SUPER DRUGS PHARMACY
Accepted Insurance for NPI 1285647859
Pharmacy - Community/Retail Pharmacy in Coral Gables, FL

Q: What managed care network types are accepted by this provider?

SUPER DRUGS PHARMACY is enrolled across the following managed care network types: EPO, HMO, POS, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.

NPI Status: Active since August 14, 2006

Contact Information

5512 SW 8TH ST
CORAL GABLES, FL
ZIP 33134
Phone: (305) 448-5958
Fax: (305) 445-1067

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with SUPER DRUGS PHARMACY, a practicing pharmacy professional in Coral Gables, FL. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 533 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, and Moda Health Plan, Inc.. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Insurance Carrier Navigation Index

Anthem Blue Cross and Blue Shield
BlueCross BlueShield of Tennessee
Moda Health Plan, Inc.
Molina Healthcare
Oscar Health Insurance
Oscar Health Maintenance Organization of Florida
Oscar Health Plan of North Carolina, Inc
Oscar Health Plan, Inc.
Oscar Insurance Company
Oscar Insurance Corporation of Ohio
Wellpoint

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Fitler by Network Type

Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990010

Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990008

Anthem Bronze Essential 6500 HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990011

Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990009

Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN1000002

Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN1000001

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980022

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970001

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970010

Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980014

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980019

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970007

Anthem Bronze Pathway 8500 for HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970012

Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990020

Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990012

Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990017

Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000279475WI055001179475WI055001279475WI055001379475WI0550054

Anthem Bronze Pathway/Lean HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000179475WI055000879475WI055000979475WI055001079475WI0550042

Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055002979475WI055003279475WI055003979475WI055004079475WI0550052

Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560003

Anthem Bronze Preferred/Broad HSA (+ Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560002

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560006

Anthem Catastrophic Essential (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990004

Anthem Catastrophic Pathway (+ Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980017

Anthem Catastrophic Pathway Essentials (+ Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990015

Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990006

Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990012

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980021

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970009

Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990019

Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000679475WI055002079475WI055002179475WI055002279475WI0550046

Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055003179475WI055003379475WI055003679475WI055003879475WI0550056

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560005

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560008

Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990007

Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980018

Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970002

Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990016

Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000779475WI055002379475WI055002479475WI055002579475WI0550048

Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560001

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990002

Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980013

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970006

Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990011

Anthem Silver Essential 3500 HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990013

Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990005

Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990003

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990001

Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970005

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970011

Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980015

Anthem Silver Pathway 5500 for HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970004

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980020

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970008

Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980016

Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990013

Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990018

Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990014

Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000379475WI055001479475WI055001579475WI055001679475WI0550044

Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000579475WI055001779475WI055001879475WI055001979475WI0550050

Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055003079475WI055003479475WI055003579475WI055003779475WI0550058

Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560009

Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560004

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560007

BlueCross BlueShield of Tennessee

BlueCross B15E $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040023914002TN040024014002TN040028714002TN040030314002TN040030414002TN040030514002TN040037314002TN0400374

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040025314002TN040025414002TN040028814002TN040030614002TN040030714002TN040030814002TN040037514002TN0400376

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040024114002TN040024214002TN040024314002TN040024414002TN040024514002TN040024614002TN040024714002TN0400248

BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040031114002TN040031214002TN040031314002TN040031414002TN040031514002TN040031614002TN040038314002TN0400384

BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040038514002TN040038614002TN040038714002TN040038814002TN040038914002TN040039014002TN040039114002TN0400392

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040023414002TN040023514002TN040029714002TN040035614002TN040035714002TN040035814002TN040047314002TN0400474

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040022214002TN040022314002TN040022414002TN040022514002TN040022614002TN040022714002TN040022814002TN0400229

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040026914002TN040027014002TN040029314002TN040033114002TN040033214002TN040033314002TN040041914002TN0400420

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040025714002TN040025814002TN040025914002TN040026014002TN040026114002TN040026214002TN040026314002TN0400264

BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040029414002TN040033414002TN040033514002TN040033614002TN040042714002TN040042814002TN040042914002TN0400430

BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040033914002TN040034014002TN040034114002TN040034214002TN040043714002TN040043814002TN040043914002TN0400440

BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health�

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040044114002TN040044214002TN040044314002TN040044414002TN040044514002TN040044614002TN040044714002TN0400448

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680005

Moda Health Affinity Bronze 9000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1660002

Moda Health Affinity Bronze HDHP 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680007

Moda Health Affinity Gold 1000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1700001

Moda Health Affinity Gold 1500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680008

Moda Health Affinity Gold 250

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1690001

Moda Health Affinity Silver 3000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1690003

