MS. PAIGE RAINES
Accepted Insurance Health Plans for NPI 1215696554
Case Manager/Care Coordinator in Hamilton, OH
NPI Status: Active since December 14, 2021
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.
