MARK A MONSOUR MD
Accepted Insurance Health Plans for NPI 1326156746
Urology in Centerville, OH
Quality Rating: 84.28 out of 100 score
NPI Status: Active since August 27, 2006
Contact Information
2350 MIAMI VALLEY DR STE 500
CENTERVILLE, OH
ZIP 45459
Phone: (937) 293-1622
Fax: (937) 245-6308
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by MARK A MONSOUR MD. 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.
Ambetter from Meridian (17 plans)
Clear Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030017
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030016
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040016
Dental Only? No
Elite Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030021
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040023
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030013
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040013
Dental Only? No
Everyday Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030020
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040020
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030019
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040019
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030023
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040024
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030025
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040026
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0030024
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 58594MI0040025
Dental Only? No
Ambetter Health (34 plans)
Choice Bronze HSA
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040002
Dental Only? No
Choice Bronze HSA
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010045
Dental Only? No
Choice Bronze HSA + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050002
Dental Only? No
Choice Bronze HSA + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030045
Dental Only? No
Clear Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010067
Dental Only? No
Clear Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030071
Dental Only? No
Clear Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040003
Dental Only? No
Clear Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010061
Dental Only? No
Complete Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040004
Dental Only? No
Complete Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010041
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050003
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030041
Dental Only? No
Complete Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010025
Dental Only? No
Complete Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030025
Dental Only? No
Elite Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040007
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050006
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040008
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010057
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050007
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030057
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040010
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050009
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040012
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010069
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050011
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030072
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040013
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010071
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050012
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030074
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0040001
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0010070
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 35065IN0050001
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 41047OH0030073
Dental Only? No
Anthem Blue Cross and Blue Shield (12 plans)
Anthem Bronze Pathway HMO 7450 for HSA
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920417
Dental Only? No
Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920432
Dental Only? No
Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920414
Dental Only? No
Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920916
Dental Only? No
Anthem Catastrophic Pathway HMO 9200
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920425
Dental Only? No
Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920434
Dental Only? No
Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920429
Dental Only? No
Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920428
Dental Only? No
Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920917
Dental Only? No
Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920433
Dental Only? No
Anthem Silver Pathway HMO 5400 for HSA
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920421
Dental Only? No
Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs)
Type: HMO
Market: Individual
Network Tier: PARTICIPATING
Plan ID: 29276OH0920424
Dental Only? No
MedMutual (10 plans)
Bronze $8,300 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080499
Dental Only? No
Bronze HSA $7,300 ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080498
Dental Only? No
Bronze Standard w/ Virtual & Wellness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080500
Dental Only? No
Gold $1250 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080543
Dental Only? No
Gold $500 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080542
Dental Only? No
Gold Standard w/ Virtual & Wellness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080492
Dental Only? No
Silver $5000 w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080544
Dental Only? No
Silver Standard w/ Virtual & Wellness
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080496
Dental Only? No
SilverSelect w/ Virtual & Wellness ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080495
Dental Only? No
Young Adult Essentials ON-EX
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99969OH0080503
Dental Only? No
UnitedHealthcare (18 plans)
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030035
Dental Only? No
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070004
Dental Only? No
UHC Bronze Standard (No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030026
Dental Only? No
UHC Bronze Standard+ (Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070005
Dental Only? No
UHC Bronze Value ($5 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030034
Dental Only? No
UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070003
Dental Only? No
UHC Gold Advantage ($3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030042
Dental Only? No
UHC Gold Advantage+ ($3 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070002
Dental Only? No
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030032
Dental Only? No
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070008
Dental Only? No
UHC Gold Standard (No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030014
Dental Only? No
UHC Gold Standard+ (Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070009
Dental Only? No
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030031
Dental Only? No
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070001
Dental Only? No
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030030
Dental Only? No
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070007
Dental Only? No
UHC Silver Standard (No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0030021
Dental Only? No
UHC Silver Standard+ (Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 33931OH0070006
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.
