77739MI0070024 |
Bronze Classic 4700 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070024 |
Bronze Classic 4700 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070050 |
Bronze Classic Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070050 |
Bronze Classic Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070053 |
Gold Classic Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070053 |
Gold Classic Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070035 |
Gold Elite Saver Plus |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070035 |
Gold Elite Saver Plus |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070011 |
Secure |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070011 |
Secure |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070006 |
Silver Classic |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070006 |
Silver Classic |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070052 |
Silver Classic Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070052 |
Silver Classic Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070025 |
Silver Simple PCP Saver |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070025 |
Silver Simple PCP Saver |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
77739MI0070003 |
Bronze Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070003 |
Bronze Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070024 |
Bronze Classic 4700 |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070024 |
Bronze Classic 4700 |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070050 |
Bronze Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070050 |
Bronze Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070051 |
Bronze Simple 2 |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070051 |
Bronze Simple 2 |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070053 |
Gold Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070053 |
Gold Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070035 |
Gold Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070035 |
Gold Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070011 |
Secure |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070011 |
Secure |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070006 |
Silver Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070006 |
Silver Classic |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070052 |
Silver Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070052 |
Silver Classic Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070030 |
Silver Elite Saver Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070025 |
Silver Simple PCP Saver |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070025 |
Silver Simple PCP Saver |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2023 |
77739MI0070003 |
Bronze Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070003 |
Bronze Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070024 |
Bronze Classic 4700 |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070024 |
Bronze Classic 4700 |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070002 |
Bronze Classic- PCP Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070050 |
Bronze Classic Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070050 |
Bronze Classic Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070012 |
Bronze Elite- $0 Ded+Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070051 |
Bronze Simple 2 |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070051 |
Bronze Simple 2 |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070014 |
Bronze Simple- HSA |
2023 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070013 |
Gold Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070053 |
Gold Classic Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070053 |
Gold Classic Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070036 |
Gold Elite ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070035 |
Gold Elite Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070035 |
Gold Elite Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070011 |
Secure |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070011 |
Secure |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070006 |
Silver Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070006 |
Silver Classic |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070052 |
Silver Classic Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070052 |
Silver Classic Standard |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070030 |
Silver Elite Saver Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070025 |
Silver Simple PCP Saver |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070025 |
Silver Simple PCP Saver |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070015 |
Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070003 |
Bronze Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070003 |
Bronze Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070021 |
Bronze Classic- $0 PCP ($0 Primary Care + $3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070039 |
Bronze Classic- $4000 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070024 |
Bronze Classic 4700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070024 |
Bronze Classic 4700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070002 |
Bronze Classic- PCP Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070022 |
Bronze Classic- Specialist Saver ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070043 |
Bronze Elite- $0 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070012 |
Bronze Elite- $0 Ded+Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070042 |
Bronze Elite- $1000 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070005 |
Bronze Elite + PCP Saver Plus |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070014 |
Bronze Simple- HSA |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070038 |
Bronze Super Simple ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070013 |
Gold Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070037 |
Gold Classic- HSA |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070020 |
Gold Classic- Low Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070036 |
Gold Elite ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070035 |
Gold Elite Saver Plus |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070035 |
Gold Elite Saver Plus |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070033 |
Gold Simple ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070011 |
Secure |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070011 |
Secure |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070006 |
Silver Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070006 |
Silver Classic |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070027 |
Silver Classic- Low Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070028 |
Silver Elite- $0 PCP ($0 Primary Care + $0 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070030 |
Silver Elite Saver Plus |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070026 |
Silver Elite- Specialist Saver ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070008 |
Silver Simple ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070029 |
Silver Simple- HSA |
2022 |
PREFERRED
|
Sep 06, 2024 |
77739MI0070025 |
Silver Simple PCP Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070025 |
Silver Simple PCP Saver |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
77739MI0070015 |
Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |