DR. LINA Y AL-BITAR DDS
Accepted Insurance Health Plans for NPI 1225267925
Dentist in Milwaukee, WI
NPI Status: Active since July 02, 2009
Contact Information
710 W HISTORIC MITCHELL ST
MILWAUKEE, WI
ZIP 53204
Phone: (414) 383-2426
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by DR. LINA Y AL-BITAR DDS. 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.
Antidote Health Plan of Arizona, Inc. (16 plans)
Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0600010
Dental Only? No
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0600011
Dental Only? No
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0610010
Dental Only? No
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0610011
Dental Only? No
Bronze Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0590010
Dental Only? No
Catastrophic Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0590050
Dental Only? No
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0600030
Dental Only? No
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0600031
Dental Only? No
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0610030
Dental Only? No
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0610031
Dental Only? No
Gold Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0590030
Dental Only? No
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0600020
Dental Only? No
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0600021
Dental Only? No
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0610020
Dental Only? No
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0610021
Dental Only? No
Silver Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 68445AZ0590020
Dental Only? No
Antidote Health Plan of Ohio, Inc. (16 plans)
Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0020010
Dental Only? No
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0020011
Dental Only? No
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0030010
Dental Only? No
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0030011
Dental Only? No
Bronze Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0010010
Dental Only? No
Catastrophic Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0010050
Dental Only? No
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0020030
Dental Only? No
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0020031
Dental Only? No
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0030030
Dental Only? No
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0030031
Dental Only? No
Gold Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0010030
Dental Only? No
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0020020
Dental Only? No
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0020021
Dental Only? No
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0030020
Dental Only? No
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0030021
Dental Only? No
Silver Standard
Type: HMO
Market: Individual
Network Tier: TIERONE
Plan ID: 31981OH0010020
Dental Only? No
Guardian (28 plans)
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CJ--CAREINGTON-CARESERIES
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CR--PREMIER-MN-FL-DENTAL-NETWORK-CLASSIC
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--STRATOSE-FSB-MAVEREST
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CW--DENTEMAX
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Basics for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 59560IN0090005
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CJ--CAREINGTON-CARESERIES
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CR--PREMIER-MN-FL-DENTAL-NETWORK-CLASSIC
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--STRATOSE-FSB-MAVEREST
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CW--DENTEMAX
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Essentials for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 59560IN0070006
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CJ--CAREINGTON-CARESERIES
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CR--PREMIER-MN-FL-DENTAL-NETWORK-CLASSIC
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--STRATOSE-FSB-MAVEREST
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CW--DENTEMAX
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Preventive Plus for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 59560IN0100004
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CJ--CAREINGTON-CARESERIES
Plan ID: 59560IN0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CR--PREMIER-MN-FL-DENTAL-NETWORK-CLASSIC
Plan ID: 59560IN0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--AETNA
Plan ID: 59560IN0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CS--STRATOSE-FSB-MAVEREST
Plan ID: 59560IN0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CW--DENTEMAX
Plan ID: 59560IN0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: CX--CONNECTION-DENTAL--PPO-USA
Plan ID: 59560IN0080005
Dental Only? Yes
Guardian Select for Families and Individuals
Type: PPO
Market: Individual
Network Tier: DD--DENTALGUARD-ELITE
Plan ID: 59560IN0080005
Dental Only? Yes
Paramount (3 plans)
Paramount Dental Essential Plus Plan
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 95233MI0210002
Dental Only? Yes
Paramount Dental Preventive Family Plan
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 95233MI0210001
Dental Only? Yes
Paramount Dental Total Care Plan
Type: EPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 95233MI0210003
Dental Only? Yes
Paramount Dental (6 plans)
HRI Essential Plus Plan
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 33086IN0060002
Dental Only? Yes
HRI Essential Plus Plan
Type: PPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 25945OH0020002
