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DR. JOHN FREDERICK LARGEN I D.M.D.
Accepted Insurance for NPI 1801217310
Dentist in Sunrise, FL

Active since December 31, 2013
12651 W SUNRISE BLVD STE 300, SUNRISE, FL 33323(954) 846-9040(954) 846-1363 Get Directions

NPPES record last updated: December 31, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Accepted Insurance & Health Plans Health Insurance Marketplace

Marketplace plan participation on file for this provider · 2026 plan year

DR. JOHN FREDERICK LARGEN I D.M.D., a dentist provider in Sunrise, FL, is listed as in-network for 356 health insurance plans from 17 insurance companies, led by Anthem Blue Cross and Blue Shield, Ambetter Health and BEST Life. This list is compiled from the CMS Health Insurance Marketplace public use files for the 2026 plan year.

Verify before you schedule: insurance networks change throughout the plan year. Confirm coverage directly with your insurance company or this practice’s billing office before booking an appointment.
17
Insurance Companies
356
Plan Options
5
Network Types
Anthem Blue Cross and Blue Shield
Largest Network · 49 plans
View plans
168 plans · 344 plan IDs · 2026 plan year

Ambetter Health

20 plans · Individual market · listed as Preferred

Clarity Silver

SilverHMO
Plan ID49004FL0010031

Complete Gold + Vision + Adult Dental

GoldHMO
Plan IDs49004FL002001049004FL0020021

Complete Gold

GoldHMO
Plan IDs49004FL001001149004FL0010025

Elite Bronze + Vision + Adult Dental

BronzeHMO
Plan IDs49004FL002000449004FL0020015

Elite Bronze

BronzeHMO
Plan IDs49004FL001000449004FL0010017

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverHMO
Plan IDs49004FL002000849004FL0020020

