DR. JEFFREY ROYLE PAPWORTH DDS
Accepted Insurance Health Plans for NPI 1710362470
Dentist in Murrieta, CA

NPI Status: Active since July 23, 2015

Contact Information

40250 MURRIETA HOT SPRINGS RD
SUITE 119
MURRIETA, CA
ZIP 92563
Phone: (951) 698-4426
Fax: (951) 698-7570

Get Directions

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by DR. JEFFREY ROYLE PAPWORTH DDS. Use the filter tool below to quickly find details about your health plan, including the plan name, market, network tier or type, and ID. If you're looking for a specific plan, type its name into the search box.

Antidote Health Plan of Arizona, Inc. (16 plans)

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

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0600010

Dental Only? No

Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0600011

Dental Only? No

Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0610010

Dental Only? No

Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0610011

Dental Only? No

Bronze Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0590010

Dental Only? No

Catastrophic Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0590050

Dental Only? No

Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0600030

Dental Only? No

Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0600031

Dental Only? No

Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0610030

Dental Only? No

Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0610031

Dental Only? No

Gold Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0590030

Dental Only? No

Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0600020

Dental Only? No

Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0600021

Dental Only? No

Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0610020

Dental Only? No

Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0610021

Dental Only? No

Silver Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 68445AZ0590020

Dental Only? No

Antidote Health Plan of Ohio, Inc. (16 plans)

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

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0020010

Dental Only? No

Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0020011

Dental Only? No

Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0030010

Dental Only? No

Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0030011

Dental Only? No

Bronze Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0010010

Dental Only? No

Catastrophic Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0010050

Dental Only? No

Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0020030

Dental Only? No

Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0020031

Dental Only? No

Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0030030

Dental Only? No

Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0030031

Dental Only? No

Gold Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0010030

Dental Only? No

Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0020020

Dental Only? No

Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0020021

Dental Only? No

Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0030020

Dental Only? No

Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0030021

Dental Only? No

Silver Standard

Type: HMO

Market: Individual

Network Tier: TIERONE

Plan ID: 31981OH0010020

Dental Only? No

BEST Life (97 plans)

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 94482NC0020003

Dental Only? Yes

BEST Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 29416MO0020008

Dental Only? Yes

BEST Life Essentail Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 42757UT0020008

Dental Only? Yes

BEST Life Essentail Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 42757UT0020006

Dental Only? Yes

BEST Life Essental Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 89281SC0020006

Dental Only? Yes

BEST Life Essential Basic Dental

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 94482NC0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 17121FL0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 74819AK0020012

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 75329ND0020008

Dental Only? Yes

BEST Life Essential Basic Dental

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 78461LA0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 10046HI0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 11324MS0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 12538AL0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 24601TN0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 26904AR0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 35700MI0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 40254OK0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47509OH0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47665TX0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 50022NE0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 61214SD0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 63790KS0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 71051IA0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 77352AZ0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 83557IN0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 89281SC0020008

Dental Only? Yes

BEST Life Essential Basic Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 93895MT0020008

Dental Only? Yes

BEST Life Essential Vakue Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 17121FL0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 29416MO0020006

Dental Only? Yes

BEST Life Essential Value Dental

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 94482NC0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 10046HI0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 11324MS0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 12538AL0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 24601TN0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 26904AR0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 35700MI0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 40254OK0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47509OH0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47665TX0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 50022NE0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 61214SD0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 63790KS0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 71051IA0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 74819AK0020010

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 75329ND0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 77352AZ0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 78461LA0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 83557IN0020006

Dental Only? Yes

BEST Life Essential Value Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 93895MT0020006

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47665TX0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 74819AK0020011

Dental Only? Yes

BEST Life Preferred Dental

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 17121FL0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 10046HI0020007

Dental Only? Yes

BEST Life Preferred Dental plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 11324MS0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 12538AL0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 24601TN0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 26904AR0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 29416MO0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 35700MI0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 40254OK0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 42757UT0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47509OH0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 50022NE0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 61214SD0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 63790KS0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 71051IA0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 75329ND0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 77352AZ0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 78461LA0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 83557IN0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 89281SC0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 93895MT0020007

Dental Only? Yes

BEST Life Preferred Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 94482NC0020007

Dental Only? Yes

BEST Life Superior Dental

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 17121FL0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 89281SC0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 10046HI0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 11324MS0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 12538AL0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 24601TN0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 26904AR0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 29416MO0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 35700MI0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 40254OK0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 42757UT0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47509OH0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 47665TX0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 50022NE0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 61214SD0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 63790KS0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 71051IA0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 74819AK0020007

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 75329ND0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 77352AZ0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 78461LA0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 83557IN0020003

Dental Only? Yes

BEST Life Superior Dental Plan

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 93895MT0020003

Dental Only? Yes

BESTOne Dental Plus Silver

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 84033IL0020001

Dental Only? Yes

Blue Cross and Blue Shield of Alabama (12 plans)

