STONEGATE PHARMACY ON BROADWAY
Accepted Insurance for NPI 1376564310
Pharmacy - Community/Retail Pharmacy in San Antonio, TX

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

STONEGATE PHARMACY ON BROADWAY 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.

NPI Status: Active since July 23, 2006

Contact Information

2515 BROADWAY ST
SAN ANTONIO, TX
ZIP 78215
Phone: (210) 354-0101
Fax: (210) 354-0404

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with STONEGATE PHARMACY ON BROADWAY, a practicing pharmacy professional in San Antonio, TX. 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 1,121 individual coverage options managed by medical networks, including networks like Alliant Health Plans, Inc., AvMed, and Blue Cross and Blue Shield of Kansas City. 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.

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Alliant Health Plans, Inc.

SoloCare Bronze EPO $8500 DED HSA 10004

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010004

SoloCare Exp Bronze EPO $9500 DED 10015

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010015

SoloCare Gold EPO $1500 DED 10010

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010010

SoloCare Silver EPO $5000 DED 10014

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010014

SoloCare Silver EPO $6500 DED 10013

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010013

SoloCare Standard Exp Bronze EPO $7500 DED 10008

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010008

SoloCare Standard Gold EPO $2000 DED 10006

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010006

SoloCare Standard Platinum EPO $0 DED 10005

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010005

SoloCare Standard Silver EPO $6000 DED 10007

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

29854TN0010007

AvMed

AvMed Entrust Bronze 600 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000619898FL034001619898FL034002619898FL034003619898FL0340046

AvMed Entrust Bronze 650 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000719898FL034001719898FL034002719898FL034003719898FL0340047

AvMed Entrust Expanded Bronze Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034009119898FL034009219898FL034009319898FL034009419898FL0340095

AvMed Entrust Gold 125 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000119898FL034001119898FL034002119898FL034003119898FL0340041

AvMed Entrust Gold 125 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000119898FL035001119898FL035002119898FL035003119898FL0350041

AvMed Entrust Gold Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034007119898FL034007219898FL034007319898FL034007419898FL0340075

AvMed Entrust Platinum 25 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034002019898FL034006119898FL0340064

AvMed Entrust Platinum 25 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035002019898FL035006119898FL0350064

AvMed Entrust Platinum Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034006219898FL034006319898FL0340065

AvMed Entrust Silver 350 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000319898FL034001319898FL034002319898FL034003319898FL0340043

AvMed Entrust Silver 350 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000319898FL035001319898FL035002319898FL035003319898FL0350043

AvMed Entrust Silver 550 (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000519898FL034001519898FL034002519898FL034003519898FL0340045

AvMed Entrust Silver 550 Dental+Vision (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000519898FL035001519898FL035002519898FL035003519898FL0350045

AvMed Entrust Silver Standard (2026)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034008119898FL034008219898FL034008319898FL034008419898FL0340085

Blue Cross Blue Shield of North Dakota

BlueCare Bronze HSA Eligible $50 PCP Copay ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410030

BlueCare Gold $10 PCP Copay ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410005

BlueCare Silver $20 PCP Copay ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410002

BlueDirect Bronze 100 HSA Eligible ($8000 Deductible / $5 Preventive Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410020

BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410022

BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410014

BlueEssential Catastrophic 100 HSA Eligible $10600 Deductible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410021

BlueValue Bronze HSA Eligible $50 PCP Copay (Standardized plan)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410028

BlueValue Gold $30 PCP Copay (Standardized plan)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410026

BlueValue Silver $40 PCP Copay (Standardized plan)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2410027

DakotaBlue Altru Gold ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480001

DakotaBlue Altru Silver ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480003

DakotaBlue Trinity Gold ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480009

DakotaBlue Trinity Silver ($5 Value Based Drug List)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

37160ND2480010

Blue Cross Blue Shield of Wyoming

BlueSelect Bronze Basic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0070026

BlueSelect Bronze Core

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0070004

BlueSelect Expanded Bronze Standard without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0170020

BlueSelect Gold Core

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0070025

BlueSelect Gold HealthPlus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0070013

BlueSelect Gold Standard without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0170017

BlueSelect Silver Classic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0070014

BlueSelect Silver Classic without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0170016

BlueSelect Silver HealthPlus

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0070016

BlueSelect Silver HealthPlus without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0170021

BlueSelect Silver Standard without Kid's Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

