SHERI CLOUSE CNP
Accepted Insurance Health Plans for NPI 1467804559
Nurse Practitioner in Upper Sandusky, OH

NPI Status: Active since July 13, 2016

Contact Information

885 N SANDUSKY AVE
UPPER SANDUSKY, OH
ZIP 43351
Phone: (419) 294-4991
Fax: (419) 209-0278

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by SHERI CLOUSE CNP. 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 (13 plans)

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100001

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100002

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100010

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100003

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100011

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100012

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100004

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100005

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100013

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100014

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100006

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100009

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84867OH0100015

Dental Only? No

Ambetter from Meridian (17 plans)

Clear Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030017

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030016

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040016

Dental Only? No

Elite Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030021

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040023

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030013

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040013

Dental Only? No

Everyday Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030020

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040020

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030019

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040019

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030023

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040024

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030025

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040026

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0030024

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 58594MI0040025

Dental Only? No

Ambetter Health (34 plans)

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040002

Dental Only? No

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010045

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050002

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030045

Dental Only? No

Clear Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010067

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030071

Dental Only? No

Clear Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040003

Dental Only? No

Clear Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010061

Dental Only? No

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040004

Dental Only? No

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010041

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050003

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030041

Dental Only? No

Complete Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010025

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030025

Dental Only? No

Elite Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040007

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050006

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040008

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010057

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050007

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030057

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040010

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050009

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040012

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010069

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050011

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030072

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040013

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010071

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050012

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030074

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0040001

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0010070

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35065IN0050001

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 41047OH0030073

Dental Only? No

Anthem Blue Cross and Blue Shield (12 plans)

Anthem Bronze Pathway HMO 7450 for HSA

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920417

Dental Only? No

Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920432

Dental Only? No

Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920414

Dental Only? No

Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920916

Dental Only? No

Anthem Catastrophic Pathway HMO 9200

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920425

Dental Only? No

Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920434

Dental Only? No

Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920429

Dental Only? No

Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920428

Dental Only? No

Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920917

Dental Only? No

Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920433

Dental Only? No

Anthem Silver Pathway HMO 5400 for HSA

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920421

Dental Only? No

Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920424

Dental Only? No

CareSource (19 plans)

Bronze First 7500 $25 Generic Drugs

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010204

Dental Only? No

Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020204

Dental Only? No

Core Gold 1500 $10 Generic Drugs

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010212

Dental Only? No

Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020212

Dental Only? No

Diabetes Gold 1100 $0 Select Drugs & Specialized Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010210

Dental Only? No

Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020210

Dental Only? No

Diabetes Silver 4000 $0 Select Drugs & Specialized Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010209

Dental Only? No

Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020209

Dental Only? No

Gold 1500 $15 Generic Drugs

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010202

Dental Only? No

Gold 1500 $15 Generic Drugs Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020202

Dental Only? No

HDHP Preventive Silver 5500 $0 Select Drugs

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010219

Dental Only? No

Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010215

Dental Only? No

Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020215

Dental Only? No

Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010218

Dental Only? No

Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020218

Dental Only? No

Low Premium Silver 6000 $3 Generic Drugs

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010201

Dental Only? No

Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020201

Dental Only? No

Silver 5000 $20 Generic Drugs

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0010203

Dental Only? No

Silver 5000 $20 Generic Drugs Adult Vision & Fitness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77552OH0020203

Dental Only? No

MedMutual (10 plans)

Bronze $8,300 w/ Virtual & Wellness ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080499

Dental Only? No

Bronze HSA $7,300 ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080498

Dental Only? No

Bronze Standard w/ Virtual & Wellness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080500

Dental Only? No

Gold $1250 w/ Virtual & Wellness ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080543

Dental Only? No

Gold $500 w/ Virtual & Wellness ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080542

Dental Only? No

Gold Standard w/ Virtual & Wellness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080492

Dental Only? No

Silver $5000 w/ Virtual & Wellness ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080544

Dental Only? No

Silver Standard w/ Virtual & Wellness

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080496

Dental Only? No

SilverSelect w/ Virtual & Wellness ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080495

Dental Only? No

Young Adult Essentials ON-EX

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99969OH0080503

Dental Only? No

Molina Healthcare (10 plans)

Bronze 10

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010013

Dental Only? No

Bronze 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010011

Dental Only? No

Bronze 9

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010012

Dental Only? No

Gold 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010001

Dental Only? No

Gold 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0040001

Dental Only? No

Gold 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010008

Dental Only? No

Silver 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010002

Dental Only? No

Silver 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0040002

Dental Only? No

Silver 12 with first 4 free PCP or MH visits

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010010

Dental Only? No

Silver 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64353OH0010009

Dental Only? No

UnitedHealthcare (18 plans)

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030035

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070004

Dental Only? No

UHC Bronze Standard (No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030026

Dental Only? No

UHC Bronze Standard+ (Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070005

Dental Only? No

UHC Bronze Value ($5 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030034

Dental Only? No

UHC Bronze Value+ ($5 Tier 2 Rx, Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070003

Dental Only? No

UHC Gold Advantage ($3 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030042

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070002

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030032

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070008

Dental Only? No

UHC Gold Standard (No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030014

Dental Only? No

UHC Gold Standard+ (Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070009

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030031

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070001

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030030

Dental Only? No

UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070007

Dental Only? No

UHC Silver Standard (No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0030021

Dental Only? No

UHC Silver Standard+ (Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 33931OH0070006

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.