DR. ZAKIR A SHAIKH D.M.D., M.D.
Accepted Insurance for NPI 1619088622
Dentist - Oral and Maxillofacial Surgery in Orlando, FL

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

DR. ZAKIR A SHAIKH D.M.D., 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 August 31, 2006

Contact Information

7352 STONEROCK CIR
SUITE A
ORLANDO, FL
ZIP 32819
Phone: (407) 351-0575
Fax: (407) 363-6945

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DR. ZAKIR A SHAIKH D.M.D., M.D., a practicing dentist professional in Orlando, FL. 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 332 individual coverage options managed by medical networks, including networks like Ambetter Health, Ambetter of Alabama, and Anthem Blue Cross and Blue Shield. 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 Health
Ambetter of Alabama
Anthem Blue Cross and Blue Shield
Blue Cross and Blue Shield of Alabama
Blue Cross and Blue Shield of Montana
Blue Cross and Blue Shield of Oklahoma
Blue Cross and Blue Shield of Texas
Delta Dental
Florida Blue (BlueCross BlueShield FL)
Florida Combined Life
HRI Dental & Vision
Humana
Paramount
Renaissance Dental
Solstice Benefits
UnitedHealthcare

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Fitler by Network Type

Ambetter Health

Clarity Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL0010031

Complete Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001149004FL0010025

Complete Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002001049004FL0020021

Elite Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000449004FL0010017

Elite Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000449004FL0020015

Enhanced Diabetes Care Silver with $0 Drug Options

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000949004FL0010023

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000849004FL0020020

Everyday Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000249004FL0010015

Everyday Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000249004FL0020013

Everyday Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001049004FL0010026

Everyday Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000949004FL0020022

Focused Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000749004FL0010021

Focused Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000649004FL0020018

Standard Expanded Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000149004FL0010018

Standard Expanded Bronze + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002000149004FL0020016

Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001001349004FL0010028

Standard Gold + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002001249004FL0020024

Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL001000649004FL0010024

Standard Silver + Vision + Adult Dental

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL002002749004FL0020028

Thrive Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

49004FL0010032

Ambetter of Alabama

Complete Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100015

Complete Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110010

Elite Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100014

Elite Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110014

Elite Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100016

Elite Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110015

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

53932AL0100018

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

53932AL0110018

Everyday Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100003

Everyday Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110003

Focused Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100005

Focused Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110005

Standard Expanded Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100011

Standard Expanded Bronze + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110011

Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100013

Standard Gold + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110013

Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0100012

Standard Silver + Vision + Adult Dental

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53932AL0110017

Anthem Blue Cross and Blue Shield

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990010

Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990008

Anthem Bronze Essential 6500 HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990011

Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990009

Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN1000002

Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN1000001

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980022

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970001

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970010

Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980014

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

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980019

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970007

Anthem Bronze Pathway 8500 for HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970012

Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000279475WI055001179475WI055001279475WI055001379475WI0550054

Anthem Bronze Pathway/Lean HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000179475WI055000879475WI055000979475WI055001079475WI0550042

Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055002979475WI055003279475WI055003979475WI055004079475WI0550052

Anthem Catastrophic Essential (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990004

Anthem Catastrophic Pathway (+ Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980017

Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990006

Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990012

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980021

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970009

Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000679475WI055002079475WI055002179475WI055002279475WI0550046

Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055003179475WI055003379475WI055003679475WI055003879475WI0550056

Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990007

Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980018

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970002

Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000779475WI055002379475WI055002479475WI055002579475WI0550048

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990002

Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980013

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970006

Anthem Silver Essential 3500 HSA (+ Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990013

Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990005

Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990003

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN0990001

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970005

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

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970011

Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980015

Anthem Silver Pathway 5500 for HSA

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970004

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980020

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

29276OH0970008

Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

32753MO0980016

Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000379475WI055001479475WI055001579475WI055001679475WI0550044

Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055000579475WI055001779475WI055001879475WI055001979475WI0550050

Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

79475WI055003079475WI055003479475WI055003579475WI055003779475WI0550058

Anthem Dental Family

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN086000329276OH083000332753MO086000390028WI0420003

Anthem Dental Family Enhanced

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN086000429276OH083000432753MO086000490028WI0420004