11269WY0170018

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

Blue Cross and Blue Shield of Louisiana

Blue Max 70/50 $6700 with 2 $0 PCP Virtual Visits HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340017

Blue Max 80/60 $1500 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340015

Blue Max Copay (PCP) 50/50 $3300 with 2 $0 PCP Virtual Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340010

Blue Max Copay (PCP) 50/50 $7500 Standardized HSA Eligible

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340024

Blue Max Copay (PCP) 60/40 $6000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340023

Blue Max Copay (PCP) 75/55 $2000 Standardized

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0340022

Blue Saver 60/40 $6100

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350004

Blue Saver 90/70 $3400

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

97176LA0350003

Blue Cross and Blue Shield of Montana

Blue Focus Bronze POS? 205

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000330751MT067001230751MT0670013

Blue Focus Bronze POS? 705

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000630751MT067001630751MT0670017

Blue Focus Bronze POS? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000930751MT067001830751MT0670019

Blue Focus Gold POS? 207

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000130751MT067002030751MT0670021

Blue Focus Gold POS? 902

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067003130751MT067003430751MT0670035

Blue Focus Gold POS? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000730751MT067002230751MT0670023

Blue Focus Silver POS? 206

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000230751MT067002430751MT0670025

Blue Focus Silver POS? 903

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067003030751MT067003230751MT0670033

Blue Focus Silver POS? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT067000830751MT067002830751MT0670029

Blue Preferred Bronze PPO? 201

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055004030751MT055004930751MT055005030751MT0550051

Blue Preferred Bronze PPO? 202

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055004130751MT055005230751MT055005330751MT0550054

Blue Preferred Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055009230751MT055009330751MT055010030751MT0550101

Blue Preferred Gold PPO? 204

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055003830751MT055004330751MT055004430751MT0550045

Blue Preferred Gold PPO? 901

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055010230751MT055010330751MT055010430751MT0550105

Blue Preferred Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055008630751MT055008930751MT055009430751MT0550095

Blue Preferred Security PPO? 200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055004230751MT055005530751MT055005630751MT0550057

Blue Preferred Silver PPO? 203

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055003930751MT055004630751MT055004730751MT0550048

Blue Preferred Silver PPO? 308

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055006130751MT055007130751MT055007230751MT0550073

Blue Preferred Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

30751MT055008730751MT055009030751MT055009630751MT0550097

Blue Cross and Blue Shield of Oklahoma

Blue Advantage Bronze PPO? 202

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035007087571OK035009187571OK035009287571OK035009387571OK0350094

Blue Advantage Bronze PPO? 203

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035006887571OK035008387571OK035008487571OK035008587571OK0350086

Blue Advantage Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035017687571OK035021987571OK035022087571OK035022187571OK0350222

Blue Advantage Gold PPO? 309

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035009787571OK035010687571OK035010787571OK035010887571OK0350109

Blue Advantage Gold PPO? 604

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035011887571OK035012787571OK035012887571OK035012987571OK0350130

Blue Advantage Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035017887571OK035022787571OK035022887571OK035022987571OK0350230

Blue Advantage Silver PPO? 204

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035006987571OK035008787571OK035008887571OK035008987571OK0350090

Blue Advantage Silver PPO? 501

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035011587571OK035023987571OK035024087571OK035024187571OK0350242

Blue Advantage Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035017787571OK035022387571OK035022487571OK035022587571OK0350226

Blue Preferred Bronze PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035017387571OK035019187571OK035019287571OK035019387571OK0350194

Blue Preferred Gold PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035017187571OK035019987571OK035020087571OK035020187571OK0350202

Blue Preferred Security PPO? 200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035016587571OK035020387571OK035020487571OK035020587571OK0350206

Blue Preferred Silver PPO? Standard

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK035017287571OK035021587571OK035021687571OK035021787571OK0350218

MyBlue Bronze HMO? 902

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051008187571OK051008287571OK0510083

MyBlue Bronze HMO? 904

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051008487571OK051008587571OK0510086

MyBlue Bronze HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051007887571OK051007987571OK0510080

MyBlue Gold HMO? 704

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051005787571OK051006087571OK0510093

MyBlue Gold HMO? 804

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051007187571OK051007387571OK0510103

MyBlue Gold HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051006387571OK051006687571OK0510095

MyBlue Silver HMO? 705

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051005887571OK051006187571OK0510097

