109 of 109 Passing (100.0 %)
Outpatient Surgery Physician/Surgical Services
b60b3dc7
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 93091NM0010009
| 73% AV Level Silver Plan CSR |
Outpatient Surgery Physician/Surgical Services |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
0750936e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 26734OH0010005
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 26734OH0010005
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
b84bb5d7
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 16698NV0450014
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 16698NV0450014
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Mental/Behavioral Health Outpatient Services
9925964f
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 96751NH0150022
| Exchange variant (no CSR) |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
| 96751NH0150022
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
| 96751NH0150022
| 73% AV Level Silver Plan CSR |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
| 96751NH0150022
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
| 96751NH0150022
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
Eye Glasses for Children
80ef1a19
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 94248KS0140012
| Exchange variant (no CSR) |
Eye Glasses for Children |
In-Network |
|
| 94248KS0140012
| Limited Cost Sharing Plan Variation |
Eye Glasses for Children |
In-Network |
|
Skilled Nursing Facility
b9120078
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 56503FL1400001
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 56503FL1400001
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
58f39ae0
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 20305NE0010019
| Zero Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
6581fe73
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 71287OR0420010
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Routine Eye Exam for Children
cbea40c9
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29418TX0150004
| Exchange variant (no CSR) |
Routine Eye Exam for Children |
In-Network |
|
| 29418TX0150004
| Limited Cost Sharing Plan Variation |
Routine Eye Exam for Children |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 36096IL0970001
| Exchange variant (no CSR) |
Generic Drugs |
In-Network |
|
| 36096IL0970001
| Limited Cost Sharing Plan Variation |
Generic Drugs |
In-Network |
|
Mental/Behavioral Health Inpatient Services
bea9e6e7
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 96667ME0260002
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
Tier 2 |
|
| 96667ME0260002
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
Tier 2 |
|
| 96667ME0260002
| 73% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
Tier 2 |
|
| 96667ME0260002
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
Tier 2 |
|
| 96667ME0260002
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
Tier 2 |
|
Skilled Nursing Facility
520e4282
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 99389OR0660001
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 99389OR0660001
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| 99389OR0660001
| 73% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 99389OR0660001
| 87% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 99389OR0660001
| 94% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 99389OR0660001
| Exchange variant (no CSR) |
Generic Drugs |
In-Network |
|
| 99389OR0660001
| Limited Cost Sharing Plan Variation |
Generic Drugs |
In-Network |
|
| 99389OR0660001
| 73% AV Level Silver Plan CSR |
Generic Drugs |
In-Network |
|
| 99389OR0660001
| 87% AV Level Silver Plan CSR |
Generic Drugs |
In-Network |
|
| 99389OR0660001
| 94% AV Level Silver Plan CSR |
Generic Drugs |
In-Network |
|
X-rays and Diagnostic Imaging
94931bf3
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 75293AR0350001
| 94% AV Level Silver Plan CSR |
X-rays and Diagnostic Imaging |
In-Network |
|
Eye Glasses for Children
9b0ddcb1
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29276OH0740017
| Exchange variant (no CSR) |
Eye Glasses for Children |
In-Network |
|
X-rays and Diagnostic Imaging
7a334340
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 27357FL1830002
| Zero Cost Sharing Plan Variation |
X-rays and Diagnostic Imaging |
In-Network |
|
Routine Eye Exam for Children
12db1712
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 53789PA0030002
| Exchange variant (no CSR) |
Routine Eye Exam for Children |
In-Network |
|
| 53789PA0030002
| Limited Cost Sharing Plan Variation |
Routine Eye Exam for Children |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
d4450e30
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 57173NM0300001
| Zero Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Skilled Nursing Facility
ea20b39f
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 18350HI0880017
| Zero Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 57173NM0300004
| Zero Cost Sharing Plan Variation |
Acupuncture |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
b96692fa
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29678NE1100009
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Eye Glasses for Children
42991ca0
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 79475WI0500003
| Exchange variant (no CSR) |
Eye Glasses for Children |
