RITE AID PHARMACY 05739
Accepted Insurance for NPI 1346359775
Pharmacy - Community/Retail Pharmacy in Garden Grove, CA

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

RITE AID PHARMACY 05739 is enrolled across the following managed care network types: EPO, HMO, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

NPI Status: Active since August 30, 2006

Contact Information

12897 HARBOR BOULEVARD
GARDEN GROVE, CA
ZIP 92840
Phone: (714) 636-1143

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with RITE AID PHARMACY 05739, a practicing pharmacy professional in Garden Grove, CA. 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 612 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., and Avera Health Plans. 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

Antidote Health Plan of Arizona, Inc.
Antidote Health Plan of Ohio, Inc.
Avera Health Plans
AvMed
Baylor Scott and White Health Plan
Blue Cross and Blue Shield of Kansas City
Humana
Medica
Moda Health Plan, Inc.
Sanford Health Plan
SummaCare
UnitedHealthcare

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Fitler by Network Type

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590010

Catastrophic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590050

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590020

Antidote Health Plan of Ohio, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0010010

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0010030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0010020

AvMed

AvMed Entrust Bronze 600 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000619898FL034001619898FL034002619898FL034003619898FL0340046

AvMed Entrust Bronze 650 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000719898FL034001719898FL034002719898FL034003719898FL0340047

AvMed Entrust Expanded Bronze Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034009119898FL034009219898FL034009319898FL034009419898FL0340095

AvMed Entrust Gold 125 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000119898FL034001119898FL034002119898FL034003119898FL0340041

AvMed Entrust Gold 125 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000119898FL035001119898FL035002119898FL035003119898FL0350041

AvMed Entrust Gold Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034007119898FL034007219898FL034007319898FL034007419898FL0340075

AvMed Entrust Platinum 25 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034002019898FL034006119898FL0340064

AvMed Entrust Platinum 25 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035002019898FL035006119898FL0350064

AvMed Entrust Platinum Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034006219898FL034006319898FL0340065

AvMed Entrust Silver 350 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000319898FL034001319898FL034002319898FL034003319898FL0340043

AvMed Entrust Silver 350 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000319898FL035001319898FL035002319898FL035003319898FL0350043

AvMed Entrust Silver 550 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000519898FL034001519898FL034002519898FL034003519898FL0340045

AvMed Entrust Silver 550 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000519898FL035001519898FL035002519898FL035003519898FL0350045

AvMed Entrust Silver Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034008119898FL034008219898FL034008319898FL034008419898FL0340085

Avera Health Plans

ConnectPlus $0 Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007260536SD002007374980IA0020021

ConnectPlus $0 Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007660536SD002007774980IA0020025

ConnectPlus $10,600 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002001860536SD002005074980IA0020032

ConnectPlus $1800

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002000760536SD002004174980IA0020022

ConnectPlus $4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007460536SD002007574980IA0020028

ConnectPlus $6500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002002360536SD002004674980IA0020029

ConnectPlus $7500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002002460536SD002004774980IA0020030

ConnectPlus MyWeighForward $2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002006860536SD002006974980IA0020024

ConnectPlus MyWeighForward $6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002007060536SD002007174980IA0020027

ConnectPlus Standard $2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002005160536SD002005774980IA0020023

ConnectPlus Standard $6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002005260536SD002005874980IA0020026

ConnectPlus Standard $7500 HSA Eligible HDHP

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COMMERCIAL Tier

Accepted Plan ID Variations

60536SD002006660536SD002006774980IA0020031

DirectConnect $0 Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060030

DirectConnect $0 Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060032

DirectConnect $1800

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060022

DirectConnect $4500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060031

DirectConnect $6500 HSA Eligible HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060014

DirectConnect $7500 HSA Eligible HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060015

DirectConnect MyWeighForward $2000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060027

DirectConnect MyWeighForward $6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060028

DirectConnect Standard $2000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060017

DirectConnect Standard $6000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060018

DirectConnect Standard $7500 HSA Eligible HDHP

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DIRECT Tier

Accepted Plan ID Variations

60536SD0060021

Baylor Scott and White Health Plan

BSW Diabetes Care Gold HMO 014

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460014

BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460001

BSW Elite Gold HMO 004

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460004

BSW Elite Gold HMO 012

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460012

BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460003

BSW Prime Silver HMO 008

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460008

BSW Prime Silver HMO 005

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460005

BSW Savers Bronze HMO H S A 006

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460006

BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460007

BSW Savers Bronze HMO H S A 009

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460009

Blue Cross and Blue Shield of Kansas City

Blue KC Catastrophic BlueSelect EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059002394248KS0560012

