| 73751ND0120041 |
Altru Prime by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120041 |
Altru Prime by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120041 |
Altru Prime by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120041 |
Altru Prime by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120041 |
Altru Prime by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120041 |
Altru Prime by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120045 |
Altru Prime by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120045 |
Altru Prime by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120045 |
Altru Prime by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120045 |
Altru Prime by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120045 |
Altru Prime by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120045 |
Altru Prime by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120074 |
Altru Prime by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120074 |
Altru Prime by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120074 |
Altru Prime by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120074 |
Altru Prime by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120074 |
Altru Prime by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120074 |
Altru Prime by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120047 |
Altru Prime by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120047 |
Altru Prime by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120047 |
Altru Prime by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120047 |
Altru Prime by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120047 |
Altru Prime by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120047 |
Altru Prime by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120075 |
Altru Prime by Medica Silver $0 Copay PCP Visits OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120075 |
Altru Prime by Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120075 |
Altru Prime by Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120075 |
Altru Prime by Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120075 |
Altru Prime by Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120075 |
Altru Prime by Medica Silver $0 Copay PCP Visits OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120076 |
Altru Prime by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120076 |
Altru Prime by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120076 |
Altru Prime by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120076 |
Altru Prime by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120076 |
Altru Prime by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120076 |
Altru Prime by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140074 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140074 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140074 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140074 |
Essentia Choice Care with Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140074 |
Essentia Choice Care with Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140074 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140076 |
Essentia Choice Care with Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140076 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140076 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140076 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140076 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140076 |
Essentia Choice Care with Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130041 |
Medica Individual Choice Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130041 |
Medica Individual Choice Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130041 |
Medica Individual Choice Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130041 |
Medica Individual Choice Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130041 |
Medica Individual Choice Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130041 |
Medica Individual Choice Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130045 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130045 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130045 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130045 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130045 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130045 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130074 |
Medica Individual Choice Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130074 |
Medica Individual Choice Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130074 |
Medica Individual Choice Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130074 |
Medica Individual Choice Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130074 |
Medica Individual Choice Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130074 |
Medica Individual Choice Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130047 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130047 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130047 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130047 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130047 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130047 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130075 |
Medica Individual Choice Silver $0 Copay PCP Visits OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130075 |
Medica Individual Choice Silver $0 Copay PCP Visits OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130075 |
Medica Individual Choice Silver $0 Copay PCP Visits OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130075 |
Medica Individual Choice Silver $0 Copay PCP Visits OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130075 |
Medica Individual Choice Silver $0 Copay PCP Visits OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130075 |
Medica Individual Choice Silver $0 Copay PCP Visits OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130076 |
Medica Individual Choice Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130076 |
Medica Individual Choice Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130076 |
Medica Individual Choice Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130076 |
Medica Individual Choice Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130076 |
Medica Individual Choice Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130076 |
Medica Individual Choice Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130027 |
Medica Individual Choice Silver Share OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130027 |
Medica Individual Choice Silver Share OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130027 |
Medica Individual Choice Silver Share OX |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130027 |
Medica Individual Choice Silver Share OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130027 |
Medica Individual Choice Silver Share OX |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130027 |
Medica Individual Choice Silver Share OX |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 25, 2024 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