In-Network |
|
| 79475WI0500003
| Zero Cost Sharing Plan Variation |
Eye Glasses for Children |
In-Network |
|
| 79475WI0500003
| Limited Cost Sharing Plan Variation |
Eye Glasses for Children |
In-Network |
|
| 79475WI0500003
| 73% AV Level Silver Plan CSR |
Eye Glasses for Children |
In-Network |
|
| 79475WI0500003
| 87% AV Level Silver Plan CSR |
Eye Glasses for Children |
In-Network |
|
| 79475WI0500003
| 94% AV Level Silver Plan CSR |
Eye Glasses for Children |
In-Network |
|
Eye Glasses for Children
8fa6f5d1
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 27651IA0050014
| Exchange variant (no CSR) |
Eye Glasses for Children |
In-Network |
|
Routine Eye Exam (Adult)
3658fbc0
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 75293AR0290001
| Exchange variant (no CSR) |
Routine Eye Exam (Adult) |
In-Network |
|
| 75293AR0290001
| Limited Cost Sharing Plan Variation |
Routine Eye Exam (Adult) |
In-Network |
|
Emergency Transportation/Ambulance
2e7e0eee
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40788TX0160001
| Exchange variant (no CSR) |
Emergency Transportation/Ambulance |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
cb1bb12e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29276OH0740018
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 29276OH0740018
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
5087cc0e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 54332NC0030005
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 54332NC0030005
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 54332NC0030005
| 73% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 54332NC0030005
| 87% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 54332NC0030005
| 94% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Skilled Nursing Facility
b9bf3391
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 11512NC0060026
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 11512NC0060026
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
04ca0996
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 89364ND0090004
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Specialist Visit
2946e9e6
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 26065SC0380018
| Exchange variant (no CSR) |
Specialist Visit |
In-Network |
|
| 26065SC0380018
| Limited Cost Sharing Plan Variation |
Specialist Visit |
In-Network |
|
| 26065SC0380018
| 73% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| 26065SC0380018
| 87% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| 26065SC0380018
| 94% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
8f7cb666
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 34762MO0140004
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 34762MO0140004
| Limited Cost Sharing Plan Variation |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 34762MO0140004
| 73% AV Level Silver Plan CSR |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 34762MO0140004
| 87% AV Level Silver Plan CSR |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 34762MO0140004
| 94% AV Level Silver Plan CSR |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Skilled Nursing Facility
04e45696
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 98185MI0180001
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
Mental/Behavioral Health Inpatient Services
28adc29d
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 93078IA0010005
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 93078IA0010005
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Emergency Room Services
6a86ff34
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 96751NH0150020
| 87% AV Level Silver Plan CSR |
Emergency Room Services |
Out of Network |
|
| 96751NH0150020
| 94% AV Level Silver Plan CSR |
Emergency Room Services |
Out of Network |
|
Primary Care Visit to Treat an Injury or Illness
95c171a7
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 23603MT0140003
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
4739e43b
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 50816IN0200025
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
7737d49a
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 62033IN0010005
| 94% AV Level Silver Plan CSR |
Outpatient Facility Fee (e.g., Ambulatory Surgery Center) |
In-Network |
|
Private-Duty Nursing
24903f5e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 20129IL0300021
| Exchange variant (no CSR) |
Private-Duty Nursing |
In-Network |
|
| 20129IL0300021
| Limited Cost Sharing Plan Variation |
Private-Duty Nursing |
In-Network |
|
Emergency Room Services
a02eece4
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 48396ME0720020
| 87% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 48396ME0720020
| 94% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
Chiropractic Care
15b725ae
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29497DE0090002
| Exchange variant (no CSR) |
Chiropractic Care |
In-Network |
|
| 29497DE0090002
| Limited Cost Sharing Plan Variation |
Chiropractic Care |
In-Network |
|
Mental/Behavioral Health Inpatient Services
1e2741d5
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 15560MI0410001
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
f0bc8e9b
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 11512NC0060018
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
| 11512NC0060018
