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FARMACIA MARISEL 2
Accepted Insurance for NPI 1366434813
Pharmacy in Humacao, PR

NPI Status: Active since August 19, 2005

Contact Information

AVE. FONT MARTELO # 124 ESQ. ANTONIO LOPEZ
HUMACAO, PR
ZIP 00791
Phone: (787) 850-9246
Fax: (787) 850-5600

Get Directions

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with FARMACIA MARISEL 2, a practicing pharmacy professional in Humacao, PR. 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 577 individual coverage options managed by medical networks, including networks like Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, and BlueCross BlueShield of Tennessee. 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

Fitler by Network Type

Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990010
Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990008
Anthem Bronze Essential 6500 HSA (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990011
Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990009
Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN1000002
Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN1000001
Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980022
Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970001
Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970010
Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980014
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980019
Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970007
Anthem Bronze Pathway 8500 for HSA
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970012
Anthem Bronze Pathway Essentials 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990020
Anthem Bronze Pathway Essentials 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990012
Anthem Bronze Pathway Essentials 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990017
Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000279475WI055001179475WI055001279475WI055001379475WI0550054
Anthem Bronze Pathway/Lean HSA (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000179475WI055000879475WI055000979475WI055001079475WI0550042
Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055002979475WI055003279475WI055003979475WI055004079475WI0550052
Anthem Bronze Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560003
Anthem Bronze Preferred/Broad HSA (+ Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560002
Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560006
Anthem Catastrophic Essential (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990004
Anthem Catastrophic Pathway (+ Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980017
Anthem Catastrophic Pathway Essentials (+ Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990015
Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990006
Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990012
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980021
Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970009
Anthem Gold Pathway Essentials 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990019
Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000679475WI055002079475WI055002179475WI055002279475WI0550046
Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055003179475WI055003379475WI055003679475WI055003879475WI0550056
Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560005
Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560008
Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990007
Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980018
Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970002
Anthem Heart Healthy Bronze Pathway Essentials 4900 ($0 Virtual PCP + $0 Select Drugs)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990016
Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000779475WI055002379475WI055002479475WI055002579475WI0550048
Anthem Heart Healthy Bronze Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560001
Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990002
Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980013
Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970006
Anthem Heart Healthy Silver Pathway Essentials 3100 ($0 Virtual PCP + $0 Select Drugs)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990011
Anthem Silver Essential 3500 HSA (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990013
Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990005
Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990003
Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990001
Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970005
Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970011
Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980015
Anthem Silver Pathway 5500 for HSA
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970004
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980020
Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970008
Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980016
Anthem Silver Pathway Essentials 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990013
Anthem Silver Pathway Essentials 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990018
Anthem Silver Pathway Essentials 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0990014
Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000379475WI055001479475WI055001579475WI055001679475WI0550044
Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000579475WI055001779475WI055001879475WI055001979475WI0550050
Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055003079475WI055003479475WI055003579475WI055003779475WI0550058
Anthem Silver Preferred/Broad 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560009
Anthem Silver Preferred/Broad 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560004
Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI0560007

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

BlueCross BlueShield of Tennessee

BlueCross B15E $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040023914002TN040024014002TN040028714002TN040030314002TN040030414002TN040030514002TN040037314002TN0400374
BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040025314002TN040025414002TN040028814002TN040030614002TN040030714002TN040030814002TN040037514002TN0400376
BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040024114002TN040024214002TN040024314002TN040024414002TN040024514002TN040024614002TN040024714002TN0400248
BlueCross B17E $0 virtual care from Teladoc Health� + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040031114002TN040031214002TN040031314002TN040031414002TN040031514002TN040031614002TN040038314002TN0400384
BlueCross B19E $60 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040038514002TN040038614002TN040038714002TN040038814002TN040038914002TN040039014002TN040039114002TN0400392
BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040023414002TN040023514002TN040029714002TN040035614002TN040035714002TN040035814002TN040047314002TN0400474
BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040022214002TN040022314002TN040022414002TN040022514002TN040022614002TN040022714002TN040022814002TN0400229
BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040026914002TN040027014002TN040029314002TN040033114002TN040033214002TN040033314002TN040041914002TN0400420
BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040025714002TN040025814002TN040025914002TN040026014002TN040026114002TN040026214002TN040026314002TN0400264
BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040029414002TN040033414002TN040033514002TN040033614002TN040042714002TN040042814002TN040042914002TN0400430
BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health� + Adult Dental
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040033914002TN040034014002TN040034114002TN040034214002TN040043714002TN040043814002TN040043914002TN0400440
BlueCross S34E $45 PCP Copay + $0 virtual care from Teladoc Health�
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PHARMACY Tier

