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  7. Accepted Health Plans 1841291036

DR. TAMMY BONE KIGER MD
Accepted Insurance Health Plans for NPI 1841291036
Internal Medicine in Elm City, NC

NPI Status: Active since August 10, 2005

Contact Information

8250 NC 58 S
ELM CITY, NC
ZIP 27822
Phone: (252) 443-7744
Fax: (252) 443-7611

Get Directions

Table of Contents - List of Insurance Companies

  1. Aetna CVS Health
  2. Blue Cross and Blue Shield of NC
  3. Cigna Healthcare
  4. UnitedHealthcare

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by DR. TAMMY BONE KIGER 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.

Aetna CVS Health (14 plans)

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100001

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100016

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100022

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100006

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100023

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100024

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100017

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100025

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100007

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100026

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100027

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100019

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100009

Dental Only? No

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

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 61671NC0100028

Dental Only? No

Blue Cross and Blue Shield of NC (87 plans)

Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060004

Dental Only? No

Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060031

Dental Only? No

Blue Advantage Bronze Standard | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060052

Dental Only? No

Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060018

Dental Only? No

Blue Advantage Gold Standard | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060050

Dental Only? No

Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060028

Dental Only? No

Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060002

Dental Only? No

Blue Advantage Silver Standard | Nationwide Doctors

Type: PPO

Market: Individual

Network Tier: PPO

Plan ID: 11512NC0060051

Dental Only? No

Blue Care Bronze Standard | Statewide Doctors

Type: HMO

Market: Individual

Network Tier: HMO

Plan ID: 11512NC0430003

Dental Only? No

Blue Care Gold Standard | Statewide Doctors

Type: HMO

Market: Individual

Network Tier: HMO

Plan ID: 11512NC0430001

Dental Only? No

Blue Care Silver Standard | Statewide Doctors

Type: HMO

Market: Individual

Network Tier: HMO

Plan ID: 11512NC0430002

Dental Only? No

Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390031

Dental Only? No

Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390032

Dental Only? No

Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390033

Dental Only? No

Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390028

Dental Only? No

Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390029

Dental Only? No

Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390030

Dental Only? No

Blue Home Bronze Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390034

Dental Only? No

Blue Home Bronze Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390035

Dental Only? No

Blue Home Bronze Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390036

Dental Only? No

Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390001

Dental Only? No

Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390002

Dental Only? No

Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390003

Dental Only? No

Blue Home Gold Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390004

Dental Only? No

Blue Home Gold Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390005

Dental Only? No

Blue Home Gold Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390006

Dental Only? No

Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390022

Dental Only? No

Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390023

Dental Only? No

Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390024

Dental Only? No

Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390013

Dental Only? No

Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390014

Dental Only? No

Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390015

Dental Only? No

Blue Home Silver Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390025

Dental Only? No

Blue Home Silver Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390026

Dental Only? No

Blue Home Silver Standard | with UNC Health Alliance

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0390027

Dental Only? No

Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410011

Dental Only? No

Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410046

Dental Only? No

Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410047

Dental Only? No

Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410048

Dental Only? No

Blue Local Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410055

Dental Only? No

Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410009

Dental Only? No

Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410044

Dental Only? No

Blue Local Bronze Complete | $60 PCP | $20 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410045

Dental Only? No

Blue Local Bronze Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410012

Dental Only? No

Blue Local Bronze Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410049

Dental Only? No

Blue Local Bronze Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410050

Dental Only? No

Blue Local Bronze Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410051

Dental Only? No

Blue Local Bronze Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410056

Dental Only? No

Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410001

Dental Only? No

Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410016

Dental Only? No

Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410017

Dental Only? No

Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410018

Dental Only? No

Blue Local Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410022

Dental Only? No

Blue Local Gold Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410002

Dental Only? No

Blue Local Gold Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410019

Dental Only? No

Blue Local Gold Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410020

Dental Only? No

Blue Local Gold Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410021

Dental Only? No

Blue Local Gold Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410023

Dental Only? No

Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410008

Dental Only? No

Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410038

Dental Only? No

Blue Local Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410039

Dental Only? No

Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410005

Dental Only? No

Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410024

Dental Only? No

Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410028

Dental Only? No

Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410029

Dental Only? No

Blue Local Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410030

Dental Only? No

Blue Local Silver Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410010

Dental Only? No

Blue Local Silver Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410027

Dental Only? No

Blue Local Silver Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410040

Dental Only? No

Blue Local Silver Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410041

Dental Only? No

Blue Local Silver Standard | with Atrium Health

Type: EPO

Market: Individual

Network Tier: EPO

Plan ID: 11512NC0410042

Dental Only? No

Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100070

Dental Only? No

Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100071

Dental Only? No

Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100012

Dental Only? No

Blue Value Bronze Complete | $60 PCP | $20 Tier 1 Rx | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100054

Dental Only? No

Blue Value Bronze Standard | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100074

Dental Only? No

Blue Value Bronze Standard | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100077

Dental Only? No

Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100009

Dental Only? No

Blue Value Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100034

Dental Only? No

Blue Value Gold Standard | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100072

Dental Only? No

Blue Value Gold Standard | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100075

Dental Only? No

Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100011

Dental Only? No

Blue Value Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100044

Dental Only? No

Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100064

Dental Only? No

Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100065

Dental Only? No

Blue Value Silver Standard | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100073

Dental Only? No

Blue Value Silver Standard | Limited Statewide Doctors

Type: POS

Market: Individual

Network Tier: POS

Plan ID: 11512NC0100076

Dental Only? No

Cigna Healthcare (7 plans)

Connect Bronze 5500 Indiv Med Deductible

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070028

Dental Only? No

Connect Bronze 6500 Indiv Med Deductible

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070027

Dental Only? No

Connect Bronze CMS Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070046

Dental Only? No

Connect Gold CMS Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070050

Dental Only? No

Connect Silver 3500 Indiv Med Deductible

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070030

Dental Only? No

Connect Silver 4400 Indiv Med Deductible

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070029

Dental Only? No

Connect Silver CMS Standard

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 73943NC0070049

Dental Only? No

UnitedHealthcare (13 plans)

UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030033

Dental Only? No

UHC Bronze Standard (No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030030

Dental Only? No

UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030032

Dental Only? No

UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0060003

Dental Only? No

UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030015

Dental Only? No

UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0060002

Dental Only? No

UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030035

Dental Only? No

UHC Gold Standard (No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030022

Dental Only? No

UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030034

Dental Only? No

UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0060001

Dental Only? No

UHC Silver Standard (No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030027

Dental Only? No

UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0030020

Dental Only? No

UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 54332NC0060004

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.