Medical Plans - Insurance Marketing Center

MHBE Certified SHOP Medical and Dental Plans (by Carrier)
Medical Plans
Care First
Plan ID
Plan Marketing Name
28137MD0520002
BlueChoice HMO Referral HSA/HRA $4000
28137MD0410001
BlueChoice HMO HSA/HRA $2000
28137MD0420001
BlueChoice HMO $1000
28137MD0430001
BlueChoice Advantage 90%/70%
45532MD0270001
BluePreferred PPO HSA/HRA $4000
45532MD0280002
BluePreferred PPO100% / 80%
45532MD0240001
BlueCross BlueShield Preferred 1000, A Multi-State Plan
45532MD0300001
BlueCross BlueShield Preferred 2000, A Multi-State Plan
94084MD0150001
BluePreferred PPO HSA/HRA $4000
94084MD0160002
BluePreferred PPO 100% / 80%
94084MD0180001
BlueCross BlueShield Preferred 1000, A Multi-State Plan
94084MD0200001
BlueCross BlueShield Preferred 2000, A Multi-State Plan
Coventry
Plan ID
Plan Marketing Name
14468MD0530001
Gold $0 Copay HMO
14468MD0530002
Silver $10 Copay HMO
14468MD0530003
Bronze $10 Copay HMO
68541MD1100001
Gold $0 Copay PPO
68541MD1100002
Silver $10 Copay PPO
68541MD1100003
Bronze Deductible-Only PPO HSA-Eligible
Evergreen
Plan ID
Plan Marketing Name
72564MD0020001
Evergreen Health Care - Small Group Gold Plus Plan
72564MD0020002
Evergreen Health Care - Small Group Gold Plan
72564MD0020003
Evergreen Health Care - Small Group Silver Plus Plan
72564MD0020004
Evergreen Health Care - Small Group Silver Plan
72564MD0040001
Evergreen Health Insurance - Small Group Gold Plus Plan
72564MD0040002
Evergreen Health Insurance - Small Group Gold Plan
72564MD0040003
Evergreen Health Insurance - Silver Plus Plan
72564MD0040004
Evergreen Health Insurance - Small Group Silver Plan
72564MD0040005
Evergreen Health Insurance - Small Group Bronze Plan
Kaiser Permanente
Plan ID
Plan Marketing Name
90296MD0570001
KP MD Platinum 0/20/Dental
90296MD0570004
KP MD Gold 0/30/Dental
90296MD0570002
KP MD Platinum 500/20/Dental
90296MD0570005
KP MD Gold 1000/30/Dental
90296MD0570008
KP MD Silver 1250/35/Dental
90296MD0570009
KP MD Silver 2500/35/Dental
90296MD0570012
KP MD Bronze 3550/50/Dental
90296MD0570003
KP MD Platinum 1250/10/HSA/Dental
90296MD0570006
KP MD Gold 1250/0%/HSA/Dental
90296MD0570007
KP MD Gold 1500/30/HSA/HRA/Dental
90296MD0570010
KP MD Silver 1500/30/HSA/Dental
90296MD0570011
KP MD Silver 2000/30/HSA/HRA/Dental
90296MD0570013
KP MD Bronze 3150/20%/HSA/Dental
90296MD0570014
KP MD Bronze 2900/20/HSA/Dental
90296MD0580001
KP MD Bronze 3550/50/POS/Dental
United Healthcare
Plan ID
Plan Marketing Name
65635MD0050001
HSA KV-Z EPO with Rx YM
65635MD0050002
HSA KV-4 EPO with Rx YM
65635MD0050004
HSA KW-Y EPO with Rx YM
65635MD0050005
HSA KW-8 EPO with Rx YM
65635MD0050006
HSA KX-M EPO with Rx YM
65635MD0050007
HSA KX-S EPO with Rx YM
65635MD0050010
Choice Direct OCI EDGE POST LD-5 EPO with Rx ZS
65635MD0020001
Choice Plus Direct OCI EDGE POST LG-6 POS with Rx ZR
65635MD0050008
Choice Direct OCI EDGE POST LC-6 EPO with Rx ZV
65635MD0050015
Choice Direct OCI EDGE POST LG-8 EPO with Rx ZU
65635MD0050009
Choice Direct OCI EDGE POST LD-S EPO with Rx YM
65635MD0050013
Choice Direct OCI EDGE POST LG-2 EPO with Rx YM
65635MD0050011
Choice Direct OCI EDGE POST LF-G EPO with Rx ZT
65635MD0050012
Choice Direct OCI EDGE POST LF-3 EPO with Rx ZT
72375MD0010001
HSA KV-1 HMO with Rx YM
72375MD0010002