MyBlue Silver HMO? 803

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051007087571OK051007287571OK0510101

MyBlue Silver HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

87571OK051006487571OK051006787571OK0510099

Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO? 204

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046055433602TX046070533602TX046070633602TX046070733602TX046070833602TX046070933602TX046071033602TX046071133602TX046071233602TX046071333602TX046071433602TX046071533602TX046071633602TX046071733602TX046071833602TX046071933602TX046072133602TX046072233602TX046072333602TX046072433602TX046072533602TX046072633602TX046072733602TX046072833602TX046086933602TX046107333602TX0461074

Blue Advantage Bronze HMO? 301

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046078233602TX046078333602TX046078733602TX046079233602TX046079333602TX046079433602TX046079533602TX046079733602TX046079933602TX046080133602TX046080233602TX046080333602TX046080433602TX0460806

Blue Advantage Bronze HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046103333602TX046103433602TX046103533602TX046103633602TX046103733602TX046103833602TX046103933602TX046104033602TX046104133602TX046104233602TX046104333602TX046104433602TX046104533602TX046104633602TX046104733602TX046104833602TX046104933602TX046105033602TX046105133602TX046105233602TX046105333602TX046105433602TX046105533602TX046105633602TX046105733602TX046105833602TX0461079

Blue Advantage Gold HMO? 206

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046054833602TX046055533602TX046055633602TX046055733602TX046055833602TX046055933602TX046056033602TX046056133602TX046056233602TX046056333602TX046056433602TX046056533602TX046056633602TX046056733602TX046056833602TX046056933602TX046057133602TX046057233602TX046057333602TX046057433602TX046057533602TX046057633602TX046057733602TX046057833602TX046086333602TX046106133602TX0461062

Blue Advantage Gold HMO? 603

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046080933602TX046081433602TX046081933602TX046082033602TX046082133602TX046082233602TX046082433602TX046082633602TX046082833602TX046082933602TX046083033602TX046083133602TX046083333602TX0460860

Blue Advantage Gold HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046092533602TX046092833602TX046092933602TX046093033602TX046093133602TX046093233602TX046093333602TX046093433602TX046093533602TX046093633602TX046093733602TX046093833602TX046093933602TX046094033602TX046094133602TX046094233602TX046094333602TX046094433602TX046094533602TX046094633602TX046094733602TX046094833602TX046094933602TX046095033602TX046095133602TX046095233602TX0460953

Blue Advantage Plus Bronze? 303

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000233602TX087003833602TX087003933602TX087004033602TX087004133602TX087004233602TX087004333602TX087004433602TX087004533602TX087004633602TX087004733602TX087004833602TX087004933602TX087005033602TX087005133602TX087005233602TX087005333602TX087005433602TX087005533602TX087005633602TX087005733602TX087005833602TX087005933602TX087006033602TX087006133602TX087006233602TX0870063

Blue Advantage Plus Bronze? 305

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000333602TX087006433602TX087006533602TX087006633602TX087006733602TX087006833602TX087006933602TX087007033602TX087007133602TX087007233602TX087007333602TX087007433602TX087007533602TX087007633602TX087007733602TX087007833602TX087007933602TX087008033602TX087008133602TX087008233602TX087008333602TX087008433602TX087008533602TX087008633602TX087008733602TX087008833602TX0870089

Blue Advantage Plus Bronze? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000433602TX087009033602TX087009133602TX087009233602TX087009333602TX087009433602TX087009533602TX087009633602TX087009733602TX087009833602TX087009933602TX087010033602TX087010133602TX087010233602TX087010333602TX087010433602TX087010533602TX087010633602TX087010733602TX087010833602TX087010933602TX087011033602TX087011133602TX087011233602TX087011333602TX087011433602TX0870115

Blue Advantage Plus Gold? 203

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000533602TX087011633602TX087011733602TX087011833602TX087011933602TX087012033602TX087012133602TX087012233602TX087012333602TX087012433602TX087012533602TX087012633602TX087012733602TX087012833602TX087012933602TX087013033602TX087013133602TX087013233602TX087013333602TX087013433602TX087013533602TX087013633602TX087013733602TX087013833602TX087013933602TX087014033602TX0870141

