Insurances Accepted
Forms
You are expected to complete the Patient Registration Form. All other forms need to be completed only if they apply to your child’s need.
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Form (PDF) — Patient Registration Form
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Other Forms (PDF)
Insurance
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Aetna
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Aexcel Plus PPO
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Aexcel PPO
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Aexcel PPO (Aetna HealthFund)
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Open Choice PPO
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American Republic Insurance Company
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First Health
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PHCS PPO
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Anthem Blue Cross
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Blue Cross PPO (Prudent Buyer)
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Lumenos Plans (PPO)
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PPO Share
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Premier Plus PPO
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Anthem Blue Cross Blue Shield
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Blue Access Choice (PPO) (Missouri)
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Blue Access Network (Indiana)
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Blue Access PPO
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Blue Cross PPO (Prudent Buyer)
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Health Choice (Health Choice PPO)
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National PPO (BlueCard PPO)
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PPO (Colorado)
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PPO (Connecticut)
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PPO (Nevada)
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PPO/EPO
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Preferred Blue
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Preferred Blue for PPO (New Hampshire)
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Premier (Connecticut)
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Arkansas Blue Cross Blue Shield
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Arkansas FirstSource PPO
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Blue Select (PPP)
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Blue Solution PPO
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BlueCare PPO
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Comprehensive Blue PPO
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HSA Blue PPO
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True Blue PPO
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Assurant Health
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Assurant Health Access
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Cigna PPO
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Blue Cross Blue Shield
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BlueCard PPO
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BlueCard PPO Basic
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Blue Cross Blue Shield of Alabama
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Blue Advantage (PPO)
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Preferred Provider Organization (PPO)
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Blue Cross Blue Shield of Arizona
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Acclaim PPO/EPO
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Alliance PPO/EPO
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Indemnity
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PPO/EPO Statewide
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Secure HMO Network
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Blue Cross Blue Shield of Florida (Florida Blue)
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BlueOptions
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Blue Cross Blue Shield of Georgia
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Anthem Medicare Preferred PPO
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Blue Choice PPO
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Blue Choice PPO, PPO, EPO
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BlueChoice Preferred Provider Organization (PPO)
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Blue Cross Blue Shield of Illinois
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BasicBlue PPO
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Blue Choice PPO
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Blue Choice Preferred Bronze PPO
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Blue Choice Preferred Gold PPO
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Blue Choice Preferred Security PPO
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Blue Choice Preferred Silver PPO
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Blue PPO Bronze
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Blue PPO Gold
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Blue PPO Silver
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Participating Provider Organization [PPO]
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TraditionalBlue PPO
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Blue Cross Blue Shield of Kansas
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AffordaBlue
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BasicBlue
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Blue & U Classic (Copay)
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Blue & U First
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Blue Choice
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Traditional
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Blue Cross Blue Shield of Kansas City
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BlueAccess
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BlueCard Traditional
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Preferred-Care Blue
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Blue Cross Blue Shield of Louisiana
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Blue Cross and Blue Shield of Louisiana Multi-State Plan
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BlueMAX
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BlueSaver
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Blue Cross Blue Shield of Massachusetts
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Advantage Blue
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Blue Care Elect (PPO/EPO)
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Blue Precision/PPO Blue Options v.4
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PPO Network with Hospital Choice Cost Sharing feature
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Preferred Blue PPO
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Preferred Blue PPO Options v.4
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Blue Cross Blue Shield of Michigan
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Community Blue/Blue Preferred Plus PPO
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Michigan Conference of Teamsters Welfare Fund (MCTWF) PPO
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MIChild
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MPSERS
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PPO Plans – Group Enrollees
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Traditional – Group Enrollees
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Blue Cross Blue Shield of Minnesota
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Allina Health Network (Blue Plus)
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Blue Access Choice
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Blue Cross Blue Shield of Mississippi
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Network Blue
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Blue Cross Blue Shield of Montana
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Blue Preferred Bronze PPO
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Blue Preferred Bronze/Silver/Gold/Platinum PPO
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Blue Preferred Gold PPO
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Blue Preferred PPO (PPO)
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Blue Preferred Security PPO
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Blue Preferred Security PPO
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Blue Preferred Silver PPO
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Blue Cross Blue Shield of Nebraska
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Beatrice BlueChoice
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Boone County BlueChoice
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Methodist BlueChoice
