SAINT CLAIR SHORES PHARMACY LLC
Accepted Insurance for NPI 1891266607
Pharmacy - Community/Retail Pharmacy in Saint Clair Shores, MI

Q: What managed care network types are accepted by this provider?

SAINT CLAIR SHORES PHARMACY LLC is enrolled across the following managed care network types: EPO, HMO, PPO. HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.

NPI Status: Active since December 06, 2018

Contact Information

23600 HARPER AVE STE 101
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 350-0370
Fax: (586) 350-0375

Get Directions

Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with SAINT CLAIR SHORES PHARMACY LLC, a practicing pharmacy professional in Saint Clair Shores, MI. Compiled from official data resources, this interface is designed to help you determine if your policy is accepted at this practice location. Currently, the provider is listed across 119 individual coverage options managed by medical networks, including networks like Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., and Baylor Scott and White Health Plan. Please use the filtering dashboard below to search for your specific plan by name, narrow results by a single carrier corporate network, or toggle between plan types (HMO, PPO, EPO) to check your status before coordinating an upcoming clinic visit.

Search Insurance Plans

Filter By Insurance Company

Fitler by Network Type

Antidote Health Plan of Arizona, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590010

Catastrophic Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590050

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0600021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0610021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

68445AZ0590020

Antidote Health Plan of Ohio, Inc.

Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020010

Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020011

Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030010

Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030011

Bronze Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0010010

Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020030

Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020031

Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030030

Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030031

Gold Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0010030

Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020020

Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0020021

Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030020

Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0030021

Silver Standard

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFER Tier

Accepted Plan ID Variations

31981OH0010020

Baylor Scott and White Health Plan

BSW Diabetes Care Gold HMO 014

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460014

BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460001

BSW Elite Gold HMO 004

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460004

BSW Elite Gold HMO 012

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460012

BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460003

BSW Prime Silver HMO 008

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460008

BSW Prime Silver HMO 005

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460005

BSW Savers Bronze HMO H S A 006

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460006

BSW Savers Bronze HMO H S A 007 (CMS Standardized Plan with $0 Pediatric PCP copay)

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460007

BSW Savers Bronze HMO H S A 009

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BSW-PREMIER Tier

Accepted Plan ID Variations

40788TX0460009

Medica

Balance by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080041

Balance by Medica Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080051

Balance by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080073

Balance by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080045

Balance by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080074

Balance by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080055

Balance by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080047

Balance by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080075

Balance by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0080057

Medica with MU Health Care Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070041

Medica with MU Health Care Bronze Premier

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070051

Medica with MU Health Care Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070073

Medica with MU Health Care Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070045

Medica with MU Health Care Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070074

Medica with MU Health Care Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070055

Medica with MU Health Care Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070047

Medica with MU Health Care Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070075

Medica with MU Health Care Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

53461MO0070057

Select by Medica Bronze $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004004153461MO0010041

Select by Medica Bronze Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004002953461MO0010029

Select by Medica Expanded Bronze Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004007353461MO0010073

Select by Medica Gold $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004004553461MO0010045

Select by Medica Gold Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004007553461MO0010074

Select by Medica Gold Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004005553461MO0010055

Select by Medica Silver $0 Copay PCP Visits

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004007453461MO0010047

Select by Medica Silver Share

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004007653461MO0010075

Select by Medica Silver Standard

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

39520KS004005753461MO0010057

Moda Health Plan, Inc.

Moda Health Affinity Bronze 8000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680005

Moda Health Affinity Bronze 9000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1660002

Moda Health Affinity Bronze HDHP 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680007

Moda Health Affinity Gold 1000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1700001

Moda Health Affinity Gold 1500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680008

Moda Health Affinity Gold 250

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1690001

Moda Health Affinity Silver 3000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1690003

Moda Health Affinity Silver 3400

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680002

Moda Health Affinity Silver 4500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1680004

Moda Health Affinity Silver 6000

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1660001

Moda Health Oregon Standard Bronze Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670003

Moda Health Oregon Standard Gold Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670001

Moda Health Oregon Standard Silver Affinity

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

39424OR1670002

Moda Select Alaska Bronze 6500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930003

Moda Select Alaska Bronze HDHP 5500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0970002

Moda Select Alaska Gold 1500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930001

Moda Select Alaska Silver 4500

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0930002

Moda Select Alaska Standard Bronze

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0960001

Moda Select Alaska Standard Gold

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0940001

Moda Select Alaska Standard Silver

PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

73836AK0950001

Moda Select Texas Bronze 8700 ($0 Virtual Urgent Care through CirrusMD)

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010006

Moda Select Texas Bronze HDHP 7500

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010007

Moda Select Texas Standard Bronze

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010010

Moda Select Texas Standard Gold

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010009

Moda Select Texas Standard Silver

EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NON-PREFERRED Tier

Accepted Plan ID Variations

17933TX0010008

SummaCare

SummaCare Bronze 10600 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530022

SummaCare Bronze 10600 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540002

SummaCare Bronze 8000

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530023

SummaCare Bronze 8000 with Adult Vision Exam

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540003

SummaCare Gold 1000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540013

SummaCare Gold 2000 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530026

SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540006

SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540005

SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530025

SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540004

SummaCare Silver 7000 with 3 Free PCP Visits

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530030

SummaCare Standard Bronze

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530032

SummaCare Standard Bronze with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540010

SummaCare Standard Gold

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530036

SummaCare Standard Gold with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540012

SummaCare Standard Silver

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1530035

SummaCare Standard Silver with Adult Vision

HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: SCCONNECT Tier

Accepted Plan ID Variations

52664OH1540011

No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

What insurance does SAINT CLAIR SHORES PHARMACY LLC accept?

This provider accepts health insurance plans managed by the following insurance companies: Antidote Health Plan of Arizona, Inc., Antidote Health Plan of Ohio, Inc., Baylor Scott and White Health Plan, Medica, Moda Health Plan, Inc., SummaCare. You can filter specific policies or search for unique plans using the open dashboard controls located above.

Is this provider enrolled to accept Medicare?

No, current public enrollment indicators show that this provider does not accept standard Medicare program assignments.

What managed care network types are accepted by this provider?

SAINT CLAIR SHORES PHARMACY LLC is enrolled across the following managed care network types: EPO, HMO, PPO.

HMO (Health Maintenance Organization): Requires receiving care through the network of clinicians and facilities, often requiring primary doctor referrals to access specialist treatments.
PPO (Preferred Provider Organization): Provides flexibility to visit out-of-network clinicians without requiring referrals, though seeking care with in-network providers offers lower out-of-pocket costs.
EPO (Exclusive Provider Organization): Restricts coverage strictly to network providers except for emergency situations, but generally allows seeking treatment from network specialists without an official referral.