| 94788NY0260107 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260112 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260108 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260105 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260109 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260111 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260110 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260106 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0280153 |
HDHMO 60, Bronze Child Only, ST, 3PCP, INN |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280151 |
HDHMO 60, Bronze, ST, 3PCP, INN, Dep25 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280152 |
HDHMO 60, Bronze, ST, 3PCP, INN, Dep29 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280047 |
HDHMO HSA Non-Qualified 50, Catastrophic, ST, INN, Dep25 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0260083 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260088 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260084 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260081 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260085 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260087 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260086 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260082 |
HDHMO HSA Qualified 324, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260131 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260136 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260132 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260129 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260133 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260135 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260134 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260130 |
HDHMO HSA Qualified 327, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0280021 |
HDHMO HSA Qualified 33, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280022 |
HDHMO HSA Qualified 33, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280149 |
HDHMO HSA Qualified 35 Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280150 |
HDHMO HSA Qualified 35 Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280079 |
HDHMO HSA Qualified 40, Bronze Child Only, ST, INN |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280059 |
HDHMO HSA Qualified 40, Bronze, ST, INN, Dep25 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280070 |
HDHMO HSA Qualified 40, Bronze, ST, INN, Dep29 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0260115 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260120 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260116 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260113 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260117 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260119 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260118 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260114 |
HDHMO HSA Qualified 428, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0280029 |
HDHMO HSA Qualified 44, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280030 |
HDHMO HSA Qualified 44, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280145 |
HDHMO HSA Qualified 45, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280146 |
HDHMO HSA Qualified 45, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0260067 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep25, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260072 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep25, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260068 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep25, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260065 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep25, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260069 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep29, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260071 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep29, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260070 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep29, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260066 |
HealthyNY HMO Copayment 201, Gold, NS, INN, Dep29, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260139 |
HMO Copay First 427, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260144 |
HMO Copay First 427, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260140 |
HMO Copay First 427, Silver, NS, INN, Dep25,Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260137 |
HMO Copay First 427, Silver, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260141 |
HMO Copay First 427, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260143 |
HMO Copay First 427, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260142 |
HMO Copay First 427, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260138 |
HMO Copay First 427, Silver, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0280081 |
HMO Copayment 10, Platinum, Child Only, ST, INN |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280053 |
HMO Copayment 10, Platinum, ST, INN, Dep25 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280064 |
HMO Copayment 10, Platinum, ST, INN, Dep29 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280147 |
HMO Copayment 14, Platinum, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280148 |
HMO Copayment 14, Platinum, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280080 |
HMO Copayment 20, Gold Child Only, ST, INN |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280054 |
HMO Copayment 20, Gold, ST, INN, Dep25 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280065 |
HMO Copayment 20, Gold, ST, INN, Dep29 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280082 |
HMO Copayment 30, Silver Child Only, ST, INN |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280055 |
HMO Copayment 30, Silver, ST, INN, Dep25 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280066 |
HMO Copayment 30, Silver, ST, INN, Dep29 |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280129 |
HMO Hybrid 13, Platinum, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280130 |
HMO Hybrid 13, Platinum, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0260126 |
HMO Hybrid 228 Gold, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260123 |
HMO Hybrid 228 Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260128 |
HMO Hybrid 228 Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260124 |
HMO Hybrid 228 Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260121 |
HMO Hybrid 228 Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260125 |
HMO Hybrid 228 Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260127 |
HMO Hybrid 228 Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260122 |
HMO Hybrid 228 Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260099 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260104 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260100 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260097 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260101 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260103 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260102 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0260098 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2024 |
NYN001
|
Feb 12, 2024 |
| 94788NY0280154 |
HMO Triple Zero Copayment 24, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
| 94788NY0280155 |
HMO Triple Zero Copayment 24, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2024 |
NYN002
|
Feb 12, 2024 |