Moda Health Affinity Silver 3400

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680002

Moda Health Affinity Silver 4500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680004

Moda Health Affinity Silver 6000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1660001

Moda Health Oregon Standard Bronze Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670003

Moda Health Oregon Standard Gold Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670001

Moda Health Oregon Standard Silver Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670002

Moda Select Alaska Bronze 6500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930003

Moda Select Alaska Bronze HDHP 5500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0970002

Moda Select Alaska Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930001

Moda Select Alaska Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930002

Moda Select Alaska Standard Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0960001

Moda Select Alaska Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0940001

Moda Select Alaska Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0950001

Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010006

Moda Select Texas Bronze HDHP 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010007

Moda Select Texas Standard Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010010

Moda Select Texas Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010009

Moda Select Texas Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010008

Molina Healthcare

Molina Bronze Enhanced 3500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL001001364353OH0010013

Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL007000564353OH0060004

Molina Bronze Enhanced 3500 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL004000564353OH0040004

Molina Bronze Premier with $0 Medical Deductible

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0010020

Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0070003

Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0040012

Molina Bronze Saver 7000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0010012

Molina Bronze Saver 7000 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0060003

Molina Bronze Saver 7000 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0040012

Molina Bronze Smart Heart Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0070001

Molina Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL001001064353OH0010011

Molina Gold Core 1640

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000142326SC001000145786TX002000154172FL001000164353OH0010001

Molina Gold Core 1640 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT006000142326SC004000145786TX006000154172FL007000164353OH0060001

Molina Gold Core 1640 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC002000145786TX005000154172FL004000164353OH0040001

Molina Gold Enhanced 895

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL001001264353OH0010014

Molina Gold Enhanced 895 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL007000464353OH0060005

Molina Gold Enhanced 895 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL004000464353OH0040005

Molina Gold Saver 750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0020013

Molina Gold Saver 750 Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0060003

Molina Gold Saver 750 Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0050009

Molina Gold Smart Heart Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0070002

Molina Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000842326SC001000845786TX002001054172FL001000864353OH001000879975MS0010008

Molina Gold Value

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0010011

Molina Gold Value Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0040003

Molina Gold Value Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0020011

Molina Silver Access

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0060002

Molina Silver Access Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0090001

Molina Silver Access Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0080001

Molina Silver Core

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000242326SC001000245786TX002000254172FL001000264353OH0010002

Molina Silver Core Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0060002

Molina Silver Core Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0050002

Molina Silver Core Plus with Adult Dental and Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT006000242326SC004000254172FL007000264353OH0060002

Molina Silver Core Plus with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT004000242326SC002000254172FL004000264353OH0040002

Molina Silver Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0010010

Molina Silver Saver with Four Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001001045786TX002001254172FL001001164353OH0010010

Molina Silver Smart Heart Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0070003

Molina Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000942326SC001000945786TX002001154172FL001000964353OH001000979975MS0010009

Oscar Health Insurance

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100024

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100050

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100064

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100056

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100057

Bronze Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100058

Gold Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100013

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100053

Gold Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100035

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100052

Silver Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100030

Silver Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100061

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100060

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100062

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100025

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100063

Oscar Health Maintenance Organization of Florida

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020002

Bronze Classic 4700 | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010004

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000121525FL0020001

Bronze Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010002

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020003

Bronze Elite + PCP Saver Plus | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010005

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000621525FL0020004

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000721525FL0020005

Bronze Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000821525FL0020006

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001921525FL0020015

Gold Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010020

Gold Elite Saver Plus | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010022

Gold Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020016

Gold Simple | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010023

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000921525FL0020007

Silver Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010010

Silver Elite

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020008

Silver Elite | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010012

Silver Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001321525FL0020009

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020010

Silver Simple Chronic Care CKM | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010014

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020011

Silver Simple Diabetes | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010015

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020012

Silver Simple PCP Saver | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010016

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001721525FL0020013

Oscar Health Plan of North Carolina, Inc

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010024

Bronze Classic 4700 | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010061

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010050

Bronze Classic Standard | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010055

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010005

Bronze Elite + PCP Saver Plus | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010062

Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010058

Bronze Simple Chronic Care CKM | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010059

Bronze Simple Diabetes | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010067

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010053

Gold Classic Standard | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010057

Silver Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010006

Silver Classic | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010063

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010052

Silver Classic Standard | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010056

Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010070

Silver Simple Chronic Care CKM | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010071

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010045

Silver Simple Diabetes | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010064

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010025

Silver Simple PCP Saver | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010065

Silver Simple Women's Health with Menopause Benefits | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010072

Oscar Health Plan, Inc.

