CAROLINE V SAMPSELL LCSW
Accepted Insurance for NPI 1376889816
Social Worker - Clinical in Dallas, TX

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

CAROLINE V SAMPSELL LCSW 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 January 02, 2013

Contact Information

6363 FOREST PARK ROAD 7TH FLOOR SUITE 749
DALLAS, TX
ZIP 75390
Phone: (214) 645-8500
Fax: (214) 645-3775

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with CAROLINE V SAMPSELL LCSW, a practicing social worker professional in Dallas, 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 181 individual coverage options managed by medical networks, including networks like Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, and Oscar Health Plan of North Carolina, Inc. 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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Fitler by Network Type

Blue Cross and Blue Shield of NC

Blue Advantage Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060004

Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060031

Blue Advantage Bronze HSA Eligible | Integrated | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060059

Blue Advantage Bronze Standard | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060052

Blue Advantage Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060018

Blue Advantage Gold Standard A | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060050

Blue Advantage Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060028

Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060002

Blue Advantage Silver Standard | Nationwide Doctors

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PPO Tier

Accepted Plan ID Variations

11512NC0060051

Blue Care Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430009

Blue Care Bronze Complete | $60 PCP | $20 Tier 1 Rx | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430008

Blue Care Bronze HSA Eligible | Integrated | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430010

Blue Care Bronze Standard | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430003

Blue Care Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430004

Blue Care Gold Standard A | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430001

Blue Care Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430007

Blue Care Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430005

Blue Care Silver Standard | Statewide Doctors

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: HMO Tier

Accepted Plan ID Variations

11512NC0430002

Blue Home Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039003111512NC039003211512NC0390033

Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039002811512NC039002911512NC0390030

Blue Home Bronze HSA Eligible | Integrated | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039004611512NC039004711512NC0390048

Blue Home Bronze Standard | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039003411512NC039003511512NC0390036

Blue Home Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039000111512NC039000211512NC0390003

Blue Home Gold Standard A | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039000411512NC039000511512NC0390006

Blue Home Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039002211512NC039002311512NC0390024

Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039001311512NC039001411512NC0390015

Blue Home Silver Standard | with UNC Health Alliance

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

11512NC039002511512NC039002611512NC0390027

Blue Value Bronze Basic | 3 Free PCP | $25 Tier 1 Rx | Integrated | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010007011512NC0100071

Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010001211512NC0100054

Blue Value Bronze HSA Eligible | Integrated | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010007911512NC0100080

Blue Value Bronze Standard | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010007411512NC0100077

Blue Value Gold Premier A | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010000911512NC0100034

Blue Value Gold Standard A | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010007211512NC0100075

Blue Value Silver Choice A | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010001111512NC0100044

Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010006411512NC0100065

Blue Value Silver Standard | Limited Statewide Doctors

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: POS Tier

Accepted Plan ID Variations

11512NC010007311512NC0100076

Blue Cross and Blue Shield of Texas

MyBlue Health Bronze? 402

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HEALTH Tier

Accepted Plan ID Variations

33602TX046108033602TX046111633602TX046111733602TX046111833602TX046111933602TX046112033602TX046112133602TX046112233602TX046117933602TX046119633602TX046119733602TX046121033602TX0461211

MyBlue Health Bronze? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HEALTH Tier

Accepted Plan ID Variations

33602TX046108733602TX046115933602TX046116033602TX046116133602TX046116333602TX046116433602TX046118533602TX046119833602TX046119933602TX046121233602TX0461213

MyBlue Health Gold? 403

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HEALTH Tier

Accepted Plan ID Variations

33602TX046108133602TX046112333602TX046112433602TX046112533602TX046112633602TX046112733602TX046112833602TX046112933602TX046118033602TX046120033602TX046120133602TX046121433602TX0461215

MyBlue Health Gold? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HEALTH Tier

Accepted Plan ID Variations

33602TX046108833602TX046116633602TX046116733602TX046116833602TX046117033602TX046117133602TX046118633602TX046120233602TX046120333602TX046121633602TX0461217

MyBlue Health Silver? 405

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HEALTH Tier

Accepted Plan ID Variations

33602TX046108233602TX046113033602TX046113133602TX046113233602TX046113333602TX046113433602TX046113533602TX046113633602TX046118133602TX046120433602TX046120533602TX046121833602TX0461219

MyBlue Health Silver? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYBLUE-HEALTH Tier

Accepted Plan ID Variations

33602TX046108933602TX046117333602TX046117433602TX046117533602TX046117733602TX046117833602TX046118733602TX046120833602TX046120933602TX046122233602TX0461223

Oscar Health Plan of North Carolina, Inc

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010024

Bronze Classic 4700 | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010061

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010050

Bronze Classic Standard | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010055

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010005

Bronze Elite + PCP Saver Plus | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010062

Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010058

Bronze Simple Chronic Care CKM | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010059

Bronze Simple Diabetes | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010067

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010053

Gold Classic Standard | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010057

Silver Classic

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010006

Silver Classic | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010063

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010052

Silver Classic Standard | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010056

Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010070

Silver Simple Chronic Care CKM | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010071

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010045

Silver Simple Diabetes | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010064

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010025

Silver Simple PCP Saver | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010065

Silver Simple Women's Health with Menopause Benefits | with Atrium Health

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69803NC0010072

Providence Health Plan

Connect 1500 Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380008

Connect 6000 Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380013

Connect 9800 Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CONNECT Tier

Accepted Plan ID Variations

56707OR1380014

HSA Qualified 7500 Bronze - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1420003

HSA-E Qualified 7500 Bronze - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1430003

Providence Oregon Standard Bronze Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1400003

Providence Oregon Standard Bronze Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1410003

Providence Oregon Standard Gold Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1320004

Providence Oregon Standard Gold Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1350004

Providence Oregon Standard Silver Plan - Choice Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: CHOICE Tier

Accepted Plan ID Variations

56707OR1330004

Providence Oregon Standard Silver Plan - Signature Network

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: EPO Tier

Accepted Plan ID Variations

56707OR1360004

UnitedHealthcare

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030033

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030026

UHC Bronze Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030030

UHC Bronze Standard+ Dental + Vision (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060005

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030040

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060007

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030035

UHC Gold Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030022

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030039

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060006

UHC Silver Standard (No Referrals)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030027

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0030020

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

54332NC0060004

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does CAROLINE V SAMPSELL LCSW accept?

This provider accepts health insurance plans managed by the following insurance companies: Blue Cross and Blue Shield of NC, Blue Cross and Blue Shield of Texas, Oscar Health Plan of North Carolina, Inc, Providence Health Plan, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

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

What managed care network types are accepted by this provider?

CAROLINE V SAMPSELL LCSW 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.