DR. SHEENA HOPE TONKIN MD
Accepted Insurance Health Plans for NPI 1568720910
Pediatrics in Lakeland, FL

NPI Status: Active since April 23, 2012

Contact Information

2300 E COUNTY ROAD 540A
LAKELAND, FL
ZIP 33813
Phone: (863) 607-3346
Fax: (866) 264-8519

Table of Contents - List of Insurance Companies

Cigna Healthcare
Florida Blue (BlueCross BlueShield FL)
Florida Blue HMO (a BlueCross BlueShield FL company)

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by DR. SHEENA HOPE TONKIN MD. 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.

Cigna Healthcare (10 plans)

Connect Bronze 0 Indiv Med Deductible

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070108

Dental Only? No

Connect Bronze 5500 Indiv Med Deductible

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070122

Dental Only? No

Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070051

Dental Only? No

Connect Bronze CMS Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070107

Dental Only? No

Connect Gold 2000 Indiv Med Deductible

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070033

Dental Only? No

Connect Gold 800 Indiv Med Deductible

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070057

Dental Only? No

Connect Gold CMS Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070104

Dental Only? No

Connect Silver 3600 Indiv Med Deductible

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070029

Dental Only? No

Connect Silver 4300 Indiv Med Deductible

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070030

Dental Only? No

Connect Silver CMS Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48121FL0070105

Dental Only? No

Florida Blue (BlueCross BlueShield FL) (14 plans)

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

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260010

Dental Only? No

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

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260004

Dental Only? No

BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260006

Dental Only? No

BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260017

Dental Only? No

BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260018

Dental Only? No

BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260009

Dental Only? No

BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260012

Dental Only? No

BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260020

Dental Only? No

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

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260005

Dental Only? No

BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260008

Dental Only? No

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

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260021

Dental Only? No

BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260003

Dental Only? No

BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260007

Dental Only? No

BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 16842FL0260019

Dental Only? No

Florida Blue HMO (a BlueCross BlueShield FL company) (76 plans)

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

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140009

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140003

Dental Only? No

BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140005

Dental Only? No

BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140025

Dental Only? No

BlueCare Bronze 24K01-31S (Multilingual Available / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140031

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140017

Dental Only? No

BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140018

Dental Only? No

BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140023

Dental Only? No

BlueCare Bronze 24K02-26S (Multilingual Available / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140026

Dental Only? No

BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140008

Dental Only? No

BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140010

Dental Only? No

BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140033

Dental Only? No

BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140020

Dental Only? No

BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140028

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140004

Dental Only? No

BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140007

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140034

Dental Only? No

BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140015

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140029

Dental Only? No

BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140002

Dental Only? No

BlueCare Silver 24K01-06 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140006

Dental Only? No

BlueCare Silver 24K01-32S ($40 PCP Visits / Multilingual Available / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140032

Dental Only? No

BlueCare Silver 24K02-21 ($0 Virtual PCP Visits / $0 Labs / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140021

Dental Only? No

BlueCare Silver 24K02-27S ($40 PCP Visits / Multilingual Available / Rewards)

Type: POS

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0140027

Dental Only? No

myBlue Bronze 1601 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $45 / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070001

Dental Only? No

myBlue Bronze 2013 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $30 / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070025

Dental Only? No

myBlue Bronze 2129 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070031

Dental Only? No

myBlue Bronze 2129E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200009

Dental Only? No

myBlue Bronze 2129V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190009

Dental Only? No

myBlue Bronze 2149 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070033

Dental Only? No

myBlue Bronze 2149E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200010

Dental Only? No

myBlue Bronze 2149V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190010

Dental Only? No

myBlue Bronze 2219 ($0 Virtual PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070039

Dental Only? No

myBlue Bronze 2286 ($0 Virtual PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070041

Dental Only? No

myBlue Bronze 2312S ($50 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070044

Dental Only? No

myBlue Bronze 2322S ($50 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070045

Dental Only? No

myBlue Bronze 2329 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070046

Dental Only? No

myBlue Bronze 2329E ($0 Virtual PCP Visits / $75 PCP Visits / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200022

Dental Only? No

myBlue Bronze 2329V ($0 Virtual PCP Visits / $75 PCP Visits / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190018

Dental Only? No

myBlue Bronze 2349 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070036

Dental Only? No

myBlue Connected Care Silver 24M03-70 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070070

Dental Only? No

myBlue Gold 1605 ($0 Virtual PCP Visits / $0 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070009

Dental Only? No

myBlue Gold 2011 ($0 Virtual PCP Visits / $0 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070023

Dental Only? No

myBlue Gold 2016 ($0 Deductible / $0 Virtual PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070028

Dental Only? No

myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070055

Dental Only? No

myBlue Gold 2325S ($30 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070056

Dental Only? No

myBlue Gold 24M05-74 ($0 Deductible / $0 Virtual PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070074

Dental Only? No

myBlue Platinum 2015 ($0 Deductible / $0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070027

Dental Only? No

myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070058

Dental Only? No

myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070100

Dental Only? No

myBlue Platinum 24M05-75 ($0 Deductible / $0 Virtual PCP Visits / $0 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070075

Dental Only? No

myBlue Silver 2010 ($0 Virtual PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070022

Dental Only? No

myBlue Silver 2010E ($0 Virtual PCP Visits / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200003

Dental Only? No

myBlue Silver 2010V ($0 Virtual PCP Visits / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190003

Dental Only? No

myBlue Silver 2237 ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070035

Dental Only? No

myBlue Silver 2237E ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200011

Dental Only? No

myBlue Silver 2237V ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Adult Vision / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190011

Dental Only? No

myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070053

Dental Only? No

myBlue Silver 2323S ($40 PCP Visits / Multilingual Available / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070054

Dental Only? No

myBlue Silver 24M02-78 ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070078

Dental Only? No

myBlue Silver 24M02-78E ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200032

Dental Only? No

myBlue Silver 24M02-78V ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190028

Dental Only? No

myBlue Silver 24M03-70E ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200029

Dental Only? No

myBlue Silver 24M03-70V ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190025

Dental Only? No

myBlue Silver 24M06-76 ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070076

Dental Only? No

myBlue Silver 24M06-76E ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200034

Dental Only? No

myBlue Silver 24M06-76V ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190030

Dental Only? No

myBlue Silver 25M02-03 ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070103

Dental Only? No

myBlue Silver 25M02-03E ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200038

Dental Only? No

myBlue Silver 25M02-03V ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190034

Dental Only? No

myBlue Silver 25M03-01 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070101

Dental Only? No

myBlue Silver 25M03-01E ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200036

Dental Only? No

myBlue Silver 25M03-01V ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190032

Dental Only? No

myBlue Silver 25M06-02 ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0070102

Dental Only? No

myBlue Silver 25M06-02E ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0200037

Dental Only? No

myBlue Silver 25M06-02V ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Vision / Rewards)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30252FL0190033

Dental Only? No

Frequently Asked Questions

What are the different Plan Types?

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.

What is Market Coverage?

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.

What is Network Tier?

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.

What is a Plan ID?

Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.

What does Dental-Only mean?

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.