MCHS HOSPITALS INC
Accepted Insurance Health Plans for NPI 1952809816
General Acute Care Hospital in Eau Claire, WI

Hospital Overall Rating: 3 out of 5 stars

NPI Status: Active since January 25, 2018

Contact Information

2310 CRAIG RD
EAU CLAIRE, WI
ZIP 54701
Phone: (715) 858-8100

Recently Updated NPI Information
Some details in this NPI profile have been updated in the NPI registry within the last 30 days.

Table of Contents - List of Insurance Companies

Anthem Blue Cross and Blue Shield
Molina Healthcare
Security Health Plan

Accepted Health Plans and Insurance Coverage

Browse the list of insurance companies that may be accepted by MCHS HOSPITALS INC. 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.

Anthem Blue Cross and Blue Shield (9 plans)

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530005

Dental Only? No

Anthem Bronze Preferred/Broad HSA (+ Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530004

Dental Only? No

Anthem Bronze Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530008

Dental Only? No

Anthem Gold Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530007

Dental Only? No

Anthem Gold Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530010

Dental Only? No

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

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530001

Dental Only? No

Anthem Silver Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530017

Dental Only? No

Anthem Silver Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530006

Dental Only? No

Anthem Silver Preferred/Broad Standard ($0 Virtual PCP + $0 Select Drugs + Incentives)

Type: POS

Market: Individual

Network Tier: PARTICIPATING

Plan ID: 79475WI0530009

Dental Only? No

Molina Healthcare (7 plans)

Gold 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0010001

Dental Only? No

Gold 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0050001

Dental Only? No

Gold 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0010008

Dental Only? No

Silver 1

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0010002

Dental Only? No

Silver 1 with Adult Vision Services

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0050002

Dental Only? No

Silver 12 with First 4 Primary Care Visits Free

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0010010

Dental Only? No

Silver 8

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 52697WI0010009

Dental Only? No

Security Health Plan (141 plans)

