POLARIS HEALTH & WELLNESS OF AUTUMN TERRACE
Accepted Insurance Health Plans for NPI 1366932014
Skilled Nursing Facility in Raytown, MO

NPI Status: Active since May 17, 2018

Contact Information

6124 RAYTOWN RD
RAYTOWN, MO
ZIP 64133
Phone: (816) 358-8222

Get Directions

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by POLARIS HEALTH & WELLNESS OF AUTUMN TERRACE. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.

Ambetter from Arkansas Health & Wellness (30 plans)

Choice Bronze HSA (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070285

Dental Only? No

Complete Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080014

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100014

Dental Only? No

Complete Silver (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070001

Dental Only? No

Connected Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080007

Dental Only? No

Connected Silver (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070261

Dental Only? No

Connected Silver (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070025

Dental Only? No

Connected Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100007

Dental Only? No

Elite Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080026

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100026

Dental Only? No

Elite Gold (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070268

Dental Only? No

Elite Gold (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070031

Dental Only? No

Everyday Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080017

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100017

Dental Only? No

Everyday Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080030

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100030

Dental Only? No

Everyday Silver (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070001

Dental Only? No

Focused Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080029

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100032

Dental Only? No

Standard Expanded Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080032

Dental Only? No

Standard Expanded Bronze (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070287

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100033

Dental Only? No

Standard Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080034

Dental Only? No

Standard Gold (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070289

Dental Only? No

Standard Gold (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070034

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100035

Dental Only? No

Standard Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0080033

Dental Only? No

Standard Silver (QualChoice)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 70525AR0070288

Dental Only? No

Standard Silver (QualChoiceLife)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 37903AR0070033

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62141AR0100034

Dental Only? No

Ambetter from Home State Health (17 plans)

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090016

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110010

Dental Only? No

Complete Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090011

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110013

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090053

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110053

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090018

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110009

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090063

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110063

Dental Only? No

Premier Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090004

Dental Only? No

Premier Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110014

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090069

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110070

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090071

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110072

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090070

Dental Only? No

Ambetter from Nebraska Total Care (17 plans)

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020002

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030002

Dental Only? No

Clear Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020050

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030044

Dental Only? No

Complete Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020008

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030008

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020007

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030007

Dental Only? No

Elite Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020036

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030036

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020048

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030042

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020039

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030015

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020041

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030017

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020040

Dental Only? No

Ambetter from Sunflower Health Plan (17 plans)

Clear Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110049

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110047

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120047

Dental Only? No

Elite Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110066

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120068

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110043

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120043

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110033

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120033

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110053

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120053

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110068

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120069

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110070

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120071

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110069

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120070

Dental Only? No

Ambetter Health (17 plans)

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010015

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020015

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010013

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020013

Dental Only? No

Elite Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010022

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020021

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010012

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020012

Dental Only? No

Everyday Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010016

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020016

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010019

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020019

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010014

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020014

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010017

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020017

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010020

Dental Only? No

Ambetter Health of Delaware (17 plans)

Clear Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090011

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100011

Dental Only? No

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090009

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100009

Dental Only? No

Elite Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090013

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100013

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090002

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100002

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090007

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100007

Dental Only? No

Premier Bronze HSA

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090001

Dental Only? No

Premier Bronze HSA + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100001

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090004

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100004

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090012

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100012

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090008

Dental Only? No

Ambetter of Illinois (17 plans)

Central Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140069

Dental Only? No

Central Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150069

Dental Only? No

Central Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140071

Dental Only? No

Central Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150071

Dental Only? No

Clear Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140061

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140016

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150016

Dental Only? No

Everyday Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140064

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150059

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140063

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150058

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140073

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150072

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140075

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150074

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0140074

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 27833IL0150073

Dental Only? No

Ambetter of Oklahoma (15 plans)

Elite Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120006

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130006

Dental Only? No

Elite Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120016

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130017

Dental Only? No

Everyday Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120002

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130002

Dental Only? No

Everyday Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120014

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130014

Dental Only? No

Focused Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120012

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130012

Dental Only? No

Standard Expanded Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120019

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130019

Dental Only? No

Standard Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120021

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130021

Dental Only? No

Standard Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120020

Dental Only? No

Ambetter of Tennessee (19 plans)

Clear Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110027

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110026

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120026

Dental Only? No

Elite Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110031

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120034

Dental Only? No

Enhanced Diabetes Care Silver with $0 Drug Options

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110018

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120001

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110023

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120023

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110030

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120030

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110029

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120029

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110033

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120035

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110035

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120037

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0110034

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 70111TN0120036

Dental Only? No

Frequently Asked Questions

EPO
See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
HMO
Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
POS
Acts like HMO in-network but allows out-of-network visits at a higher cost.
PPO
No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
Indemnity
Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
Individual & Family
Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
SHOP
Small group coverage for businesses with up to 50 full-time employees.
Tier-One
Lowest-cost, highest-value in-network providers.
Preferred
Good in-network options with slightly higher copays than Tier-One.
Non-Preferred
More expensive tier within the network. Cheaper than going out-of-network.
Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.
A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.