Enhanced Diabetes Care Silver with $0 Drug Options

SilverHMO
Plan IDs49004FL001000949004FL0010023

Everyday Bronze + Vision + Adult Dental

BronzeHMO
Plan IDs49004FL002000249004FL0020013

Everyday Bronze

BronzeHMO
Plan IDs49004FL001000249004FL0010015

Everyday Gold + Vision + Adult Dental

GoldHMO
Plan IDs49004FL002000949004FL0020022

Everyday Gold

GoldHMO
Plan IDs49004FL001001049004FL0010026

Focused Silver + Vision + Adult Dental

SilverHMO
Plan IDs49004FL002000649004FL0020018

Focused Silver

SilverHMO
Plan IDs49004FL001000749004FL0010021

Standard Expanded Bronze + Vision + Adult Dental

BronzeHMO
Plan IDs49004FL002000149004FL0020016

Standard Expanded Bronze

BronzeHMO
Plan IDs49004FL001000149004FL0010018

Standard Gold + Vision + Adult Dental

GoldHMO
Plan IDs49004FL002001249004FL0020024

Standard Gold

GoldHMO
Plan IDs49004FL001001349004FL0010028

Standard Silver + Vision + Adult Dental

SilverHMO
Plan IDs49004FL002002749004FL0020028

Standard Silver

SilverHMO
Plan IDs49004FL001000649004FL0010024

Thrive Silver

SilverHMO
Plan ID49004FL0010032

Ambetter of Alabama

18 plans · Individual market · listed as Preferred

Complete Gold + Vision + Adult Dental

GoldEPOAlabama
Plan ID53932AL0110010

Complete Gold

GoldEPOAlabama
Plan ID53932AL0100015

Elite Bronze + Vision + Adult Dental

BronzeEPOAlabama
Plan ID53932AL0110014

Elite Bronze

BronzeEPOAlabama
Plan ID53932AL0100014

Elite Gold + Vision + Adult Dental

GoldEPOAlabama
Plan ID53932AL0110015

Elite Gold

GoldEPOAlabama
Plan ID53932AL0100016

Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental

SilverEPOAlabama
Plan ID53932AL0110018

Enhanced Diabetes Care Silver with $0 Drug Options

SilverEPOAlabama
Plan ID53932AL0100018

Everyday Bronze + Vision + Adult Dental

BronzeEPOAlabama
Plan ID53932AL0110003

Everyday Bronze

BronzeEPOAlabama
Plan ID53932AL0100003

Focused Silver + Vision + Adult Dental

SilverEPOAlabama
Plan ID53932AL0110005

Focused Silver

SilverEPOAlabama
Plan ID53932AL0100005

Standard Expanded Bronze + Vision + Adult Dental

BronzeEPOAlabama
Plan ID53932AL0110011

Standard Expanded Bronze

BronzeEPOAlabama
Plan ID53932AL0100011

Standard Gold + Vision + Adult Dental

GoldEPOAlabama
Plan ID53932AL0110013

Standard Gold

GoldEPOAlabama
Plan ID53932AL0100013

Standard Silver + Vision + Adult Dental

SilverEPOAlabama
Plan ID53932AL0110017

Standard Silver

SilverEPOAlabama
Plan ID53932AL0100012

Anthem Blue Cross and Blue Shield

49 plans · Individual market · listed as Participating

Anthem Bronze Essential 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990010

Anthem Bronze Essential 10150 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990008

Anthem Bronze Essential 6500 HSA (+ Incentives)

BronzeHMOIndiana
Plan ID17575IN0990011

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

BronzeHMOIndiana
Plan ID17575IN0990009

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

BronzePOSIndiana
Plan ID17575IN1000002

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

BronzePOSIndiana
Plan ID17575IN1000001

Anthem Bronze Pathway 10150 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPOMissouri
Plan ID32753MO0980022

Anthem Bronze Pathway 10600 ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970001

Anthem Bronze Pathway 10600 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970010

Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPOMissouri
Plan ID32753MO0980014

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPOMissouri
Plan ID32753MO0980019

Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970007

Anthem Bronze Pathway 8500 for HSA

BronzeHMOOhio
Plan ID29276OH0970012

Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

BronzeHMOWisconsin
Plan IDs79475WI055000279475WI055001179475WI055001279475WI055001379475WI0550054

Anthem Bronze Pathway/Lean HSA (+ Incentives)

BronzeHMOWisconsin
Plan IDs79475WI055000179475WI055000879475WI055000979475WI055001079475WI0550042

Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOWisconsin
Plan IDs79475WI055002979475WI055003279475WI055003979475WI055004079475WI0550052

Anthem Catastrophic Essential (+ Incentives)

CatastrophicHMOIndiana
Plan ID17575IN0990004

Anthem Catastrophic Pathway (+ Incentives)

CatastrophicEPOMissouri
Plan ID32753MO0980017

Anthem Dental Family Enhanced

PPO4 statesDental only
Plan IDs17575IN086000429276OH083000432753MO086000490028WI0420004

Anthem Dental Family Preventive

PPO4 statesDental only
Plan IDs17575IN086000629276OH083000632753MO086000690028WI0420006

Anthem Dental Family Value

PPO4 statesDental only
Plan IDs17575IN086000529276OH083000532753MO086000590028WI0420005

Anthem Dental Family

PPO4 statesDental only
Plan IDs17575IN086000329276OH083000332753MO086000390028WI0420003

Anthem Gold Essential 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOIndiana
Plan ID17575IN0990006

Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOIndiana
Plan ID17575IN0990012

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldEPOMissouri
Plan ID32753MO0980021

Anthem Gold Pathway 2000 Standard ($0 Virtual PCP + $0 Select Drugs)

GoldHMOOhio
Plan ID29276OH0970009

Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOWisconsin
Plan IDs79475WI055000679475WI055002079475WI055002179475WI055002279475WI0550046

Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

GoldHMOWisconsin
Plan IDs79475WI055003179475WI055003379475WI055003679475WI055003879475WI0550056

Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeHMOIndiana
Plan ID17575IN0990007

Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives)

BronzeEPOMissouri
Plan ID32753MO0980018

Anthem Heart Healthy Bronze Pathway 6000 ($0 Virtual PCP + $0 Select Drugs)

BronzeHMOOhio
Plan ID29276OH0970002

Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives)

BronzeHMOWisconsin
Plan IDs79475WI055000779475WI055002379475WI055002479475WI055002579475WI0550048

Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990002

Anthem Heart Healthy Silver Pathway 3100 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPOMissouri
Plan ID32753MO0980013

Anthem Heart Healthy Silver Pathway 5000 ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970006

Anthem Silver Essential 3500 HSA (+ Incentives)

SilverHMOIndiana
Plan ID17575IN0990013

Anthem Silver Essential 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990005

Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990003

Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOIndiana
Plan ID17575IN0990001

Anthem Silver Pathway 4000 ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970005

Anthem Silver Pathway 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970011

Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPOMissouri
Plan ID32753MO0980015

