MIKE PATTERSON LPC
Accepted Insurance Health Plans for NPI 1720199177
Counselor - Mental Health in Jonesboro, AR
NPI Status: Active since August 31, 2006
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by MIKE PATTERSON LPC. 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.
Ambetter from Arkansas Health & Wellness (30 plans)
Choice Bronze HSA (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070285
Dental Only? No
Complete Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080014
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100014
Dental Only? No
Complete Silver (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070001
Dental Only? No
Connected Silver
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080007
Dental Only? No
Connected Silver (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070261
Dental Only? No
Connected Silver (QualChoiceLife)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 37903AR0070025
Dental Only? No
Connected Silver + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100007
Dental Only? No
Elite Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080026
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100026
Dental Only? No
Elite Gold (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070268
Dental Only? No
Elite Gold (QualChoiceLife)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 37903AR0070031
Dental Only? No
Everyday Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080017
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100017
Dental Only? No
Everyday Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080030
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100030
Dental Only? No
Everyday Silver (QualChoiceLife)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 37903AR0070001
Dental Only? No
Focused Silver
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080029
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100032
Dental Only? No
Standard Expanded Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080032
Dental Only? No
Standard Expanded Bronze (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070287
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100033
Dental Only? No
Standard Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080034
Dental Only? No
Standard Gold (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070289
Dental Only? No
Standard Gold (QualChoiceLife)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 37903AR0070034
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100035
Dental Only? No
Standard Silver
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0080033
Dental Only? No
Standard Silver (QualChoice)
Type: POS
Market: Individual
Network Tier: PREFERRED
Plan ID: 70525AR0070288
Dental Only? No
Standard Silver (QualChoiceLife)
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 37903AR0070033
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62141AR0100034
Dental Only? No
Ambetter from Home State Health (17 plans)
Complete Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090016
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110010
Dental Only? No
Complete Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090011
Dental Only? No
Complete Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110013
Dental Only? No
Elite Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090053
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110053
Dental Only? No
Everyday Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090018
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110009
Dental Only? No
Everyday Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090063
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110063
Dental Only? No
Premier Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090004
Dental Only? No
Premier Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110014
Dental Only? No
Standard Expanded Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090069
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110070
Dental Only? No
Standard Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090071
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0110072
Dental Only? No
Standard Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 99723MO0090070
Dental Only? No
Ambetter from Louisiana Healthcare Connections (17 plans)
Complete Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010006
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020005
Dental Only? No
Elite Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010002
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020002
Dental Only? No
Elite Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010008
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020008
Dental Only? No
Elite Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010012
Dental Only? No
Elite Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020012
Dental Only? No
Everyday Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010001
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020001
Dental Only? No
Focused Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010005
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020004
Dental Only? No
Standard Expanded Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010009
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020009
Dental Only? No
Standard Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010011
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0020011
Dental Only? No
Standard Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90787LA0010010
Dental Only? No
Ambetter from Magnolia Health (17 plans)
Choice Bronze HSA
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010052
Dental Only? No
Choice Bronze HSA + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030052
Dental Only? No
Complete Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010019
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030019
Dental Only? No
Complete Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010011
Dental Only? No
Complete Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030026
Dental Only? No
Everyday Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010016
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030010
Dental Only? No
Everyday Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010060
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030060
Dental Only? No
Focused Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010059
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030059
Dental Only? No
Standard Expanded Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010063
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030064
Dental Only? No
Standard Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010065
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0030066
Dental Only? No
