MR. JOSHUA RICHARD COLOMBO PA-C
Accepted Insurance Health Plans for NPI 1366887325
Physician Assistant in Charlotte, NC
Quality Rating: 60.11 out of 100 score
NPI Status: Active since May 03, 2013
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by MR. JOSHUA RICHARD COLOMBO PA-C. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.
Ambetter from Absolute Total Care (17 plans)
Clear Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010023
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010022
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020022
Dental Only? No
Elite Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010029
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020030
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010011
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020011
Dental Only? No
Everyday Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010026
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020026
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010025
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020025
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010031
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020031
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010033
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020033
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0010032
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 79222SC0020032
Dental Only? No
Ambetter of North Carolina (31 plans)
Clear Silver with $0 Insulin Options
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010037
Dental Only? No
Complete Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010007
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020007
Dental Only? No
Complete Gold with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010056
Dental Only? No
Complete Gold with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020053
Dental Only? No
Complete Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010051
Dental Only? No
Complete Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020048
Dental Only? No
Elite Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010036
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020036
Dental Only? No
Elite Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010050
Dental Only? No
Elite Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020047
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010028
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020028
Dental Only? No
Everyday Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010049
Dental Only? No
Everyday Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020046
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010039
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020039
Dental Only? No
Focused Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010054
Dental Only? No
Focused Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020051
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010044
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020055
Dental Only? No
Standard Expanded Bronze with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010059
Dental Only? No
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020058
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010046
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020057
Dental Only? No
Standard Gold with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010061
Dental Only? No
Standard Gold with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020060
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010045
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020056
Dental Only? No
Standard Silver with Atrium Health
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0010060
Dental Only? No
Standard Silver with Atrium Health + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 77264NC0020059
Dental Only? No
Ambetter of Tennessee (19 plans)
Clear Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110027
Dental Only? No
Elite Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110026
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120026
Dental Only? No
Elite Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110031
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120034
Dental Only? No
Enhanced Diabetes Care Silver with $0 Drug Options
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110018
Dental Only? No
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120001
Dental Only? No
Everyday Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110023
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120023
Dental Only? No
Everyday Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110030
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120030
Dental Only? No
Focused Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110029
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120029
Dental Only? No
Standard Expanded Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110033
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120035
Dental Only? No
Standard Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110035
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120037
Dental Only? No
Standard Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110034
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120036
Dental Only? No
Blue Cross and Blue Shield of NC (47 plans)
Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060004
Dental Only? No
Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060031
Dental Only? No
Blue Advantage Bronze Standard | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060052
Dental Only? No
Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060018
Dental Only? No
Blue Advantage Gold Standard | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060050
Dental Only? No
Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060028
Dental Only? No
Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060002
Dental Only? No
Blue Advantage Silver Standard | Nationwide Doctors
Type: PPO
Market: Individual
Network Tier: PPO
Plan ID: 11512NC0060051
Dental Only? No
Blue Care Bronze Standard | Statewide Doctors
Type: HMO
Market: Individual
Network Tier: HMO
Plan ID: 11512NC0430003
Dental Only? No
Blue Care Gold Standard | Statewide Doctors
Type: HMO
Market: Individual
Network Tier: HMO
Plan ID: 11512NC0430001
Dental Only? No
Blue Care Silver Standard | Statewide Doctors
Type: HMO
Market: Individual
Network Tier: HMO
Plan ID: 11512NC0430002
Dental Only? No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410011
Dental Only? No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410046
Dental Only? No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410047
Dental Only? No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410048
Dental Only? No
Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410055
Dental Only? No
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410009
Dental Only? No
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410044
Dental Only? No
Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410045
Dental Only? No
Blue Local Bronze Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410012
Dental Only? No
Blue Local Bronze Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410049
Dental Only? No
Blue Local Bronze Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410050
Dental Only? No
Blue Local Bronze Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410051
Dental Only? No
Blue Local Bronze Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410056
Dental Only? No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410001
Dental Only? No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410016
Dental Only? No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410017
Dental Only? No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410018
Dental Only? No
Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410022
Dental Only? No
Blue Local Gold Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410002
Dental Only? No
Blue Local Gold Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410019
Dental Only? No
Blue Local Gold Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410020
Dental Only? No
Blue Local Gold Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410021
Dental Only? No
Blue Local Gold Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410023
Dental Only? No
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410008
Dental Only? No
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410038
Dental Only? No
Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410039
Dental Only? No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410005
Dental Only? No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410024
Dental Only? No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410028
Dental Only? No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410029
Dental Only? No
Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410030
Dental Only? No
Blue Local Silver Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410010
Dental Only? No
Blue Local Silver Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410027
Dental Only? No
Blue Local Silver Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410040
Dental Only? No
Blue Local Silver Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410041
Dental Only? No
Blue Local Silver Standard | with Atrium Health
Type: EPO
Market: Individual
Network Tier: EPO
Plan ID: 11512NC0410042
Dental Only? No
UnitedHealthcare (13 plans)
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030033
Dental Only? No
UHC Bronze Standard (No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030030
Dental Only? No
UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030032
Dental Only? No
UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0060003
Dental Only? No
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030015
Dental Only? No
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0060002
Dental Only? No
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030035
Dental Only? No
UHC Gold Standard (No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030022
Dental Only? No
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030034
Dental Only? No
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0060001
Dental Only? No
UHC Silver Standard (No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030027
Dental Only? No
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0030020
Dental Only? No
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 54332NC0060004
Dental Only? No
WellCare of North Carolina (6 plans)
Standard Expanded Bronze WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120004
Dental Only? No
Standard Gold WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120006
Dental Only? No
Standard Silver WellCare
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120005
Dental Only? No
WellCare Secure Health Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120001
Dental Only? No
WellCare Secure Health Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120003
Dental Only? No
WellCare Secure Health Silver
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 44007NC0120002
Dental Only? No
Frequently Asked Questions
- EPO
- See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
- HMO
- Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
- POS
- Acts like HMO in-network but allows out-of-network visits at a higher cost.
- PPO
- No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
- Indemnity
- Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
- Individual & Family
- Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
- SHOP
- Small group coverage for businesses with up to 50 full-time employees.
- Tier-One
- Lowest-cost, highest-value in-network providers.
- Preferred
- Good in-network options with slightly higher copays than Tier-One.
- Non-Preferred
- More expensive tier within the network. Cheaper than going out-of-network.