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Blue Cross Blue Shield of New Mexico
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Blue PPO Bronze/Silver/Gold
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Blue PPO Evolution
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Blue PPO Options
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Blue PPO Platinum
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Blue Security PPO
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Blue Transitions (EPO)
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BlueDirect (PPO)
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BlueNet EPO
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Preferred Provider Organization (PPO)
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Blue Cross Blue Shield of North Carolina
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Blue Care
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Blue Options
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Blue Cross Blue Shield of North Dakota
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Preferred Blue PPO
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Blue Cross Blue Shield of Oklahoma
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Blue Advantage Bronze PPO
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Blue Advantage Gold PPO
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Blue Advantage PPO
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Blue Advantage Silver PPO
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Blue Choice Bronze PPO
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Blue Choice Gold PPO
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Blue Choice Silver PPO
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Blue Preferred Bronze PPO
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Blue Preferred Gold PPO
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Blue Preferred Security PPO
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Blue Preferred Silver PPO
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BlueChoice (PPO)
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BlueOptions PPO
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BluePreferredBluePreferred PPO
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Blue Cross Blue Shield of Rhode Island
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BlueSolutions
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Bryant University Healthplan
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HealthMate Coast-to-Coast
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VantageBlue
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Blue Cross Blue Shield of South Carolina
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BlueCard PPO Basic
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Preferred Blue – PPO
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Blue Cross Blue Shield of Tennessee
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Blue Advantage PPO
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Blue Cross Blue Shield of Texas
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Blue Choice Platinum PPO
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Blue Choice Silver PPO
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BlueChoice PPO Plan
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BlueOptions
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EPO
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UT Select PPO
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Blue Cross Blue Shield of Vermont
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BCBSVT Network Providers
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New England Health Plan
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Blue Cross Blue Shield of Wyoming
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Participating Provider (PPO)
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Blue Cross of Idaho
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Connected Care (East)
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PPO
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Blue Cross of Northeastern Pennsylvania
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AffordaBlue
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BlueCare Custom PPO
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BlueCare EPO
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BlueCare PPO
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BlueCare QHD EPO
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BlueCare QHD PPO
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Blue Shield of California
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Active Choice Plans
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Base PPO 30
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Blue Shield of California PPO Network
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Point of Service (POS)
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Premier PPO 15
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Shield Spectrum PPO 750 – 80/60
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Trio ACO HMO
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Blue Shield of Northeastern New York
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EPO
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PPO
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Capital Blue Cross
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PPO
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PPO Choice 1
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PPO Choice 2
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CareFirst Blue Cross Blue Shield
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BlueChoice Advantage
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BluePreferred
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HealthyBlue Advantage
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Preferred Provider Organization (PPO)
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Caterpillar
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UHC PPO Network Plan
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CBA Blue
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BlueCard PPO
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CHAMPVA
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CHAMPVA
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Cigna
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Choice Fund PPO
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Cigna PPO
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Cofinity
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PPO
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DMC Care
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DMC Care
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Empire Blue Cross Blue Shield
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Empire EPO Essential
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Empire PPO
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Empire Prism EPO
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Empire Prism PPO
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PPO
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Value EPO
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First Health (Coventry Health Care)
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First Health Network PPO
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Florida Blue: Blue Cross Blue Shield of Florida
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BlueOptions
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GeoBlue
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GeoBlue Expat
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GeoBlue Traveler
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GWH-Cigna (formerly Great West Healthcare)
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PPO
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HAP (Health Alliance Plan)
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HAP Preferred
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Harbor Health Plan
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Harbor Health Advantage
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Health Net
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National PPO – First Health
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HealthPlus of Michigan
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HealthPlus Options
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HealthPlus Options PPO
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HealthPlus PPO
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HighMark Blue Cross Blue Shield
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BCBS PPO
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PPOBlue
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Highmark Blue Cross Blue Shield of Delaware