Dental Only? Yes
HRI Preventive Family Plan
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 33086IN0060001
Dental Only? Yes
HRI Preventive Family Plan
Type: PPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 25945OH0020001
Dental Only? Yes
HRI Total Care Plan
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 33086IN0060003
Dental Only? Yes
HRI Total Care Plan
Type: PPO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 25945OH0020003
Dental Only? Yes
Renaissance Dental (53 plans)
Alabama Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28725AL0110002
Dental Only? Yes
Alabama Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28725AL0130002
Dental Only? Yes
Alabama Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28725AL0110001
Dental Only? Yes
Alabama Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28725AL0130001
Dental Only? Yes
Alabama Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28725AL0150001
Dental Only? Yes
Florida Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 48129FL0130004
Dental Only? Yes
Florida Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 48129FL0150004
Dental Only? Yes
Florida Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 48129FL0130003
Dental Only? Yes
Florida Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 48129FL0150003
Dental Only? Yes
Florida Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 48129FL0180001
Dental Only? Yes
High PPO Dental Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28419LA0040001
Dental Only? Yes
High PPO Dental Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28419LA0050001
Dental Only? Yes
Kansas Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 95038KS0040003
Dental Only? Yes
Kansas Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 95038KS0050002
Dental Only? Yes
Kansas Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 95038KS0070001
Dental Only? Yes
Low PPO Dental Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28419LA0040002
Dental Only? Yes
Low PPO Dental Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 28419LA0050002
Dental Only? Yes
Mississippi Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 84254MS0050003
Dental Only? Yes
Mississippi Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 84254MS0060002
Dental Only? Yes
Mississippi Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 84254MS0090001
Dental Only? Yes
Missouri Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35853MO0040004
Dental Only? Yes
Missouri Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35853MO0050004
Dental Only? Yes
Missouri Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35853MO0040003
Dental Only? Yes
Missouri Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35853MO0050003
Dental Only? Yes
Missouri Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35853MO0070001
Dental Only? Yes
New Hampshire Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 72953NH0040002
Dental Only? Yes
New Hampshire Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 72953NH0060002
Dental Only? Yes
New Hampshire Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 72953NH0040001
Dental Only? Yes
New Hampshire Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 72953NH0060001
Dental Only? Yes
Oklahoma Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 13711OK0040003
Dental Only? Yes
Oklahoma Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 13711OK0050002
Dental Only? Yes
Oklahoma Wellness Essentials (On Exchange)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 13711OK0100001
Dental Only? Yes
South Carolina Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 97325SC0060004
Dental Only? Yes
South Carolina Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 97325SC0070004
Dental Only? Yes
South Carolina Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 97325SC0060003
Dental Only? Yes
South Carolina Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 97325SC0070003
Dental Only? Yes
South Carolina Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 97325SC0090001
Dental Only? Yes
Texas Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 40540TX0060005
Dental Only? Yes
Texas Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 40540TX0070004
Dental Only? Yes
Texas Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 40540TX0060003
Dental Only? Yes
Texas Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 40540TX0070003
Dental Only? Yes
Texas Wellness Essentials Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 40540TX0100001
Dental Only? Yes
Utah Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 87169UT0040004
Dental Only? Yes
Utah Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 87169UT0050004
Dental Only? Yes
Utah Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 87169UT0040003
Dental Only? Yes
Utah Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 87169UT0050003
Dental Only? Yes
Wisconsin Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34210WI0040003
Dental Only? Yes
Wisconsin Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34210WI0050002
Dental Only? Yes
Wisconsin Wellness Essentials
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34210WI0070001
Dental Only? Yes
Wyoming Preferred Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 80132WY0040004
Dental Only? Yes
Wyoming Preferred Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 80132WY0050004
Dental Only? Yes
Wyoming Preferred Plus Plan
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 80132WY0040003
Dental Only? Yes
Wyoming Preferred Plus Plan (Pediatric Only)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 80132WY0050003
Dental Only? Yes
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.
