ROBERT A FISHMAN MD
Accepted Insurance for NPI 1982807921
Psychiatry & Neurology - Neurology in Fort Myers, FL

NPI Status: Active since June 07, 2007

Contact Information

11215 METRO PKWY STE 1
FORT MYERS, FL
ZIP 33966
Phone: (239) 208-2212

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Accepted Health Plans and Insurance Coverage

This registry outlines the health plan networks and insurance coverage profiles associated with ROBERT A FISHMAN MD, a practicing psychiatry & neurology professional in Fort Myers, FL. 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 524 individual coverage options managed by medical networks, including networks like AvMed, Blue Care Network of Michigan, and Blue Cross and Blue Shield of Kansas City. 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.

Fitler by Network Type

AvMed

AvMed Entrust Bronze 600 (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000619898FL034001619898FL034002619898FL034003619898FL0340046
AvMed Entrust Bronze 650 (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000719898FL034001719898FL034002719898FL034003719898FL0340047
AvMed Entrust Expanded Bronze Standard (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034009119898FL034009219898FL034009319898FL034009419898FL0340095
AvMed Entrust Gold 125 (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000119898FL034001119898FL034002119898FL034003119898FL0340041
AvMed Entrust Gold 125 Dental+Vision (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000119898FL035001119898FL035002119898FL035003119898FL0350041
AvMed Entrust Gold Standard (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034007119898FL034007219898FL034007319898FL034007419898FL0340075
AvMed Entrust Platinum 25 (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034002019898FL034006119898FL0340064
AvMed Entrust Platinum 25 Dental+Vision (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035002019898FL035006119898FL0350064
AvMed Entrust Platinum Standard (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034006219898FL034006319898FL0340065
AvMed Entrust Silver 350 (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000319898FL034001319898FL034002319898FL034003319898FL0340043
AvMed Entrust Silver 350 Dental+Vision (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000319898FL035001319898FL035002319898FL035003319898FL0350043
AvMed Entrust Silver 550 (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034000519898FL034001519898FL034002519898FL034003519898FL0340045
AvMed Entrust Silver 550 Dental+Vision (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL035000519898FL035001519898FL035002519898FL035003519898FL0350045
AvMed Entrust Silver Standard (2026)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

19898FL034008119898FL034008219898FL034008319898FL034008419898FL0340085

Blue Care Network of Michigan

Blue Cross� Preferred HMO Bronze Extra
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550022
Blue Cross� Preferred HMO Bronze Saver HSA
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180028
Blue Cross� Preferred HMO Bronze Secure
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180029
Blue Cross� Preferred HMO Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180009
Blue Cross� Preferred HMO Gold Extra
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550018
Blue Cross� Preferred HMO Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180005
Blue Cross� Preferred HMO Silver Extra
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550002
Blue Cross� Preferred HMO Silver Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180015
Blue Cross� Preferred HMO Value
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0180024
Blue Cross� Select HMO Bronze Extra
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550020
Blue Cross� Select HMO Bronze Saver HSA
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440006
Blue Cross� Select HMO Bronze Secure
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440019
Blue Cross� Select HMO Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440016
Blue Cross� Select HMO Silver Extra
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0550001
Blue Cross� Select HMO Silver Saver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440017
Blue Cross� Select HMO Value
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