Blue KC Choice Bronze 2 with Spira Care BlueSelect EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059001494248KS0560008

Blue KC Choice Silver 1 with Spira Care BlueSelect EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059000494248KS0560004

Blue KC Community Silver Preferred-Care Blue EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO0590009

Blue KC First Bronze Preferred-Care Blue EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO0590010

Blue KC Simply Blue Bronze with Spira Care Blue Metro EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059002694248KS0560018

Blue KC Simply Blue Gold with Spira Care Blue Metro EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059002494248KS0560016

Blue KC Simply Blue Silver with Spira Care Blue Metro EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059002594248KS0560017

Blue KC Standard Bronze BlueSelect EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059001894248KS0560015

Blue KC Standard Bronze Preferred-Care Blue EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO0590020

Blue KC Standard Gold BlueSelect EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059002794248KS0560019

Blue KC Standard Gold Preferred-Care Blue EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO0590013

Blue KC Standard Silver BlueSelect EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO059002294248KS0560014

Blue KC Standard Silver Preferred-Care Blue EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

34762MO0590019

Humana

Humana Dental Smart Choice

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

44965LA059000191604WI0490002

Humana Dental Smart Choice - High

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000431358HI001000248963MS051000363141TX076000266105AZ062000382120TN063000599791IN0540002

Humana Dental Smart Choice - Lite

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000530613MO056000232237NC029000344580AL038000463141TX0760003

Humana Dental Smart Choice - Low

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000332237NC029000144580AL038000148963MS051000262294MI042000163141TX076000182120TN063000497596OH058000399791IN0540001

Medica

Balance by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080041

Balance by Medica Bronze $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060074

Balance by Medica Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080051

Balance by Medica Bronze Premier

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060051

Balance by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080073

Balance by Medica Expanded Bronze Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060073

Balance by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080045

Balance by Medica Gold $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060045

Balance by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080074

Balance by Medica Gold Share

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060075

Balance by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080055

Balance by Medica Gold Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060055

Balance by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080047

Balance by Medica Silver $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060047

Balance by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080075

Balance by Medica Silver Share

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060076

Balance by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080057

Balance by Medica Silver Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0060057

Harmony by Medica Bronze $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010041

Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070003

Harmony by Medica Bronze Premier

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010051

Harmony by Medica Bronze Premier + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070006

Harmony by Medica Expanded Bronze Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010073

Harmony by Medica Expanded Bronze Standard + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070009

Harmony by Medica Gold $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010045

Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070001

Harmony by Medica Gold Share

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010074

Harmony by Medica Gold Share + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070004

Harmony by Medica Gold Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010055

Harmony by Medica Gold Standard + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070007

Harmony by Medica Silver $0 Copay PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010047

Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070002

Harmony by Medica Silver Share

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010075

Harmony by Medica Silver Share + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070005

Harmony by Medica Silver Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0010057

Harmony by Medica Silver Standard + Adult Eye Exam

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21333OK0070008

Medica with MU Health Care Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070041

Medica with MU Health Care Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070051

Medica with MU Health Care Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070073

Medica with MU Health Care Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070045

Medica with MU Health Care Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070074

Medica with MU Health Care Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070055

Medica with MU Health Care Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070047

Medica with MU Health Care Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070075

Medica with MU Health Care Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070057

Select by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010041

Select by Medica Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010029

Select by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010073

Select by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010045

Select by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010074

Select by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010055

Select by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010047

Select by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010075

Select by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010057

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680005

Moda Health Affinity Bronze 9000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1660002

Moda Health Affinity Bronze HDHP 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680007

Moda Health Affinity Gold 1000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1700001

Moda Health Affinity Gold 1500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680008

Moda Health Affinity Gold 250

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1690001

Moda Health Affinity Silver 3000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1690003

Moda Health Affinity Silver 3400

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680002

Moda Health Affinity Silver 4500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680004

Moda Health Affinity Silver 6000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1660001

Moda Health Oregon Standard Bronze Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670003

Moda Health Oregon Standard Gold Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670001

Moda Health Oregon Standard Silver Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670002

Moda Select Alaska Bronze 6500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930003

Moda Select Alaska Bronze HDHP 5500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0970002

Moda Select Alaska Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930001

Moda Select Alaska Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930002

Moda Select Alaska Standard Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0960001

Moda Select Alaska Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0940001

Moda Select Alaska Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0950001

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

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010006

Moda Select Texas Bronze HDHP 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010007

Moda Select Texas Standard Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010010

Moda Select Texas Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010009

Moda Select Texas Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010008

Sanford Health Plan

Sanford Individual Simplicity $1,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000189364ND0120001