Anthem Silver Pathway 5500 for HSA

SilverHMOOhio
Plan ID29276OH0970004

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPOMissouri
Plan ID32753MO0980020

Anthem Silver Pathway 6000 Standard ($0 Virtual PCP + $0 Select Drugs)

SilverHMOOhio
Plan ID29276OH0970008

Anthem Silver Pathway 7200 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverEPOMissouri
Plan ID32753MO0980016

Anthem Silver Pathway/Lean 4000 ($0 PCP Visits + $0 Select Drugs + Incentives)

SilverHMOWisconsin
Plan IDs79475WI055000379475WI055001479475WI055001579475WI055001679475WI0550044

Anthem Silver Pathway/Lean 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOWisconsin
Plan IDs79475WI055000579475WI055001779475WI055001879475WI055001979475WI0550050

Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

SilverHMOWisconsin
Plan IDs79475WI055003079475WI055003479475WI055003579475WI055003779475WI0550058

BEST Life

20 plans · Individual market · listed as In Network

BEST Life Preferred Dental Plan

PPONorth CarolinaDental only
Plan ID94482NC0020007

BEST Life Superior Dental Plan

PPONorth CarolinaDental only
Plan ID94482NC0020003

BEST Life Essental Preferred Dental Plan

PPOSouth CarolinaDental only
Plan ID89281SC0020008

BEST Life Essental Value Dental Plan

PPOSouth CarolinaDental only
Plan ID89281SC0020006

BEST Life Essential Basic Dental Plan

PPO2 statesDental only
Plan IDs12538AL002000829416MO0020008

BEST Life Essential Basic Dental Plan

Indemnity2 statesDental only
Plan IDs74819AK002001293895MT0020008

BEST Life Essential Basic Dental Plan

PPO19 statesDental only
Plan IDs10046HI002000811324MS002000817121FL002000824601TN002000826904AR002000835700MI002000840254OK002000842757UT004000147509OH002000847665TX002000847731WY003000850022NE002000861214SD002000863790KS002000871051IA002000875329ND002000877352AZ002000678461LA002000883557IN0020008

BEST Life Essential Basic Dental

PPONorth CarolinaDental only
Plan ID94482NC0020008

BEST Life Essential Value Dental Plan

PPO2 statesDental only
Plan IDs12538AL002000629416MO0020006

BEST Life Essential Value Dental Plan

Indemnity2 statesDental only
Plan IDs74819AK002001093895MT0020006

BEST Life Essential Value Dental Plan

PPO19 statesDental only
Plan IDs10046HI002000611324MS002000617121FL002000624601TN002000626904AR002000635700MI002000640254OK002000642757UT002000647509OH002000647665TX002000647731WY003000650022NE002000661214SD002000663790KS002000671051IA002000675329ND002000677352AZ002000878461LA002000683557IN0020006

BEST Life Essential Value Dental

PPONorth CarolinaDental only
Plan ID94482NC0020006

BEST Life Preferred Dental Plan

PPOSouth CarolinaDental only
Plan ID89281SC0020007

BEST Life Preferred Dental Plan

Indemnity2 statesDental only
Plan IDs74819AK002001193895MT0020007

BEST Life Preferred Dental Plan

PPO20 statesDental only
Plan IDs10046HI002000711324MS002000712538AL002000724601TN002000726904AR002000729416MO002000735700MI002000740254OK002000742757UT002000747509OH002000747665TX002000747731WY003000750022NE002000761214SD002000763790KS002000771051IA002000775329ND002000777352AZ002000778461LA002000783557IN0020007

BEST Life Preferred Dental

PPODental only
Plan ID17121FL0020007

BEST Life Superior Dental Plan

PPOSouth CarolinaDental only
Plan ID89281SC0020003

BEST Life Superior Dental Plan

Indemnity2 statesDental only
Plan IDs74819AK002000793895MT0020003

BEST Life Superior Dental Plan

PPO20 statesDental only
Plan IDs10046HI002000311324MS002000312538AL002000324601TN002000326904AR002000329416MO002000335700MI002000340254OK002000342757UT002000347509OH002000347665TX002000347731WY003000350022NE002000361214SD002000363790KS002000371051IA002000375329ND002000377352AZ002000378461LA002000383557IN0020003