Anthem Dental Family Preventive

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN086000629276OH083000632753MO086000690028WI0420006

Anthem Dental Family Value

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

17575IN086000529276OH083000532753MO086000590028WI0420005

Blue Cross and Blue Shield of Alabama

Blue HSA Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0560001

Blue Protect

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0470001

Blue Saver Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0460001

Blue Standardized Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0780001

Blue Statewide Silver EPO

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0770001

Blue Value Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0370001

Blue Value Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0410001

Blue Access Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0340001

Blue Choice Platinum for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0280001

Blue HSA Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0680001

Blue Saver Bronze for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0430001

Blue Saver Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0760001

Blue Secure Gold for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0670001

Blue Secure Silver for Business

PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-ONE Tier

Accepted Plan ID Variations

46944AL0380001

Blue Cross and Blue Shield of Montana

BlueCare Dental 4 Kids? 1A

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30751MT0580003

BlueCare Dental 4 Kids? 1B

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30751MT0580004

BlueCare Dental? 1A

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30751MT0580001

BlueCare Dental? 1B

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30751MT0580002

BlueCare Dental? 1C

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30751MT0580005

BlueCare Dental? 1D

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30751MT0580006

Blue Cross and Blue Shield of Oklahoma

BlueCare Dental 4 Kids? 1A

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87571OK0390003

BlueCare Dental 4 Kids? 1B

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87571OK0390004

BlueCare Dental? 1A

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87571OK0390001

BlueCare Dental? 1B

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87571OK0390002

BlueCare Dental? 1C

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87571OK0390005

BlueCare Dental? 1D

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87571OK0390006

Blue Cross and Blue Shield of Texas

BlueCare Dental 1D

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33602TX0500007

BlueCare Dental 4 Kids? 1A

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33602TX0500003

BlueCare Dental 4 Kids? 1B

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33602TX0500004

BlueCare Dental? 1A

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33602TX0500001

BlueCare Dental? 1B

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33602TX0500002

BlueCare Dental? 1C

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

33602TX0500006

Delta Dental

Delta Dental PPO Basic Plan for Families

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO Tier

Accepted Plan ID Variations

97725FL0010006

Delta Dental PPO Preferred Plan for Families

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO Tier

Accepted Plan ID Variations

97725FL0010004

Delta Dental PPO Preventive Plan for Families

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTA-DENTAL-PPO Tier

Accepted Plan ID Variations

97725FL0010007

DeltaCare USA Basic Plan for Families

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTACARE-USA Tier

Accepted Plan ID Variations

97725FL0030006

DeltaCare USA Preferred Plan for Families

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: DELTACARE-USA Tier

Accepted Plan ID Variations

97725FL0030004

Florida Blue (BlueCross BlueShield FL)

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

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260010

BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260004

BlueOptions Bronze 24J01-06 (Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260006

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

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260017

BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260018

BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260009

BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260012

BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260020

BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260005

BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260008

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

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260021

BlueOptions Silver 24J01-03 ($10 Labs / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260003

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

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260007

BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260019

BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120078

BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120068

BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120091

BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320014

BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310014

BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120093

BlueSelect Bronze 24L01-01 (Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120001

BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120076

BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310001

BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120086

BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120095

BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120062

BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120070

BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120096

BlueSelect Silver 1443 ($10 Labs / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120072

BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320004

BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310004

BlueSelect Silver 1456 ($50 PCP Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120033

BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120094

Florida Combined Life

BlueDental Copayment Q

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COPAYMENT-NETWORK Tier

Accepted Plan ID Variations

30115FL0010001

BlueDental Copayment QF

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: COPAYMENT-NETWORK Tier

Accepted Plan ID Variations

30115FL0040001

HRI Dental & Vision

HRI Essential Plus Plan

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

33086IN0060002

HRI Essential Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

25945OH0020002

HRI Preventive Family Plan

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

33086IN0060001

HRI Preventive Family Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

25945OH0020001

HRI Total Care Plan

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

33086IN0060003

HRI Total Care Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

25945OH0020003

Humana

Humana Dental Smart Choice

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

44965LA059000191604WI0490002

Humana Dental Smart Choice - Basic

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

46958UT0470002

Humana Dental Smart Choice - High

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000423468OK020000230613MO056000331358HI001000232237NC029000244580AL038000346958UT048000148963MS051000363141TX076000266105AZ062000382120TN063000599791IN0540002

