Full Capability Reduced Capability Off Exchange Only

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1 Full Capability Reduced Capability Off Exchange Only

2 Alabama Alaska Arizona Humana Insurance Company United Moda Health, Premera Blues Cross Blue Shield Alaska Aetna, Assurant, Blue Cross Blue Shield of Arizona, Cigna, Health Net, Humana, United Assurant, Humana PPO, United Aetna, Assurant, Moda Health, Premera Blues Cross Blue Shield Alaska Aetna, Assurant, Blue Cross Blue Shield of Arizona, Cigna, Health Net (HMO), Health Net (PPO), Humana HMO, Humana PPO, United Arkansas Pending Assurant, United California Colorado Connecticut Delaware District of Columbia Florida Anthem Blue Cross, Blue Shield of California, HealthNet, Kaiser Permanente All Savers (United ), Cigna, Humana, Anthem Blue Cross Blue Shield, Kaiser Permanente ConnectiCare, HealthyCT, Anthem Blue Cross Blue Shield, United Aetna, Highmark Blue Cross Blue Shield Delaware Aetna, CareFirst Blue Cross and Blue Shield, Kaiser Permanente, United Aetna, Assurant Health, Cigna, Coventry One, Humana Medical Plan, Inc., United Assurant, Anthem, Blue Shield of California, Cigna, Health Net, Moda, Kaiser Permanente Assurant, Anthem (HMO). Anthem (PPO), Cigna, Humana HMO/POS, Humana PPO/POS, Kaiser Permanente, Rocky Mountain Health Plans, United Aetna, Anthem Blue Cross Blue Shield, Assurant, United Aetna (HMO), Aetna (PPO), Assurant, Coventry, Highmark BCBS of Delaware CareFirst Blue Cross and Blue Shield, Kaiser Permanente, Aetna (HMO), Assurant, Cigna, Coventry One, Coventry One Carelink, Humana, Humana PPO, United

3 Georgia Anthem Blue Cross and Blue Shield, Assurant Health, Blue Cross Blue Shield Plan of Georgia, Cigna,, Coventry Health Care of Georgia, Inc., Humana Insurance Company, United Hawaii Kaiser Permanente Kaiser Permanente Aetna, Assurant, Anthem, Cigna, CoventryOne, Humana HMO/POS, Humana PPO/POS, Kaiser Permanente, United Idaho Illinois Indiana Iowa PacificSource Health Plan Assurant Health, Blue Cross and Blue Shield of Illinois, Coventry Health Care, Humana Insurance Company, United Health Care Anthem Blue Cross Blue Shield, Assurant Health, United Health Care Avera Health Plans, Coventry Health Care of Iowa Pacific Source, Assurant, CoventryOne, SelectHealth Aetna, Assurant, Blue Cross Blue Shield of Illinois, CoventryOne, Humana HMO, Humana PPO, United Assurant, Anthem Blue Cross Blue Shield, Humana PPO, United Assurant, Avera Health Plans, Assurant, Coventry Health Care of Iowa Kansas Kentucky Louisiana Coventry Health and Life, Conventry Health Care of Kansas, Inc. Anthem Health Plans of Kentucky, Humana Insurance Company Humana Insurance Company, Louisiana Health Cooperative, United Blue Cross Blue Shield of Kansas City, CoventryOne POS, CoventryOne PPO, Humana PPO, United Assurant, Anthem Health Plans of Kentucky, Humana Insurance Company Assurant, Louisiana Health Cooperative, Blue Cross Blue Shield POS, CoventryOne, Humana, United

4 Maine Anthem Blue Cross and Blue Shield Aetna, Anthem Blue Cross and Blue Shield Maryland All Savers Insurance Co, a United Health Care Co, CareFirst Blue Cross Blue Shield, Cigna, Kaiser Permanente Massachusetts United Health Care None Michigan Assurant Health, Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan, HAP, Humana Medical Plan Inc, Priority Health, United Health Care Carefirst, Kaiser MD Assurant, Aetna, BlueCross Blue Shield HMO, BlueCross Blue Shield PPO, Humana HMO, Humana PPO, Priority Health (HMO), Priority Health (PPO), United Minnesota Medica Assurant, Medica, PreferredOne Mississippi Humana Insurance Company, United Assurant, Coventry, Humana PPO, United Missouri Anthem Blue Cross Blue Shield, Cigna, Coventry Health Care, Humana Insurance Company, United Health Care Anthem Blue Cross Blue Shield, Blue Cross Blue Shield of Kansas City, Cigna, Coventry Health Care of Missouri, Coventry Health Care of Missouri HMO, Coventry PPO, Humana PPO, United

