MODERN HEART AND VASCULAR INSTITUTE
Accepted Insurance Health Plans for NPI 1720550015
Internal Medicine - Cardiovascular Disease in Humble, TX

NPI Status: Active since December 26, 2018

Contact Information

18980 W MEMORIAL DR STE 100
HUMBLE, TX
ZIP 77338
Phone: (832) 644-8930

Table of Contents - List of Insurance Companies

Ambetter from Arizona Complete Health
Ambetter from Arkansas Health & Wellness
Ambetter from Louisiana Healthcare Connections
Ambetter from Superior HealthPlan
Ambetter Health
Ambetter of Oklahoma
Molina Healthcare
WellPoint

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by MODERN HEART AND VASCULAR INSTITUTE. 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 Arizona Complete Health (17 plans)

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080037

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180037

Dental Only? No

Clear Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080097

Dental Only? No

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080059

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180059

Dental Only? No

Complete Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080044

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180044

Dental Only? No

Elite Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080113

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180113

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080119

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180119

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080122

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180104

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080124

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180106

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0080123

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91450AZ0180105

Dental Only? No

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 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 Superior HealthPlan (39 plans)

Clear VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0060007

Dental Only? No

Clear VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0070007

Dental Only? No

Clear VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0080007

Dental Only? No

Clear VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0100007

Dental Only? No

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

Complete VALUE Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0060013

Dental Only? No

Complete VALUE Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0070013

Dental Only? No

Complete VALUE Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0080013

Dental Only? No

Complete VALUE Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0100013

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

Focused VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0060009

Dental Only? No

Focused VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0070009

Dental Only? No

Focused VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0080009

Dental Only? No

Focused VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0100009

Dental Only? No

Focused VALUE Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0120001

Dental Only? No

Focused VALUE Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0130003

Dental Only? No

Focused VALUE Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0140003

Dental Only? No

Focused VALUE Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0150001

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 Gold VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0060012

Dental Only? No

Standard Gold VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0070012

Dental Only? No

Standard Gold VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0080012

Dental Only? No

Standard Gold VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0100012

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29418TX0140108

Dental Only? No

Standard Silver VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0060011

Dental Only? No

Standard Silver VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0070011

Dental Only? No

Standard Silver VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0080011

Dental Only? No

Standard Silver VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0100011

Dental Only? No

Standard Silver VALUE + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0120005

Dental Only? No

Standard Silver VALUE + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0130002

Dental Only? No

Standard Silver VALUE + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0140004

Dental Only? No

Standard Silver VALUE + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 87226TX0150003

Dental Only? No

Ambetter Health (7 plans)

Complete VALUE Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050010

Dental Only? No

Complete VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050006

Dental Only? No

Elite VALUE Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050005

Dental Only? No

Focused VALUE Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050009

Dental Only? No

Standard Expanded Bronze VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050017

Dental Only? No

Standard Gold VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050019

Dental Only? No

Standard Silver VALUE

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 86382FL0050018

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

Molina Healthcare (8 plans)

Gold 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0020001

Dental Only? No

Gold 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0050001

Dental Only? No

Gold 12

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0020013

Dental Only? No

Gold 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0020010

Dental Only? No

Silver 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0020002

Dental Only? No

Silver 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0050002

Dental Only? No

Silver 12 with First 4 Primary Care Visits Free

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0020012

Dental Only? No

Silver 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45786TX0020011

Dental Only? No

WellPoint (21 plans)

Wellpoint Essential Bronze 4000 HSA ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040002

Dental Only? No

Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040004

Dental Only? No

Wellpoint Essential Bronze 6000 Adult Dental/Vision ($0 Virtual PCP+$0 Select Drugs)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040003

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040005

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030003

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030002

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030004

Dental Only? No

Wellpoint Essential Catastrophic 9200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040006

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040007

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040008

Dental Only? No

Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040009

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030005

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030006

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030007

Dental Only? No

Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040011

Dental Only? No

Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040012

Dental Only? No

Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040010

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0040013

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030008

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030009

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 47501TX0030001

Dental Only? No

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.