Fluad 2026-2027
Generic: influenza A virus A/Michigan/105/2025 (H3N2) antigen
0.015 MG — Prefilled Syringe
Also known as:
influenza A virus A/Michigan/105/2025 (H3N2) antigen
Fluad Intramuscular Suspension Prefilled Syringe
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Coverage by Insurer
Informational only — Coverage rules change frequently; verify tier placement and restrictions with your plan or pharmacy before acting.
Ambetter (Centene)
102 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| Signature Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Focused Silver with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Streamlined Silver
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Streamlined Silver with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Clear Silver with $0 Insulin Options + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Streamlined Silver | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Streamlined Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Enhanced CHF Heart Care Silver $0 Rx Options | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Expanded Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Gold + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Silver + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Expanded Bronze + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Focused Silver with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze with Atrium Health + Vision + Adult Dental | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Enhanced Asthma/COPD Care Silver $0 Rx Options | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Clear Silver with $0 Insulin Options | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Expanded Bronze | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Silver | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Gold | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Everyday Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Elite Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Focused Silver with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Complete Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Expanded Bronze with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Signature Gold with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Focused Silver with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced Asthma/COPD Care Silver $0 Rx Options + Vision + Adult Dental
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Complete Gold with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Focused Silver with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Everyday Bronze with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Gold
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Silver
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Signature Expanded Bronze
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Elite Bronze
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Streamlined Silver with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Streamlined Silver
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Clear Silver with $0 Insulin Options + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Enhanced CHF Heart Care Silver $0 Rx Options + Vision + Adult Dental
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
AmeriHealth Caritas NC
31 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Copay Focus + $0 Deductible + Free PCP + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Premier + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Essential + Three Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Premier + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Essential + Two Free PCP Visits + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Gold Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Fluzone 2026-2027 |
Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Bronze Enhanced + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Gold Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
| AmeriHealth Caritas Next Silver Signature + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Tier 3 - Preferred Brand | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace Low + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
|
AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals
via Flulaval 2026-2027 |
Brand-Preferred | — | — | — | None |
| AmeriHealth Caritas Next Silver Off-Marketplace High + Free 24/7 Preferred Provider PCP/Urgent Virtual Care + No Referrals | Brand-Preferred | — | — | — | None |
Blue Cross Blue Shield of NC
15 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Flulaval 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Fluzone 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Home with UNC Health Alliance 2026
via Fluzone 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Local 2026
via Fluzone 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Care 2026
via Fluzone 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Value 2026
via Fluzone 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
| BCBSNC Blue Advantage 2026 | Tier A - ACA $0 Copay | — | — | — | None |
| BCBSNC Blue Home with UNC Health Alliance 2026 | Tier A - ACA $0 Copay | — | — | — | None |
| BCBSNC Blue Local 2026 | Tier A - ACA $0 Copay | — | — | — | None |
| BCBSNC Blue Care 2026 | Tier A - ACA $0 Copay | — | — | — | None |
| BCBSNC Blue Value 2026 | Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Advantage 2026
via Flulaval 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Local 2026
via Flulaval 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Care 2026
via Flulaval 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
|
BCBSNC Blue Value 2026
via Flulaval 2026-2027 |
Tier A - ACA $0 Copay | — | — | — | None |
Oscar Health
162 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
|
69803NC0010111
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010112
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010113
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010114
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010115
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic Standard
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic Standard
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Gold Classic Standard
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic Standard | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic Standard | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Gold Classic Standard | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Secure | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic 4700 | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple PCP Saver | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Diabetes | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Chronic Care CKM | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010074
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010075
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Secure
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus with Adult Dental & Vision | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010076
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010077
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010078
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010079
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010080
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010081
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010082
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010083
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010084
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010085
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus with Adult Dental & Vision
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Diabetes
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Core Plan
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Core Plan | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes with Adult Dental & Vision
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010108
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010109
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010110
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes with Adult Dental & Vision | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Diabetes with Adult Dental & Vision | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010117
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010116
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010115
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010114
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010113
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010112
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010111
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Elite + PCP Saver Plus | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Classic | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Secure | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Classic 4700 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple PCP Saver | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Diabetes | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Classic Standard | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Classic Standard | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Gold Classic Standard | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Gold Classic Standard | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Simple Chronic Care CKM | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Secure | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Classic 4700 | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Elite + PCP Saver Plus | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Classic | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Diabetes | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple PCP Saver | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Simple Diabetes | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Chronic Care CKM | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Women's Health with Menopause Benefits | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010074 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010075 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010110
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010109
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010108
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes with Adult Dental & Vision
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Core Plan | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Core Plan
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Diabetes
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus with Adult Dental & Vision
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010085
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010084
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010083
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010082
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010081
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010080
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010079
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010078
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Elite + PCP Saver Plus with Adult Dental & Vision | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010076 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010077 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010078 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010079 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010080 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010081 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010082 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010083 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010084 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010085 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Elite + PCP Saver Plus with Adult Dental & Vision | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Simple Diabetes | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Core Plan | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Core Plan | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Diabetes with Adult Dental & Vision | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010108 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010109 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010110 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010111 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010112 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010113 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010114 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010115 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010116 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| 69803NC0010117 | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Bronze Simple Diabetes with Adult Dental & Vision | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| Silver Simple Diabetes with Adult Dental & Vision | with Atrium Health | Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010077
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010076
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus with Adult Dental & Vision | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010075
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010074
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Women's Health with Menopause Benefits | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Chronic Care CKM | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Diabetes | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple PCP Saver | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic 4700 | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Secure | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Chronic Care CKM | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Breathe Easy with Enhanced COPD Benefits | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Gold Classic Standard | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic Standard | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic Standard | with Atrium Health
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Gold Classic Standard
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic Standard
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic Standard
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple PCP Saver
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010116
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic 4700
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
69803NC0010117
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Simple Diabetes with Adult Dental & Vision | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes with Adult Dental & Vision | with Atrium Health
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Elite + PCP Saver Plus
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Classic
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Secure
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Bronze Classic 4700
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple PCP Saver
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
Silver Simple Diabetes
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
UnitedHealthcare
51 plans| Plan | Tier | Prior Auth | Step Therapy | Quantity Limit | Restrictions |
|---|---|---|---|---|---|
| UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Standard (HSA, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Copay Focus $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Copay Focus+ $0 Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, Dental + Vision, No Referrals)
via Flulaval 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard (HSA, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Standard ($8 Tier 2 Rx, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Essential ($0 Virtual Urgent Care, HSA, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Standard ($5 Tier 2 Rx, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Advantage + ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Bronze Standard+ (HSA, $0 Insulin, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Silver Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
|
UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, $0 Insulin, No Referrals)
via Fluzone 2026-2027 |
Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |
| UHC Silver Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, $0 Insulin, Dental + Vision, No Referrals) | Tier 0 - $0 Preventive | — | — | ✓ | QL |