5 Montana Assurant Health, PacificSource Health Plans Pacific Source, Assurant Nebraska Nevada Assurant Health, Blue Cross and Blue Shield of Nebraska, Conventry Health Care of Nebraska, Inc. Anthem Blue Cross Blue Shield, Assurant Health Assurant, Avera, Coventry, Blue Cross and Blue Shield of Nebraska Aetna (HMO), Aetna (PPO), Anthem HMO, Anthem PPO, Health Plans of Nevada, Humana PPO, Nevada Health CO-OP, Sierra Health and Life New Hampshire Anthem Blue Cross and Blue Shield, Assurant Health Assurant, Anthem Blue Cross and Blue Shield New Jersey New Mexico New York Amierhealth HMO, Inc, Amerihealth Ins Company of New Jersey, Horizon Blue Cross Blue Shield of New Jersey, United Health Care Blue Cross and Blue Shield of New Mexico, New Mexico Health Connections Empire BlueCross, Empire Blue Cross Blueshield, Excellus BlueCross Blueshield, Excellus dba Univera,, Health Republic, United Health Care AmeriHealth, Aetna, Horizon Blue Cross Blue Shield of New Jersey, Oscar, Oxford Blue Cross and Blue Shield of New Mexico, New Mexico Health Connections Aetna, Empire BlueCross, Empire Blue Cross Blue Shield, Excellus BlueCross Blueshield, Oscar, Oxford, HealthRepublic

6 North Carolina CoventryOne, United Health Care North Dakota Medica Medica, Assurant Ohio Aetna, Anthem Blue Cross and Blue Shield, Assurant Health, HealthSpan, HealthSpan Integrated Care, Humana Insurance Company, United Health Care Assurant, Aetna, Cigna, CoventryOne, Humana PPO, United Assurant, Aetna, Anthem Blue Cross and Blue Shield, HealthSpan, Humana HMO, Humana PPO, Med Mutual, United, Kaiser of Ohio Oklahoma Oregon Pennsylvania Assurant Health, Blue Cross and Blue Shield of Oklahoma BridgeSpan Health Company, Health Republic Insurance Company, Kaiser Permanente, LifeWise Health Plan of Oregon, Moda Helath, Pacific Source Health Plans, Providence Health Plan Aetna, Assurant Health, Blue Cross of Northeastern PA, Coventry, Geisinger Choice, Geisinger Health Plan, Highmark, Highmark Health Insurance Company, Independence Blue Cross Assurant, Aetna, Blue Cross Blue Shield of Oklahoma, CoventryOne, Humana PPO, United Health Net, Health Republic, Kaiser Permanente, Lifewise Health Plan of Oregon, Moda, Oregon s Health CO-OP, Pacific Source, Providence, Regence Blue Cross Blue Shield of Oregon Assurant, Aetna (HMO), Aetna (POS), CoventryOne, United, Blue Cross of Northeastern PA, Geisinger, Highmark Health Insurance Company, Independence Blue Cross

7 Rhode Island South Carolina Blue Cross & Blue Shield of Rhode Island, United HealthCare CoventryOne, Blue Cross and Blue Shield of South Carolina Blue Cross & Blue Shield of Rhode Island, United HealthCare Assurant, Cigna, CoventryOne, United, Blue Cross and Blue Shield of South Carolina, South Dakota Avera Health Plans Avera Health Plans, Assurant, CoventryOne Tennessee Texas Utah Assurant Health, Blue Cross Blue Shield of Tennessee, Cigna, Humana Insurance Company, United Aetna, Assurant Health, Blue Cross Blue Shield of Texas, Cigna, Humana Health Plan of Texas, Inc.,Humana Insurance Company Altius, Arches, Health Plan, BridgeSpan Health Company, Humana Medical Plan, Inc. Assurant, Aetna, Blue Cross Blue Shield, Cigna, Humana PPO, United Assurant, Aetna, Blue Cross Blue Shield of Texas, Cigna, Humana HMO/POS, Humana PPO/EPO, Scott & White (HMO), Scott & White (PPO), United Assurant, Altius, Arches, Humana HMO, Humana PPO, Regence Blue Cross Blue Shield of Utah, Select Health

8 Vermont MVP MVP Virginia Washington Aetna Life Insurance, Carefirst BlueChoice, Carefirst Blue Cross Blue Shield, Coventry Health Care of Virginia Inc, HealthKeepers, Inc., Innovation Health Insurance Company, Kaiser Permanente Bridgespan, Group Health Cooperative, Kaiser Permmanente, LifeWise Health Plan od Washington, Moda Health Plan Assurant, Aetna, Aetna Innovation Health, Anthem, Humana PPO, Kaiser Permanente, United, Carefirst Blue Cross Blue Shield Asurrant, Group Health (HMO), Group Health (POS), Kaiser Permanente, Lifewise, Moda Health, Premera Blue Cross, Regence Blue Shield West Virginia Pending Assurant, CoventryOne Wisconsin Anthem Blue Cross and Blue Shield, Group Health Cooperative- SCW, Medica, United Health Care Anthem Blue Cross and Blue Shield, Humana PPO, Medica, United, WPS Insurance Wyoming WINhealth Partners WINhealth Partners, Assurant, CoventryOne, Altius