MS. PAIGE RAINES
Accepted Insurance Health Plans for NPI 1215696554
Case Manager/Care Coordinator in Hamilton, OH

NPI Status: Active since December 14, 2021

Contact Information

2100 PLEASANT AVE
HAMILTON, OH
ZIP 45015
Phone: (513) 558-9006

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by MS. PAIGE RAINES. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.

Molina Healthcare (10 plans)

Bronze 10

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010013

Dental Only? No

Bronze 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010011

Dental Only? No

Bronze 9

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010012

Dental Only? No

Gold 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010001

Dental Only? No

Gold 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0040001

Dental Only? No

Gold 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010008

Dental Only? No

Silver 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010002

Dental Only? No

Silver 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0040002

Dental Only? No

Silver 12 with first 4 free PCP or MH visits

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010010

Dental Only? No

Silver 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010009

Dental Only? No

Frequently Asked Questions

EPO
See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
HMO
Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
POS
Acts like HMO in-network but allows out-of-network visits at a higher cost.
PPO
No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
Indemnity
Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
Individual & Family
Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
SHOP
Small group coverage for businesses with up to 50 full-time employees.
Tier-One
Lowest-cost, highest-value in-network providers.
Preferred
Good in-network options with slightly higher copays than Tier-One.
Non-Preferred
More expensive tier within the network. Cheaper than going out-of-network.
Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.
A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.