98185MI0440015

Blue Cross Blue Shield of Arizona

AZ Blue AdvanceHealth Bronze Focus (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008653901AZ142008753901AZ1420093
AZ Blue AdvanceHealth Bronze Neighborhood (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142008853901AZ142008953901AZ142009053901AZ142009153901AZ142009253901AZ142009453901AZ1420095
AZ Blue AdvanceHealth Gold Focus (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142010853901AZ142010953901AZ1420115
AZ Blue AdvanceHealth Gold Neighborhood (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142011053901AZ142011153901AZ142011253901AZ142011353901AZ142011453901AZ142011653901AZ1420117
AZ Blue AdvanceHealth Silver Focus (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009753901AZ142009853901AZ1420104
AZ Blue AdvanceHealth Silver Neighborhood (4 Free PCP Visits)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142009953901AZ142010053901AZ142010153901AZ142010253901AZ142010353901AZ142010553901AZ1420106
AZ Blue EverydayHealth Gold Focus (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000153901AZ142000253901AZ1420050
AZ Blue EverydayHealth Gold Neighborhood (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000353901AZ142000653901AZ142000753901AZ142004853901AZ142004953901AZ142005153901AZ1420052
AZ Blue EverydayHealth Silver Focus (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142000853901AZ142000953901AZ1420056
AZ Blue EverydayHealth Silver Neighborhood (1 Free PCP Visit)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142001053901AZ142001353901AZ142001453901AZ142005453901AZ142005553901AZ142005753901AZ1420058
AZ Blue Portfolio Bronze HSA Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002253901AZ142002353901AZ1420068
AZ Blue Portfolio Bronze HSA Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142002453901AZ142002753901AZ142002853901AZ142006653901AZ142006753901AZ142006953901AZ1420070
AZ Blue StandardHealth Bronze Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012253901AZ142012553901AZ1420143
AZ Blue StandardHealth Bronze Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012853901AZ142013153901AZ142013453901AZ142013753901AZ142014053901AZ142014653901AZ1420149
AZ Blue StandardHealth Gold Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012053901AZ142012353901AZ1420141
AZ Blue StandardHealth Gold Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012653901AZ142012953901AZ142013253901AZ142013553901AZ142013853901AZ142014453901AZ1420147
AZ Blue StandardHealth Silver Focus
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012153901AZ142012453901AZ1420142
AZ Blue StandardHealth Silver Neighborhood
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NEIGHBORHOOD Tier

Accepted Plan ID Variations

53901AZ142012753901AZ142013053901AZ142013353901AZ142013653901AZ142013953901AZ142014553901AZ1420148

Blue Cross Blue Shield of Michigan Mutual Insurance Company

Blue Cross� Premier PPO Bronze Extra
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1120001
Blue Cross� Premier PPO Bronze Saver HSA
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350002
Blue Cross� Premier PPO Bronze Secure
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350005
Blue Cross� Premier PPO Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350004
Blue Cross� Premier PPO Gold Extra
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1130002
Blue Cross� Premier PPO Silver
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350003
Blue Cross� Premier PPO Silver Extra
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI1130001
Blue Cross� Premier PPO Silver Saver HSA
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350006
Blue Cross� Premier PPO Value
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: NULL Tier

Accepted Plan ID Variations

15560MI0350001

Blue Cross and Blue Shield of Kansas City

Blue KC Community Silver Preferred-Care Blue EPO
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34762MO0590009
Blue KC First Bronze Preferred-Care Blue EPO
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34762MO0590010
Blue KC Standard Bronze Preferred-Care Blue EPO
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34762MO0590020
Blue KC Standard Gold Preferred-Care Blue EPO
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34762MO0590013
Blue KC Standard Silver Preferred-Care Blue EPO
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

34762MO0590019

Blue Cross and Blue Shield of Montana

Blue Focus Bronze POS? 205
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000330751MT067001230751MT0670013
Blue Focus Bronze POS? 705
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000630751MT067001630751MT0670017
Blue Focus Bronze POS? Standard
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000930751MT067001830751MT0670019
Blue Focus Gold POS? 207
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000130751MT067002030751MT0670021
Blue Focus Gold POS? 902
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067003130751MT067003430751MT0670035
Blue Focus Gold POS? Standard
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000730751MT067002230751MT0670023
Blue Focus Silver POS? 206
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000230751MT067002430751MT0670025
Blue Focus Silver POS? 903
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067003030751MT067003230751MT0670033
Blue Focus Silver POS? Standard
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-FOCUS-POS Tier