Standard Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 90714MS0010064
Dental Only? No
Ambetter from Superior HealthPlan (11 plans)
Complete Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0140064
Dental Only? No
Complete Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0160020
Dental Only? No
Complete Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0140019
Dental Only? No
Complete Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0160038
Dental Only? No
Everyday Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0140102
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0160102
Dental Only? No
Focused Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0140100
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0160100
Dental Only? No
Standard Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0140109
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0160052
Dental Only? No
Standard Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 29418TX0140108
Dental Only? No
Ambetter of Oklahoma (15 plans)
Elite Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120006
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130006
Dental Only? No
Elite Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120016
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130017
Dental Only? No
Everyday Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120002
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130002
Dental Only? No
Everyday Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120014
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130014
Dental Only? No
Focused Silver
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120012
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130012
Dental Only? No
Standard Expanded Bronze
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120019
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130019
Dental Only? No
Standard Gold
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120021
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0130021
Dental Only? No
Standard Silver
Type: PPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 62505OK0120020
Dental Only? No
Ambetter of Tennessee (19 plans)
Clear Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110027
Dental Only? No
Elite Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110026
Dental Only? No
Elite Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120026
Dental Only? No
Elite Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110031
Dental Only? No
Elite Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120034
Dental Only? No
Enhanced Diabetes Care Silver with $0 Drug Options
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110018
Dental Only? No
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120001
Dental Only? No
Everyday Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110023
Dental Only? No
Everyday Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120023
Dental Only? No
Everyday Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110030
Dental Only? No
Everyday Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120030
Dental Only? No
Focused Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110029
Dental Only? No
Focused Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120029
Dental Only? No
Standard Expanded Bronze
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110033
Dental Only? No
Standard Expanded Bronze + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120035
Dental Only? No
Standard Gold
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110035
Dental Only? No
Standard Gold + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120037
Dental Only? No
Standard Silver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0110034
Dental Only? No
Standard Silver + Vision + Adult Dental
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 70111TN0120036
Dental Only? No
Arkansas Blue Cross and Blue Shield (14 plans)
Bronze Exp Standardized
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1200029
Dental Only? No
Bronze Value
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1200024
Dental Only? No
Gold Standardized
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1200025
Dental Only? No
Silver AH
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1200004
Dental Only? No
Silver Standardized
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1200026
Dental Only? No
Silver Value
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1200023
Dental Only? No
Dental Gold
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230003
Dental Only? Yes
Dental Gold Plus Vision
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230004
Dental Only? Yes
Dental Pediatric
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230001
Dental Only? Yes
Dental Platinum
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230005
Dental Only? Yes
Dental Platinum Plus Vision
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230006
Dental Only? Yes
Dental Platinum Premium
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230007
Dental Only? Yes
Dental Platinum Premium Plus Vision
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230008
Dental Only? Yes
Dental Silver
Type: PPO
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 75293AR1230002
Dental Only? Yes
Health Advantage (6 plans)
HA Bronze Exp Standardized
Type: POS
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 13262AR0230007
Dental Only? No
HA Bronze Suitcase
Type: POS
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 13262AR0230006
Dental Only? No
HA Gold Standardized
Type: POS
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 13262AR0230004
Dental Only? No
HA Silver AH
Type: POS
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 13262AR0230002
Dental Only? No
HA Silver Premier Suitcase
Type: POS
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 13262AR0230008
Dental Only? No
HA Silver Standardized
Type: POS
Market: Individual
Network Tier: TRUE-BLUE-PPO
Plan ID: 13262AR0230005
Dental Only? No
Octave (6 plans)
Octave Bronze Exp Standardized
Type: POS
Market: Individual
Network Tier: USABLE-MUTUAL-CONNECT-PPO
Plan ID: 48772AR0010004
Dental Only? No
Octave Bronze Value
Type: POS
Market: Individual
Network Tier: USABLE-MUTUAL-CONNECT-PPO
Plan ID: 48772AR0010005
Dental Only? No
Octave Gold Standardized
Type: POS
Market: Individual
Network Tier: USABLE-MUTUAL-CONNECT-PPO
Plan ID: 48772AR0010001
Dental Only? No
Octave Silver AH
Type: POS
Market: Individual
Network Tier: USABLE-MUTUAL-CONNECT-PPO
Plan ID: 48772AR0010003
Dental Only? No
Octave Silver Classic Suitcase
Type: POS
Market: Individual
Network Tier: USABLE-MUTUAL-CONNECT-PPO
Plan ID: 48772AR0010006
Dental Only? No
Octave Silver Standardized
Type: POS
Market: Individual
Network Tier: USABLE-MUTUAL-CONNECT-PPO
Plan ID: 48772AR0010002
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.
