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | HMO | 97560MS0030029 | No |
| UHC Silver Advantage (No Referrals) | EPO | 69443TN0140029 | No |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | EPO | 95426MO0420002 | No |
| UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | HMO | 97560MS0080001 | No |
| UHC Silver Advantage+ (Dental + Vision, No Referrals) | EPO | 69443TN0180001 | No |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | EPO | 95426MO0410006 | No |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) | HMO | 97560MS0030018 | No |
| UHC Silver Copay Focus (No Referrals) | EPO | 69443TN0140020 | No |
| UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) | HMO | 97560MS0080002 | No |
| UHC Silver Standard (No Referrals) | EPO | 69443TN0140021 | No |
| UHC Silver Standard (No Referrals) | EPO | 95426MO0410008 | No |
| UHC Silver Standard (No Referrals) | HMO | 97560MS0030021 | No |
| EssentialSmile Tennessee - Total Care | EPO | 69443TN0190001 | Yes |
| Smile Now Tennessee - No Waiting Period PPO | PPO | 69443TN0200001 | Yes |