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005020635MS0010001

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007000520635MS0010002

Bronze Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070072

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070056

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005720635MS0010003

Buena Salud Bronce Simple Para Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070058

Gold Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070013

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005320635MS0010007

Gold Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070073

Gold Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070068

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005220635MS0010004

Silver Elite Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070030

Silver Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010005

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007006020635MS0010006

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070063

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070025

Silver Simple Specialist Saver with COPD

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070008

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070064

Oscar Insurance Company

Bronze Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010003

Bronze Classic | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010058

Bronze Classic 4700

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000243490KS001002445819IA001006069512MO001002477739MI0070024

Bronze Classic 4700 | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024

Bronze Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000123552TN002005043490KS001005045819IA001006557424NE001005069512MO001005077739MI0070050

Bronze Classic Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010050

Bronze Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050

Bronze Classic Standard | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010057

Bronze Elite + PCP Saver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS0010005

Bronze Elite + PCP Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000323552TN002000545819IA001005657424NE001000569512MO001000577739MI0070005

Bronze Elite + PCP Saver Plus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010005

Bronze Elite + PCP Saver Plus | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005

Bronze Elite + PCP Saver Plus | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010059

Bronze Simple

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020068

Bronze Simple

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010068

Bronze Simple Breathe Easy with Enhanced COPD Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020058

Bronze Simple Breathe Easy with Enhanced COPD Benefits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010056

Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070

Bronze Simple Chronic Care CKM

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000423552TN0020059

Bronze Simple Chronic Care CKM

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010057

Bronze Simple Chronic Care CKM | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071

Bronze Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002006043490KS001005557424NE001005669512MO0010055

Bronze Simple Diabetes

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010058

Bronze Simple Diabetes | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072

Bronze Simple Diabetes | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010060

Gold Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000823552TN002005343490KS001005345819IA001006757424NE001005369512MO001005377739MI0070053

Gold Classic Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010053

Gold Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053

Gold Classic Standard | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010066

Gold Elite

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002003645819IA001006357424NE0010036

Gold Elite | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036

Gold Elite | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010067

Gold Elite Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77739MI0070035

Gold Simple

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000969512MO0010064

Secure

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058

Secure | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011

Silver Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002000645819IA001005777739MI0070006

Silver Classic | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006

Silver Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000523552TN002005243490KS001005245819IA001006657424NE001005269512MO001005277739MI0070052

Silver Classic Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010052

Silver Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052

Silver Classic Standard | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010061

Silver Elite Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69512MO0010030

Silver Elite Saver Plus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010030

Silver Simple

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL0010006

Silver Simple Breathe Easy with Enhanced COPD Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020056

Silver Simple Breathe Easy with Enhanced COPD Benefits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010055

Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076

Silver Simple Chronic Care CKM

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000723552TN0020063

Silver Simple Chronic Care CKM

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010059

Silver Simple Chronic Care CKM | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077

Silver Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002005545819IA001006457424NE001004569512MO0010045

Silver Simple Diabetes

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010045

Silver Simple Diabetes | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045

Silver Simple Diabetes | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010063

Silver Simple PCP Saver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002002545819IA001006157424NE001002569512MO001002577739MI0070025

Silver Simple PCP Saver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010025

Silver Simple PCP Saver | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025

Silver Simple PCP Saver | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010064

Silver Simple Women's Health with Menopause Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002006457424NE001005569512MO0010058

Silver Simple Women's Health with Menopause Benefits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010060

Silver Simple Women's Health with Menopause Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078

Silver Simple Women's Health with Menopause Benefits | with Bryan Health

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010065

Oscar Insurance Corporation of Ohio

Bronze Classic PCP Saver | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100002

Bronze Classic Standard | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100050

Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100055

Bronze Simple Chronic Care CKM | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100056

Bronze Simple Diabetes | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100057

Bronze Simple HSA | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100014

Gold Classic Standard | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100053

Gold Elite | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100036

Gold Elite Saver Plus | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100035

Silver Classic Standard | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100052

Silver Elite Saver Plus | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100030

Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100059

Silver Simple Chronic Care CKM | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100060

Silver Simple Diabetes | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100045

Silver Simple PCP Saver | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100025

Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100061

Wellpoint

Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040008

Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040007

Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040005

Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040001

Wellpoint Essential Catastrophic (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040004

Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040009

Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040003

Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040010

Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040014

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040011

Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040012

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040013

Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040002

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does SUPER DRUGS PHARMACY accept?

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Moda Health Plan, Inc., Molina Healthcare, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc., Oscar Insurance Company, Oscar Insurance Corporation of Ohio, Wellpoint. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

SUPER DRUGS PHARMACY is enrolled across the following managed care network types: EPO, HMO, POS, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.
POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.