Accepted Plan ID Variations

30751MT067000830751MT067002830751MT0670029
Blue Preferred Bronze PPO? 201
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004030751MT055004930751MT055005030751MT0550051
Blue Preferred Bronze PPO? 202
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004130751MT055005230751MT055005330751MT0550054
Blue Preferred Bronze PPO? Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055009230751MT055009330751MT055010030751MT0550101
Blue Preferred Gold PPO? 204
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055003830751MT055004330751MT055004430751MT0550045
Blue Preferred Gold PPO? 901
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055010230751MT055010330751MT055010430751MT0550105
Blue Preferred Gold PPO? Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055008630751MT055008930751MT055009430751MT0550095
Blue Preferred Security PPO? 200
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055004230751MT055005530751MT055005630751MT0550057
Blue Preferred Silver PPO? 203
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055003930751MT055004630751MT055004730751MT0550048
Blue Preferred Silver PPO? 308
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055006130751MT055007130751MT055007230751MT0550073
Blue Preferred Silver PPO? Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: BLUE-PREFERRED-PPO Tier

Accepted Plan ID Variations

30751MT055008730751MT055009030751MT055009630751MT0550097

BridgeSpan Health Company

BridgeSpan Standard Bronze Plan
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

63474OR0600009
BridgeSpan Standard Gold Plan
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

63474OR0600007
BridgeSpan Standard Silver Plan
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

63474OR0600010

CareSource

Bronze 7500 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010015
Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020015
Diabetes Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010026
Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020026
Diabetes Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010025
Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020025
Gold 2000 $15 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010012
Gold 2000 $15 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020012
HDHP Preventive Silver 5500 $0 Chronic Care Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010033
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010030
Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020030
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010032
Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020032
HSA Eligible Bronze 6000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010010
Low Premium Bronze 10600 $25 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010020
Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020020
Low Premium Silver 6200 $3 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010011
Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020011
Platinum Zero $5 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010029
Platinum Zero $5 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020029
Silver 6000 $20 Generic Drugs
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0010014
Silver 6000 $20 Generic Drugs + Adult Vision & Fitness
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

54192IN0020014

Florida Blue (BlueCross BlueShield FL)

BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260010
BlueOptions Bronze 24J01-04 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260004
BlueOptions Bronze 24J01-06 (Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260006
BlueOptions Bronze 24J01-17 ($50 PCP Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260017
BlueOptions Bronze 24J01-18S ($50 PCP Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260018
BlueOptions Gold 24J01-09 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260009
BlueOptions Gold 24J01-12 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260012
BlueOptions Gold 24J01-20S ($30 PCP Visits / $60 Specialist Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260020
BlueOptions Platinum 24J01-05 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260005
BlueOptions Platinum 24J01-08 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260008
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260021
BlueOptions Silver 24J01-03 ($10 Labs / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260003
BlueOptions Silver 24J01-07 ($50 PCP Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260007
BlueOptions Silver 24J01-19S ($40 PCP Visits / $80 Specialist Visits / Rewards)
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0260019
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120078
BlueSelect Bronze 1449 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120068
BlueSelect Bronze 2139 ($50 PCP Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120091
BlueSelect Bronze 2139E ($50 PCP Visits / Adult Dental & Vision / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320014
BlueSelect Bronze 2139V ($50 PCP Visits / Adult Vision / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310014
BlueSelect Bronze 2342S ($50 PCP Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120093
BlueSelect Bronze 24L01-01 (Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120001
BlueSelect Gold 1535 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120076
BlueSelect Gold 1535V ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Adult Vision / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310001
BlueSelect Gold 1835 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120086
BlueSelect Gold 2344S ($30 PCP Visits / $60 Specialist Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120095
BlueSelect Platinum 1451 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120062
BlueSelect Platinum 1457 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120070
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120096
BlueSelect Silver 1443 ($10 Labs / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120072
BlueSelect Silver 1443E ($10 Labs / Adult Dental & Vision / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0320004
BlueSelect Silver 1443V ($10 Labs / Adult Vision / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0310004
BlueSelect Silver 1456 ($50 PCP Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120033
BlueSelect Silver 2343S ($40 PCP Visits / $80 Specialist Visits / Rewards)
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