Sanford Individual Simplicity $10,600

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000989364ND0120009

Sanford Individual Simplicity $3,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000389364ND0120003

Sanford Individual Simplicity $4,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000589364ND0120005

Sanford Individual Simplicity $6,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000789364ND0120007

Sanford Individual Simplicity $7,200 HSA Qualified

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000689364ND0120006

Sanford Individual Simplicity Standardized $2,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011001889364ND0120018

Sanford Individual Simplicity Standardized $6,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011001789364ND0120017

Sanford Individual Simplicity Standardized $7,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011001689364ND0120016

Sanford Individual TRUE $1,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008001889364ND0090018

Sanford Individual TRUE $10,600

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008001589364ND0090015

Sanford Individual TRUE $3,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008000889364ND0090008

Sanford Individual TRUE $4,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008001689364ND0090016

Sanford Individual TRUE $6,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008000789364ND0090007

Sanford Individual TRUE $7,200 HSA Qualified

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008000989364ND0090009

Sanford Individual TRUE Standardized $2,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008002889364ND0090028

Sanford Individual TRUE Standardized $6,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008002789364ND0090027

Sanford Individual TRUE Standardized $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008002689364ND0090026

SummaCare

SummaCare Bronze 10600 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530022

SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540002

SummaCare Bronze 8000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530023

SummaCare Bronze 8000 with Adult Vision Exam

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540003

SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540013

SummaCare Gold 2000 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530026

SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540006

SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540005

SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530025

SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540004

SummaCare Silver 7000 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530030

SummaCare Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530032

SummaCare Standard Bronze with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540010

SummaCare Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530036

SummaCare Standard Gold with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540012

SummaCare Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530035

SummaCare Standard Silver with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540011

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0030012

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX008003140702AZ006003468398FL0030045

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY020000269461AL011002069842LA024002472850IN016000373102NE008000394968KS009001595426MO0410019

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003003545480OK005003554332NC003003356610IA010000280180WI010001997560MS0030028

UHC Bronze Copay Focus (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0010039

UHC Bronze Copay Focus (Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0140028

UHC Bronze Copay Focus + (Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0180003

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ007000568398FL0060007

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY021000172850IN017000273102NE009000194968KS0100004

UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH007000480180WI011000597560MS0080006

UHC Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0040002

UHC Bronze Essential

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0030013

UHC Bronze Essential-

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0060001

UHC Bronze Essential ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX008004540702AZ006005168398FL0030058

UHC Bronze Essential- ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

68398FL0090001

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0030026

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69842LA024002672850IN016001073102NE0080010

UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003004480180WI0100022

UHC Bronze Essential (No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN014003269461AL011002494968KS009002195426MO0410021

UHC Bronze Essential (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK005003971667MI001004497560MS0030033

UHC Bronze Essential+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0050005

UHC Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC003000840220TX008001540702AZ006001968398FL0030042

UHC Bronze Standard (No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY020000369443TN014002569461AL011001869842LA024001872850IN016000173102NE008000194968KS009001395426MO0410013

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003002645480OK005003054332NC003003056610IA010000171667MI001003080180WI010000197560MS0030025

UHC Bronze Standard Plus Chiro

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0070001

UHC Bronze Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX009000540702AZ007001168398FL0060006

UHC Bronze Standard+ (Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL012000669842LA025000694968KS010000795426MO0420005

UHC Bronze Standard+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH007000545480OK011000597560MS0080007

UHC Bronze Standard+ Dental + Vision (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0060005

UHC Bronze Value ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

56610IA0100003

UHC Bronze Value HSA (No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY0200001

UHC Bronze Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

56610IA0110001

UHC Gold Advantage

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0030024

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

68398FL0030057

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY0200008

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC003004056610IA0100009

UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ0060046

UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69842LA024002594968KS0090019

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL0110025

UHC Gold Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003004280180WI0100002

UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0080028

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

95426MO0410020

UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK0050038

UHC Gold Advantage (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0010048

UHC Gold Advantage (Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0140031

UHC Gold Advantage + ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0060007

UHC Gold Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0180002

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

68398FL0060001

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY0210003

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

56610IA0110003

UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ0070010

UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69842LA025000294968KS0100001

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL0120002

UHC Gold Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH007000280180WI0110002

UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0090002

UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

95426MO0420001

UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK0110001

UHC Gold Advantage+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0040005

UHC Gold Advantage+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0050006

UHC Gold Copay Focus $0 Indiv Med Ded

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0030003

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ006004768398FL0030034

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69842LA024002372850IN016000973102NE008000994968KS0090018

