OMOSALEWA ADENIKINJU M.D.
Accepted Insurance for NPI 1558758607
Radiology - Vascular & Interventional Radiology in Fairfax, VA

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

OMOSALEWA ADENIKINJU M.D. 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 April 15, 2015

Contact Information

2722 MERRILEE DR STE 230
FAIRFAX, VA
ZIP 22031
Phone: (703) 698-4488

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with OMOSALEWA ADENIKINJU M.D., a practicing radiology professional in Fairfax, VA. 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 778 individual coverage options managed by medical networks, including networks like Ambetter from Buckeye Health Plan, Ambetter from Home State Health, and Ambetter Health. 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.

Insurance Carrier Navigation Index

Ambetter from Buckeye Health Plan
Ambetter from Home State Health
Ambetter Health
Ambetter of Tennessee
Blue Cross and Blue Shield of Texas
CareSource
CareSource (Common Ground Healthcare)
HMO Louisiana
Oscar Health Maintenance Organization of Florida
Oscar Insurance Company
Premera Blue Cross Blue Shield of Alaska
Sendero Health Plans, Local Nonprofit

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Fitler by Network Type

Ambetter Health

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0040004

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0050003

Elite Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0040007

Elite Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0050006

Focused Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0040010

Focused Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0050009

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0040013

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0050012

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0040001

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35065IN0050001

Ambetter from Buckeye Health Plan

Choice Bronze HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010045

Choice Bronze HSA + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030045

Clear Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010067

Clear Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030071

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010041

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030041

Complete Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010025

Complete Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030025

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010057

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030057

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010069

Standard Expanded Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030072

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010071

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030074

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0010070

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

41047OH0030073

Ambetter from Home State Health

Complete Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090016

Complete Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110010

Complete Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090011

Complete Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110013

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090053

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110053

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090018

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110009

Everyday Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090063

Everyday Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110063

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090069

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110070

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090071

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110072

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0090070

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

99723MO0110027

Ambetter of Tennessee

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110026

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120026

Elite Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110031

Elite Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120034

Enhanced Diabetes Care Silver with $0 Drug Options

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110018

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

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120001

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110023

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120023

Everyday Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110030

Everyday Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120030

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110033

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120035

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110035

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120037

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0110034

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

70111TN0120036

Blue Cross and Blue Shield of Texas

Blue Advantage Bronze HMO? 204

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046055433602TX046070533602TX046070633602TX046070733602TX046070833602TX046070933602TX046071033602TX046071133602TX046071233602TX046071333602TX046071433602TX046071533602TX046071633602TX046071733602TX046071833602TX046071933602TX046072133602TX046072233602TX046072333602TX046072433602TX046072533602TX046072633602TX046072733602TX046072833602TX046086933602TX046107333602TX0461074

Blue Advantage Bronze HMO? 301

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046078233602TX046078333602TX046078733602TX046079233602TX046079333602TX046079433602TX046079533602TX046079733602TX046079933602TX046080133602TX046080233602TX046080333602TX046080433602TX0460806

Blue Advantage Bronze HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046103333602TX046103433602TX046103533602TX046103633602TX046103733602TX046103833602TX046103933602TX046104033602TX046104133602TX046104233602TX046104333602TX046104433602TX046104533602TX046104633602TX046104733602TX046104833602TX046104933602TX046105033602TX046105133602TX046105233602TX046105333602TX046105433602TX046105533602TX046105633602TX046105733602TX046105833602TX0461079

Blue Advantage Gold HMO? 206

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046054833602TX046055533602TX046055633602TX046055733602TX046055833602TX046055933602TX046056033602TX046056133602TX046056233602TX046056333602TX046056433602TX046056533602TX046056633602TX046056733602TX046056833602TX046056933602TX046057133602TX046057233602TX046057333602TX046057433602TX046057533602TX046057633602TX046057733602TX046057833602TX046086333602TX046106133602TX0461062

Blue Advantage Gold HMO? 603

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046080933602TX046081433602TX046081933602TX046082033602TX046082133602TX046082233602TX046082433602TX046082633602TX046082833602TX046082933602TX046083033602TX046083133602TX046083333602TX0460860