16842FL0120094

Florida Blue HMO (a BlueCross BlueShield FL company)

BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140009
BlueCare Bronze 24K01-03 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140003
BlueCare Bronze 24K01-05 (Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140005
BlueCare Bronze 24K01-25 ($50 PCP Visits / $75 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140025
BlueCare Bronze 24K01-31S ($50 PCP Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140031
BlueCare Bronze 24K02-17 (3 PCP Visits for $0 then $55 / $70 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140017
BlueCare Bronze 24K02-18 (Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140018
BlueCare Bronze 24K02-23 ($50 PCP Visits / $75 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140023
BlueCare Bronze 24K02-26S ($50 PCP Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140026
BlueCare Gold 24K01-08 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140008
BlueCare Gold 24K01-10 ($40 PCP Visits / $75 Specialist Visits / $15 Labs / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140010
BlueCare Gold 24K01-33S ($30 PCP Visits / $60 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140033
BlueCare Gold 24K02-20 ($0 Deductible / $15 PCP Visits / $75 Specialist Visits / $20 Labs / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140020
BlueCare Gold 24K02-28S ($30 PCP Visits / $60 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140028
BlueCare Platinum 24K01-04 ($0 Labs / $15 PCP Visits / $35 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140004
BlueCare Platinum 24K01-07 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140007
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140034
BlueCare Platinum 24K02-15 ($0 Deductible / $0 Labs / $15 PCP Visits / $25 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140015
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140029
BlueCare Silver 24K01-02 ($10 Labs / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140002
BlueCare Silver 24K01-06 ($50 PCP Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140006
BlueCare Silver 24K01-32S ($40 PCP Visits / $80 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140032
BlueCare Silver 24K02-21 ($10 Labs / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140021
BlueCare Silver 24K02-27S ($40 PCP Visits / $80 Specialist Visits / Rewards)
POS Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

30252FL0140027

Harvard Pilgrim Health Care

NH Local Choice HMO Bronze 8000 + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370109
NH Local Choice HMO Gold + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370103
NH Local Choice HMO Gold 1400 + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370104
NH Local Choice HMO HSA Bronze 6000
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370102
NH Local Choice HMO Silver 3500 + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370106
NH Local Choice HMO Silver 5000 + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370107
NH Local HMO Bronze 7500 Standard + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370100
NH Local HMO Gold 2000 Standard + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370098
NH Local HMO Silver 6000 Standard + $0 Rx list + $0 Virtual Urgent Care
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARD Tier

Accepted Plan ID Variations

59025NH0370099

McLaren Health Plan Community

MHP Bronze
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020011
MHP Bronze Saver (Expanded)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020013
MHP Expanded Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020024
MHP Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020006
MHP Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020018
MHP Silver Exchange
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020005
MHP Silver Exchange Rewards
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020017
MHP Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020019
MHP Young Adult/Catastrophic
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: IN-NETWORK Tier

