DR. TODD ANDREW NEIDEEN M.D.
Accepted Insurance Health Plans for NPI 1720172893
Surgery - Surgical Critical Care in Milwaukee, WI


Quality Rating: 91.01 out of 100 score

NPI Status: Active since October 03, 2006

Contact Information

9200 W WISCONSIN AVE
TRAUMA AND CRITICAL CARE SURGERY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-8623
Fax: (414) 805-8641

Get Directions

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by DR. TODD ANDREW NEIDEEN M.D.. 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 (72 plans)

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 Preferred/Broad 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530005

Dental Only? No

Anthem Bronze Preferred/Broad HSA (+ Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530004

Dental Only? No

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530008

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 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 Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530007

Dental Only? No

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530010

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/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 Preferred/Broad 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530001

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 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 Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530017

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530006

Dental Only? No

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530009

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

Aspirus Health Plan (12 plans)

HMO Bronze $0 Medical Deductible

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010016

Dental Only? No

HMO Bronze 7500

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010011

Dental Only? No

HMO Catstrophic 9200 with 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010008

Dental Only? No

HMO Gold 1500

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010015

Dental Only? No

HMO Gold 2400

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010007

Dental Only? No

HMO HDHP Bronze 7200

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010009

Dental Only? No

HMO HDHP Silver 5400

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010013

Dental Only? No

HMO Silver 5000

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010012

Dental Only? No

HMO Silver 6600

Type: HMO

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0010001

Dental Only? No

POS Bronze 7500

Type: POS

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0020005

Dental Only? No

POS HDHP Bronze 6250

Type: POS

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0020003

Dental Only? No

POS Silver 5000

Type: POS

Market: Individual

Network Tier: ASPIRUSSIGN

Plan ID: 86584WI0020001

Dental Only? No

Network Health (31 plans)

Prestige Bronze Essential + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEESSENTIAL

Plan ID: 81413WI0480008

Dental Only? No

Prestige Bronze Essential + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEESSENTIAL

Plan ID: 81413WI0490008

Dental Only? No

Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEESSENTIAL

Plan ID: 81413WI0460008

Dental Only? No

Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEESSENTIALDV

Plan ID: 81413WI0460008

Dental Only? No

Prestige Bronze Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEESSENTIALDV

Plan ID: 81413WI0470008

Dental Only? No

Prestige Bronze Plus

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEPLUS

Plan ID: 81413WI0480002

Dental Only? No

Prestige Bronze Plus

Type: HMO

Market: Individual

Network Tier: PRESTIGEBRONZEPLUS

Plan ID: 81413WI0490002

Dental Only? No

Prestige Gold

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLD

Plan ID: 81413WI0480004

Dental Only? No

Prestige Gold

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLD

Plan ID: 81413WI0490004

Dental Only? No

Prestige Gold 50 + 1 Free PCP Visit

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDFIFTY

Plan ID: 81413WI0480016

Dental Only? No

Prestige Gold 50 + 1 Free PCP Visit

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDFIFTY

Plan ID: 81413WI0490016

Dental Only? No

Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDFIFTY

Plan ID: 81413WI0460016

Dental Only? No

Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDFIFTYDV

Plan ID: 81413WI0460016

Dental Only? No

Prestige Gold 50 + Dental + Vision + 1 Free PCP Visit

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDFIFTYDV

Plan ID: 81413WI0470016

Dental Only? No

Prestige Gold Essential + 3Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDESSENTIAL

Plan ID: 81413WI0480013

Dental Only? No

Prestige Gold Essential + 3Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDESSENTIAL

Plan ID: 81413WI0490013

Dental Only? No

Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDESSENTIAL

Plan ID: 81413WI0460013

Dental Only? No

Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDESSENTIALDV

Plan ID: 81413WI0460013

Dental Only? No

Prestige Gold Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGEGOLDESSENTIALDV

Plan ID: 81413WI0470013

Dental Only? No

Prestige Silver

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVER

Plan ID: 81413WI0480003

Dental Only? No

Prestige Silver

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVER

Plan ID: 81413WI0490003

Dental Only? No

Prestige Silver Essential + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVERESSENTIAL

Plan ID: 81413WI0480011

Dental Only? No

Prestige Silver Essential + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVERESSENTIAL

Plan ID: 81413WI0490011

Dental Only? No

Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVERESSENTIAL

Plan ID: 81413WI0460011

Dental Only? No

Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVERESSENTIALDV

Plan ID: 81413WI0460011

Dental Only? No

Prestige Silver Essential + Dental + Vision + 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: PRESTIGESILVERESSENTIAL

Plan ID: 81413WI0470011

Dental Only? No

Signature Prestige Bronze $0 Deductible

Type: HMO

Market: Individual

Network Tier: SIGNATUREPRESTIGEBRONZEZERO

Plan ID: 81413WI0480018

Dental Only? No

Signature Prestige Bronze $0 Deductible

Type: HMO

Market: Individual

Network Tier: SIGNATUREPRESTIGEBRONZEZERO

Plan ID: 81413WI0490018

Dental Only? No

Signature Prestige Bronze $0 Deductible + Dental + Vision

Type: HMO

Market: Individual

Network Tier: SIGNATUREPRESTIGEBRONZECOPAY

Plan ID: 81413WI0460018

Dental Only? No

Signature Prestige Bronze $0 Deductible + Dental + Vision

Type: HMO

Market: Individual

Network Tier: SIGNATUREPRESTIGEBRONZEZERODV

Plan ID: 81413WI0460018

Dental Only? No

Signature Prestige Bronze $0 Deductible + Dental + Vision

Type: HMO

Market: Individual

Network Tier: SIGNATUREPRESTIGEBRONZEZERODV

Plan ID: 81413WI0470018

Dental Only? No

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.