Blue HSA Bronze

Type: PPO

Market: Individual

Network Tier: TIER-ONE

Plan ID: 46944AL0560001

Dental Only? No

Blue Protect

Type: PPO

Market: Individual

Network Tier: TIER-ONE

Plan ID: 46944AL0470001

Dental Only? No

Blue Saver Bronze

Type: PPO

Market: Individual

Network Tier: TIER-ONE

Plan ID: 46944AL0460001

Dental Only? No

Blue Value Gold

Type: PPO

Market: Individual

Network Tier: TIER-ONE

Plan ID: 46944AL0370001

Dental Only? No

Blue Value Silver

Type: PPO

Market: Individual

Network Tier: TIER-ONE

Plan ID: 46944AL0410001

Dental Only? No

Blue Access Gold for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0340001

Dental Only? No

Blue Choice Platinum for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0280001

Dental Only? No

Blue HSA Silver for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0680001

Dental Only? No

Blue Saver Bronze for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0430001

Dental Only? No

Blue Saver Gold for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0760001

Dental Only? No

Blue Secure Gold for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0670001

Dental Only? No

Blue Secure Silver for Business

Type: PPO

Market: SHOP (Small Group)

Network Tier: TIER-ONE

Plan ID: 46944AL0380001

Dental Only? No

Blue Cross and Blue Shield of Illinois (6 plans)

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830005

Dental Only? Yes

BlueCare Dental? 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 36096IL0830006

Dental Only? Yes

Blue Cross and Blue Shield of Montana (6 plans)

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580005

Dental Only? Yes

BlueCare Dental? 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30751MT0580006

Dental Only? Yes

Blue Cross and Blue Shield of Oklahoma (6 plans)

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390005

Dental Only? Yes

BlueCare Dental? 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87571OK0390006

Dental Only? Yes

Blue Cross and Blue Shield of Texas (6 plans)

BlueCare Dental 1D

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500007

Dental Only? Yes

BlueCare Dental 4 Kids? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500003

Dental Only? Yes

BlueCare Dental 4 Kids? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500004

Dental Only? Yes

BlueCare Dental? 1A

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500001

Dental Only? Yes

BlueCare Dental? 1B

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500002

Dental Only? Yes

BlueCare Dental? 1C

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 33602TX0500006

Dental Only? Yes

Florida Combined Life (2 plans)

BlueDental Copayment Q

Type: PPO

Market: Individual

Network Tier: ADVANTAGE-PLUS-NETWORK-IF-OUTSIDE-OF-FLORIDA

Plan ID: 30115FL0010001

Dental Only? Yes

BlueDental Copayment QF

Type: PPO

Market: Individual

Network Tier: ADVANTAGE-PLUS-NETWORK-IF-OUTSIDE-OF-FLORIDA

Plan ID: 30115FL0040001

Dental Only? Yes

Humana (35 plans)

Humana Dental Smart Choice

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 44965LA0590001

Dental Only? Yes

Humana Dental Smart Choice

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 62294MI0420001

Dental Only? Yes

Humana Dental Smart Choice

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91604WI0490002

Dental Only? Yes

Humana Dental Smart Choice

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97596OH0580003

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 15980FL0160004

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23468OK0200002

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 31358HI0010002

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 32237NC0290002

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 44580AL0380003

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48963MS0510003

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 63141TX0760002

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 66105AZ0620003

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 68303IL0700002

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 82120TN0630005

Dental Only? Yes

Humana Dental Smart Choice - High

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99791IN0540002

Dental Only? Yes

Humana Dental Smart Choice - Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 15980FL0160005

Dental Only? Yes

Humana Dental Smart Choice - Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30613MO0560002

Dental Only? Yes

Humana Dental Smart Choice - Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 32237NC0290003

Dental Only? Yes

Humana Dental Smart Choice - Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 44580AL0380004

Dental Only? Yes

Humana Dental Smart Choice - Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 63141TX0760003

Dental Only? Yes

Humana Dental Smart Choice - Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 82120TN0630006

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 15980FL0160003

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23468OK0200001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 30613MO0560001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 31358HI0010001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 32237NC0290001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 44580AL0380001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48963MS0510002

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 63141TX0760001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 66105AZ0620002

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 68303IL0700001

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 82120TN0630004

Dental Only? Yes

Humana Dental Smart Choice - Low

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 99791IN0540001

Dental Only? Yes

Humana Dental Smart Choice Basic

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 46958UT0470002

Dental Only? Yes

Humana Dental Smart Choice- Lite

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 68303IL0700003

Dental Only? Yes

Paramount (3 plans)

Paramount Dental Essential Plus Plan

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 95233MI0210002

Dental Only? Yes

Paramount Dental Preventive Family Plan

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 95233MI0210001

Dental Only? Yes

Paramount Dental Total Care Plan

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 95233MI0210003

Dental Only? Yes

Paramount Dental (6 plans)

