DR. ADRIANA C CARTAYA MOLLEJAS DDS
Accepted Insurance Health Plans for NPI 1710528096
Dentist - General Practice in Centreville, VA

NPI Status: Active since October 08, 2019

Contact Information

6134 REDWOOD SQUARE CTR STE 202
CENTREVILLE, VA
ZIP 20121
Phone: (703) 266-2483

Table of Contents - List of Insurance Companies

Anthem Blue Cross and Blue Shield
Antidote Health Plan of Arizona, Inc.
Antidote Health Plan of Ohio, Inc.
BEST Life
Blue Cross and Blue Shield of Illinois
Blue Cross and Blue Shield of Montana
Blue Cross and Blue Shield of Oklahoma
Blue Cross and Blue Shield of Texas
Florida Combined Life
Humana
Paramount
Paramount Dental
UnitedHealthcare

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by DR. ADRIANA C CARTAYA MOLLEJAS 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.

Anthem Blue Cross and Blue Shield (115 plans)

Anthem Bronze Essential 6500 HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700058

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700065

Dental Only? No

Anthem Bronze Essential 9200 (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700045

Dental Only? No

Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700101

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0760005

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0760007

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950008

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950021

Dental Only? No

Anthem Bronze Pathway 9200 (+ Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950051

Dental Only? No

Anthem Bronze Pathway HMO 7450 for HSA

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920417

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920432

Dental Only? No

Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920414

Dental Only? No

Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920916

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340103

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340141

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340142

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340143

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340102

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340132

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340133

Dental Only? No

Anthem Bronze Pathway/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340134

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340169

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340178

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340187

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340188

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340226

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340227

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340257

Dental Only? No

Anthem Bronze Priority/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340212

Dental Only? No

Anthem Bronze Priority/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340213

Dental Only? No

Anthem Bronze Priority/Lean HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340251

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340224

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340225

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340256

Dental Only? No

Anthem Catastrophic Pathway 9200 (+ Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950016

Dental Only? No

Anthem Catastrophic Pathway HMO 9200

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920425

Dental Only? No

Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700067

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700056

Dental Only? No

Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950023

Dental Only? No

Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920434

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340110

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340159

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340160

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340161

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340171

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340179

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340183

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340186

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340218

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340219

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340253

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340230

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340231

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340258

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920429

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700053

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950017

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340111

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340162

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340163

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340164

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340220

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340221

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340254

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700061

Dental Only? No

Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950002

Dental Only? No

Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920428

Dental Only? No

Anthem Silver Essential 3500 HSA (+ Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700062

Dental Only? No

Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700066

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700055

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0700102

Dental Only? No

Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950022

Dental Only? No

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950013

Dental Only? No

Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950015

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920917

Dental Only? No

Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920433

Dental Only? No

Anthem Silver Pathway HMO 5400 for HSA

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920421

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0920424

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340106

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340150

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340151

Dental Only? No

Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340152

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340109

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340156

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340157

Dental Only? No

Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340158

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340170

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340180

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340181

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340184

Dental Only? No

Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340214

Dental Only? No

Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340215

Dental Only? No

Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340252

Dental Only? No

Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340222

Dental Only? No

Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340223

Dental Only? No

Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340255

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340232

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340233

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0340259

Dental Only? No

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860003

Dental Only? Yes

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830003

Dental Only? Yes

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860003

Dental Only? Yes

Anthem Dental Family

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420003

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860004

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830004

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860004

Dental Only? Yes

Anthem Dental Family Enhanced

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420004

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860006

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830006

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860006

Dental Only? Yes

Anthem Dental Family Preventive

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420006

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 17575IN0860005

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 29276OH0830005

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0860005

Dental Only? Yes

Anthem Dental Family Value

Type: PPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 90028WI0420005

Dental Only? Yes

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 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

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

What are the different Plan Types?

EPO: See in-network doctors without a referral. No coverage for routine out-of-network care except emergencies.
HMO: Requires referrals and a primary doctor. Usually lower premiums but no out-of-network coverage.
POS: Acts like HMO in-network but allows out-of-network visits at a higher cost.
PPO: No referrals needed. Partial out-of-network coverage with more flexibility in choosing doctors.
Indemnity: Reimburses “reasonable and customary” fees for licensed providers. Rare and often costly.

What is Market Coverage?

Individual & Family: Marketplace plans for consumers. Ideal for the self-employed or those between jobs.
SHOP: Small group coverage for businesses with up to 50 full-time employees.

What is Network Tier?

Tier-One: Lowest-cost, highest-value in-network providers.
Preferred: Good in-network options with slightly higher copays than Tier-One.
Non-Preferred: More expensive tier within the network. Cheaper than going out-of-network.

What is a Plan ID?

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

What does Dental-Only mean?

A “Yes” means it’s a standalone dental plan. A blank or “No” indicates a medical plan that may include or exclude adult dental. Pediatric dental is included in all ACA medical plans.