Blue Advantage Plus Gold? 803

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087001133602TX087027233602TX087027333602TX087027433602TX087027533602TX087027633602TX087027733602TX087027833602TX087027933602TX087028033602TX087028133602TX087028233602TX087028333602TX087028433602TX087028533602TX087028633602TX087028733602TX087028833602TX087028933602TX087029033602TX087029133602TX087029233602TX087029333602TX087029433602TX087029533602TX087029633602TX0870297

Blue Advantage Plus Gold? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000633602TX087014233602TX087014333602TX087014433602TX087014533602TX087014633602TX087014733602TX087014833602TX087014933602TX087015033602TX087015133602TX087015233602TX087015333602TX087015433602TX087015533602TX087015633602TX087015733602TX087015833602TX087015933602TX087016033602TX087016133602TX087016233602TX087016333602TX087016433602TX087016533602TX087016633602TX0870167

Blue Advantage Plus Silver? 202

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000733602TX087016833602TX087016933602TX087017033602TX087017133602TX087017233602TX087017333602TX087017433602TX087017533602TX087017633602TX087017733602TX087017833602TX087017933602TX087018033602TX087018133602TX087018233602TX087018333602TX087018433602TX087018533602TX087018633602TX087018733602TX087018833602TX087018933602TX087019033602TX087019133602TX087019233602TX0870193

Blue Advantage Plus Silver? 605

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087000933602TX087022033602TX087022133602TX087022233602TX087022333602TX087022433602TX087022533602TX087022633602TX087022733602TX087022833602TX087022933602TX087023033602TX087023133602TX087023233602TX087023333602TX087023433602TX087023533602TX087023633602TX087023733602TX087023833602TX087023933602TX087024033602TX087024133602TX087024233602TX087024333602TX087024433602TX0870245

Blue Advantage Plus Silver? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX087001033602TX087024633602TX087024733602TX087024833602TX087024933602TX087025033602TX087025133602TX087025233602TX087025333602TX087025433602TX087025533602TX087025633602TX087025733602TX087025833602TX087025933602TX087026033602TX087026133602TX087026233602TX087026333602TX087026433602TX087026533602TX087026633602TX087026733602TX087026833602TX087026933602TX087027033602TX0870271

Blue Advantage Security HMO? 200

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046055233602TX046065533602TX046065633602TX046065733602TX046065833602TX046065933602TX046066033602TX046066133602TX046066233602TX046066333602TX046066433602TX046066533602TX046066633602TX046066733602TX046066833602TX046066933602TX046067133602TX046067233602TX046067333602TX046067433602TX046067533602TX046067633602TX046067733602TX046067833602TX046087233602TX046107733602TX0461078

Blue Advantage Silver HMO? 205

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046055333602TX046068033602TX046068133602TX046068233602TX046068333602TX046068433602TX046068533602TX046068633602TX046068733602TX046068833602TX046068933602TX046069033602TX046069133602TX046069233602TX046069333602TX046069433602TX046069633602TX046069733602TX046069833602TX046069933602TX046070033602TX046070133602TX046070233602TX046070333602TX046086733602TX046106933602TX0461070

Blue Advantage Silver HMO? 801

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108333602TX046109033602TX046109433602TX046109933602TX046110033602TX046110133602TX046110233602TX046110433602TX046110533602TX046110733602TX046110833602TX046110933602TX046111033602TX0461112

Blue Advantage Silver HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046092633602TX046095433602TX046095533602TX046095633602TX046095733602TX046095833602TX046095933602TX046096033602TX046096133602TX046096233602TX046096333602TX046096433602TX046096533602TX046096633602TX046096733602TX046096833602TX046096933602TX046097033602TX046097133602TX046097233602TX046097333602TX046097433602TX046097533602TX046097633602TX046097733602TX046097833602TX0460979

MyBlue Health Bronze? 402

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108033602TX046111633602TX046111733602TX046111833602TX046111933602TX046112033602TX046112133602TX046112233602TX046117933602TX046119633602TX046119733602TX046121033602TX0461211

MyBlue Health Bronze? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108733602TX046115933602TX046116033602TX046116133602TX046116333602TX046116433602TX046118533602TX046119833602TX046119933602TX046121233602TX0461213

MyBlue Health Gold? 403

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108133602TX046112333602TX046112433602TX046112533602TX046112633602TX046112733602TX046112833602TX046112933602TX046118033602TX046120033602TX046120133602TX046121433602TX0461215

