DR. ARLENE E RICARDO MD
Accepted Insurance Health Plans for NPI 1750363495
Surgery in Houston, TX
Quality Rating: 75 out of 100 score
NPI Status: Active since November 17, 2005
Contact Information
7777 SOUTHWEST FWY
SUITE 810
HOUSTON, TX
ZIP 77074
Phone: (713) 772-1200
Fax: (713) 772-0258
Accepted Health Plans and Insurance Coverage
Browse the list of insurance companies that may be accepted by DR. ARLENE E RICARDO MD. 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 Superior HealthPlan (28 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 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
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 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 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
Community Health Choice (12 plans)
Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 27248TX0010003
Dental Only? No
Community Premier Bronze 003 (No deductible for PCP, Free Preventive Care, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 27248TX0010003
Dental Only? No
Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 27248TX0010018
Dental Only? No
Community Premier Bronze 018 (No deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 27248TX0010018
Dental Only? No
Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 27248TX0010005
Dental Only? No
Community Premier Gold 005 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 27248TX0010005
Dental Only? No
Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 27248TX0010021
Dental Only? No
Community Premier Gold 021 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 27248TX0010021
Dental Only? No
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 27248TX0010012
Dental Only? No
Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 27248TX0010012
Dental Only? No
Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: NON-PREFERRED
Plan ID: 27248TX0010020
Dental Only? No
Community Premier Silver 020 (No Deductible for PCP, Specialists & Generics, $0 PCP 24/7 Virtual Care Options)
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 27248TX0010020
Dental Only? No
Imperial Insurance Companies, Inc. (7 plans)
Imperial Preferred Bronze
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34826TX0030001
Dental Only? No
Imperial Preferred Gold
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34826TX0030003
Dental Only? No
Imperial Preferred Gold Zero
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34826TX0010001
Dental Only? No
Imperial Preferred Silver
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 34826TX0030002
Dental Only? No
Imperial Standard Bronze
Type: HMO
Market: Individual
Network Tier: STANDARD
Plan ID: 34826TX0020001
Dental Only? No
Imperial Standard Gold
Type: HMO
Market: Individual
Network Tier: STANDARD
Plan ID: 34826TX0020003
Dental Only? No
Imperial Standard Silver
Type: HMO
Market: Individual
Network Tier: STANDARD
Plan ID: 34826TX0020002
Dental Only? No
Oscar Insurance Company (65 plans)
Bronze Classic 4700
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100024
Dental Only? No
Bronze Classic Standard
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100050
Dental Only? No
Bronze Elite + PCP Saver Plus
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100005
Dental Only? No
Gold Classic
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100055
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510020
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510022
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510024
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510055
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510063
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510071
Dental Only? No
Gold Classic Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510079
Dental Only? No
Gold Classic Standard
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100053
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510032
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510034
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510036
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510057
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510065
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510073
Dental Only? No
Gold Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510081
Dental Only? No
Gold Elite
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100056
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510021
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510023
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510025
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510056
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510064
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510072
Dental Only? No
Gold Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510080
Dental Only? No
Silver Classic
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100006
Dental Only? No
Silver Classic Standard
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100052
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510031
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510033
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510035
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510054
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510062
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510070
Dental Only? No
Silver Classic Standard Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510078
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510012
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510016
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510040
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510052
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510060
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510068
Dental Only? No
Silver Simple Chronic Care CKM Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510076
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510013
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510017
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510041
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510053
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510061
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510069
Dental Only? No
Silver Simple Diabetes Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510077
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510010
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510014
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510018
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510050
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510058
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510066
Dental Only? No
Silver Simple Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510074
Dental Only? No
Silver Simple PCP Saver
Type: EPO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0100025
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510011
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510015
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510019
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510051
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510059
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510067
Dental Only? No
Silver Simple PCP Saver Guided Care
Type: HMO
Market: Individual
Network Tier: PREFERRED
Plan ID: 20069TX0510075
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
- 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.