Enrich $1,500 - 25%

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280011

Dental Only? No

Enrich $1,500 - 25%

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280011

Dental Only? No

Enrich $3,500 - 30%

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280002

Dental Only? No

Enrich $3,500 - 30%

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280002

Dental Only? No

Enrich $4,100 HDHP

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280005

Dental Only? No

Enrich $4,100 HDHP

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280005

Dental Only? No

Enrich $5,000 - 40%

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280012

Dental Only? No

Enrich $5,000 - 40%

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280012

Dental Only? No

Enrich $6,200 HDHP

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280006

Dental Only? No

Enrich $6,200 HDHP

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280006

Dental Only? No

Enrich $7,500

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280013

Dental Only? No

Enrich $7,500

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280013

Dental Only? No

Enrich $9,200

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280009

Dental Only? No

Enrich $9,200

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280009

Dental Only? No

Enrich Protection

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0280010

Dental Only? No

Enrich Protection

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0280010

Dental Only? No

Premier $1,500 - 25%

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310001

Dental Only? No

Premier $1,500 - 25%

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310001

Dental Only? No

Premier $3,500 - 30%

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310002

Dental Only? No

Premier $3,500 - 30%

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310002

Dental Only? No

Premier $4,100 HDHP

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310004

Dental Only? No

Premier $4,100 HDHP

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310004

Dental Only? No

Premier $5,000 - 40%

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310003

Dental Only? No

Premier $5,000 - 40%

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310003

Dental Only? No

Premier $6,200 HDHP

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310005

Dental Only? No

Premier $6,200 HDHP

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310005

Dental Only? No

Premier $7,500

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310006

Dental Only? No

Premier $7,500

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310006

Dental Only? No

Premier $9,200

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310007

Dental Only? No

Premier $9,200

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310007

Dental Only? No

Premier Protection

Type: HMO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0310008

Dental Only? No

Premier Protection

Type: HMO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0310008

Dental Only? No

Select $1,500 - 25%

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180026

Dental Only? No

Select $1,500 - 25%

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180026

Dental Only? No

Select $3,500 - 30%

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180023

Dental Only? No

Select $3,500 - 30%

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180023

Dental Only? No

Select $4,100 HDHP

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180018

Dental Only? No

Select $4,100 HDHP

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180018

Dental Only? No

Select $5,000 - 40%

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180027

Dental Only? No

Select $5,000 - 40%

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180027

Dental Only? No

Select $6,200 HDHP

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180022

Dental Only? No

Select $6,200 HDHP

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180022

Dental Only? No

Select $7,500

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180028

Dental Only? No

Select $7,500

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180028

Dental Only? No

Select $9,200

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180014

Dental Only? No

Select $9,200

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180014

Dental Only? No

Select Protection

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0180008

Dental Only? No

Select Protection

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0180008

Dental Only? No

SimplyOne $1,500 - 25%

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270011

Dental Only? No

SimplyOne $1,500 - 25%

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270011

Dental Only? No

SimplyOne $3,500 - 30%

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270001

Dental Only? No

SimplyOne $3,500 - 30%

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270001

Dental Only? No

SimplyOne $4,100 HDHP

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270004

Dental Only? No

SimplyOne $4,100 HDHP

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270004

Dental Only? No

SimplyOne $5,000 - 40%

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270012

Dental Only? No

SimplyOne $5,000 - 40%

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270012

Dental Only? No

SimplyOne $6,200 HDHP

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270005

Dental Only? No

SimplyOne $6,200 HDHP

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270005

Dental Only? No

SimplyOne $7,500

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270013

Dental Only? No

SimplyOne $7,500

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270013

Dental Only? No

SimplyOne $9,200

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270007

Dental Only? No

SimplyOne $9,200

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270007

Dental Only? No

SimplyOne Protection

Type: EPO

Market: Individual

Network Tier: NON-PREFERRED

Plan ID: 38166WI0270008

Dental Only? No

SimplyOne Protection

Type: EPO

Market: Individual

Network Tier: PREFERRED

Plan ID: 38166WI0270008

Dental Only? No

Enrich $1,500 - 30%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290002

Dental Only? No

Enrich $2,500 - 20% Copay

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290003

Dental Only? No

Enrich $3,300 - 30% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290014

Dental Only? No

Enrich $3,500 - 30%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290005

Dental Only? No

Enrich $3,500 HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290009

Dental Only? No

Enrich $4,000 - 20% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290010

Dental Only? No

Enrich $5,000 - 20% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290011

Dental Only? No

Enrich $5,500 - 30% Copay

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290006

Dental Only? No

Enrich $7,050 HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290012

Dental Only? No

Enrich $750 - 10%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290001

Dental Only? No

Enrich $9,100

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0290013

Dental Only? No

Premier HMO $1,500 - 30%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140004

Dental Only? No

Premier HMO $2,500 - 20% Copay

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140040

Dental Only? No

Premier HMO $3,300 - 30% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140045

Dental Only? No

Premier HMO $3,500 - 30%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140011

Dental Only? No

Premier HMO $3,500 HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140033

Dental Only? No

Premier HMO $4,000 - 20% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140012

Dental Only? No

Premier HMO $5,000 - 20% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140034

Dental Only? No

Premier HMO $5,500 - 30% Copay

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140036

Dental Only? No

Premier HMO $7,050 HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140037

Dental Only? No

Premier HMO $750 - 10%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140001

Dental Only? No

Premier HMO $9,100

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0140044

Dental Only? No

Premier POS $1,500 - 30%

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150002

Dental Only? No

Premier POS $1,500 - 30%

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150002

Dental Only? No

Premier POS $2,500 - 20% Copay

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150040

Dental Only? No

Premier POS $2,500 - 20% Copay

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150040

Dental Only? No

Premier POS $3,300 - 30% HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150045