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
Mental/Behavioral Health Inpatient Services
233a8b4c
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40308VA0220002
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 40308VA0220002
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 40308VA0220002
| 73% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 37833WI0510044
| Exchange variant (no CSR) |
Hearing Aids |
In-Network |
|
| 37833WI0510044
| Limited Cost Sharing Plan Variation |
Hearing Aids |
In-Network |
|
| 37833WI0510044
| 73% AV Level Silver Plan CSR |
Hearing Aids |
In-Network |
|
| 37833WI0510044
| 87% AV Level Silver Plan CSR |
Hearing Aids |
In-Network |
|
| 37833WI0510044
| 94% AV Level Silver Plan CSR |
Hearing Aids |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 11269WY0070018
| Exchange variant (no CSR) |
Specialty Drugs |
In-Network |
|
| 11269WY0070018
| Limited Cost Sharing Plan Variation |
Specialty Drugs |
In-Network |
|
| 11269WY0070018
| 73% AV Level Silver Plan CSR |
Specialty Drugs |
In-Network |
|
| 11269WY0070018
| 87% AV Level Silver Plan CSR |
Specialty Drugs |
In-Network |
|
| 11269WY0070018
| 94% AV Level Silver Plan CSR |
Specialty Drugs |
In-Network |
|
Skilled Nursing Facility
14eb2831
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 15560MI0410001
| 94% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
4c4cf10a
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 91661NJ2270001
| 94% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Skilled Nursing Facility
5893cdf9
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 14002TN0330035
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 14002TN0330035
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| 14002TN0330035
| 73% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 14002TN0330035
| 87% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 14002TN0330035
| 94% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Mental/Behavioral Health Inpatient Services
1c57770d
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40308VA0220002
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 40308VA0220002
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Basic Dental Care - Child
e97c6890
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40308VA0240003
| Exchange variant (no CSR) |
Basic Dental Care - Child |
In-Network |
|
| 40308VA0240003
| Limited Cost Sharing Plan Variation |
Basic Dental Care - Child |
In-Network |
|
Basic Dental Care - Child
a04cf3d5
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10207VA0400005
| Exchange variant (no CSR) |
Basic Dental Care - Child |
Out of Network |
|
| 10207VA0400005
| Limited Cost Sharing Plan Variation |
Basic Dental Care - Child |
Out of Network |
|
Routine Eye Exam (Adult)
51ef3646
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 53901AZ1140001
| Zero Cost Sharing Plan Variation |
Routine Eye Exam (Adult) |
In-Network |
|
Eye Glasses for Children
7b8b83cb
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 96667ME0260002
| Exchange variant (no CSR) |
Eye Glasses for Children |
In-Network |
|
| 96667ME0260002
| Limited Cost Sharing Plan Variation |
Eye Glasses for Children |
In-Network |
|
| 96667ME0260002
| 73% AV Level Silver Plan CSR |
Eye Glasses for Children |
In-Network |
|
| 96667ME0260002
| 87% AV Level Silver Plan CSR |
Eye Glasses for Children |
In-Network |
|
| 96667ME0260002
| 94% AV Level Silver Plan CSR |
Eye Glasses for Children |
In-Network |
|
Outpatient Rehabilitation Services
ed3743fe
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 38234VA0060031
| Exchange variant (no CSR) |
Outpatient Rehabilitation Services |
In-Network |
|
| 38234VA0060031
| Limited Cost Sharing Plan Variation |
Outpatient Rehabilitation Services |
In-Network |
|
X-rays and Diagnostic Imaging
2cbe803e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 75293AR0350001
| Exchange variant (no CSR) |
X-rays and Diagnostic Imaging |
In-Network |
|
| 75293AR0350001
| Limited Cost Sharing Plan Variation |
X-rays and Diagnostic Imaging |
In-Network |
|
| 75293AR0350001
| 73% AV Level Silver Plan CSR |
X-rays and Diagnostic Imaging |
In-Network |
|
| 75293AR0350001
| 87% AV Level Silver Plan CSR |
X-rays and Diagnostic Imaging |
In-Network |
|
Mental/Behavioral Health Outpatient Services
059a9112
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 16204OH0070004
| Exchange variant (no CSR) |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
| 16204OH0070004
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Outpatient Services |
In-Network |
|
Major Dental Care - Child
57b2c9c3
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 76168DE0410013
| Exchange variant (no CSR) |
Major Dental Care - Child |
In-Network |
|
| 76168DE0410013
| Limited Cost Sharing Plan Variation |
Major Dental Care - Child |
In-Network |
|
| 76168DE0410013
| 73% AV Level Silver Plan CSR |
Major Dental Care - Child |
In-Network |
|
| 76168DE0410013
| 87% AV Level Silver Plan CSR |
Major Dental Care - Child |
In-Network |
|
| 76168DE0410013
| 94% AV Level Silver Plan CSR |
Major Dental Care - Child |
In-Network |
|
Skilled Nursing Facility
01a549e1
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10207VA0380001
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 10207VA0380001
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| 10207VA0380001
| 73% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Skilled Nursing Facility
