MT STATE VETERANS HOME SATELITE PHARMACY
Accepted Insurance Health Plans for NPI 1790804557
Pharmacy - Long Term Care Pharmacy in Columbia Falls, MT

NPI Status: Active since March 29, 2007

Contact Information

400 VETERANS ROAD
COLUMBIA FALLS, MT
ZIP 59912
Phone: (406) 892-3256
Fax: (406) 892-0256

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Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by MT STATE VETERANS HOME SATELITE PHARMACY. 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.

Blue Cross and Blue Shield of Illinois (63 plans)

Blue Precision Bronze HMO? 205

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810083

Dental Only? No

Blue Precision Bronze HMO? 205

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810108

Dental Only? No

Blue Precision Bronze HMO? 205

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810109

Dental Only? No

Blue Precision Bronze HMO? 205

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810110

Dental Only? No

Blue Precision Bronze HMO? 205

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810111

Dental Only? No

Blue Precision Bronze HMO? 205

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810112

Dental Only? No

Blue Precision Bronze HMO? 701

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810123

Dental Only? No

Blue Precision Bronze HMO? 701

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810134

Dental Only? No

Blue Precision Bronze HMO? 701

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810135

Dental Only? No

Blue Precision Bronze HMO? 701

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810136

Dental Only? No

Blue Precision Bronze HMO? 701

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810137

Dental Only? No

Blue Precision Bronze HMO? 701

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810138

Dental Only? No

Blue Precision Bronze HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810172

Dental Only? No

Blue Precision Bronze HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810173

Dental Only? No

Blue Precision Bronze HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810174

Dental Only? No

Blue Precision Bronze HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810175

Dental Only? No

Blue Precision Bronze HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810176

Dental Only? No

Blue Precision Bronze HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810177

Dental Only? No

Blue Precision Gold HMO? 207

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810080

Dental Only? No

Blue Precision Gold HMO? 207

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810090

Dental Only? No

Blue Precision Gold HMO? 207

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810091

Dental Only? No

Blue Precision Gold HMO? 207

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810092

Dental Only? No

Blue Precision Gold HMO? 207

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810093

Dental Only? No

Blue Precision Gold HMO? 207

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810094

Dental Only? No

Blue Precision Gold HMO? 703

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810121

Dental Only? No

Blue Precision Gold HMO? 703

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810124

Dental Only? No

Blue Precision Gold HMO? 703

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810125

Dental Only? No

Blue Precision Gold HMO? 703

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810126

Dental Only? No

Blue Precision Gold HMO? 703

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810127

Dental Only? No

Blue Precision Gold HMO? 703

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810128

Dental Only? No

Blue Precision Gold HMO? Standard - Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810139

Dental Only? No

Blue Precision Gold HMO? Standard - Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810142

Dental Only? No

Blue Precision Gold HMO? Standard - Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810143

Dental Only? No

Blue Precision Gold HMO? Standard - Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810144

Dental Only? No

Blue Precision Gold HMO? Standard - Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810145

Dental Only? No

Blue Precision Gold HMO? Standard - Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810146

Dental Only? No

Blue Precision Silver HMO? 206

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810081

Dental Only? No

Blue Precision Silver HMO? 206

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810096

Dental Only? No

Blue Precision Silver HMO? 206

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810097

Dental Only? No

Blue Precision Silver HMO? 206

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810098

Dental Only? No

Blue Precision Silver HMO? 206

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810099

Dental Only? No

Blue Precision Silver HMO? 206

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810100

Dental Only? No

Blue Precision Silver HMO? 704

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810122

Dental Only? No

Blue Precision Silver HMO? 704

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810129

Dental Only? No

Blue Precision Silver HMO? 704

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810130

Dental Only? No

Blue Precision Silver HMO? 704

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810131

Dental Only? No

Blue Precision Silver HMO? 704

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810132

Dental Only? No

Blue Precision Silver HMO? 704

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810133

Dental Only? No

Blue Precision Silver HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810140

Dental Only? No

Blue Precision Silver HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810147

Dental Only? No

Blue Precision Silver HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810148

Dental Only? No

Blue Precision Silver HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810149

Dental Only? No

Blue Precision Silver HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810150

Dental Only? No

Blue Precision Silver HMO? Standard - Select Rx Copays

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810151

Dental Only? No

BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810195

Dental Only? No

BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810212

Dental Only? No

BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810213

Dental Only? No

BlueCare Direct Gold? Standard - Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810193

Dental Only? No

BlueCare Direct Gold? Standard - Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810208

Dental Only? No

BlueCare Direct Gold? Standard - Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810209

Dental Only? No

BlueCare Direct Silver? Standard - Select Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810194

Dental Only? No

BlueCare Direct Silver? Standard - Select Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810210

Dental Only? No

BlueCare Direct Silver? Standard - Select Rx Copays with Advocate

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 36096IL0810211

Dental Only? No

Blue Cross Blue Shield of North Dakota (13 plans)

BlueCare Gold $25 PCP Copay ($5 Value Based Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410005

Dental Only? No

BlueCare Silver $45 PCP Copay ($5 Value Based Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410002

Dental Only? No

BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410020

Dental Only? No

BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410022

Dental Only? No

BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410014

Dental Only? No

BlueEssential Catastrophic 100 $9200 Deductible

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410021

Dental Only? No

BlueValue Bronze $50 PCP Copay (Standardized plan)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410028

Dental Only? No

BlueValue Gold $30 PCP Copay (Standardized plan)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410026

Dental Only? No

BlueValue Silver $40 PCP Copay (Standardized plan)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2410027

Dental Only? No

DakotaBlue Altru Gold ($5 Value Based Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2480001

Dental Only? No

DakotaBlue Altru Silver ($5 Value Based Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2480003

Dental Only? No

DakotaBlue Trinity Gold ($5 Value Based Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2480009

Dental Only? No

DakotaBlue Trinity Silver ($5 Value Based Drug List)

Type: PPO

Market: Individual

Network Tier: IN-NETWORK

Plan ID: 37160ND2480010

Dental Only? No

BlueCross BlueShield of Tennessee (94 plans)

