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ASHLEY NICHOLE SIMON PMHNP-BC
Accepted Insurance Health Plans for NPI 1851053565
Nurse Practitioner - Psychiatric/Mental Health in Beaumont, TX

NPI Status: Active since October 10, 2021

Contact Information

3560 DELAWARE ST STE 207
BEAUMONT, TX
ZIP 77706
Phone: (409) 291-7622
Fax: (409) 292-2100

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Table of Contents - List of Insurance Companies

  1. Ambetter from Arizona Complete Health
  2. Ambetter from Arkansas Health & Wellness
  3. Ambetter from Louisiana Healthcare Connections
  4. Ambetter from Superior HealthPlan
  5. Ambetter of Oklahoma
  6. CHRISTUS Health Plan
  7. Cigna Healthcare
  8. Molina Healthcare
  9. UnitedHealthcare
  10. WellPoint

Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by ASHLEY NICHOLE SIMON PMHNP-BC. 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.

Ambetter from Arizona Complete Health

Plan Name Plan Type Plan ID Dental Only Plan?
Choice Bronze HSA HMO 91450AZ0080037 No
Choice Bronze HSA + Vision + Adult Dental HMO 91450AZ0180037 No
Clear Silver HMO 91450AZ0080097 No
Complete Gold HMO 91450AZ0080059 No
Complete Gold + Vision + Adult Dental HMO 91450AZ0180059 No
Complete Silver HMO 91450AZ0080044 No
Complete Silver + Vision + Adult Dental HMO 91450AZ0180044 No
Elite Gold HMO 91450AZ0080113 No
Elite Gold + Vision + Adult Dental HMO 91450AZ0180113 No
Everyday Bronze HMO 91450AZ0080119 No
Everyday Bronze + Vision + Adult Dental HMO 91450AZ0180119 No
Standard Expanded Bronze HMO 91450AZ0080122 No
Standard Expanded Bronze + Vision + Adult Dental HMO 91450AZ0180104 No
Standard Gold HMO 91450AZ0080124 No
Standard Gold + Vision + Adult Dental HMO 91450AZ0180106 No
Standard Silver HMO 91450AZ0080123 No
Standard Silver + Vision + Adult Dental HMO 91450AZ0180105 No

Ambetter from Arkansas Health & Wellness

Plan Name Plan Type Plan ID Dental Only Plan?
Choice Bronze HSA (QualChoice) POS 70525AR0070285 No
Complete Gold PPO 62141AR0080014 No
Complete Gold + Vision + Adult Dental PPO 62141AR0100014 No
Complete Silver (QualChoice) POS 70525AR0070001 No
Connected Silver PPO 62141AR0080007 No
Connected Silver (QualChoice) POS 70525AR0070261 No
Connected Silver (QualChoiceLife) PPO 37903AR0070025 No
Connected Silver + Vision + Adult Dental PPO 62141AR0100007 No
Elite Bronze PPO 62141AR0080026 No
Elite Bronze + Vision + Adult Dental PPO 62141AR0100026 No
Elite Gold (QualChoice) POS 70525AR0070268 No
Elite Gold (QualChoiceLife) PPO 37903AR0070031 No
Everyday Bronze PPO 62141AR0080017 No
Everyday Bronze + Vision + Adult Dental PPO 62141AR0100017 No
Everyday Gold PPO 62141AR0080030 No
Everyday Gold + Vision + Adult Dental PPO 62141AR0100030 No
Everyday Silver (QualChoiceLife) PPO 37903AR0070001 No
Focused Silver PPO 62141AR0080029 No
Focused Silver + Vision + Adult Dental PPO 62141AR0100032 No
Standard Expanded Bronze PPO 62141AR0080032 No
Standard Expanded Bronze (QualChoice) POS 70525AR0070287 No
Standard Expanded Bronze + Vision + Adult Dental PPO 62141AR0100033 No
Standard Gold PPO 62141AR0080034 No
Standard Gold (QualChoice) POS 70525AR0070289 No
Standard Gold (QualChoiceLife) PPO 37903AR0070034 No
Standard Gold + Vision + Adult Dental PPO 62141AR0100035 No
Standard Silver PPO 62141AR0080033 No
Standard Silver (QualChoice) POS 70525AR0070288 No
Standard Silver (QualChoiceLife) PPO 37903AR0070033 No
Standard Silver + Vision + Adult Dental PPO 62141AR0100034 No