HSA KV-2 HMO with Rx ZX
72375MD0010004
HSA KV-6 HMO with Rx YM
72375MD0010005
HSA KW-6 HMO with Rx YM
72375MD0010006
HSA KX-Q HMO with Rx YM
72375MD0010007
HSA KX-U HMO with Rx YM
72375MD0010008
OCI Direct OCI EDGE POST LG-7 HMO with Rx ZR
72375MD0010009
OCI Direct OCI EDGE POST LD-R HMO with Rx ZU
72375MD0010010
OCI Direct OCI EDGE POST LH-P HMO with Rx Z
72375MD0010011
OCI Direct OCI EDGE POST LE-J HMO with Rx ZS
72375MD0010014
OCI Direct OCI EDGE POST LD-3 HMO with Rx YM
72375MD0010015
OCI Direct OCI EDGE POST LE-7 HMO with Rx YM
72375MD0010016
OCI Direct OCI EDGE POST LG-4 HMO with Rx YM
72375MD0010012
OCI Direct OCI EDGE POST LF-1 HMO with Rx D0
72375MD0010013
OCI Direct OCI EDGE POST LF-7 HMO with Rx ZT
23620MD0020002
HSA KV-V POS with Rx YM
23620MD0020003
HSA KW-2 POS with Rx YM
23620MD0020004
HSA KX-K POS with Rx YM
23620MD0020005
HSA KX-O POS with Rx YM
23620MD0020006
HSA KX-W POS with Rx YM
23620MD0020013
HSA KU-6 POS with Rx YM
23620MD0020001
Traditional with Deductible MT-M POS with Rx ZV
23620MD0020009
Choice Plus Direct EDGE POST LD-7 POS with Rx ZS
23620MD0020007
Choice Plus Direct EDGE POST LC-7 POS with Rx ZV
23620MD0020012
Choice Plus Direct EDGE POST LG-9 POS with Rx ZU
23620MD0020008
Choice Plus Direct EDGE POST LD-U POS with Rx YM
23620MD0020011
Choice Plus Direct EDGE POST LG-3 POS with Rx YM
23620MD0020010
Choice Plus Direct EDGE POST LF-5 POS with Rx ZT
31112MD0010002
HSA KX-Y HMO with Rx YM
31112MD0010003
HSA KV-3 HMO with Rx ZX
31112MD0010004
HSA KV-5 HMO with Rx ZX
31112MD0010001
Traditional with Deductible MT-K HMO with Rx ZV
31112MD0010009
Choice Direct EDGE POST LF-9 HMO with Rx ZT
31112MD0010010
Choice Direct EDGE POST LG-5 HMO with Rx ZR
31112MD0010005
Choice Direct EDGE POST LC-9 HMO with Rx ZU
31112MD0020001
Choice Plus Direct EDGE POST LD-A POS with Rx ZU
31112MD0010006
Choice Direct EDGE POST LE-3 HMO with Rx YM
31112MD0020002
Choice Plus Direct EDGE POST LE-5 POS with Rx YM
31112MD0010007
Choice Direct EDGE POST LE-9 HMO with Rx YM
31112MD0020003
Choice Plus Direct EDGE POST LF-C POS with Rx YM
Dental Plans
BestLife
Plan ID
Plan Marketing Name
34137MD0010001
BEST Life Child Dental Plus
34137MD0010002
BEST Life Child Dental
34137MD0010003
BEST Dental Advantage - Gold
34137MD0010004
BEST Dental Basic - Gold
34137MD0010005
BEST Dental Advantage - Silver
34137MD0010006
BEST Dental Basic – Silver
Coventry
Plan ID
Plan Marketing Name
68541MD108003
Bronze Comprehensive PPO
68541MD108001
Gold Pediatric PPO
68541MD108002
Bronze Pediatric Pediatric PPO
DentaQuest
Plan ID
Plan Marketing Name
49014MD0010001
Pediatric High
49014MD0010002
Pediatric Low
49014MD0010003
Family High
49014MD0010004
Family Low
Dominion
Plan ID
Plan Marketing Name
88078MD0030001
Select Plan Kids
88078MD0040001
Access PPO Kids
88078MD0030002
Select Plan
88078MD0040002
Access PPO
Guardian
Plan ID
Plan Marketing Name
85008MD0050001
Guardian Pediatric Advantage
85008MD0070001
Guardian Family Advantage Plus
United Concordia
Plan ID
Plan Marketing Name
98514MD0100001
Smile for Health Child C60A60
98514MD0100002
Smile for Health Family C60A60
98514MD0120002
Smile for Health Family C60A50
98514MD0150002
Smile for Health Family C80A80
62400MD0010001
Smile for Health Child DHMO
62400MD0010002
Smile for Health Family DHMO