394290da
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 49532SC0380022
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 49532SC0380022
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
Mental/Behavioral Health Inpatient Services
c1895475
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40308VA0220001
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 40308VA0220001
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Skilled Nursing Facility
8c4155a7
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29698MI0540024
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 29698MI0540024
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
Mental/Behavioral Health Inpatient Services
9347ed6f
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 72034NM0010001
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 72034NM0010001
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
f837a4eb
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 57173NM0310005
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 57173NM0310005
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 57173NM0310005
| 73% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 57173NM0310005
| 87% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 57173NM0310005
| 94% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Mental/Behavioral Health Inpatient Services
7c5b1f1a
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 68781UT0010012
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 68781UT0010012
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 68781UT0010012
| 73% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 68781UT0010012
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 68781UT0010012
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Skilled Nursing Facility
e0cbe4f8
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 89942GA0050002
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 89942GA0050002
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
32439ff2
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 46944AL0620001
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 46944AL0620001
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 11269WY0070019
| Exchange variant (no CSR) |
Generic Drugs |
In-Network |
|
| 11269WY0070019
| Limited Cost Sharing Plan Variation |
Generic Drugs |
In-Network |
|
Specialist Visit
866222fe
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 20126OH0560004
| Exchange variant (no CSR) |
Specialist Visit |
In-Network |
|
| 20126OH0560004
| Limited Cost Sharing Plan Variation |
Specialist Visit |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
fd8406ed
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40047MI0010001
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 40047MI0010001
| Limited Cost Sharing Plan Variation |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
a7e05bbf
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 33931OH0030005
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 33931OH0030005
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 33931OH0030005
| 73% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 33931OH0030005
| 87% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 33931OH0030005
| 94% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Mental/Behavioral Health Inpatient Services
0aef6bfb
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10191NJ0030001
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 10191NJ0030001
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Skilled Nursing Facility
6b47ceaf
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 75293AR0280001
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 75293AR0280001
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| 75293AR0280001
| 73% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 75293AR0280001
| 87% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 75293AR0280001
| 94% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
60fdecac
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 32753MO0770028
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 32753MO0770028
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Skilled Nursing Facility
49871d32
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10207VA0380001
| 87% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 10207VA0380001
| 94% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Skilled Nursing Facility
b5e3741d
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 20129IL0330014
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 20129IL0330014
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| 20129IL0330014
| 73% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Mental/Behavioral Health Inpatient Services
014165ab
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10207VA0380011
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 10207VA0380011
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Skilled Nursing Facility
583abb53
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10191NJ0190001
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 10191NJ0190001
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
5f184122
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 20129IL0330014
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 20129IL0330014