Blue Advantage Gold HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046092533602TX046092833602TX046092933602TX046093033602TX046093133602TX046093233602TX046093333602TX046093433602TX046093533602TX046093633602TX046093733602TX046093833602TX046093933602TX046094033602TX046094133602TX046094233602TX046094333602TX046094433602TX046094533602TX046094633602TX046094733602TX046094833602TX046094933602TX046095033602TX046095133602TX046095233602TX0460953

Blue Advantage Plus Bronze? 303

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000233602TX087003833602TX087003933602TX087004033602TX087004133602TX087004233602TX087004333602TX087004433602TX087004533602TX087004633602TX087004733602TX087004833602TX087004933602TX087005033602TX087005133602TX087005233602TX087005333602TX087005433602TX087005533602TX087005633602TX087005733602TX087005833602TX087005933602TX087006033602TX087006133602TX087006233602TX0870063

Blue Advantage Plus Bronze? 305

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000333602TX087006433602TX087006533602TX087006633602TX087006733602TX087006833602TX087006933602TX087007033602TX087007133602TX087007233602TX087007333602TX087007433602TX087007533602TX087007633602TX087007733602TX087007833602TX087007933602TX087008033602TX087008133602TX087008233602TX087008333602TX087008433602TX087008533602TX087008633602TX087008733602TX087008833602TX0870089

Blue Advantage Plus Bronze? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000433602TX087009033602TX087009133602TX087009233602TX087009333602TX087009433602TX087009533602TX087009633602TX087009733602TX087009833602TX087009933602TX087010033602TX087010133602TX087010233602TX087010333602TX087010433602TX087010533602TX087010633602TX087010733602TX087010833602TX087010933602TX087011033602TX087011133602TX087011233602TX087011333602TX087011433602TX0870115

Blue Advantage Plus Gold? 203

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000533602TX087011633602TX087011733602TX087011833602TX087011933602TX087012033602TX087012133602TX087012233602TX087012333602TX087012433602TX087012533602TX087012633602TX087012733602TX087012833602TX087012933602TX087013033602TX087013133602TX087013233602TX087013333602TX087013433602TX087013533602TX087013633602TX087013733602TX087013833602TX087013933602TX087014033602TX0870141

Blue Advantage Plus Gold? 803

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087001133602TX087027233602TX087027333602TX087027433602TX087027533602TX087027633602TX087027733602TX087027833602TX087027933602TX087028033602TX087028133602TX087028233602TX087028333602TX087028433602TX087028533602TX087028633602TX087028733602TX087028833602TX087028933602TX087029033602TX087029133602TX087029233602TX087029333602TX087029433602TX087029533602TX087029633602TX0870297

Blue Advantage Plus Gold? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000633602TX087014233602TX087014333602TX087014433602TX087014533602TX087014633602TX087014733602TX087014833602TX087014933602TX087015033602TX087015133602TX087015233602TX087015333602TX087015433602TX087015533602TX087015633602TX087015733602TX087015833602TX087015933602TX087016033602TX087016133602TX087016233602TX087016333602TX087016433602TX087016533602TX087016633602TX0870167

Blue Advantage Plus Silver? 202

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000733602TX087016833602TX087016933602TX087017033602TX087017133602TX087017233602TX087017333602TX087017433602TX087017533602TX087017633602TX087017733602TX087017833602TX087017933602TX087018033602TX087018133602TX087018233602TX087018333602TX087018433602TX087018533602TX087018633602TX087018733602TX087018833602TX087018933602TX087019033602TX087019133602TX087019233602TX0870193

Blue Advantage Plus Silver? 605

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087000933602TX087022033602TX087022133602TX087022233602TX087022333602TX087022433602TX087022533602TX087022633602TX087022733602TX087022833602TX087022933602TX087023033602TX087023133602TX087023233602TX087023333602TX087023433602TX087023533602TX087023633602TX087023733602TX087023833602TX087023933602TX087024033602TX087024133602TX087024233602TX087024333602TX087024433602TX0870245