Ambetter from Louisiana Healthcare Connections

Plan Name Plan Type Plan ID Dental Only Plan?
Complete Gold EPO 90787LA0010006 No
Complete Gold + Vision + Adult Dental EPO 90787LA0020005 No
Elite Bronze EPO 90787LA0010002 No
Elite Bronze + Vision + Adult Dental EPO 90787LA0020002 No
Elite Gold EPO 90787LA0010008 No
Elite Gold + Vision + Adult Dental EPO 90787LA0020008 No
Elite Silver EPO 90787LA0010012 No
Elite Silver + Vision + Adult Dental EPO 90787LA0020012 No
Everyday Bronze EPO 90787LA0010001 No
Everyday Bronze + Vision + Adult Dental EPO 90787LA0020001 No
Focused Silver EPO 90787LA0010005 No
Focused Silver + Vision + Adult Dental EPO 90787LA0020004 No
Standard Expanded Bronze EPO 90787LA0010009 No
Standard Expanded Bronze + Vision + Adult Dental EPO 90787LA0020009 No
Standard Gold EPO 90787LA0010011 No
Standard Gold + Vision + Adult Dental EPO 90787LA0020011 No
Standard Silver EPO 90787LA0010010 No

Ambetter from Superior HealthPlan

Plan Name Plan Type Plan ID Dental Only Plan?
Complete Gold EPO 29418TX0140064 No
Complete Gold + Vision + Adult Dental EPO 29418TX0160020 No
Complete Silver EPO 29418TX0140019 No
Complete Silver + Vision + Adult Dental EPO 29418TX0160038 No
Everyday Gold EPO 29418TX0140102 No
Everyday Gold + Vision + Adult Dental EPO 29418TX0160102 No
Focused Silver EPO 29418TX0140100 No
Focused Silver + Vision + Adult Dental EPO 29418TX0160100 No
Standard Gold EPO 29418TX0140109 No
Standard Gold + Vision + Adult Dental EPO 29418TX0160052 No
Standard Silver EPO 29418TX0140108 No

Ambetter of Oklahoma

Plan Name Plan Type Plan ID Dental Only Plan?
Elite Bronze PPO 62505OK0120006 No
Elite Bronze + Vision + Adult Dental PPO 62505OK0130006 No
Elite Gold PPO 62505OK0120016 No
Elite Gold + Vision + Adult Dental PPO 62505OK0130017 No
Everyday Bronze PPO 62505OK0120002 No
Everyday Bronze + Vision + Adult Dental PPO 62505OK0130002 No
Everyday Gold PPO 62505OK0120014 No
Everyday Gold + Vision + Adult Dental PPO 62505OK0130014 No
Focused Silver PPO 62505OK0120012 No
Focused Silver + Vision + Adult Dental PPO 62505OK0130012 No
Standard Expanded Bronze PPO 62505OK0120019 No
Standard Expanded Bronze + Vision + Adult Dental PPO 62505OK0130019 No
Standard Gold PPO 62505OK0120021 No
Standard Gold + Vision + Adult Dental PPO 62505OK0130021 No
Standard Silver PPO 62505OK0120020 No

CHRISTUS Health Plan

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

Cigna Healthcare

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

Molina Healthcare

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

UnitedHealthcare

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 Standard HMO 40220TX0080015 No
UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080010 No
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080028 No
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) HMO 40220TX0090002 No
UHC Gold Standard HMO 40220TX0080024 No
UHC Gold Standard $0 Indiv Ded ($0 Virtual Urgent Care) HMO 40220TX0080013 No
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080026 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 Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) HMO 40220TX0080025 No

WellPoint

Plan Name Plan Type Plan ID Dental Only Plan?
Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040002 No
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040004 No
Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs) HMO 47501TX0040003 No
Wellpoint Essential Bronze 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040005 No
Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030003 No
Wellpoint Essential Bronze POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030002 No
Wellpoint Essential Bronze POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030004 No
Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040006 No
Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040007 No
Wellpoint Essential Gold 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040008 No
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040009 No
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030005 No
Wellpoint Essential Gold POS 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030006 No
Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030007 No
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040011 No
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040012 No
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040010 No
Wellpoint Essential Silver 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) HMO 47501TX0040013 No
Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030008 No
Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030009 No
Wellpoint Essential Silver POS 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) POS 47501TX0030001 No