MRS. CANDRA N SMITH APRN
Accepted Insurance Health Plans for NPI 1336705813
Nurse Practitioner in Springdale, AR

NPI Status: Active since May 10, 2019

Contact Information

813 FOUNDERS PARK DR E STE 203
SPRINGDALE, AR
ZIP 72762
Phone: (479) 463-2440
Fax: (479) 463-2465

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by MRS. CANDRA N SMITH APRN. 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 Arkansas Health & Wellness (30 plans)

Choice Bronze HSA (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070285

Dental Only? No

Complete Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080014

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100014

Dental Only? No

Complete Silver (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070001

Dental Only? No

Connected Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080007

Dental Only? No

Connected Silver (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070261

Dental Only? No

Connected Silver (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070025

Dental Only? No

Connected Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100007

Dental Only? No

Elite Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080026

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100026

Dental Only? No

Elite Gold (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070268

Dental Only? No

Elite Gold (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070031

Dental Only? No

Everyday Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080017

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100017

Dental Only? No

Everyday Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080030

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100030

Dental Only? No

Everyday Silver (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070001

Dental Only? No

Focused Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080029

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100032

Dental Only? No

Standard Expanded Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080032

Dental Only? No

Standard Expanded Bronze (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070287

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100033

Dental Only? No

Standard Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080034

Dental Only? No

Standard Gold (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070289

Dental Only? No

Standard Gold (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070034

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100035

Dental Only? No

Standard Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080033

Dental Only? No

Standard Silver (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070288

Dental Only? No

Standard Silver (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070033

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100034

Dental Only? No

Ambetter from Home State Health (17 plans)

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090016

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110010

Dental Only? No

Complete Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090011

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110013

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090053

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110053

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090018

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110009

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090063

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110063

Dental Only? No

Premier Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090004

Dental Only? No

Premier Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110014

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090069

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110070

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090071

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110072

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090070

Dental Only? No

Ambetter from Louisiana Healthcare Connections (17 plans)

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010006

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020005

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010002

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020002

Dental Only? No

Elite Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010008

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020008

Dental Only? No

Elite Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010012

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020012

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010001

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020001

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010005

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020004

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010009

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020009

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010011

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0020011

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90787LA0010010

Dental Only? No

Ambetter from Magnolia Health (17 plans)

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010052

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030052

Dental Only? No

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010019

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030019

Dental Only? No

Complete Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010011

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030026

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010016

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030010

Dental Only? No

Everyday Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010060

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030060

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010059

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030059

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010063

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030064

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010065

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0030066

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 90714MS0010064

Dental Only? No

Ambetter from Superior HealthPlan (11 plans)

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140064

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0160020

Dental Only? No

Complete Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140019

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0160038

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140102

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0160102

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140100

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0160100

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140109

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0160052

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140108

Dental Only? No

Ambetter of Oklahoma (15 plans)

Elite Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120006

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130006

Dental Only? No

Elite Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120016

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130017

Dental Only? No

Everyday Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120002

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130002

Dental Only? No

Everyday Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120014

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130014

Dental Only? No

Focused Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120012

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130012

Dental Only? No

Standard Expanded Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120019

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130019

Dental Only? No

Standard Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120021

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130021

Dental Only? No

Standard Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120020

Dental Only? No

Ambetter of Tennessee (19 plans)

Clear Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110027

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110026

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120026

Dental Only? No

Elite Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110031

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120034

Dental Only? No

Enhanced Diabetes Care Silver with $0 Drug Options

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110018

Dental Only? No

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120001

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110023

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120023

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110030

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120030

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110029

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120029

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110033

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120035

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110035

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120037

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110034

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120036

Dental Only? No

Arkansas Blue Cross and Blue Shield (14 plans)

Bronze Exp Standardized

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1200029

Dental Only? No

Bronze Value

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1200024

Dental Only? No

Gold Standardized

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1200025

Dental Only? No

Silver AH

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1200004

Dental Only? No

Silver Standardized

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1200026

Dental Only? No

Silver Value

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1200023

Dental Only? No

Dental Gold

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230003

Dental Only? Yes

Dental Gold Plus Vision

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230004

Dental Only? Yes

Dental Pediatric

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230001

Dental Only? Yes

Dental Platinum

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230005

Dental Only? Yes

Dental Platinum Plus Vision

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230006

Dental Only? Yes

Dental Platinum Premium

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230007

Dental Only? Yes

Dental Platinum Premium Plus Vision

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230008

Dental Only? Yes

Dental Silver

Type: PPO

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 75293AR1230002

Dental Only? Yes

Health Advantage (6 plans)

HA Bronze Exp Standardized

Type: POS

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 13262AR0230007

Dental Only? No

HA Bronze Suitcase

Type: POS

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 13262AR0230006

Dental Only? No

HA Gold Standardized

Type: POS

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 13262AR0230004

Dental Only? No

HA Silver AH

Type: POS

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 13262AR0230002

Dental Only? No

HA Silver Premier Suitcase

Type: POS

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 13262AR0230008

Dental Only? No

HA Silver Standardized

Type: POS

Market: Individual

Network Tier: TRUE-BLUE-PPO

Plan ID: 13262AR0230005

Dental Only? No

Octave (6 plans)

Octave Bronze Exp Standardized

Type: POS

Market: Individual

Network Tier: USABLE-MUTUAL-CONNECT-PPO

Plan ID: 48772AR0010004

Dental Only? No

Octave Bronze Value

Type: POS

Market: Individual

Network Tier: USABLE-MUTUAL-CONNECT-PPO

Plan ID: 48772AR0010005

Dental Only? No

Octave Gold Standardized

Type: POS

Market: Individual

Network Tier: USABLE-MUTUAL-CONNECT-PPO

Plan ID: 48772AR0010001

Dental Only? No

Octave Silver AH

Type: POS

Market: Individual

Network Tier: USABLE-MUTUAL-CONNECT-PPO

Plan ID: 48772AR0010003

Dental Only? No

Octave Silver Classic Suitcase

Type: POS

Market: Individual

Network Tier: USABLE-MUTUAL-CONNECT-PPO

Plan ID: 48772AR0010006

Dental Only? No

Octave Silver Standardized

Type: POS

Market: Individual

Network Tier: USABLE-MUTUAL-CONNECT-PPO

Plan ID: 48772AR0010002

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.
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.