MyBlue Health Gold? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108833602TX046116633602TX046116733602TX046116833602TX046117033602TX046117133602TX046118633602TX046120233602TX046120333602TX046121633602TX0461217

MyBlue Health Silver? 405

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108233602TX046113033602TX046113133602TX046113233602TX046113333602TX046113433602TX046113533602TX046113633602TX046118133602TX046120433602TX046120533602TX046121833602TX0461219

MyBlue Health Silver? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

33602TX046108933602TX046117333602TX046117433602TX046117533602TX046117733602TX046117833602TX046118733602TX046120833602TX046120933602TX046122233602TX0461223

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260010

BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260004

BlueOptions Bronze 24J01-06 (Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260006

BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260017

BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260018

BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260009

BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260012

BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260020

BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260005

BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260008

BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260021

BlueOptions Silver 24J01-03 ($10 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260003

BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260007

BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260019

BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120078

BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120068

BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120091

BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320014

BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310014

BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120093

BlueSelect Bronze 24L01-01 (Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120001

BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120076

BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310001

BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120086

BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120095

BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120062

BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120070

BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120096

BlueSelect Silver 1443 ($10 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120072

BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320004

BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310004

BlueSelect Silver 1456 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120033

BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120094

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140009

BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140003

BlueCare Bronze 24K01-05 (Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140005

BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140025

BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140031

BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140017

BlueCare Bronze 24K02-18 (Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140018

BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140023

BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140026

BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140008

BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140010

BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140033

BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140020

BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140028

BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140004

BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140007

BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140034

BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140015

BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140029

BlueCare Silver 24K01-02 ($10 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140002

BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140006

BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140032

BlueCare Silver 24K02-21 ($10 Labs / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140021

BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140027

HMO Louisiana

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (L)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240010

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (N)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240007

Blue Connect 80/60 $3200 with 2 $0 PCP Virtual Visits (S)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240013

Blue Connect Copay (PCP) 50/50 $7500 Standardized (H) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240033

Blue Connect Copay (PCP) 50/50 $7500 Standardized (L) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240027

Blue Connect Copay (PCP) 50/50 $7500 Standardized (N) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240026

Blue Connect Copay (PCP) 50/50 $7500 Standardized (S) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240028

Blue Connect Copay (PCP) 60/40 $6000 Standardized (L)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240024

Blue Connect Copay (PCP) 60/40 $6000 Standardized (N)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240023

Blue Connect Copay (PCP) 60/40 $6000 Standardized (S)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240025

Blue Connect Copay (PCP) 75/55 $2000 Standardized (H)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240032

Blue Connect Copay (PCP) 75/55 $2000 Standardized (L)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240021

Blue Connect Copay (PCP) 75/55 $2000 Standardized (N)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240020

Blue Connect Copay (PCP) 75/55 $2000 Standardized (S)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0240022

Blue POS 60/40 $6500 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220012

Blue POS 80/60 $3200 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220014

Blue POS 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220020

Blue POS Copay (PCP) 50/50 $7500 Standardized HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220017

Blue POS Copay (PCP) 60/40 $6000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220018

Blue POS Copay (PCP) 75/55 $2000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220019

Blue POS Copay (PCP) 80/60 $1000 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0220005

Community Blue 80/60 $3200 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230008

Community Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230012

Community Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230011

Community Blue Copay (PCP) 60/40 $6000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230010

Community Blue Copay (PCP) 75/55 $2000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0230009

Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (BR)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610005

Precision Blue 80/60 $3200 with 2 $0 PCP Virtual Visits (M)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610010

Precision Blue 90/70 $9900 with 2 $0 PCP Virtual Visits (M) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610017

Precision Blue Copay (PCP) 50/50 $7500 Standardized (BR) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610015

Precision Blue Copay (PCP) 50/50 $7500 Standardized (M) HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610016

Precision Blue Copay (PCP) 60/40 $6000 Standardized (BR)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610013

Precision Blue Copay (PCP) 60/40 $6000 Standardized (M)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610014

Precision Blue Copay (PCP) 75/55 $2000 Standardized (BR)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610011

Precision Blue Copay (PCP) 75/55 $2000 Standardized (M)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0610012

Signature Blue 80/60 $3200 with 2 $0 PCP Virtual Visits

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0590003

Signature Blue 90/70 $9900 with 2 $0 PCP Virtual Visits HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0590008