Blue Advantage Plus Silver? Standard

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX087001033602TX087024633602TX087024733602TX087024833602TX087024933602TX087025033602TX087025133602TX087025233602TX087025333602TX087025433602TX087025533602TX087025633602TX087025733602TX087025833602TX087025933602TX087026033602TX087026133602TX087026233602TX087026333602TX087026433602TX087026533602TX087026633602TX087026733602TX087026833602TX087026933602TX087027033602TX0870271

Blue Advantage Security HMO? 200

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046055233602TX046065533602TX046065633602TX046065733602TX046065833602TX046065933602TX046066033602TX046066133602TX046066233602TX046066333602TX046066433602TX046066533602TX046066633602TX046066733602TX046066833602TX046066933602TX046067133602TX046067233602TX046067333602TX046067433602TX046067533602TX046067633602TX046067733602TX046067833602TX046087233602TX046107733602TX0461078

Blue Advantage Silver HMO? 205

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046055333602TX046068033602TX046068133602TX046068233602TX046068333602TX046068433602TX046068533602TX046068633602TX046068733602TX046068833602TX046068933602TX046069033602TX046069133602TX046069233602TX046069333602TX046069433602TX046069633602TX046069733602TX046069833602TX046069933602TX046070033602TX046070133602TX046070233602TX046070333602TX046086733602TX046106933602TX0461070

Blue Advantage Silver HMO? 801

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046108333602TX046109033602TX046109433602TX046109933602TX046110033602TX046110133602TX046110233602TX046110433602TX046110533602TX046110733602TX046110833602TX046110933602TX046111033602TX0461112

Blue Advantage Silver HMO? Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-ADVANTAGE-HMO Tier

Accepted Plan ID Variations

33602TX046092633602TX046095433602TX046095533602TX046095633602TX046095733602TX046095833602TX046095933602TX046096033602TX046096133602TX046096233602TX046096333602TX046096433602TX046096533602TX046096633602TX046096733602TX046096833602TX046096933602TX046097033602TX046097133602TX046097233602TX046097333602TX046097433602TX046097533602TX046097633602TX046097733602TX046097833602TX0460979

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

CareSource

Bronze 7500 $25 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010024

Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020024

Diabetes Gold 3000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010032

Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020032

Diabetes Silver 5000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010031

Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020031

Gold 2000 $15 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010022

Gold 2000 $15 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020022

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010035

Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020035

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010036

Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020036

Low Deductible Silver 5000 $3 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010025

Low Deductible Silver 5000 $3 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020025

Low Premium Bronze 10600 $25 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010038

Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020038

Low Premium Silver 6200 $3 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010021

Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020021

Platinum Zero $5 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010034

Platinum Zero $5 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020034

Silver 6000 $20 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0010023

Silver 6000 $20 Generic Drugs + Adult Vision & Fitness

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

50328WV0020023

CareSource (Common Ground Healthcare)

CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030003

CareSource (Common Ground Healthcare) Bronze $0 Ded / $2500 Rx Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060023

CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030027

CareSource (Common Ground Healthcare) Bronze $9600 ($45 PCP Copay) - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060015

CareSource (Common Ground Healthcare) Bronze Standard $7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030041

CareSource (Common Ground Healthcare) Bronze Standard $7500 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060003

CareSource (Common Ground Healthcare) Gold $0 Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030005

CareSource (Common Ground Healthcare) Gold $0 Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060025

CareSource (Common Ground Healthcare) Gold $3300

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030017

CareSource (Common Ground Healthcare) Gold $3300 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060006

CareSource (Common Ground Healthcare) Gold Standard $2000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030043

CareSource (Common Ground Healthcare) Gold Standard $2000 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060001

CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030023

CareSource (Common Ground Healthcare) Silver $4700 Ded / $5000 Rx Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060012

CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030047

CareSource (Common Ground Healthcare) Silver $5000 Ded / $6000 Rx Ded - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060011