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BCBS EPO
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BCBS PPO
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PPO
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PPO Blue Total Health
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HighMark Blue Shield
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PPOBlue
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Horizon Blue Cross Blue Shield of New Jersey
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Horizon Advantage EPO (with BlueCard PPO)
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Horizon PPO
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Humana
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Humana Preferred PPO
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Humana Select Network PPO
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Humana/ChoiceCare Network PPO
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HumanaChoice (PPO)
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HumanaPPO
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Independence Blue Cross
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National BlueCard PPO
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Personal Choice PPO
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Magellan Health
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Behavioral Health Program
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McLaren Health Plan
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McLaren Health Advantage
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Medicaid
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Fee For Service (FFS)
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Medicaid
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Medical Mutual
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SuperMed Plus (PPO)
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Memorial Hermann
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MultiPlan
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PHCS
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Moda Health
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PHCS
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Molina Healthcare
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MI: Molina Healthcare of Michigan MIChild Health Plan
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Molina Silver 87 HMO
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Molina Silver 94 HMO
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Multiplan PHCS
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Multiplan
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PHCS
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Paramount Healthcare
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Advantage
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CDHP
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Elite – Michigan Residents
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Elite – Ohio Residents
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Employer Select
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Flex / Flex Plus (PHC)
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Flex / Flex Plus (PICO)
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Individual Marketplace
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MAP
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Medigap
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Michigan HMO
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Ohio HMO (PHC)
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Ohio HMO (PICO)
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PPO
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Prestige – Michigan Groups
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Prestige – Ohio Groups (PHC)
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Prestige – Ohio Groups (PICO)
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Steps2Health / Medical Home (PHC)
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Steps2Health / Medical Home (PICO)
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Traditional Plan
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POMCO
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POMCO-PHCS/Multiplan
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Premera Blue Cross
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AK Global with BlueCard PPO/Traditional
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AK HeritagePlus with BlueCard PPO/Traditional
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AK HeritageSelect with BlueCard PPO/Traditional
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Foundation & Foundation Plus 1 with BlueCard PPO/Traditional
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Global with BlueCard PPO/Traditional
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Heritage & Heritage Plus 1 with BlueCard PPO/Traditional
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Heritage Prime with BlueCard PPO/Traditional
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Heritage Signature with BlueCard PPO/Traditional
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Premera BlueCard PPO/Traditional Network
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Priority Health
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PriorityPPO
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Regence Blue Cross Blue Shield
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Oregon Select OHSU
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Preferred (PPO)
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RealValue
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Total Health Care
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Employer Sponsored HMO
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Employer Sponsored HMO PPN
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Employer Sponsored POS
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Employer Sponsored POS PPN
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Individuals & Families HMO
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Medicaid and Healthy Michigan Plan HMO
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MIChild HMO
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SHOP HMO
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Total Gold Complete
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Total Gold Premier
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Total Gold Signature
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Total HMO Standard
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Total Platinum Complete
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Total Platinum Premier
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Total Platinum Signature
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Total Platinum Ultimate
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Total Value Complete
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Total Value Plus
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Total Value Signature
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Totally You
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Triple-S Salud: Blue Cross Blue Shield of Puerto Rico
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Commercial (PPO)
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Federal
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Federal BCBS
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UnitedHealthcare
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UnitedHealthcare Options Non-Differential PPO
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UnitedHealthcare Options PPO
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UnitedHealthcare Options PPO with Harvard Pilgrim
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UnitedHealthOne
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UnitedHealth Allies
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UnitedHealthcare Navigate
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UnitedHealthcare Navigate Plus
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US Health Group
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Private Healthcare Systems (PHCS) (PPO)
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Wellmark Blue Cross Blue Shield
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Alliance Select (Iowa)
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Blue Choice (Iowa and Bordering Counties)
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Blue Rewards POS
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Blue Select (South Dakota)
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Workers’ Compensation
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Farmers Insurance
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Liberty Mutual
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