BlueCross B07E HSA

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400285

Dental Only? No

BlueCross B07E HSA

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400300

Dental Only? No

BlueCross B07E HSA

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400301

Dental Only? No

BlueCross B07E HSA

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400302

Dental Only? No

BlueCross B07S HSA

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400001

Dental Only? No

BlueCross B07S HSA

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400005

Dental Only? No

BlueCross B15E $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400239

Dental Only? No

BlueCross B15E $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400240

Dental Only? No

BlueCross B15E $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400287

Dental Only? No

BlueCross B15E $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400303

Dental Only? No

BlueCross B15E $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400304

Dental Only? No

BlueCross B15E $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400305

Dental Only? No

BlueCross B15S $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400091

Dental Only? No

BlueCross B15S $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400097

Dental Only? No

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400253

Dental Only? No

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400254

Dental Only? No

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400288

Dental Only? No

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400306

Dental Only? No

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400307

Dental Only? No

BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400308

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400241

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400242

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400243

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400244

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400245

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400246

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400247

Dental Only? No

BlueCross B16S $50 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400248

Dental Only? No

BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400311

Dental Only? No

BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400312

Dental Only? No

BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400313

Dental Only? No

BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400314

Dental Only? No

BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400315

Dental Only? No

BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400316

Dental Only? No

BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400309

Dental Only? No

BlueCross B17S $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400310

Dental Only? No

BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400295

Dental Only? No

BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400353

Dental Only? No

BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400354

Dental Only? No

BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400355

Dental Only? No

BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400200

Dental Only? No

BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400201

Dental Only? No

BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400202

Dental Only? No

BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400203

Dental Only? No

BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400204

Dental Only? No

BlueCross G06S $35 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400205

Dental Only? No

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400234

Dental Only? No

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400235

Dental Only? No

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400297

Dental Only? No

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400356

Dental Only? No

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400357

Dental Only? No

BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400358

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400222

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400223

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400224

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400225

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400226

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400227

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400228

Dental Only? No

BlueCross G08S $30 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400229

Dental Only? No

BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400255

Dental Only? No

BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400256

Dental Only? No

BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400292

Dental Only? No

BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400328

Dental Only? No

BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400329

Dental Only? No

BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400330

Dental Only? No

BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400188

Dental Only? No

BlueCross S25S $55 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400194

Dental Only? No

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400269

Dental Only? No

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400270

Dental Only? No

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400293

Dental Only? No

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400331

Dental Only? No

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400332

Dental Only? No

BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400333

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400257

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400258

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400259

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400260

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400261

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400262

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400263

Dental Only? No

BlueCross S26S $40 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400264

Dental Only? No

BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400294

Dental Only? No

BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400334

Dental Only? No

BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400335

Dental Only? No

BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400336

Dental Only? No

BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400271

Dental Only? No

BlueCross S27S $60 PCP Copay + $0 virtual care from Teladoc Health �

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400277

Dental Only? No

BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400339

Dental Only? No

BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400340

Dental Only? No

BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400341

Dental Only? No

BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400342

Dental Only? No

BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400337

Dental Only? No

BlueCross S29S $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental

Type: EPO

Market: Individual

Network Tier: PHARMACY

Plan ID: 14002TN0400338

Dental Only? No

HealthPartners (18 plans)

Atlas $1,000 Gold

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130020

Dental Only? No

Atlas $1,500 Standard Gold

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130040

Dental Only? No

Atlas $2,650 Plus Silver

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130021

Dental Only? No

Atlas $3,500 HSA Silver

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130026

Dental Only? No

Atlas $5,000 Standard Silver

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130041

Dental Only? No

Atlas $6,500 Plus Bronze

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130023

Dental Only? No

Atlas $7,500 Standard Bronze

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130042

Dental Only? No

Atlas $8,200 HSA Bronze

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130027

Dental Only? No

Atlas $9,200 Catastrophic

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130025

Dental Only? No

Robin Oak $1,000 Gold

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130001

Dental Only? No

Robin Oak $1,500 Standard Gold

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130011

Dental Only? No

Robin Select $2,800 Plus Silver

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130033

Dental Only? No

Robin Select $3,500 HSA Silver

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130037

Dental Only? No

Robin Select $5,000 Standard Silver

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130034

Dental Only? No

Robin Select $6,500 Plus Bronze

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130035

Dental Only? No

Robin Select $7,500 Standard Bronze

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130036

Dental Only? No

Robin Select $8,200 HSA Bronze

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130038

Dental Only? No

Robin Select $9,200 Catastrophic

Type: PPO

Market: Individual

Network Tier: NETWORK

Plan ID: 20173WI0130039

Dental Only? No

Medica (9 plans)

Select by Medica Bronze $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040041

Dental Only? No

Select by Medica Bronze Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040029

Dental Only? No

Select by Medica Expanded Bronze Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040073

Dental Only? No

Select by Medica Gold $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040045

Dental Only? No

Select by Medica Gold Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040075

Dental Only? No

Select by Medica Gold Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040055

Dental Only? No

Select by Medica Silver $0 Copay PCP Visits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040074

Dental Only? No

Select by Medica Silver Share

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040076

Dental Only? No

Select by Medica Silver Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 39520KS0040057

Dental Only? No

Oscar Health Insurance (11 plans)

Bronze Classic 4700 (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100024

Dental Only? No

Bronze Classic PCP Saver (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100002

Dental Only? No

Bronze Classic Standard (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100050

Dental Only? No

Gold Classic (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100013

Dental Only? No

Gold Classic Standard (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100053

Dental Only? No

Gold Elite Saver Plus (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100035

Dental Only? No

Secure (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100011

Dental Only? No

Silver Classic Standard (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100052

Dental Only? No

Silver Elite Saver Plus (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100030

Dental Only? No

Silver Simple Chronic Care CKM (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100060