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 20129IL0330014
| 73% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 20129IL0330014
| 87% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Bariatric Surgery
12810159
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10207VA0380011
| Exchange variant (no CSR) |
Bariatric Surgery |
In-Network |
|
| 10207VA0380011
| Limited Cost Sharing Plan Variation |
Bariatric Surgery |
In-Network |
|
| 10207VA0380011
| 73% AV Level Silver Plan CSR |
Bariatric Surgery |
In-Network |
|
Emergency Room Services
f5f054fb
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 96667ME0260002
| Exchange variant (no CSR) |
Emergency Room Services |
In-Network |
|
| 96667ME0260002
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
In-Network |
|
| 96667ME0260002
| 73% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 96667ME0260002
| 87% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 96667ME0260002
| 94% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
Preferred Brand Drugs
9eb6e7e1
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29497DE0090003
| Exchange variant (no CSR) |
Preferred Brand Drugs |
In-Network |
|
| 29497DE0090003
| Limited Cost Sharing Plan Variation |
Preferred Brand Drugs |
In-Network |
|
Non-Preferred Brand Drugs
40bcff9b
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 16698NV0450008
| Exchange variant (no CSR) |
Non-Preferred Brand Drugs |
In-Network |
|
| 16698NV0450008
| Limited Cost Sharing Plan Variation |
Non-Preferred Brand Drugs |
In-Network |
|
Emergency Room Services
1855e951
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 38345WI0010098
| Exchange variant (no CSR) |
Emergency Room Services |
In-Network |
|
| 38345WI0010098
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
In-Network |
|
| 38345WI0010098
| 73% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 38345WI0010098
| 87% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 38345WI0010098
| 94% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
Emergency Room Services
7ac7ae67
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 50274KS0030006
| Exchange variant (no CSR) |
Emergency Room Services |
In-Network |
|
| 50274KS0030006
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
In-Network |
|
| 50274KS0030006
| 73% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 50274KS0030006
| 87% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 50274KS0030006
| 94% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
Specialist Visit
0a32bd14
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 15560MI0860002
| Exchange variant (no CSR) |
Specialist Visit |
In-Network |
|
| 15560MI0860002
| Limited Cost Sharing Plan Variation |
Specialist Visit |
In-Network |
|
| 15560MI0860002
| 73% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| 15560MI0860002
| 87% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| 15560MI0860002
| 94% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
4dd48313
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 11269WY0070018
| 73% AV Level Silver Plan CSR |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 11269WY0070018
| 87% AV Level Silver Plan CSR |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 11269WY0070018
| 94% AV Level Silver Plan CSR |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Infertility Treatment
3ad65c3e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 40308VA0220001
| Exchange variant (no CSR) |
Infertility Treatment |
In-Network |
|
| 40308VA0220001
| Limited Cost Sharing Plan Variation |
Infertility Treatment |
In-Network |
|
Specialist Visit
dc6b8bfc
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29276OH0740029
| Exchange variant (no CSR) |
Specialist Visit |
In-Network |
|
| 29276OH0740029
| Limited Cost Sharing Plan Variation |
Specialist Visit |
In-Network |
|
| 29276OH0740029
| 73% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| 29276OH0740029
| 87% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| 29276OH0740029
| 94% AV Level Silver Plan CSR |
Specialist Visit |
In-Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 10191NJ0050003
| Exchange variant (no CSR) |
Generic Drugs |
In-Network |
|
| 10191NJ0050003
| Limited Cost Sharing Plan Variation |
Generic Drugs |
In-Network |
|
Mental/Behavioral Health Inpatient Services
e9898362
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 33670NV1050003
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 33670NV1050003
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 33670NV1050003
| 73% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 33670NV1050003
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 33670NV1050003
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
a51af5e2
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 36096IL0970001
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
| 36096IL0970001
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
In-Network |
|
Mental/Behavioral Health Inpatient Services
ff8d68c9
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 96751NH0150023
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 96751NH0150023
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Skilled Nursing Facility
9e08631c
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 98185MI0180004
| Exchange variant (no CSR) |
Skilled Nursing Facility |
In-Network |
|
| 98185MI0180004