Signature Blue Copay (PCP) 50/50 $7500 Standardized HSA Eligible

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0590007

Signature Blue Copay (PCP) 60/40 $6000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0590006

Signature Blue Copay (PCP) 75/55 $2000 Standardized

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NOT-APPLICABLE Tier

Accepted Plan ID Variations

19636LA0590005

HealthPartners

Oak $1,300 Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

20173WI0130001

Oak $2,000 Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

20173WI0130011

Highmark Blue Cross Blue Shield Delaware

my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690013

my Blue Access Select PPO Bronze 3800

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690001

my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0700001

my Blue Access Select PPO Bronze 9200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690008

my Blue Access Select PPO Gold 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690004

my Blue Access Select PPO Gold 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0700004

my Blue Access Select PPO Gold 1700 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0710003

my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0740002

my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0740004

my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0740005

my Blue Access Select PPO Standard Bronze 7500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690012

my Blue Access Select PPO Standard Gold 2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690010

my Blue Access Select PPO Standard Gold 2000 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0700007

my Blue Access Select PPO Standard Platinum 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690011

my Blue Access Select PPO Standard Silver 6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

76168DE0690009

Highmark Blue Cross Blue Shield West Virginia

my Blue Access WV Major Events PPO Catastrophic 10600 - 3 Free PCP Visits

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560010

my Blue Access WV PPO Bronze 3800

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560001

my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0570001

my Blue Access WV PPO Bronze 9200

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560006

my Blue Access WV PPO Gold 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560005

my Blue Access WV PPO Gold 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0570003

my Blue Access WV PPO Gold 1700 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0580002

my Blue Access WV PPO Premier Gold 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0590002

my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0600002

my Blue Access WV PPO Premier Silver 0

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0590003

my Blue Access WV PPO Premier Silver 0 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0600003

my Blue Access WV PPO Standard Bronze 7500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560007

my Blue Access WV PPO Standard Gold 2000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560009

my Blue Access WV PPO Standard Gold 2000 + Adult Dental and Vision

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0630002

my Blue Access WV PPO Standard Silver 6000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

31274WV0560008

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

Imperial Insurance Companies, Inc.

Imperial Preferred Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34826TX0030001

Imperial Preferred Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34826TX0030003

Imperial Preferred Gold Zero

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34826TX0010001

Imperial Preferred Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34826TX0030002

Imperial Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

34826TX0020001

Imperial Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

34826TX0020003

Imperial Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

34826TX0020002

Medica

Balance by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080041

Balance by Medica Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080051

Balance by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080073

Balance by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080045

Balance by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080074

Balance by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080055

Balance by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080047

Balance by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080075

Balance by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080057

Medica with MU Health Care Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070041

Medica with MU Health Care Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070051

Medica with MU Health Care Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070073

Medica with MU Health Care Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070045

Medica with MU Health Care Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070074

Medica with MU Health Care Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070055

Medica with MU Health Care Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070047

Medica with MU Health Care Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070075

Medica with MU Health Care Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070057

Select by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010041

Select by Medica Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010029

Select by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010073

Select by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010045

Select by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010074

Select by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010055

Select by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010047

Select by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010075

Select by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0010057

Priority Health

MyPriority Balanced Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541220

MyPriority Balanced Silver Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541222

MyPriority Balanced Silver Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541221

MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541237

MyPriority Balanced Silver Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541223

MyPriority Balanced Silver Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541225

MyPriority Enhanced Gold Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0540596

MyPriority Enhanced Gold Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0540595

MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0540742

MyPriority Enhanced Gold Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0540597

MyPriority Enhanced Gold Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0540599

MyPriority Premier Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541260

MyPriority Premier Silver Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541262

MyPriority Premier Silver Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541261

MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541239

MyPriority Premier Silver Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541265

MyPriority Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541300

MyPriority Standard Bronze - Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541302

MyPriority Standard Bronze - Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541301

MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541343

MyPriority Standard Bronze - Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541303

MyPriority Standard Bronze - Travel

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541306

MyPriority Standard Bronze - Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541305

MyPriority Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541320

MyPriority Standard Gold Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541322

MyPriority Standard Gold Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541321

MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541345

MyPriority Standard Gold Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541323

MyPriority Standard Gold Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541325

MyPriority Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541310

MyPriority Standard Silver - Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541312

MyPriority Standard Silver - Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541311

MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541344

MyPriority Standard Silver - Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541313

MyPriority Standard Silver - Travel

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541316

MyPriority Standard Silver - Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541315

