| 20305NE0030041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030074 |
Elevate by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030074 |
Elevate by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030074 |
Elevate by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030074 |
Elevate by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030074 |
Elevate by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030074 |
Elevate by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040029 |
Medica Insure Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040029 |
Medica Insure Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040029 |
Medica Insure Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040029 |
Medica Insure Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040029 |
Medica Insure Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040029 |
Medica Insure Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040025 |
Medica Insure Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040025 |
Medica Insure Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040025 |
Medica Insure Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040025 |
Medica Insure Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040025 |
Medica Insure Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040025 |
Medica Insure Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040027 |
Medica Insure Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040027 |
Medica Insure Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040027 |
Medica Insure Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040027 |
Medica Insure Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040027 |
Medica Insure Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040027 |
Medica Insure Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050074 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050074 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050074 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050074 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050074 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050074 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100006 |
Medica with CHI Health Bronze Premier + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100006 |
Medica with CHI Health Bronze Premier + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100006 |
Medica with CHI Health Bronze Premier + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100006 |
Medica with CHI Health Bronze Premier + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100006 |
Medica with CHI Health Bronze Premier + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100006 |
Medica with CHI Health Bronze Premier + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050075 |
Medica with CHI Health Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050075 |
Medica with CHI Health Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050075 |
Medica with CHI Health Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050075 |
Medica with CHI Health Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050075 |
Medica with CHI Health Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050075 |
Medica with CHI Health Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0100008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 15, 2024 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