BEST Life Superior Dental

PPODental only
Plan ID17121FL0020003

Blue Cross and Blue Shield of Montana

6 plans · Individual market · listed as Preferred

BlueCare Dental 4 Kids? 1A

PPOMontanaDental only
Plan ID30751MT0580003

BlueCare Dental 4 Kids? 1B

PPOMontanaDental only
Plan ID30751MT0580004

BlueCare Dental? 1A

PPOMontanaDental only
Plan ID30751MT0580001

BlueCare Dental? 1B

PPOMontanaDental only
Plan ID30751MT0580002

BlueCare Dental? 1C

PPOMontanaDental only
Plan ID30751MT0580005

BlueCare Dental? 1D

PPOMontanaDental only
Plan ID30751MT0580006

Blue Cross and Blue Shield of Oklahoma

6 plans · Individual market · listed as Preferred

BlueCare Dental 4 Kids? 1A

PPOOklahomaDental only
Plan ID87571OK0390003

BlueCare Dental 4 Kids? 1B

PPOOklahomaDental only
Plan ID87571OK0390004

BlueCare Dental? 1A

PPOOklahomaDental only
Plan ID87571OK0390001

BlueCare Dental? 1B

PPOOklahomaDental only
Plan ID87571OK0390002

BlueCare Dental? 1C

PPOOklahomaDental only
Plan ID87571OK0390005

BlueCare Dental? 1D

PPOOklahomaDental only
Plan ID87571OK0390006

Blue Cross and Blue Shield of Texas

6 plans · Individual market · listed as Preferred

BlueCare Dental 1D

PPOTexasDental only
Plan ID33602TX0500007

BlueCare Dental 4 Kids? 1A

PPOTexasDental only
Plan ID33602TX0500003

BlueCare Dental 4 Kids? 1B

PPOTexasDental only
Plan ID33602TX0500004

BlueCare Dental? 1A

PPOTexasDental only
Plan ID33602TX0500001

BlueCare Dental? 1B

PPOTexasDental only
Plan ID33602TX0500002

BlueCare Dental? 1C

PPOTexasDental only
Plan ID33602TX0500006

Delta Dental

3 plans · Individual market · listed as Delta Dental PPO

Delta Dental PPO Basic Plan for Families

PPODental only
Plan ID97725FL0010006

Delta Dental PPO Preferred Plan for Families

PPODental only
Plan ID97725FL0010004

Delta Dental PPO Preventive Plan for Families

PPODental only
Plan ID97725FL0010007

Dominion National

6 plans · Individual market · listed as Choice

Choice PPO Basic Kids

PPODental only
Plan ID74243FL0010005

Choice PPO Basic

PPODental only
Plan ID74243FL0010001

Choice PPO Plus

PPODental only
Plan ID74243FL0010003

Choice PPO Premium Kids

PPODental only
Plan ID74243FL0010006

Choice PPO Premium

PPODental only
Plan ID74243FL0010002

Choice PPO Preventive

PPODental only
Plan ID74243FL0010004

EMI Health

5 plans · Individual market · listed as Preferred

EMI Health Advantage Co-Pay

PPODental only
Plan ID98869FL0010003

EMI Health Advantage PPO Low

PPODental only
Plan ID98869FL0020001

EMI Health Advantage PPO

PPODental only
Plan ID98869FL0010004

EMI Health Premier PPO (High)

PPODental only
Plan ID98869FL0010005

EMI Health Premier PPO (Low)

PPODental only
Plan ID98869FL0010006

Florida Combined Life

2 plans · Individual market · listed as Copayment Network

BlueDental Copayment QF

PPODental only
Plan ID30115FL0040001

BlueDental Copayment Q

PPODental only
Plan ID30115FL0010001

Guardian

4 plans · Individual market · listed as Cd Dentalguard Connect Admin Providers

Guardian Basics for Familes and Individuals

PPODental only
Plan ID15833FL0150005

Guardian Essentials for Families and Individuals

PPODental only
Plan ID15833FL0130005

Guardian Preventive Plus for Families and Individuals

PPODental only
Plan ID15833FL0160005

Guardian Select for Families and Individuals

PPODental only
Plan ID15833FL0140005

HRI Dental & Vision

6 plans · Individual market · listed as Participating

HRI Essential Plus Plan

HMOIndianaDental only
Plan ID33086IN0060002

HRI Essential Plus Plan

PPOOhioDental only
Plan ID25945OH0020002

HRI Preventive Family Plan

HMOIndianaDental only
Plan ID33086IN0060001

HRI Preventive Family Plan

PPOOhioDental only
Plan ID25945OH0020001

HRI Total Care Plan

HMOIndianaDental only
Plan ID33086IN0060003

HRI Total Care Plan

PPOOhioDental only
Plan ID25945OH0020003

Humana

5 plans · Individual market · listed as Preferred

Humana Dental Smart Choice - Basic

PPOUtahDental only
Plan ID46958UT0470002

Humana Dental Smart Choice - High

PPO12 statesDental only
Plan IDs15980FL016000423468OK020000230613MO056000331358HI001000232237NC029000244580AL038000346958UT048000148963MS051000363141TX076000266105AZ062000382120TN063000599791IN0540002