| Limited Cost Sharing Plan Variation |
Skilled Nursing Facility |
In-Network |
|
| 98185MI0180004
| 73% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
| 98185MI0180004
| 87% AV Level Silver Plan CSR |
Skilled Nursing Facility |
In-Network |
|
Mental/Behavioral Health Inpatient Services
e68470d8
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 36247PA0060001
| 87% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 36247PA0060001
| 94% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 36247PA0060001
| Exchange variant (no CSR) |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 36247PA0060001
| Limited Cost Sharing Plan Variation |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
| 36247PA0060001
| 73% AV Level Silver Plan CSR |
Mental/Behavioral Health Inpatient Services |
In-Network |
|
Emergency Room Services
d2e82669
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 49046GA0610004
| Exchange variant (no CSR) |
Emergency Room Services |
In-Network |
|
| 49046GA0610004
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
In-Network |
|
Non-Preferred Brand Drugs
f2c269c8
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 63509TX0160001
| Exchange variant (no CSR) |
Non-Preferred Brand Drugs |
Out of Network |
|
| 63509TX0160001
| Limited Cost Sharing Plan Variation |
Non-Preferred Brand Drugs |
Out of Network |
|
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
782a31d8
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 36096IL0970001
| Exchange variant (no CSR) |
Outpatient Facility Fee (e.g., Ambulatory Surgery Center) |
In-Network |
|
| 36096IL0970001
| Limited Cost Sharing Plan Variation |
Outpatient Facility Fee (e.g., Ambulatory Surgery Center) |
In-Network |
|
Emergency Room Services
5bb8c2eb
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 51902IA0010003
| Exchange variant (no CSR) |
Emergency Room Services |
In-Network |
|
| 51902IA0010003
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
In-Network |
|
Primary Care Visit to Treat an Injury or Illness
d9f72d2b
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 94248KS0150036
| Exchange variant (no CSR) |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
| 94248KS0150036
| Limited Cost Sharing Plan Variation |
Primary Care Visit to Treat an Injury or Illness |
In-Network |
|
Emergency Room Services
43a1832e
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 31274WV0310002
| Exchange variant (no CSR) |
Emergency Room Services |
In-Network |
|
| 31274WV0310002
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
In-Network |
|
| 31274WV0310002
| 73% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 31274WV0310002
| 87% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
| 31274WV0310002
| 94% AV Level Silver Plan CSR |
Emergency Room Services |
In-Network |
|
Emergency Room Services
6a6f81c4
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 91450AZ0080026
| Exchange variant (no CSR) |
Emergency Room Services |
Out of Network |
|
| 91450AZ0080026
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
Out of Network |
|
Emergency Room Services
9590e714
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 72034NM0010001
| Exchange variant (no CSR) |
Emergency Room Services |
Out of Network |
|
| 72034NM0010001
| Limited Cost Sharing Plan Variation |
Emergency Room Services |
Out of Network |
|
Emergency Transportation/Ambulance
3ad004e3
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 52697WI0010001
| Exchange variant (no CSR) |
Emergency Transportation/Ambulance |
Out of Network |
|
| 52697WI0010001
| Limited Cost Sharing Plan Variation |
Emergency Transportation/Ambulance |
Out of Network |
|
Routine Eye Exam (Adult)
52dac438
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 84670WI1250007
| Exchange variant (no CSR) |
Routine Eye Exam (Adult) |
In-Network |
|
| 84670WI1250007
| Zero Cost Sharing Plan Variation |
Routine Eye Exam (Adult) |
In-Network |
|
| 84670WI1250007
| Limited Cost Sharing Plan Variation |
Routine Eye Exam (Adult) |
In-Network |
|
Inpatient Hospital Services (e.g., Hospital Stay)
16ba5f53
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 71837TX0010001
| Exchange variant (no CSR) |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
| 71837TX0010001
| Limited Cost Sharing Plan Variation |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
| 71837TX0010001
| 73% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
| 71837TX0010001
| 87% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
| 71837TX0010001
| 94% AV Level Silver Plan CSR |
Inpatient Hospital Services (e.g., Hospital Stay) |
Out of Network |
|
Skilled Nursing Facility
af7f75fd
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 57173NM0200001
| Zero Cost Sharing Plan Variation |
Skilled Nursing Facility |
Out of Network |
|
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 36247PA0060002
| Zero Cost Sharing Plan Variation |
Specialty Drugs |
Out of Network |
|
Emergency Room Services
405ceb38
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 72034NM0060001
| Exchange variant (no CSR) |
Emergency Room Services |
Out of Network |
|
Routine Eye Exam for Children
b4a7d098
| Plan ID |
CSR |
Benefit Name |
Network |
Curl |
| 29276OH0740022
| Exchange variant (no CSR) |
Routine Eye Exam for Children |
Out of Network |
|
| 29276OH0740022
| Limited Cost Sharing Plan Variation |
Routine Eye Exam for Children |
Out of Network |
|