Accepted Plan ID Variations

74917MI0020004

Medica

Altru Prime by Medica Bronze $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120041
Altru Prime by Medica Bronze Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120029
Altru Prime by Medica Expanded Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120073
Altru Prime by Medica Gold $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120045
Altru Prime by Medica Gold Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120074
Altru Prime by Medica Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120055
Altru Prime by Medica Silver $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120047
Altru Prime by Medica Silver Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120076
Altru Prime by Medica Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0120057
Medica Individual Choice Bronze $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130041
Medica Individual Choice Bronze HSA
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040011
Medica Individual Choice Bronze Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040029
Medica Individual Choice Bronze Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130029
Medica Individual Choice Expanded Bronze Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040073
Medica Individual Choice Expanded Bronze Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130073
Medica Individual Choice Gold $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040074
Medica Individual Choice Gold $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130045
Medica Individual Choice Gold Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040076
Medica Individual Choice Gold Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130074
Medica Individual Choice Gold Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040055
Medica Individual Choice Gold Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130055
Medica Individual Choice Silver $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040075
Medica Individual Choice Silver $0 Copay PCP Visits
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130047
Medica Individual Choice Silver Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040027
Medica Individual Choice Silver Share
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130076
Medica Individual Choice Silver Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

57845WI0040057
Medica Individual Choice Silver Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

73751ND0130057
Medica Insure Bronze $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

93078IA0060041
Medica Insure Bronze Premier
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE0040051
Medica Insure Bronze Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002993078IA0060029
Medica Insure Expanded Bronze Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004007393078IA0060073
Medica Insure Gold $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004004593078IA0060045
Medica Insure Gold Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002593078IA0060074
Medica Insure Gold Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004005593078IA0060055
Medica Insure Silver $0 Copay PCP Visits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004004793078IA0060047
Medica Insure Silver Share
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004002793078IA0060027
Medica Insure Silver Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: STANDARDTIER Tier

Accepted Plan ID Variations

20305NE004005793078IA0060057

Mountain Health CO-OP

Peak PPO Bronze HDHP
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090004
Peak PPO Bronze Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090012
Peak PPO Catastrophic
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090006
Peak PPO Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090001
Peak PPO Gold Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090010
Peak PPO Silver
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090005
Peak PPO Silver Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0090011
Plus Bronze
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT006000632225MT0070006
Plus Bronze Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0060010
Plus Gold
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT006000432225MT0070004
Plus Gold Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0060008
Plus Silver Standard
PPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0060009
PEAK PPO BRONZE
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140003
PEAK PPO BRONZE HDHP
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140004
PEAK PPO GOLD
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140001
PEAK PPO GOLD HDHP
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140006
PEAK PPO SILVER
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140002
PEAK PPO SILVER HDHP
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

32225MT0140005
Plus Bronze HDHP
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070010
Plus Gold HDHP
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070012
Plus Silver
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070005
Plus Silver HDHP
PPO Group

Market Classification Rank: SHOP (Small Group) Coverage Framework

Assigned Option Status: TIER-TWO Tier

Accepted Plan ID Variations

32225MT0070011

Oscar Insurance Company

Bronze Classic 4700
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS001002445819IA001006069512MO0010024
Bronze Classic 4700 | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010024
Bronze Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS001005045819IA001006569512MO0010050
Bronze Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010050
Bronze Elite + PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS0010005
Bronze Elite + PCP Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001005669512MO0010005
Bronze Elite + PCP Saver Plus | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010005
Bronze Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010070
Bronze Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010071
Bronze Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS001005569512MO0010055
Bronze Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010072
Gold Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS001005345819IA001006769512MO0010053
Gold Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010053
Gold Elite
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010063
Gold Elite | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010036
Gold Simple
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69512MO0010064
Secure
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010058
Secure | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010011
Silver Classic
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010057
Silver Classic | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010006
Silver Classic Standard
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

43490KS001005245819IA001006669512MO0010052
Silver Classic Standard | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010052
Silver Elite Saver Plus
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69512MO0010030
Silver Simple Breathe Easy with Enhanced COPD Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010076
Silver Simple Chronic Care CKM | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010077
Silver Simple Diabetes
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006469512MO0010045
Silver Simple Diabetes | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010045
Silver Simple PCP Saver
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA001006169512MO0010025
Silver Simple PCP Saver | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010025
Silver Simple Women's Health with Menopause Benefits
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

69512MO0010058
Silver Simple Women's Health with Menopause Benefits | MercyOne
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