Dental Only? No

Silver Simple PCP Saver (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 29341OH0100025

Dental Only? No

Oscar Health Plan of North Carolina, Inc (20 plans)

Bronze Classic 4700

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010024

Dental Only? No

Bronze Classic 4700 | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010061

Dental Only? No

Bronze Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010050

Dental Only? No

Bronze Classic Standard | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010055

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010005

Dental Only? No

Bronze Elite + PCP Saver Plus | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010062

Dental Only? No

Gold Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010053

Dental Only? No

Gold Classic Standard | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010057

Dental Only? No

Gold Elite Saver Plus

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010035

Dental Only? No

Gold Elite Saver Plus | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010066

Dental Only? No

Secure

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010011

Dental Only? No

Secure | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010060

Dental Only? No

Silver Classic

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010006

Dental Only? No

Silver Classic | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010063

Dental Only? No

Silver Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010052

Dental Only? No

Silver Classic Standard | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010056

Dental Only? No

Silver Simple Diabetes

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010045

Dental Only? No

Silver Simple Diabetes | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010064

Dental Only? No

Silver Simple PCP Saver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010025

Dental Only? No

Silver Simple PCP Saver | with Atrium Health

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69803NC0010065

Dental Only? No

Oscar Health Plan, Inc. (24 plans)

Bronze Classic 4700

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070024

Dental Only? No

Bronze Classic 4700 (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020024

Dental Only? No

Bronze Classic PCP Saver Plus Rx Copay (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020021

Dental Only? No

Bronze Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070050

Dental Only? No

Bronze Classic Standard (Choice)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0010050

Dental Only? No

Bronze Classic Standard (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020050

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070005

Dental Only? No

Gold Classic

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070013

Dental Only? No

Gold Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070053

Dental Only? No

Gold Classic Standard (Choice)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0010053

Dental Only? No

Gold Classic Standard (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020053

Dental Only? No

Secure

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070011

Dental Only? No

Secure (Choice)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0010011

Dental Only? No

Silver Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070052

Dental Only? No

Silver Classic Standard (Choice)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0010052

Dental Only? No

Silver Classic Standard (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020052

Dental Only? No

Silver Elite Saver Plus

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070030

Dental Only? No

Silver Elite Saver Plus Rx Copay (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020030

Dental Only? No

Silver Simple Chronic Care CKM

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070060

Dental Only? No

Silver Simple Diabetes (Choice)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0010045

Dental Only? No

Silver Simple Diabetes (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020060

Dental Only? No

Silver Simple PCP Saver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070025

Dental Only? No

Silver Simple PCP Saver (Select)

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 11574IL0020025

Dental Only? No

Silver Simple Specialist Saver with COPD

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 13877AZ0070008

Dental Only? No

Oscar Insurance Company (79 plans)

Bronze Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010003

Dental Only? No

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020024

Dental Only? No

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010024

Dental Only? No

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010060

Dental Only? No

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010024

Dental Only? No

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070024

Dental Only? No

Bronze Classic 4700

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010024

Dental Only? No

Bronze Classic 4700 | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010024

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020050

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010050

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010065

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010050

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010050

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070050

Dental Only? No

Bronze Classic Standard

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010050

Dental Only? No

Bronze Classic Standard | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010050

Dental Only? No

Bronze Elite + PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010005

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020005

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010056

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010005

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010005

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070005

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010005

Dental Only? No

Bronze Elite + PCP Saver Plus | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010005

Dental Only? No

Gold Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020013

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020053

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010053

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010067

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010053

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010053

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070053

Dental Only? No

Gold Classic Standard

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010053

Dental Only? No

Gold Classic Standard | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010053

Dental Only? No

Gold Elite

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020036

Dental Only? No

Gold Elite

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010063

Dental Only? No

Gold Elite

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010036

Dental Only? No

Gold Elite | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010036

Dental Only? No

Gold Elite Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070035

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020011

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010011

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010058

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010011

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010011

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070011

Dental Only? No

Secure

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010011

Dental Only? No

Secure | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010011

Dental Only? No

Silver Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020006

Dental Only? No

Silver Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010006

Dental Only? No

Silver Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010057

Dental Only? No

Silver Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010006

Dental Only? No

Silver Classic

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070006

Dental Only? No

Silver Classic | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010006

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020052

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010052

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010066

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010052

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010052

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070052

Dental Only? No

Silver Classic Standard

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010052

Dental Only? No

Silver Classic Standard | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010052

