DMITRY V LISTENGARTEN MD
Accepted Insurance for NPI 1669433173
Psychiatry & Neurology - Psychiatry in San Antonio, TX


Quality Rating: 61.81 out of 100 score

NPI Status: Active since April 01, 2006

Contact Information

8550 HUEBNER ROAD
SAN ANTONIO, TX
ZIP 78229
Phone: (210) 541-5300

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with DMITRY V LISTENGARTEN MD, a practicing psychiatry & neurology professional in San Antonio, TX. 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 845 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of Texas, and Blue Cross Blue Shield of Arizona. 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.

Fitler by Network Type

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600010
Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600011
Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610010
Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610011
Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590010
Catastrophic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590050
Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600030
Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600031
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610030
Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610031
Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590030
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600020
Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0600021
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610020
Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0610021
Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIERONE Tier

Accepted Plan ID Variations

68445AZ0590020

Blue Cross Blue Shield of Arizona

AZ Blue ACA StandardHealth Silver with Health Choice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: ACAHEALTHCHOICE Tier

Accepted Plan ID Variations

53901AZ142015653901AZ142015753901AZ142016153901AZ142016253901AZ142016353901AZ142016653901AZ1420167
AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008653901AZ142008753901AZ1420093
AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008853901AZ142008953901AZ142009053901AZ142009153901AZ142009253901AZ142009453901AZ1420095
AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142010853901AZ142010953901AZ1420115
AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142011053901AZ142011153901AZ142011253901AZ142011353901AZ142011453901AZ142011653901AZ1420117
AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009753901AZ142009853901AZ1420104
AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009953901AZ142010053901AZ142010153901AZ142010253901AZ142010353901AZ142010553901AZ1420106
AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000153901AZ142000253901AZ1420050
AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000353901AZ142000653901AZ142000753901AZ142004853901AZ142004953901AZ142005153901AZ1420052
AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000853901AZ142000953901AZ1420056
AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142001053901AZ142001353901AZ142001453901AZ142005453901AZ142005553901AZ142005753901AZ1420058
AZ Blue Portfolio Bronze HSA Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002253901AZ142002353901AZ1420068
AZ Blue Portfolio Bronze HSA Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002453901AZ142002753901AZ142002853901AZ142006653901AZ142006753901AZ142006953901AZ1420070
AZ Blue StandardHealth Bronze Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012253901AZ142012553901AZ1420143
AZ Blue StandardHealth Bronze Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012853901AZ142013153901AZ142013453901AZ142013753901AZ142014053901AZ142014653901AZ1420149
AZ Blue StandardHealth Gold Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012053901AZ142012353901AZ1420141
AZ Blue StandardHealth Gold Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012653901AZ142012953901AZ142013253901AZ142013553901AZ142013853901AZ142014453901AZ1420147
AZ Blue StandardHealth Silver Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012153901AZ142012453901AZ1420142
AZ Blue StandardHealth Silver Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012753901AZ142013053901AZ142013353901AZ142013653901AZ142013953901AZ142014553901AZ1420148

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

Imperial Insurance Companies, Inc.

Imperial Preferred Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

85533AZ0020002
Imperial Preferred Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

85533AZ0020001
Imperial Standard Bronze
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

85533AZ0010001
Imperial Standard Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

85533AZ0010003
Imperial Standard Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

85533AZ0010002

Molina Healthcare

Molina Gold Core 1640
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020001
Molina Gold Core 1640 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0060001
Molina Gold Core 1640 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0050001
Molina Gold Saver 750
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020013
Molina Gold Saver 750 Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0060003
Molina Gold Saver 750 Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0050009
Molina Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020010
Molina Silver Core
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020002
Molina Silver Core Plus with Adult Dental and Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0060002
Molina Silver Core Plus with Adult Vision
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0050002
Molina Silver Saver with Four Free PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020012
Molina Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45786TX0020011

Oscar Health Plan, Inc.

Bronze Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070050
Bronze Elite + PCP Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070005
Bronze Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070072
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

13877AZ0070056
Bronze Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070057
Buena Salud Bronce Simple Para Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070058
Gold Classic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070013
Gold Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070053
Gold Simple
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070073
Gold Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070068
Silver Classic Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070052
Silver Elite Saver Plus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070030
Silver Simple Chronic Care CKM
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070060
Silver Simple Diabetes
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070063
Silver Simple PCP Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070025
Silver Simple Specialist Saver with COPD
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13877AZ0070008
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

13877AZ0070064

Oscar Insurance Company

Bronze Classic 4700
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100024
Bronze Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100050
Bronze Elite + PCP Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100005
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

