| 11574IL0020024 |
Bronze Classic 4700 (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020024 |
Bronze Classic 4700 (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020021 |
Bronze Classic PCP Saver Plus Rx Copay (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020021 |
Bronze Classic PCP Saver Plus Rx Copay (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010050 |
Bronze Classic Standard (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010050 |
Bronze Classic Standard (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020050 |
Bronze Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020050 |
Bronze Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010053 |
Gold Classic Standard (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010053 |
Gold Classic Standard (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020053 |
Gold Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020053 |
Gold Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010011 |
Secure (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010011 |
Secure (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010052 |
Silver Classic Standard (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010052 |
Silver Classic Standard (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020052 |
Silver Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020052 |
Silver Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020030 |
Silver Elite Saver Plus Rx Copay (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020030 |
Silver Elite Saver Plus Rx Copay (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020060 |
Silver Simple Diabetes (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020060 |
Silver Simple Diabetes (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 16, 2024 |
| 11574IL0010024 |
Bronze Classic 4700 (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010024 |
Bronze Classic 4700 (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020024 |
Bronze Classic 4700 (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020024 |
Bronze Classic 4700 (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010003 |
Bronze Classic (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010021 |
Bronze Classic PCP Saver Plus Rx Copay (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020021 |
Bronze Classic PCP Saver Plus Rx Copay (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020021 |
Bronze Classic PCP Saver Plus Rx Copay (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010050 |
Bronze Classic Standard (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010050 |
Bronze Classic Standard (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020050 |
Bronze Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020050 |
Bronze Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010005 |
Bronze Elite + PCP Saver Plus (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010005 |
Bronze Elite + PCP Saver Plus (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020005 |
Bronze Elite + PCP Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020005 |
Bronze Elite + PCP Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010053 |
Gold Classic Standard (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010053 |
Gold Classic Standard (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020053 |
Gold Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020053 |
Gold Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010011 |
Secure (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010011 |
Secure (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010006 |
Silver Classic (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010006 |
Silver Classic (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010052 |
Silver Classic Standard (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010052 |
Silver Classic Standard (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020052 |
Silver Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020052 |
Silver Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010030 |
Silver Elite Saver Plus Rx Copay (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010030 |
Silver Elite Saver Plus Rx Copay (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020030 |
Silver Elite Saver Plus Rx Copay (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020030 |
Silver Elite Saver Plus Rx Copay (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010025 |
Silver Simple PCP Saver (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010025 |
Silver Simple PCP Saver (Choice) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
| 11574IL0010024 |
Bronze Classic 4700 (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010024 |
Bronze Classic 4700 (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020024 |
Bronze Classic 4700 (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020024 |
Bronze Classic 4700 (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010003 |
Bronze Classic (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010021 |
Bronze Classic PCP Saver Plus Rx Copay (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020021 |
Bronze Classic PCP Saver Plus Rx Copay (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020021 |
Bronze Classic PCP Saver Plus Rx Copay (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020003 |
Bronze Classic (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010050 |
Bronze Classic Standard (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010050 |
Bronze Classic Standard (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020050 |
Bronze Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020050 |
Bronze Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010005 |
Bronze Elite + PCP Saver Plus (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010005 |
Bronze Elite + PCP Saver Plus (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020005 |
Bronze Elite + PCP Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020005 |
Bronze Elite + PCP Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010014 |
Bronze Simple- $5200 Ded (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0020014 |
Bronze Simple- $5200 Ded (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010051 |
Bronze Simple- Standard (Choice) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0020051 |
Bronze Simple- Standard (Select) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010053 |
Gold Classic Standard (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010053 |
Gold Classic Standard (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020053 |
Gold Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020053 |
Gold Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010011 |
Secure (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010011 |
Secure (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010006 |
Silver Classic (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010006 |
Silver Classic (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020006 |
Silver Classic (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010052 |
Silver Classic Standard (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010052 |
Silver Classic Standard (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020052 |
Silver Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020052 |
Silver Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010030 |
Silver Elite Saver Plus Rx Copay (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010030 |
Silver Elite Saver Plus Rx Copay (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020030 |
Silver Elite Saver Plus Rx Copay (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020030 |
Silver Elite Saver Plus Rx Copay (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020045 |
Silver Simple- For Diabetes (Select) ($0 Diabetic Labs + $100 Monthly Cap for Formulary Insulin + $0 Diabetic Foot and Eye Exams) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010025 |
Silver Simple PCP Saver (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010025 |
Silver Simple PCP Saver (Choice) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010015 |
Silver Simple- Specialist Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0020015 |
Silver Simple- Specialist Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010023 |
Bronze Classic- $3000 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010039 |
Bronze Classic- $4000 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010024 |
Bronze Classic 4700 (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010024 |
Bronze Classic 4700 (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010003 |
Bronze Classic (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010002 |
Bronze Classic- PCP Saver (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010021 |
Bronze Classic PCP Saver Plus Rx Copay (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010043 |
Bronze Elite- $0 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010012 |
Bronze Elite- $0 Ded+Specialist Saver (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010042 |
Bronze Elite- $1000 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010041 |
Bronze Elite (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010005 |
Bronze Elite + PCP Saver Plus (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010005 |
Bronze Elite + PCP Saver Plus (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010014 |
Bronze Simple- $5200 Ded (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010038 |
Bronze Super Simple (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010034 |
Gold Classic- $0 PCP (Choice) ($0 Primary Care + $3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010013 |
Gold Classic (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010037 |
Gold Classic- HSA (Choice) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010020 |
Gold Classic- Low Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010035 |
Gold Elite- $0 Ded (Choice) ($0 Primary Care + $3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010036 |
Gold Elite (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010033 |
Gold Simple (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010011 |
Secure (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010011 |
Secure (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010017 |
Silver Classic- $0 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010006 |
Silver Classic (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010006 |
Silver Classic (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010027 |
Silver Classic- Low Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0020027 |
Silver Classic- Low Ded (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010028 |
Silver Elite- $0 PCP (Choice) ($0 Primary Care + $0 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010030 |
Silver Elite Saver Plus Rx Copay (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010030 |
Silver Elite Saver Plus Rx Copay (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010026 |
Silver Elite- Specialist Saver (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010008 |
Silver Simple (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010045 |
Silver Simple Diabetes (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010029 |
Silver Simple- HSA (Choice) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010025 |
Silver Simple PCP Saver (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0010025 |
Silver Simple PCP Saver (Choice) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020025 |
Silver Simple PCP Saver (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
| 11574IL0020008 |
Silver Simple (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0010015 |
Silver Simple- Specialist Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
| 11574IL0020015 |
Silver Simple- Specialist Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