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003003256610IA0100008

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL0110023

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK005003480180WI010001297560MS0030032

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0080055

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

95426MO0410018

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0030035

UHC Gold Copay Focus (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0010042

UHC Gold Copay Focus (Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0140030

UHC Gold Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

97560MS0080003

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

72850IN017000673102NE009000594968KS0100006

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH0070008

UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0090008

UHC Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC003000240220TX008002440702AZ006001668398FL0030036

UHC Gold Standard (No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY020000969443TN014001669461AL011001069842LA024001272850IN016000773102NE008000794968KS009000395426MO0410009

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003001445480OK005002854332NC003002256610IA010000771667MI001002680180WI010001097560MS0030014

UHC Gold Standard Plus Chiro

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0070003

UHC Gold Standard+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH0070009

UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

72850IN0160008

UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

97560MS0030031

UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY020000773102NE0080008

UHC Gold Value + ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

97560MS0080004

UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

72850IN0170005

UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Ded

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0080032

UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0090006

UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0080034

UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0090009

UHC Kelsey-Seybold Silver Copay Focus $0 Indiv Med Ded

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0080033

UHC Kelsey-Seybold Silver Copay Focus+ $0 Indiv Med Ded (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0090007

UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020002

UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0030001

UHC Sanitas Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020001

UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020009

UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020006

UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0030003

UHC Sanitas Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020005

UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020004

UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0030002

UHC Sanitas Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020003

UHC Sanitas Silver Value ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

70754TX0020008

UHC Silver Advantage

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0030022

UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

94968KS0090016

UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0030039

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX008002668398FL0030048

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY0200005

UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK005003780180WI0100020

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ0060038

UHC Silver Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH0030031

UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

95426MO0410016

UHC Silver Advantage ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

97560MS0030029

UHC Silver Advantage (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0010041

UHC Silver Advantage (Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0140029

UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0060006

UHC Silver Advantage + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

97560MS0080001

UHC Silver Advantage + (Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0180001

UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

94968KS0100002

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX009000168398FL0060002

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY0210002

UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK011000280180WI0110006

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ0070006

UHC Silver Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH0070001

UHC Silver Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

95426MO0420002

UHC Silver Advantage+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0040004

UHC Silver Advantage+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0050001

UHC Silver Copay Focus $0 Indiv Med Ded

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0030006

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ0060041

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL011001369842LA024002272850IN016000673102NE008000695426MO0410006

UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003003056610IA010000697560MS0030018

UHC Silver Copay Focus (Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69443TN0140020

UHC Silver Copay Focus + $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69842LA0250003

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40702AZ0070008

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL012000572850IN017000473102NE0090003

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH007000797560MS0080002

UHC Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC003000440220TX008002040702AZ006001868398FL0030040

UHC Silver Standard-

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC006000268398FL0090002

UHC Silver Standard (No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY020000669443TN014002169461AL011001469842LA024001772850IN016000473102NE008000494968KS009000895426MO0410008

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH003002145480OK005002954332NC003002756610IA010000471667MI001002880180WI010000597560MS0030021

UHC Silver Standard Plus Chiro

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33764SC0070002

UHC Silver Standard+ (Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

68398FL0060005

UHC Silver Standard+ (Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

72850IN017000773102NE009000495426MO0420004

UHC Silver Standard+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

33931OH0070006

UHC Silver Value ($0 Virtual Urgent Care)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0080025

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

72850IN0160005

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

56610IA0100005

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

68398FL0030046

UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK0050036

UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

73102NE0080005

UHC Silver Value ($0 Virtual Urgent Care, $8 Tier 2 Rx, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

80180WI0100008

UHC Silver Value ($0 Virtual Urgent Care, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

49714WY020000469461AL011000469842LA024001494968KS0090004

UHC Silver Value ($0 Virtual Urgent Care, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0030020

UHC Silver Value (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0010033

UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69842LA0250005

UHC Silver Value + ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

54332NC0060004

UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

72850IN0170003

UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

56610IA0110002

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

68398FL0060004

UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

45480OK0110004

UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

73102NE0090002

UHC Silver Value+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

80180WI0110004

UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

40220TX0090004

UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

69461AL012000494968KS0100005

UHC Silver Value+ (Dental + Vision, No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

71667MI0050004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does RITE AID PHARMACY 05739 accept?

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., AvMed, Avera Health Plans, Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Kansas City, Humana, Medica, Moda Health Plan, Inc., Sanford Health Plan, SummaCare, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

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

What managed care network types are accepted by this provider?

RITE AID PHARMACY 05739 is enrolled across the following managed care network types: EPO, HMO, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.