Dental Only? No

Silver Elite Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010030

Dental Only? No

Silver Elite Saver Plus

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010030

Dental Only? No

Silver Simple Breathe Easy with Enhanced COPD Benefits

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020056

Dental Only? No

Silver Simple Breathe Easy with Enhanced COPD Benefits

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010055

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020055

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010045

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010064

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010045

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010045

Dental Only? No

Silver Simple Diabetes

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010045

Dental Only? No

Silver Simple Diabetes | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010045

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 23552TN0020025

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 43490KS0010025

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010061

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 57424NE0010025

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 69512MO0010025

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 77739MI0070025

Dental Only? No

Silver Simple PCP Saver

Type: PPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 91908OK0010025

Dental Only? No

Silver Simple PCP Saver | MercyOne

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45819IA0010025

Dental Only? No

Oscar Insurance Company of Florida (22 plans)

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070024

Dental Only? No

Bronze Classic 4700

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200024

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070050

Dental Only? No

Bronze Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200050

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070005

Dental Only? No

Bronze Elite + PCP Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200005

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070053

Dental Only? No

Gold Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200053

Dental Only? No

Gold Elite

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070036

Dental Only? No

Gold Elite Saver Plus

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070035

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070011

Dental Only? No

Secure

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200011

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070052

Dental Only? No

Silver Classic Standard

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200052

Dental Only? No

Silver Elite

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070016

Dental Only? No

Silver Elite

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200016

Dental Only? No

Silver Simple Chronic Care CKM

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070060

Dental Only? No

Silver Simple Chronic Care CKM

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200060

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070061

Dental Only? No

Silver Simple Diabetes

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200061

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0070025

Dental Only? No

Silver Simple PCP Saver

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 40572FL0200025

Dental Only? No

Oscar Insurance Corporation of Ohio (12 plans)

Bronze Classic PCP Saver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100002

Dental Only? No

Bronze Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100050

Dental Only? No

Bronze Simple HSA

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100014

Dental Only? No

Gold Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100053

Dental Only? No

Gold Elite

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100036

Dental Only? No

Gold Elite Saver Plus

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100035

Dental Only? No

Secure

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100011

Dental Only? No

Silver Classic Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100052

Dental Only? No

Silver Elite Saver Plus

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100030

Dental Only? No

Silver Simple Chronic Care CKM

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100060

Dental Only? No

Silver Simple Diabetes

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100045

Dental Only? No

Silver Simple PCP Saver

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 45845OH0100025

Dental Only? No

SummaCare (17 plans)

SummaCare Bronze 8000

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530023

Dental Only? No

SummaCare Bronze 8000 with Adult Vision Exam

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540003

Dental Only? No

SummaCare Bronze 9200 with 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530022

Dental Only? No

SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540002

Dental Only? No

SummaCare Gold 2000 with 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530026

Dental Only? No

SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540006

Dental Only? No

SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540005

Dental Only? No

SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530025

Dental Only? No

SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540004

Dental Only? No

SummaCare Silver 7000 with 3 Free PCP Visits

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530030

Dental Only? No

SummaCare Standard Bronze

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530032

Dental Only? No

SummaCare Standard Bronze with Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540010

Dental Only? No

SummaCare Standard Gold

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530036

Dental Only? No

SummaCare Standard Gold with Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540012

Dental Only? No

SummaCare Standard Silver

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1530035

Dental Only? No

SummaCare Standard Silver with Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540011

Dental Only? No

SummaCare Value with 3 Free PCP Visits + Adult Vision

Type: HMO

Market: Individual

Network Tier: SCCONNECT

Plan ID: 52664OH1540001

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.