| 93078IA0050041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050041 |
Elevate by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050029 |
Elevate by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050029 |
Elevate by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050029 |
Elevate by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050029 |
Elevate by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050029 |
Elevate by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050029 |
Elevate by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050045 |
Elevate by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050074 |
Elevate by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050074 |
Elevate by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050074 |
Elevate by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050074 |
Elevate by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050074 |
Elevate by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050074 |
Elevate by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050047 |
Elevate by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050075 |
Elevate by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050075 |
Elevate by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050075 |
Elevate by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050075 |
Elevate by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050075 |
Elevate by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050075 |
Elevate by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070074 |
Inspire by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070074 |
Inspire by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070074 |
Inspire by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070074 |
Inspire by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070074 |
Inspire by Medica Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070074 |
Inspire by Medica Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070029 |
Inspire by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070029 |
Inspire by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070029 |
Inspire by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070029 |
Inspire by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070029 |
Inspire by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070029 |
Inspire by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070045 |
Inspire by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070045 |
Inspire by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070045 |
Inspire by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070045 |
Inspire by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070045 |
Inspire by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070045 |
Inspire by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070075 |
Inspire by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070075 |
Inspire by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070075 |
Inspire by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070075 |
Inspire by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070075 |
Inspire by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070075 |
Inspire by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070047 |
Inspire by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070047 |
Inspire by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070047 |
Inspire by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070047 |
Inspire by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070047 |
Inspire by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070047 |
Inspire by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060041 |
Medica Insure Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060041 |
Medica Insure Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060041 |
Medica Insure Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060041 |
Medica Insure Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060041 |
Medica Insure Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060041 |
Medica Insure Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060029 |
Medica Insure Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060029 |
Medica Insure Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060029 |
Medica Insure Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060029 |
Medica Insure Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060029 |
Medica Insure Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060029 |
Medica Insure Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060045 |
Medica Insure Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060074 |
Medica Insure Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060074 |
Medica Insure Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060074 |
Medica Insure Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060074 |
Medica Insure Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060074 |
Medica Insure Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060074 |
Medica Insure Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060047 |
Medica Insure Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060027 |
Medica Insure Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060027 |
Medica Insure Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060027 |
Medica Insure Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060027 |
Medica Insure Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060027 |
Medica Insure Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060027 |
Medica Insure Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080041 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080041 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080041 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080041 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080041 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080041 |
Medica with CHI Health Bronze $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130003 |
Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130006 |
Medica with CHI Health Bronze Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130006 |
Medica with CHI Health Bronze Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130006 |
Medica with CHI Health Bronze Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130006 |
Medica with CHI Health Bronze Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130006 |
Medica with CHI Health Bronze Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130006 |
Medica with CHI Health Bronze Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130009 |
Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080045 |
Medica with CHI Health Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130001 |
Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080074 |
Medica with CHI Health Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080074 |
Medica with CHI Health Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080074 |
Medica with CHI Health Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080074 |
Medica with CHI Health Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080074 |
Medica with CHI Health Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080074 |
Medica with CHI Health Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130004 |
Medica with CHI Health Gold Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130007 |
Medica with CHI Health Gold Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080047 |
Medica with CHI Health Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130002 |
Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080075 |
Medica with CHI Health Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080075 |
Medica with CHI Health Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080075 |
Medica with CHI Health Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080075 |
Medica with CHI Health Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080075 |
Medica with CHI Health Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080075 |
Medica with CHI Health Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130005 |
Medica with CHI Health Silver Share + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERRED [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0130008 |
Medica with CHI Health Silver Standard + Adult Eye Exam |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 12, 2024 |
| 93078IA0050041 |
Elevate by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050041 |
Elevate by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050041 |
Elevate by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050041 |
Elevate by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050041 |
Elevate by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050041 |
Elevate by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050029 |
Elevate by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050029 |
Elevate by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050029 |
Elevate by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050029 |
Elevate by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050029 |
Elevate by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050029 |
Elevate by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050059 |
Elevate by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050059 |
Elevate by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050059 |
Elevate by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050059 |
Elevate by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050059 |
Elevate by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050059 |
Elevate by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050045 |
Elevate by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050045 |
Elevate by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050045 |
Elevate by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050045 |
Elevate by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050045 |
Elevate by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050045 |
Elevate by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050055 |
Elevate by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050047 |
Elevate by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050047 |
Elevate by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050047 |
Elevate by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050047 |
Elevate by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050047 |
Elevate by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050047 |
Elevate by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050053 |
Elevate by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050053 |
Elevate by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0050057 |
Elevate by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120041 |
Empower by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120041 |
Empower by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120041 |
Empower by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120041 |
Empower by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120041 |
Empower by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120041 |
Empower by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120059 |
Empower by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120059 |
Empower by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120059 |
Empower by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120059 |
Empower by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120059 |
Empower by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120059 |