HRI Essential Plus Plan

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 33086IN0060002

Dental Only? Yes

HRI Essential Plus Plan

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 25945OH0020002

Dental Only? Yes

HRI Preventive Family Plan

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 33086IN0060001

Dental Only? Yes

HRI Preventive Family Plan

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 25945OH0020001

Dental Only? Yes

HRI Total Care Plan

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 33086IN0060003

Dental Only? Yes

HRI Total Care Plan

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 25945OH0020003

Dental Only? Yes

Renaissance Dental (53 plans)

Alabama Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28725AL0110002

Dental Only? Yes

Alabama Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28725AL0130002

Dental Only? Yes

Alabama Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28725AL0110001

Dental Only? Yes

Alabama Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28725AL0130001

Dental Only? Yes

Alabama Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28725AL0150001

Dental Only? Yes

Florida Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48129FL0130004

Dental Only? Yes

Florida Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48129FL0150004

Dental Only? Yes

Florida Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48129FL0130003

Dental Only? Yes

Florida Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48129FL0150003

Dental Only? Yes

Florida Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48129FL0180001

Dental Only? Yes

High PPO Dental Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28419LA0040001

Dental Only? Yes

High PPO Dental Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28419LA0050001

Dental Only? Yes

Kansas Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 95038KS0040003

Dental Only? Yes

Kansas Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 95038KS0050002

Dental Only? Yes

Kansas Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 95038KS0070001

Dental Only? Yes

Low PPO Dental Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28419LA0040002

Dental Only? Yes

Low PPO Dental Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 28419LA0050002

Dental Only? Yes

Mississippi Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84254MS0050003

Dental Only? Yes

Mississippi Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84254MS0060002

Dental Only? Yes

Mississippi Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84254MS0090001

Dental Only? Yes

Missouri Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35853MO0040004

Dental Only? Yes

Missouri Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35853MO0050004

Dental Only? Yes

Missouri Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35853MO0040003

Dental Only? Yes

Missouri Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35853MO0050003

Dental Only? Yes

Missouri Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 35853MO0070001

Dental Only? Yes

New Hampshire Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 72953NH0040002

Dental Only? Yes

New Hampshire Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 72953NH0060002

Dental Only? Yes

New Hampshire Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 72953NH0040001

Dental Only? Yes

New Hampshire Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 72953NH0060001

Dental Only? Yes

Oklahoma Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13711OK0040003

Dental Only? Yes

Oklahoma Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13711OK0050002

Dental Only? Yes

Oklahoma Wellness Essentials (On Exchange)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13711OK0100001

Dental Only? Yes

South Carolina Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97325SC0060004

Dental Only? Yes

South Carolina Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97325SC0070004

Dental Only? Yes

South Carolina Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97325SC0060003

Dental Only? Yes

South Carolina Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97325SC0070003

Dental Only? Yes

South Carolina Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97325SC0090001

Dental Only? Yes

Texas Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40540TX0060005

Dental Only? Yes

Texas Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40540TX0070004

Dental Only? Yes

Texas Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40540TX0060003

Dental Only? Yes

Texas Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40540TX0070003

Dental Only? Yes

Texas Wellness Essentials Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40540TX0100001

Dental Only? Yes

Utah Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87169UT0040004

Dental Only? Yes

Utah Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87169UT0050004

Dental Only? Yes

Utah Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87169UT0040003

Dental Only? Yes

Utah Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87169UT0050003

Dental Only? Yes

Wisconsin Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34210WI0040003

Dental Only? Yes

Wisconsin Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34210WI0050002

Dental Only? Yes

Wisconsin Wellness Essentials

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34210WI0070001

Dental Only? Yes

Wyoming Preferred Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 80132WY0040004

Dental Only? Yes

Wyoming Preferred Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 80132WY0050004

Dental Only? Yes

Wyoming Preferred Plus Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 80132WY0040003

Dental Only? Yes

Wyoming Preferred Plus Plan (Pediatric Only)

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 80132WY0050003

Dental Only? Yes

UnitedHealthcare (7 plans)

Smile Now Arizona - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 82011AZ0110001

Dental Only? Yes

Smile Now Illinois - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13947IL0080001

Dental Only? Yes

Smile Now Michigan - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 63631MI0140001

Dental Only? Yes

Smile Now Ohio - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 56726OH0080001

Dental Only? Yes

Smile Now Tennessee - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69443TN0200001

Dental Only? Yes

Smile Now Texas- No Waiting Period Plan

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 98809TX0690001

Dental Only? Yes

Smile Now Utah - No Waiting Period PPO

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 97462UT0100001

Dental Only? Yes

Frequently Asked Questions

EPO
See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
HMO
Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
POS
Acts like HMO in-network but allows out-of-network visits at a higher cost.
PPO
No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
Indemnity
Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.
Individual & Family
Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
SHOP
Small group coverage for businesses with up to 50 full-time employees.
Tier-One
Lowest-cost, highest-value in-network providers.
Preferred
Good in-network options with slightly higher copays than Tier-One.
Non-Preferred
More expensive tier within the network. Cheaper than going out-of-network.
Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.
A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.