Accepted Plan ID Variations

14002TN040044114002TN040044214002TN040044314002TN040044414002TN040044514002TN040044614002TN040044714002TN0400448

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

Molina Healthcare

Molina Bronze Enhanced 3500
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL001001364353OH0010013
Molina Bronze Enhanced 3500 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL007000564353OH0060004
Molina Bronze Enhanced 3500 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL004000564353OH0040004
Molina Bronze Premier with $0 Medical Deductible
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0010020
Molina Bronze Premier with $0 Medical Deductible Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0070003
Molina Bronze Premier with $0 Medical Deductible Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0040012
Molina Bronze Saver 7000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0010012
Molina Bronze Saver 7000 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0060003
Molina Bronze Saver 7000 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0040012
Molina Bronze Smart Heart Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0070001
Molina Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL001001064353OH0010011
Molina Gold Core 1640
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000142326SC001000145786TX002000154172FL001000164353OH0010001
Molina Gold Core 1640 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT006000142326SC004000145786TX006000154172FL007000164353OH0060001
Molina Gold Core 1640 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC002000145786TX005000154172FL004000164353OH0040001
Molina Gold Enhanced 895
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL001001264353OH0010014
Molina Gold Enhanced 895 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL007000464353OH0060005
Molina Gold Enhanced 895 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL004000464353OH0040005
Molina Gold Saver 750
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0020013
Molina Gold Saver 750 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0060003
Molina Gold Saver 750 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0050009
Molina Gold Smart Heart Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0070002
Molina Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000842326SC001000845786TX002001054172FL001000864353OH001000879975MS0010008
Molina Gold Value
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0010011
Molina Gold Value Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0040003
Molina Gold Value Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0020011
Molina Silver Access
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0060002
Molina Silver Access Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0090001
Molina Silver Access Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54172FL0080001
Molina Silver Core
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000242326SC001000245786TX002000254172FL001000264353OH0010002
Molina Silver Core Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0060002
Molina Silver Core Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

45786TX0050002
Molina Silver Core Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT006000242326SC004000254172FL007000264353OH0060002
Molina Silver Core Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT004000242326SC002000254172FL004000264353OH0040002
Molina Silver Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

42326SC0010010
Molina Silver Saver with Four Free PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001001045786TX002001254172FL001001164353OH0010010
Molina Silver Smart Heart Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

64353OH0070003
Molina Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

18167UT001000942326SC001000945786TX002001154172FL001000964353OH001000979975MS0010009

Oscar Health Insurance

Bronze Classic 4700
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100024
Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100050
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100064
Bronze Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100056
Bronze Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100057
Bronze Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100058
Gold Classic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100013
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100053
Gold Elite Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100035
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100052
Silver Elite Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100030
Silver Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100061
Silver Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100060
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100062
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100025
Silver Simple Women's Health with Menopause Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29341OH0100063

Oscar Health Maintenance Organization of Florida

Bronze Classic 4700
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020002
Bronze Classic 4700 | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010004
Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000121525FL0020001
Bronze Classic Standard | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010002
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020003
Bronze Elite + PCP Saver Plus | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010005
Bronze Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000621525FL0020004
Bronze Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000721525FL0020005
Bronze Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000821525FL0020006
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001921525FL0020015
Gold Classic Standard | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010020
Gold Elite Saver Plus | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010022
Gold Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020016
Gold Simple | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010023
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000921525FL0020007
Silver Classic Standard | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010010
Silver Elite
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020008
Silver Elite | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010012
Silver Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001321525FL0020009
Silver Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020010
Silver Simple Chronic Care CKM | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010014
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020011
Silver Simple Diabetes | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010015
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020012
Silver Simple PCP Saver | with AdventHealth
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010016
Silver Simple Women's Health with Menopause Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001721525FL0020013

Oscar Health Plan of North Carolina, Inc

Bronze Classic 4700
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010024
Bronze Classic 4700 | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010061
Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010050
Bronze Classic Standard | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010055
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010005
Bronze Elite + PCP Saver Plus | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010062
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010058
Bronze Simple Chronic Care CKM | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010059
Bronze Simple Diabetes | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010067
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010053
Gold Classic Standard | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010057
Silver Classic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010006
Silver Classic | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010063
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010052
Silver Classic Standard | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010056
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010070
Silver Simple Chronic Care CKM | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010071
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010045
Silver Simple Diabetes | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010064
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010025
Silver Simple PCP Saver | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010065
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010072

Oscar Health Plan, Inc.

Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005020635MS0010001
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007000520635MS0010002
Bronze Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070072
Bronze Simple Breathe Easy with Enhanced COPD Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070056
Bronze Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005720635MS0010003
Buena Salud Bronce Simple Para Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070058
Gold Classic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070013
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005320635MS0010007
Gold Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070073
Gold Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070068
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007005220635MS0010004
Silver Elite Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070030
Silver Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20635MS0010005
Silver Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ007006020635MS0010006
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070063
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070025
Silver Simple Specialist Saver with COPD
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070008
Silver Simple Women's Health with Menopause Benefits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070064

Oscar Insurance Company

Bronze Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010003
Bronze Classic | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010058
Bronze Classic 4700
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000243490KS001002445819IA001006069512MO001002477739MI0070024
Bronze Classic 4700 | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024
Bronze Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000123552TN002005043490KS001005045819IA001006557424NE001005069512MO001005077739MI0070050
Bronze Classic Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010050
Bronze Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050
Bronze Classic Standard | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010057
Bronze Elite + PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS0010005
Bronze Elite + PCP Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000323552TN002000545819IA001005657424NE001000569512MO001000577739MI0070005
Bronze Elite + PCP Saver Plus
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010005
Bronze Elite + PCP Saver Plus | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005
Bronze Elite + PCP Saver Plus | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010059
Bronze Simple
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020068
Bronze Simple
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010068
Bronze Simple Breathe Easy with Enhanced COPD Benefits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020058
Bronze Simple Breathe Easy with Enhanced COPD Benefits
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010056
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070
Bronze Simple Chronic Care CKM
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000423552TN0020059
Bronze Simple Chronic Care CKM
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010057
Bronze Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071
Bronze Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002006043490KS001005557424NE001005669512MO0010055
Bronze Simple Diabetes
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010058
Bronze Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072
Bronze Simple Diabetes | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010060
Gold Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000823552TN002005343490KS001005345819IA001006757424NE001005369512MO001005377739MI0070053
Gold Classic Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010053
Gold Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053
Gold Classic Standard | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010066
Gold Elite
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002003645819IA001006357424NE0010036
Gold Elite | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036
Gold Elite | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010067
Gold Elite Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77739MI0070035
Gold Simple
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000969512MO0010064
Secure
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058
Secure | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011
Silver Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002000645819IA001005777739MI0070006
Silver Classic | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006
Silver Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000523552TN002005243490KS001005245819IA001006657424NE001005269512MO001005277739MI0070052
Silver Classic Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010052
Silver Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052
Silver Classic Standard | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010061
Silver Elite Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69512MO0010030
Silver Elite Saver Plus
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010030
Silver Simple
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL0010006
Silver Simple Breathe Easy with Enhanced COPD Benefits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020056
Silver Simple Breathe Easy with Enhanced COPD Benefits
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010055
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076
Silver Simple Chronic Care CKM
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

17091AL001000723552TN0020063
Silver Simple Chronic Care CKM
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010059
Silver Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077
Silver Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002005545819IA001006457424NE001004569512MO0010045
Silver Simple Diabetes
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010045
Silver Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045
Silver Simple Diabetes | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010063
Silver Simple PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002002545819IA001006157424NE001002569512MO001002577739MI0070025
Silver Simple PCP Saver
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010025
Silver Simple PCP Saver | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025
Silver Simple PCP Saver | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010064
Silver Simple Women's Health with Menopause Benefits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002006457424NE001005569512MO0010058
Silver Simple Women's Health with Menopause Benefits
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

91908OK0010060
Silver Simple Women's Health with Menopause Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078
Silver Simple Women's Health with Menopause Benefits | with Bryan Health
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57424NE0010065

Oscar Insurance Corporation of Ohio

Bronze Classic PCP Saver | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100002
Bronze Classic Standard | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100050
Bronze Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100055
Bronze Simple Chronic Care CKM | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100056
Bronze Simple Diabetes | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100057
Bronze Simple HSA | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100014
Gold Classic Standard | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100053
Gold Elite | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100036
Gold Elite Saver Plus | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100035
Silver Classic Standard | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100052
Silver Elite Saver Plus | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100030
Silver Simple Breathe Easy with Enhanced COPD Benefits | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100059
Silver Simple Chronic Care CKM | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100060
Silver Simple Diabetes | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100045
Silver Simple PCP Saver | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100025
Silver Simple Women's Health with Menopause Benefits | Cleveland Clinic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45845OH0100061

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
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Kansas City, BlueCross BlueShield of Tennessee, Humana, Molina Healthcare, Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc., Oscar Insurance Company, Oscar Insurance Corporation of Ohio, Sanford Health Plan. You can filter specific policies or search for unique plans using the open dashboard controls located above.
No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.
FARMACIA MARISEL 2 is enrolled across the following managed care network types: EPO, HMO, POS, 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.
  • 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.