Humana Dental Smart Choice - Lite

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000523468OK020000330613MO056000232237NC029000344580AL038000463141TX076000382120TN0630006

Humana Dental Smart Choice - Low

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

15980FL016000323468OK020000130613MO056000131358HI001000132237NC029000144580AL038000148963MS051000262294MI042000163141TX076000166105AZ062000282120TN063000497596OH058000399791IN0540001

Paramount

Paramount Dental Essential Plus Plan

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

95233MI0210002

Paramount Dental Preventive Family Plan

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

95233MI0210001

Paramount Dental Total Care Plan

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

95233MI0210003

Renaissance Dental

Alabama Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28725AL0110002

Alabama Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28725AL0130002

Alabama Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28725AL0110001

Alabama Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28725AL0130001

Alabama Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28725AL0150001

Florida Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

48129FL0130004

Florida Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

48129FL0150004

Florida Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

48129FL0130003

Florida Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

48129FL0150003

Florida Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

48129FL0180001

High PPO Dental Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28419LA0040001

High PPO Dental Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28419LA0050001

Kansas Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

95038KS0040003

Kansas Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

95038KS0050002

Kansas Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

95038KS0070001

Low PPO Dental Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28419LA0040002

Low PPO Dental Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

28419LA0050002

Mississippi Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

84254MS0050003

Mississippi Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

84254MS0060002

Mississippi Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

84254MS0090001

Missouri Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35853MO0040004

Missouri Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35853MO0050004

Missouri Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35853MO0040003

Missouri Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35853MO0050003

Missouri Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

35853MO0070001

New Hampshire Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72953NH0040002

New Hampshire Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72953NH0060002

New Hampshire Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72953NH0040001

New Hampshire Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

72953NH0060001

Oklahoma Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13711OK0040003

Oklahoma Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13711OK0050002

Oklahoma Wellness Essentials (On Exchange)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13711OK0100001

South Carolina Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

97325SC0060004

South Carolina Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

97325SC0070004

South Carolina Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

97325SC0060003

South Carolina Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

97325SC0070003

South Carolina Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

97325SC0090001

Texas Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

40540TX0060005

Texas Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

40540TX0070004

Texas Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

40540TX0060003

Texas Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

40540TX0070003

Texas Wellness Essentials Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

40540TX0100001

Utah Preferred EPO Plan

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87169UT0070001

Utah Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87169UT0040004

Utah Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87169UT0050004

Utah Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87169UT0040003

Utah Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87169UT0050003

Utah Wellness Essential EPO Plan

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

87169UT0080001

Wisconsin Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34210WI0040003

Wisconsin Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34210WI0050002

Wisconsin Wellness Essentials

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34210WI0070001

Wyoming Preferred Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

80132WY0040004

Wyoming Preferred Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

80132WY0050004

Wyoming Preferred Plus Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

80132WY0040003

Wyoming Preferred Plus Plan (Pediatric Only)

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

80132WY0050003

Solstice Benefits

EssentialSmile Ped 221

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43274FL0010001

Smile Now Florida - No Waiting Period PPO

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43274FL0010002

UnitedHealthcare

Lone Star - Smile Now

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98809TX0690002

Smile Now Arizona - No Waiting Period PPO

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

82011AZ0110001

Smile Now Michigan - No Waiting Period PPO

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

63631MI0140001

Smile Now Ohio - No Waiting Period PPO

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

56726OH0080001

Smile Now Texas- No Waiting Period Plan

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

98809TX0690001

Smile Now Utah - No Waiting Period PPO

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

97462UT0100001

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does DR. ZAKIR A SHAIKH D.M.D., M.D. accept?

This provider accepts health insurance plans managed by the following insurance companies: Ambetter Health, Ambetter of Alabama, Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Delta Dental, Florida Blue (BlueCross BlueShield FL), Florida Combined Life, HRI Dental & Vision, Humana, Paramount, Renaissance Dental, Solstice Benefits, UnitedHealthcare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.

What managed care network types are accepted by this provider?

DR. ZAKIR A SHAIKH D.M.D., 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.