CONTINUING CARE AT TALLGRASS CREEK
Accepted Insurance Health Plans for NPI 1740528025
Skilled Nursing Facility in Overland Park, KS

NPI Status: Active since January 22, 2013

Contact Information

13800 METCALF AVE
ATTN: EXECUTIVE DIRECTOR
OVERLAND PARK, KS
ZIP 66223
Phone: (913) 897-2700
Fax: (410) 204-7237

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by CONTINUING CARE AT TALLGRASS CREEK. 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.

Aetna CVS Health (24 plans)

Bronze 2 Advanced HSA: Aetna network + CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200003

Dental Only? No

Bronze 2 Advanced HSA: Aetna network + MinuteClinic + Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130001

Dental Only? No

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130002

Dental Only? No

Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130010

Dental Only? No

Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200028

Dental Only? No

Bronze 4 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200040

Dental Only? No

Bronze S: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200016

Dental Only? No

Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130003

Dental Only? No

Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130011

Dental Only? No

Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130012

Dental Only? No

Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130004

Dental Only? No

Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130013

Dental Only? No

Gold S: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200019

Dental Only? No

Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130005

Dental Only? No

Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130014

Dental Only? No

Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130015

Dental Only? No

Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200044

Dental Only? No

Silver 10 Advanced: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental + Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200045

Dental Only? No

Silver 5 Advanced: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200015

Dental Only? No

Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130006

Dental Only? No

Silver S: Aetna network + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200025

Dental Only? No

Silver S: Aetna network + $0 CVS Health Virtual Primary Care + Adult Dental+Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48161MO0200046

Dental Only? No

Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130009

Dental Only? No

Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care + Adult Dental+Vision

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 84600KS0130016

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 Nebraska Total Care (17 plans)

Choice Bronze HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020002

Dental Only? No

Choice Bronze HSA + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030002

Dental Only? No

Clear Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020050

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030044

Dental Only? No

Complete Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020008

Dental Only? No

Complete Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030008

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020007

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030007

Dental Only? No

Elite Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020036

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030036

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020048

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030042

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020039

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030015

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020041

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0030017

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 26289NE0020040

Dental Only? No

Ambetter from Sunflower Health Plan (17 plans)

Clear Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110049

Dental Only? No

Elite Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110047

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120047

Dental Only? No

Elite Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110066

Dental Only? No

Elite Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120068

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110043

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120043

Dental Only? No

Everyday Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110033

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120033

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110053

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120053

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110068

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120069

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110070

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120071

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0110069

Dental Only? No

Standard Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34368KS0120070

Dental Only? No

Ambetter Health (17 plans)

Complete Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010015

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020015

Dental Only? No

Elite Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010013

Dental Only? No

Elite Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020013

Dental Only? No

Elite Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010022

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020021

Dental Only? No

Everyday Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010012

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020012

Dental Only? No

Everyday Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010016

Dental Only? No

Everyday Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020016

Dental Only? No

Focused Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010019

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020019

Dental Only? No

Standard Expanded Bronze

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010014

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020014

Dental Only? No

Standard Gold

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010017

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0020017

Dental Only? No

Standard Silver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 48286IA0010020

Dental Only? No

Ambetter Health of Delaware (17 plans)

Clear Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090011

Dental Only? No

Clear Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100011

Dental Only? No

Complete Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090009

Dental Only? No

Complete Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100009

Dental Only? No

Elite Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090013

Dental Only? No

Elite Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100013

Dental Only? No

Everyday Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090002

Dental Only? No

Everyday Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100002

Dental Only? No

Focused Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090007

Dental Only? No

Focused Silver + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100007

Dental Only? No

Premier Bronze HSA

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090001

Dental Only? No

Premier Bronze HSA + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100001

Dental Only? No

Standard Expanded Bronze

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090004

Dental Only? No

Standard Expanded Bronze + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100004

Dental Only? No

Standard Gold

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090012

Dental Only? No

Standard Gold + Vision + Adult Dental

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0100012

Dental Only? No

Standard Silver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 64004DE0090008

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

Anthem Blue Cross and Blue Shield (10 plans)

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 Catastrophic Pathway 9200 (+ Incentives)

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950016

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

Type: EPO

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 32753MO0950002

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

Blue Cross and Blue Shield of Kansas City (2 plans)

Blue KC Choice Silver BlueSelect Plus EPO with Spira Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 34762MO0590002

Dental Only? No

Blue KC Choice Silver BlueSelect Plus EPO with Spira Care

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 94248KS0560002

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.