Humana Dental Smart Choice - Lite

PPO7 statesDental only
Plan IDs15980FL016000523468OK020000330613MO056000232237NC029000344580AL038000463141TX076000382120TN0630006

Humana Dental Smart Choice - Low

PPO13 statesDental only
Plan IDs15980FL016000323468OK020000130613MO056000131358HI001000132237NC029000144580AL038000148963MS051000262294MI042000163141TX076000166105AZ062000282120TN063000497596OH058000399791IN0540001

Humana Dental Smart Choice

PPO2 statesDental only
Plan IDs44965LA059000191604WI0490002

Paramount

3 plans · Individual market · listed as Participating

Paramount Dental Essential Plus Plan

EPOMichiganDental only
Plan ID95233MI0210002

Paramount Dental Preventive Family Plan

EPOMichiganDental only
Plan ID95233MI0210001

Paramount Dental Total Care Plan

EPOMichiganDental only
Plan ID95233MI0210003

Solstice Benefits

3 plans · Individual market · listed as Preferred

EssentialSmile Florida - Total Care

EPODental only
Plan ID43274FL0030002

EssentialSmile Ped 221

PPODental only
Plan ID43274FL0010001

Smile Now Florida - No Waiting Period PPO

PPODental only
Plan ID43274FL0010002

UnitedHealthcare

6 plans · Individual market · listed as Preferred

Lone Star - Smile Now

PPOTexasDental only
Plan ID98809TX0690002

Smile Now Arizona - No Waiting Period PPO

PPOArizonaDental only
Plan ID82011AZ0110001

Smile Now Michigan - No Waiting Period PPO

PPOMichiganDental only
Plan ID63631MI0140001

Smile Now Ohio - No Waiting Period PPO

PPOOhioDental only
Plan ID56726OH0080001

Smile Now Texas- No Waiting Period Plan

PPOTexasDental only
Plan ID98809TX0690001

Smile Now Utah - No Waiting Period PPO

PPOUtahDental only
Plan ID97462UT0100001
No plans match your current filters. Clear filters to see the full list.

Coverage Questions FAQs

Common questions about this provider’s insurance participation, answered from the CMS Health Insurance Marketplace and Medicare enrollment files.

What insurance does DR. JOHN FREDERICK LARGEN I D.M.D. accept?

Marketplace files for the 2026 plan year list DR. JOHN FREDERICK LARGEN I D.M.D. as in-network for 356 plans from 17 insurance companies. The largest networks are Anthem Blue Cross and Blue Shield (49 plans), Ambetter Health (20 plans), BEST Life (20 plans), followed by 14 more companies. The full list above shows each plan's metal level, network type, and plan IDs.

Is DR. JOHN FREDERICK LARGEN I D.M.D. enrolled in Medicare?

The CMS Medicare enrollment files linked to this NPI do not currently show a Medicare assignment or PECOS enrollment indicator. Registry files can lag recent enrollment changes, so verify Medicare participation directly with the practice.

What network types does DR. JOHN FREDERICK LARGEN I D.M.D. participate in?

The accepted plans include 74 PPO plans, 56 HMO plans, 32 EPO plans, 4 Indemnity plans and 2 POS plans. PPO (Preferred Provider Organization) plans cover out-of-network care at a higher cost and do not require referrals. HMO (Health Maintenance Organization) plans cover care from network providers and typically require a primary care referral for specialists. EPO (Exclusive Provider Organization) plans cover network providers only, generally without referral requirements. Indemnity plans are traditional fee-for-service coverage without network restrictions. POS (Point of Service) plans combine HMO-style referrals with partial out-of-network coverage.

Where does this insurance data come from and how current is it?

Plan participation is compiled from the official CMS Health Insurance Marketplace public use files for the 2026 plan year and refreshed as CMS publishes updated files. Networks change during the year, so always verify coverage with the insurance company or the provider's office before scheduling care.