45819IA0010078

Priority Health

MyPriority Balanced Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541220
MyPriority Premier Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541260
MyPriority Standard Bronze
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541300
MyPriority Standard Bronze - Travel
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541306
MyPriority Standard Gold
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541320
MyPriority Standard Silver
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541310
MyPriority Standard Silver - Travel
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541316
MyPriority Value Bronze
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541210
MyPriority Value Bronze HSA
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: MYPRIORITY-HMO Tier

Accepted Plan ID Variations

29698MI0541200

Regence BlueCross BlueShield of Oregon

Bronze 8000 Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5350001
Bronze Essential 9000 With 4 Copay No Deductible Office Visits Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5280010
Bronze Essential 9000 With 4 Copay No Deductible Office Visits Legacy
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5350002
Bronze HSA 7000 Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5280003
Gold 2300 Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5280023
Gold 2300 Legacy
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5280027
Regence Standard Bronze Plan Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5290002
Regence Standard Bronze Plan Legacy
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5290009
Regence Standard Gold Plan Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5290005
Regence Standard Gold Plan Legacy
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5290007
Regence Standard Silver Plan Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5290001
Regence Standard Silver Plan Legacy
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5290008
Silver 6500 Individual Connect
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5280021
Silver 6500 Legacy
EPO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

77969OR5280022

WellSense Health Plan

WellSense Clarity NH Bronze 6500 HSA + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010006
WellSense Clarity NH Bronze 7500 HSA + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010005
WellSense Clarity NH Bronze 7600 HSA + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010007
WellSense Clarity NH Gold 2000 + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010001
WellSense Clarity NH Silver 0 Deductible + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010004
WellSense Clarity NH Silver 3400 + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010003
WellSense Clarity NH Silver 6000 + $0 Rx List + 24/7 Nurse Advice
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PREFERRED Tier

Accepted Plan ID Variations

13219NH0010002

Wellpoint

Wellpoint Essential Bronze 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040008
Wellpoint Essential Bronze 5500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040007
Wellpoint Essential Bronze 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040005
Wellpoint Essential Bronze 7500 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040001
Wellpoint Essential Catastrophic (+ Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040004
Wellpoint Essential Gold 1400 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040009
Wellpoint Essential Gold 2000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040003
Wellpoint Essential Gold 800 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040010
Wellpoint Essential Gold 800 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040014
Wellpoint Essential Silver 1850 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040011
Wellpoint Essential Silver 3500 ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040012
Wellpoint Essential Silver 3500 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives)
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040013
Wellpoint Essential Silver 6000 ($0 Virtual PCP + $0 Select Drugs + Incentives) Standard
HMO Group

Market Classification Rank: Individual Coverage Framework

Assigned Option Status: PARTICIPATING Tier

Accepted Plan ID Variations

44228FL0040002
No coverage plans found coordinating with your query criteria.

Coverage Information & FAQs

This provider accepts health insurance plans managed by the following insurance companies: AvMed, Blue Care Network of Michigan, Blue Cross Blue Shield of Arizona, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, CareSource, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Harvard Pilgrim Health Care, McLaren Health Plan Community, Medica, Mountain Health CO-OP, Oscar Insurance Company, Priority Health, Regence BlueCross BlueShield of Oregon, WellSense Health Plan, Wellpoint. You can filter specific policies or search for unique plans using the open dashboard controls located above.
Yes, registry files confirm this provider accepts Medicare assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. Additionally, the provider is officially enrolled in the PECOS program (Provider Enrollment, Chain, and Ownership System), verifying that they are certified to order, refer, or prescribe services to Medicare beneficiaries.
ROBERT A FISHMAN MD is enrolled across the following managed care network types: EPO, HMO, POS, 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.
  • POS (Point of Service): Bridges elements of HMO and PPO rules. It generally mandates an in-network primary care physician referral for specialized services but retains partial out-of-network lookup allowances at heightened cost tiers.