BRANDON W MCDONALD
Accepted Insurance Health Plans for NPI 1336702521
Dentist - Pediatric Dentistry in Newark, NJ

NPI Status: Active since April 15, 2019

Contact Information

66 SOMME ST
NEWARK, NJ
ZIP 07105
Phone: (973) 578-8788

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by BRANDON W MCDONALD. 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.

Anthem Blue Cross and Blue Shield (115 plans)

Anthem Bronze Essential 6500 HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700058

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700065

Dental Only? No

Anthem Bronze Essential 9200 (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700045

Dental Only? No

Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700101

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0760005

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0760007

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950008

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950021

Dental Only? No

Anthem Bronze Pathway 9200 (+ Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950051

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340103

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340141

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340142

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340143

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340102

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340132

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340133

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340134

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340169

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340178

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340187

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340188

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340226

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340227

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340257

Dental Only? No

Anthem Bronze Priority/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340212

Dental Only? No

Anthem Bronze Priority/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340213

Dental Only? No

Anthem Bronze Priority/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340251

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340224

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340225

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340256

Dental Only? No

Anthem Catastrophic Pathway 9200 (+ Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950016

Dental Only? No

Anthem Catastrophic Pathway HMO 9200

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920425

Dental Only? No

Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700067

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700056

Dental Only? No

Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950023

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340110

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340159

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340160

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340161

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340171

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340179

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340183

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340186

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340218

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340219

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340253

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340230

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340231

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340258

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700053

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950017

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340111

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340162

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340163

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340164

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340220

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340221

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340254

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700061

Dental Only? No

Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950002

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 Essential 3500 HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700062

Dental Only? No

Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700066

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700055

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700102

Dental Only? No

Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950022

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950013

Dental Only? No

Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950015

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

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340106

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340150

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340151

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340152

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340109

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340156

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340157

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340158

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340170

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340180

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340181

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340184

Dental Only? No

Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340214

Dental Only? No

Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340215

Dental Only? No

Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340252

Dental Only? No

Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340222

Dental Only? No

Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340223

Dental Only? No

Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340255

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340232

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340233

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340259

Dental Only? No

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860003

Dental Only? Yes

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830003

Dental Only? Yes

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860003

Dental Only? Yes

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420003

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860004

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830004

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860004

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420004

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860006

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830006

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860006

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420006

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860005

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830005

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860005

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420005

Dental Only? Yes

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

Blue Cross and Blue Shield of Illinois (6 plans)

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830005

Dental Only? Yes

BlueCare Dental? 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830006

Dental Only? Yes

Blue Cross and Blue Shield of Montana (6 plans)

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580005

Dental Only? Yes

BlueCare Dental? 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580006

Dental Only? Yes

Blue Cross and Blue Shield of Oklahoma (6 plans)

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390005

Dental Only? Yes

BlueCare Dental? 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390006

Dental Only? Yes

Blue Cross and Blue Shield of Texas (6 plans)

BlueCare Dental 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500007

Dental Only? Yes

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500006

Dental Only? Yes

Florida Combined Life (2 plans)

BlueDental Copayment Q

Type: PPO

Market: Individual

Network Tier: ADVANTAGE-PLUS-NETWORK-IF-OUTSIDE-OF-FLORIDA

Plan ID: 30115FL0010001

Dental Only? Yes

BlueDental Copayment QF

Type: PPO

Market: Individual

Network Tier: ADVANTAGE-PLUS-NETWORK-IF-OUTSIDE-OF-FLORIDA

Plan ID: 30115FL0040001

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

UnitedHealthcare (7 plans)

Smile Now Arizona - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 82011AZ0110001

Dental Only? Yes

Smile Now Illinois - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13947IL0080001

Dental Only? Yes

Smile Now Michigan - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 63631MI0140001

Dental Only? Yes

Smile Now Ohio - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 56726OH0080001

Dental Only? Yes

Smile Now Tennessee - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69443TN0200001

Dental Only? Yes

Smile Now Texas- No Waiting Period Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 98809TX0690001

Dental Only? Yes

Smile Now Utah - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97462UT0100001

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.
Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.
A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.