PAMELA M MIDDLETON LSCSW
Accepted Insurance Health Plans for NPI 1457702912
Social Worker - Clinical in Great Bend, KS

NPI Status: Active since June 27, 2016

Contact Information

1819 11TH ST
GREAT BEND, KS
ZIP 67530
Phone: (785) 483-9183

Get Directions

Accepted Health Plans and Insurance Coverage

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

Aetna CVS Health (24 plans)

Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200003

Dental Only? No

Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130001

Dental Only? No

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130002

Dental Only? No

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130010

Dental Only? No

Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200028

Dental Only? No

Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200040

Dental Only? No

Bronze S: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200016

Dental Only? No

Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130003

Dental Only? No

Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130011

Dental Only? No

Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130012

Dental Only? No

Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130004

Dental Only? No

Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130013

Dental Only? No

Gold S: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200019

Dental Only? No

Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130005

Dental Only? No

Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130014

Dental Only? No

Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130015

Dental Only? No

Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200044

Dental Only? No

Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200045

Dental Only? No

Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200015

Dental Only? No

Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130006

Dental Only? No

Silver S: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200025

Dental Only? No

Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200046

Dental Only? No

Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130009

Dental Only? No

Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130016

Dental Only? No

Ambetter from Home State Health (17 plans)

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090016

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110010

Dental Only? No

Complete Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090011

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110013

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090053

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110053

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090018

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110009

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090063

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110063

Dental Only? No

Premier Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090004

Dental Only? No

Premier Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110014

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090069

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110070

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090071

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0110072

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99723MO0090070

Dental Only? No

Ambetter from Nebraska Total Care (17 plans)

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020002

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030002

Dental Only? No

Clear Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020050

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030044

Dental Only? No

Complete Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020008

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030008

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020007

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030007

Dental Only? No

Elite Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020036

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030036

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020048

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030042

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020039

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030015

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020041

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030017

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020040

Dental Only? No

Ambetter from Sunflower Health Plan (17 plans)

Clear Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110049

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110047

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120047

Dental Only? No

Elite Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110066

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120068

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110043

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120043

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110033

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120033

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110053

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120053

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110068

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120069

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110070

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120071

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110069

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120070

Dental Only? No

Ambetter Health (17 plans)

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010015

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020015

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010013

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020013

Dental Only? No

Elite Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010022

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020021

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010012

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020012

Dental Only? No

Everyday Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010016

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020016

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010019

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020019

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010014

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020014

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010017

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020017

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010020

Dental Only? No

Ambetter Health of Delaware (17 plans)

Clear Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090011

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100011

Dental Only? No

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090009

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100009

Dental Only? No

Elite Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090013

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100013

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090002

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100002

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090007

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100007

Dental Only? No

Premier Bronze HSA

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090001

Dental Only? No

Premier Bronze HSA + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100001

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090004

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100004

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090012

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100012

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090008

Dental Only? No

Ambetter of Oklahoma (15 plans)

Elite Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120006

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130006

Dental Only? No

Elite Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120016

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130017

Dental Only? No

Everyday Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120002

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130002

Dental Only? No

Everyday Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120014

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130014

Dental Only? No

Focused Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120012

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130012

Dental Only? No

Standard Expanded Bronze

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120019

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130019

Dental Only? No

Standard Gold

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120021

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0130021

Dental Only? No

Standard Silver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62505OK0120020

Dental Only? No

Blue Cross and Blue Shield of Kansas, Inc. (9 plans)

BlueCare EPO Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0400009

Dental Only? No

BlueCare EPO Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0400006

Dental Only? No

BlueCare EPO Gold Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0400014

Dental Only? No

BlueCare EPO Silver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0400013

Dental Only? No

BlueCare EPO Simple Bronze HDHP

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0400010

Dental Only? No

BlueCare EPO Simple Silver HDHP

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0400008

Dental Only? No

BlueCare EPO Standardized Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0420002

Dental Only? No

BlueCare EPO Standardized Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0420004

Dental Only? No

BlueCare EPO Standardized Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 18558KS0420003

Dental Only? No

Medica (9 plans)

Select by Medica Bronze $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040041

Dental Only? No

Select by Medica Bronze Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040029

Dental Only? No

Select by Medica Expanded Bronze Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040073

Dental Only? No

Select by Medica Gold $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040045

Dental Only? No

Select by Medica Gold Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040075

Dental Only? No

Select by Medica Gold Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040055

Dental Only? No

Select by Medica Silver $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040074

Dental Only? No

Select by Medica Silver Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040076

Dental Only? No

Select by Medica Silver Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040057

Dental Only? No

UnitedHealthcare (10 plans)

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

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090015

Dental Only? No

UHC Bronze Standard (No Referrals)

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090013

Dental Only? No

UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090011

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0100001

Dental Only? No

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090018

Dental Only? No

UHC Gold Standard (No Referrals)

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090003

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090016

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0100002

Dental Only? No

UHC Silver Standard (No Referrals)

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090008

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 94968KS0090004

Dental Only? No

Frequently Asked Questions

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