Empower by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120073 |
Empower by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120073 |
Empower by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120073 |
Empower by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120073 |
Empower by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120073 |
Empower by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120073 |
Empower by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120045 |
Empower by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120045 |
Empower by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120045 |
Empower by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120045 |
Empower by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120045 |
Empower by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120045 |
Empower by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120055 |
Empower by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120055 |
Empower by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120055 |
Empower by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120055 |
Empower by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120055 |
Empower by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120055 |
Empower by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120047 |
Empower by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120047 |
Empower by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120047 |
Empower by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120047 |
Empower by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120047 |
Empower by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120047 |
Empower by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120053 |
Empower by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120053 |
Empower by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120053 |
Empower by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120053 |
Empower by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120053 |
Empower by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120053 |
Empower by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120057 |
Empower by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120057 |
Empower by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120057 |
Empower by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120057 |
Empower by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120057 |
Empower by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0120057 |
Empower by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070037 |
Inspire by Medica Bronze Copay Preferred Primary Care |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070037 |
Inspire by Medica Bronze Copay Preferred Primary Care |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070037 |
Inspire by Medica Bronze Copay Preferred Primary Care |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070037 |
Inspire by Medica Bronze Copay Preferred Primary Care |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070037 |
Inspire by Medica Bronze Copay Preferred Primary Care |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070037 |
Inspire by Medica Bronze Copay Preferred Primary Care |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070029 |
Inspire by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070029 |
Inspire by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070029 |
Inspire by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070029 |
Inspire by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070029 |
Inspire by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070029 |
Inspire by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070059 |
Inspire by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070059 |
Inspire by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070059 |
Inspire by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070059 |
Inspire by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070059 |
Inspire by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070059 |
Inspire by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070073 |
Inspire by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070045 |
Inspire by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070045 |
Inspire by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070045 |
Inspire by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070045 |
Inspire by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070045 |
Inspire by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070045 |
Inspire by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070055 |
Inspire by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070047 |
Inspire by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070047 |
Inspire by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070047 |
Inspire by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070047 |
Inspire by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070047 |
Inspire by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070047 |
Inspire by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070053 |
Inspire by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070053 |
Inspire by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070053 |
Inspire by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070053 |
Inspire by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070053 |
Inspire by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070053 |
Inspire by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070027 |
Inspire by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0070057 |
Inspire by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060005 |
Medica Insure Bronze Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060005 |
Medica Insure Bronze Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060005 |
Medica Insure Bronze Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060005 |
Medica Insure Bronze Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060005 |
Medica Insure Bronze Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060005 |
Medica Insure Bronze Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060041 |
Medica Insure Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060041 |
Medica Insure Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060041 |
Medica Insure Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060041 |
Medica Insure Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060041 |
Medica Insure Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060041 |
Medica Insure Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060029 |
Medica Insure Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060029 |
Medica Insure Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060059 |
Medica Insure Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060059 |
Medica Insure Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060059 |
Medica Insure Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060059 |
Medica Insure Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060059 |
Medica Insure Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060059 |
Medica Insure Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060073 |
Medica Insure Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060045 |
Medica Insure Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060045 |
Medica Insure Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060045 |
Medica Insure Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060045 |
Medica Insure Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060045 |
Medica Insure Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060045 |
Medica Insure Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060055 |
Medica Insure Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060047 |
Medica Insure Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060047 |
Medica Insure Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060047 |
Medica Insure Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060047 |
Medica Insure Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060047 |
Medica Insure Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060047 |
Medica Insure Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060053 |
Medica Insure Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060053 |
Medica Insure Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060053 |
Medica Insure Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060053 |
Medica Insure Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060053 |
Medica Insure Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060053 |
Medica Insure Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060027 |
Medica Insure Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060027 |
Medica Insure Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060027 |
Medica Insure Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060027 |
Medica Insure Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060027 |
Medica Insure Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060027 |
Medica Insure Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0060057 |
Medica Insure Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080041 |
Medica with CHI Health Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080041 |
Medica with CHI Health Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080041 |
Medica with CHI Health Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080041 |
Medica with CHI Health Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080041 |
Medica with CHI Health Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080041 |
Medica with CHI Health Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080029 |
Medica with CHI Health Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080059 |
Medica with CHI Health Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080059 |
Medica with CHI Health Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080059 |
Medica with CHI Health Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080059 |
Medica with CHI Health Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080059 |
Medica with CHI Health Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080059 |
Medica with CHI Health Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080045 |
Medica with CHI Health Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080045 |
Medica with CHI Health Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080045 |
Medica with CHI Health Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080045 |
Medica with CHI Health Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080045 |
Medica with CHI Health Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080045 |
Medica with CHI Health Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080055 |
Medica with CHI Health Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080047 |
Medica with CHI Health Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080047 |
Medica with CHI Health Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080047 |
Medica with CHI Health Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080047 |
Medica with CHI Health Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080047 |
Medica with CHI Health Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080047 |
Medica with CHI Health Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080053 |
Medica with CHI Health Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080053 |
Medica with CHI Health Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 93078IA0080057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