MyPriority Value Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541210

MyPriority Value Bronze Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541212

MyPriority Value Bronze Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541211

MyPriority Value Bronze Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541236

MyPriority Value Bronze HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541200

MyPriority Value Bronze HSA Bronson Healthcare Partners

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541202

MyPriority Value Bronze HSA Corewell Health West Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541201

MyPriority Value Bronze HSA Corewell Health West Michigan Network (Allegan, Barry)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541235

MyPriority Value Bronze HSA Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541203

MyPriority Value Bronze HSA Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541205

MyPriority Value Bronze Southeast Michigan Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541213

MyPriority Value Bronze Trinity Health East Network

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NONPREFERRED Tier

Accepted Plan ID Variations

29698MI0541215

Sanford Health Plan

Sanford Individual Simplicity $1,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000189364ND0120001

Sanford Individual Simplicity $10,600

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000989364ND0120009

Sanford Individual Simplicity $3,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000389364ND0120003

Sanford Individual Simplicity $4,750

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000589364ND0120005

Sanford Individual Simplicity $6,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000789364ND0120007

Sanford Individual Simplicity $7,200 HSA Qualified

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011000689364ND0120006

Sanford Individual Simplicity Standardized $2,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011001889364ND0120018

Sanford Individual Simplicity Standardized $6,000

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011001789364ND0120017

Sanford Individual Simplicity Standardized $7,500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD011001689364ND0120016

Sanford Individual TRUE $1,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008001889364ND0090018

Sanford Individual TRUE $10,600

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008001589364ND0090015

Sanford Individual TRUE $3,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008000889364ND0090008

Sanford Individual TRUE $4,750

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008001689364ND0090016

Sanford Individual TRUE $6,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008000789364ND0090007

Sanford Individual TRUE $7,200 HSA Qualified

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008000989364ND0090009

Sanford Individual TRUE Standardized $2,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008002889364ND0090028

Sanford Individual TRUE Standardized $6,000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008002789364ND0090027

Sanford Individual TRUE Standardized $7,500

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NETWORK Tier

Accepted Plan ID Variations

31195SD008002689364ND0090026

SummaCare

SummaCare Bronze 10600 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530022

SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540002

SummaCare Bronze 8000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530023

SummaCare Bronze 8000 with Adult Vision Exam

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540003

SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540013

SummaCare Gold 2000 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530026

SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540006

SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540005

SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530025

SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540004

SummaCare Silver 7000 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530030

SummaCare Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530032

SummaCare Standard Bronze with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540010

SummaCare Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530036

SummaCare Standard Gold with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540012

SummaCare Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530035

SummaCare Standard Silver with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540011

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does STONEGATE PHARMACY ON BROADWAY accept?

This provider accepts health insurance plans managed by the following insurance companies: Alliant Health Plans, Inc., AvMed, Blue Cross Blue Shield of North Dakota, Blue Cross Blue Shield of Wyoming, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Louisiana, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), HMO Louisiana, HealthPartners, Highmark Blue Cross Blue Shield Delaware, Highmark Blue Cross Blue Shield West Virginia, Humana, Imperial Insurance Companies, Inc., Medica, Priority Health, Sanford Health Plan, SummaCare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

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

What managed care network types are accepted by this provider?

STONEGATE PHARMACY ON BROADWAY 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.

Accepted Health Plans and Insurance Coverage

Insurance Carrier Navigation Index

Alliant Health Plans, Inc.

AvMed

Blue Cross Blue Shield of North Dakota

Blue Cross Blue Shield of Wyoming

Blue Cross and Blue Shield of Kansas City

Blue Cross and Blue Shield of Louisiana

Blue Cross and Blue Shield of Montana

Blue Cross and Blue Shield of Oklahoma

Blue Cross and Blue Shield of Texas

Florida Blue (BlueCross BlueShield FL)

Florida Blue HMO (a BlueCross BlueShield FL company)

HMO Louisiana

HealthPartners

Highmark Blue Cross Blue Shield Delaware

Highmark Blue Cross Blue Shield West Virginia

Humana

Imperial Insurance Companies, Inc.

Medica

Priority Health

Sanford Health Plan

SummaCare

Coverage Information & FAQs

What insurance does STONEGATE PHARMACY ON BROADWAY accept?

Is this provider enrolled to accept Medicare?

What managed care network types are accepted by this provider?