Dental Only? No

Premier POS $3,300 - 30% HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150045

Dental Only? No

Premier POS $3,500 - 30%

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150011

Dental Only? No

Premier POS $3,500 - 30%

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150011

Dental Only? No

Premier POS $3,500 HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150033

Dental Only? No

Premier POS $3,500 HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150033

Dental Only? No

Premier POS $4,000 - 20% HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150012

Dental Only? No

Premier POS $4,000 - 20% HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150012

Dental Only? No

Premier POS $5,000 - 20% HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150034

Dental Only? No

Premier POS $5,000 - 20% HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150034

Dental Only? No

Premier POS $5,500 - 30% Copay

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150036

Dental Only? No

Premier POS $5,500 - 30% Copay

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150036

Dental Only? No

Premier POS $7,050 HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150037

Dental Only? No

Premier POS $7,050 HDHP

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150037

Dental Only? No

Premier POS $750 - 10%

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150001

Dental Only? No

Premier POS $750 - 10%

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150001

Dental Only? No

Premier POS $9,100

Type: POS

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0150044

Dental Only? No

Premier POS $9,100

Type: POS

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0150044

Dental Only? No

Reliance $1,500 - 30%

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160002

Dental Only? No

Reliance $1,500 - 30%

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160002

Dental Only? No

Reliance $2,500 - 20% Copay

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160040

Dental Only? No

Reliance $2,500 - 20% Copay

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160040

Dental Only? No

Reliance $3,300 - 30% HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160045

Dental Only? No

Reliance $3,300 - 30% HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160045

Dental Only? No

Reliance $3,500 - 30%

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160011

Dental Only? No

Reliance $3,500 - 30%

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160011

Dental Only? No

Reliance $3,500 HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160033

Dental Only? No

Reliance $3,500 HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160033

Dental Only? No

Reliance $4,000 - 20% HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160012

Dental Only? No

Reliance $4,000 - 20% HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160012

Dental Only? No

Reliance $5,000 - 20% HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160034

Dental Only? No

Reliance $5,000 - 20% HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160034

Dental Only? No

Reliance $5,500 - 30% Copay

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160036

Dental Only? No

Reliance $5,500 - 30% Copay

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160036

Dental Only? No

Reliance $7,050 HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160037

Dental Only? No

Reliance $7,050 HDHP

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160037

Dental Only? No

Reliance $750 - 10%

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160001

Dental Only? No

Reliance $750 - 10%

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160001

Dental Only? No

Reliance $9,100

Type: EPO

Market: SHOP (Small Group)

Network Tier: NON-PREFERRED

Plan ID: 38166WI0160044

Dental Only? No

Reliance $9,100

Type: EPO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0160044

Dental Only? No

SimplyOne $1,500 - 30%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300002

Dental Only? No

SimplyOne $2,500 - 20% Copay

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300003

Dental Only? No

SimplyOne $3,300 - 30% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300014

Dental Only? No

SimplyOne $3,500 - 30%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300005

Dental Only? No

SimplyOne $3,500 HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300009

Dental Only? No

SimplyOne $4,000 - 20% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300010

Dental Only? No

SimplyOne $5,000 - 20% HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300011

Dental Only? No

SimplyOne $5,500 - 30% Copay

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300006

Dental Only? No

SimplyOne $7,050 HDHP

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300012

Dental Only? No

SimplyOne $750 - 10%

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300001

Dental Only? No

SimplyOne $9,100

Type: HMO

Market: SHOP (Small Group)

Network Tier: PREFERRED

Plan ID: 38166WI0300013

Dental Only? No

Frequently Asked Questions

What are the different Plan Types?

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.

What is Market Coverage?

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.

What is Network Tier?

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.

What is a Plan ID?

Each Marketplace plan has a unique 14-character HIOS Plan ID. Use this ID to verify patient enrollment or billing eligibility.

What does Dental-Only mean?

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.