CareSource (Common Ground Healthcare) Silver Standard $6000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0030042

CareSource (Common Ground Healthcare) Silver Standard $6000 - Vision Exam

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87416WI0060002

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

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

Oscar Health Maintenance Organization of Florida

Bronze Classic 4700

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020002

Bronze Classic 4700 | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010004

Bronze Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000121525FL0020001

Bronze Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010002

Bronze Elite + PCP Saver Plus

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020003

Bronze Elite + PCP Saver Plus | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010005

Bronze Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000621525FL0020004

Bronze Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000721525FL0020005

Bronze Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000821525FL0020006

Gold Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001921525FL0020015

Gold Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010020

Gold Elite Saver Plus | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010022

Gold Simple

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020016

Gold Simple | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010023

Silver Classic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001000921525FL0020007

Silver Classic Standard | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010010

Silver Elite

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020008

Silver Elite | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010012

Silver Simple Breathe Easy with Enhanced COPD Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001321525FL0020009

Silver Simple Chronic Care CKM

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020010

Silver Simple Chronic Care CKM | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010014

Silver Simple Diabetes

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020011

Silver Simple Diabetes | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010015

Silver Simple PCP Saver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0020012

Silver Simple PCP Saver | with AdventHealth

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL0010016

Silver Simple Women's Health with Menopause Benefits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

21525FL001001721525FL0020013

Oscar Insurance Company

Bronze Classic 4700

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010060

Bronze Classic 4700 | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024

Bronze Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002005045819IA0010065

Bronze Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050

Bronze Elite + PCP Saver Plus

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002000545819IA0010056

Bronze Elite + PCP Saver Plus | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005

Bronze Simple

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020068

Bronze Simple Breathe Easy with Enhanced COPD Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020058

Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070

Bronze Simple Chronic Care CKM

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020059

Bronze Simple Chronic Care CKM | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071

Bronze Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020060

Bronze Simple Diabetes | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072

Gold Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002005345819IA0010067

Gold Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053

Gold Elite

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002003645819IA0010063

Gold Elite | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036

Secure

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058

Secure | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011

Silver Classic

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002000645819IA0010057

Silver Classic | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006

Silver Classic Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002005245819IA0010066

Silver Classic Standard | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052

Silver Simple Breathe Easy with Enhanced COPD Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020056

Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076

Silver Simple Chronic Care CKM

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020063

Silver Simple Chronic Care CKM | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077

Silver Simple Diabetes

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002005545819IA0010064

Silver Simple Diabetes | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045

Silver Simple PCP Saver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN002002545819IA0010061

Silver Simple PCP Saver | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025

Silver Simple Women's Health with Menopause Benefits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

23552TN0020064

Silver Simple Women's Health with Menopause Benefits | MercyOne

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078

Premera Blue Cross Blue Shield of Alaska

Premera Blue Cross Alaska One Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1080001

Premera Blue Cross Preferred Bronze 5800 HSA

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1070002

Premera Blue Cross Preferred Bronze 6350

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060004

Premera Blue Cross Preferred Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060001

Premera Blue Cross Preferred Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1060002

Premera Blue Cross Standard Bronze II

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100004

Premera Blue Cross Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100001

Premera Blue Cross Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: LEGACYANDDENTALSELECT Tier

Accepted Plan ID Variations

38344AK1100002

Premera Blue Cross Family Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1110001

Premera Blue Cross Pediatric Dental

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DENTALSELECT Tier

Accepted Plan ID Variations

38344AK1120001

Sendero Health Plans, Local Nonprofit

Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010022

Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010017

Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010018

Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010001

Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010008

Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010020

Sendero Health Real Gold / $350 Deductible

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

71837TX0010002

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does OMOSALEWA ADENIKINJU M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee, Blue Cross and Blue Shield of Texas, CareSource, CareSource (Common Ground Healthcare), HMO Louisiana, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company, Premera Blue Cross Blue Shield of Alaska, Sendero Health Plans, Local Nonprofit. 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?

OMOSALEWA ADENIKINJU M.D. 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.