20069TX0100064
Bronze Simple Chronic Care CKM
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100059
Bronze Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100068
Gold Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100055
Gold Classic Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051002020069TX051002220069TX051002420069TX051005520069TX051006320069TX051007120069TX051007920069TX0510127
Gold Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100053
Gold Classic Standard Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051003220069TX051003420069TX051003620069TX051005720069TX051006520069TX051007320069TX051008120069TX0510128
Gold Elite
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100056
Gold Simple Diabetes Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051003720069TX051003820069TX051003920069TX051004220069TX051004320069TX051004420069TX051004520069TX0510129
Gold Simple Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051002120069TX051002320069TX051002520069TX051005620069TX051006420069TX051007220069TX051008020069TX0510130
Silver Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100006
Silver Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100052
Silver Classic Standard Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051003120069TX051003320069TX051003520069TX051005420069TX051006220069TX051007020069TX051007820069TX0510120
Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051000120069TX051000220069TX051000320069TX051000420069TX051000520069TX051000620069TX051000720069TX0510121
Silver Simple Chronic Care CKM Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001220069TX051001620069TX051004020069TX051005220069TX051006020069TX051006820069TX051007620069TX0510122
Silver Simple Diabetes Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001320069TX051001720069TX051004120069TX051005320069TX051006120069TX051006920069TX051007720069TX0510123
Silver Simple Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001020069TX051001420069TX051001820069TX051005020069TX051005820069TX051006620069TX051007420069TX0510124
Silver Simple PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX0100025
Silver Simple PCP Saver Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051001120069TX051001520069TX051001920069TX051005120069TX051005920069TX051006720069TX051007520069TX0510125
Silver Simple Women's Health with Menopause Benefits Guided Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

20069TX051000820069TX051000920069TX051002620069TX051002720069TX051002820069TX051002920069TX051003020069TX0510126

UnitedHealthcare

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080031
UHC Bronze Essential ($0 Virtual Urgent Care)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080045
UHC Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080015
UHC Bronze Standard+ (Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090005
UHC Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080028
UHC Gold Advantage+ ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090002
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080055
UHC Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090008
UHC Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080024
UHC Kelsey-Seybold Bronze Copay Focus $0 Indiv Med Ded
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080032
UHC Kelsey-Seybold Bronze Copay Focus+ $0 Indiv Med Ded (Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090006
UHC Kelsey-Seybold Gold Copay Focus $0 Indiv Med Ded ($8 Tier 2 Rx)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080034
UHC Kelsey-Seybold Gold Copay Focus+ $0 Indiv Med Ded ($8 Tier 2 Rx, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090009
UHC Kelsey-Seybold Silver Copay Focus $0 Indiv Med Ded
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080033
UHC Kelsey-Seybold Silver Copay Focus+ $0 Indiv Med Ded (Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090007
UHC Sanitas Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020002
UHC Sanitas Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0030001
UHC Sanitas Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020001
UHC Sanitas Gold Advantage ($0 Virtual Urgent Care, $8 Tier 2 Rx)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020009
UHC Sanitas Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020006
UHC Sanitas Gold Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $8 Tier 2 Rx, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0030003
UHC Sanitas Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020005
UHC Sanitas Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020004
UHC Sanitas Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0030002
UHC Sanitas Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020003
UHC Sanitas Silver Value ($0 Virtual Urgent Care)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

70754TX0020008
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080026
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090001
UHC Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080020
UHC Silver Value ($0 Virtual Urgent Care)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0080025
UHC Silver Value+ ($0 Virtual Urgent Care, Dental + Vision)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

40220TX0090004

WellPoint

Wellpoint Essential Bronze 4000 HSA (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040002
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040004
Wellpoint Essential Bronze 6000 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

47501TX0040003
Wellpoint Essential Bronze 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

47501TX0040005
Wellpoint Essential Bronze POS 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0030003
Wellpoint Essential Bronze 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

47501TX0030002
Wellpoint Essential Bronze 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

47501TX0030004
Wellpoint Essential Catastrophic (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040006
Wellpoint Essential Gold 1500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040007
Wellpoint Essential Gold 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

47501TX0040008
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040009
Wellpoint Essential Gold POS 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0030005
Wellpoint Essential Gold POS 2000 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

47501TX0030006
Wellpoint Essential Gold POS 700 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0030007
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040011
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0040012
Wellpoint Essential Silver 3500 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

47501TX0040010
Wellpoint Essential Silver 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

47501TX0040013
Wellpoint Essential Silver POS 2500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0030008
Wellpoint Essential Silver POS 4000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

47501TX0030009
Wellpoint Essential Silver POS 6000 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

47501TX0030001
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Arizona, Inc., Blue Cross Blue Shield of Arizona, Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Health Plan, Inc., Oscar Insurance Company, UnitedHealthcare, WellPoint. You can filter specific policies or search for unique plans using the open dashboard controls located above.
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.
DMITRY V LISTENGARTEN MD is enrolled across the following managed care network types: EPO, HMO, POS.
  • HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
  • 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.