BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC.
Accepted Insurance for NPI 1346352234
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment in Midwest City, OK
Overall Rating: 2 out of 5 stars
NPI Status: Active since August 31, 2006
Contact Information
310 S HIGHLAND AVE
MIDWEST CITY, OK
ZIP 73110
Phone: (405) 733-1891
Fax: (405) 739-0632
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
Accepted Health Plans and Insurance Coverage
This registry outlines the health plan networks and insurance coverage profiles associated with BIO-MEDICAL APPLICATIONS OF OKLAHOMA, INC., a practicing clinic/center professional in Midwest City, OK. 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 602 individual coverage options managed by medical networks, including networks like Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, and Ambetter from Sunflower Health Plan. 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
- Ambetter from Arkansas Health & Wellness
- Ambetter from Home State Health
- Ambetter from Sunflower Health Plan
- Ambetter from Superior HealthPlan
- Ambetter of Oklahoma
- Blue Cross and Blue Shield of Oklahoma
- Oscar Health Insurance
- Oscar Health Maintenance Organization of Florida
- Oscar Health Plan, Inc.
- Oscar Insurance Company
- Oscar Insurance Corporation of Ohio
- UnitedHealthcare
Ambetter from Arkansas Health & Wellness
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Home State Health
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Sunflower Health Plan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter from Superior HealthPlan
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Ambetter of Oklahoma
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Blue Cross and Blue Shield of Oklahoma
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-ADVANTAGE-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: BLUE-PREFERRED-PPO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: MYBLUE-HMO Tier
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Oscar Health Insurance
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Oscar Health Maintenance Organization of Florida
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Oscar Health Plan, Inc.
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Oscar Insurance Company
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Oscar Insurance Corporation of Ohio
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
Accepted Plan ID Variations
Market Classification Rank: Individual Coverage Framework
Assigned Option Status: PREFERRED Tier
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Market Classification Rank: Individual Coverage Framework
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UnitedHealthcare
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Market Classification Rank: Individual Coverage Framework
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Coverage Information & FAQs
- 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.
