| 83761GA0110042 |
SoloCare Bronze No Referral HMO Chiro HDHP 7050 |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110019 |
SoloCare Bronze No Referral HMO HDHP 7050 |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040386 |
SoloCare Bronze PPO Chiro HDHP 7050 |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040382 |
SoloCare Bronze PPO HDHP 7050 |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110023 |
SoloCare Catastrophic No Referral HMO |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110046 |
SoloCare Catastrophic No Referral HMO Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040383 |
SoloCare Catastrophic PPO |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040392 |
SoloCare Catastrophic PPO Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110030 |
SoloCare Exp Bronze No Referral HMO 9450 - $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110040 |
SoloCare Exp Bronze No Referral HMO Chiro 9450 - $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040381 |
SoloCare Exp Bronze PPO 9450 - $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040385 |
SoloCare Exp Bronze PPO Chiro 9450 - $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110004 |
SoloCare Gold No Referral HMO 1500 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110003 |
SoloCare Gold No Referral HMO 2300 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110036 |
SoloCare Gold No Referral HMO Chiro 1500 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110035 |
SoloCare Gold No Referral HMO Chiro 2300 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040330 |
SoloCare Gold PPO 1500 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040002 |
SoloCare Gold PPO 2300 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040358 |
SoloCare Gold PPO Chiro 1500 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040355 |
SoloCare Gold PPO Chiro 2300 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110027 |
SoloCare No Referral HMO Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110051 |
SoloCare No Referral HMO Standard Expanded Bronze Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110024 |
SoloCare No Referral HMO Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110049 |
SoloCare No Referral HMO Standard Gold Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110047 |
SoloCare No Referral HMO Standard Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110048 |
SoloCare No Referral HMO Standard Platinum Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110025 |
SoloCare No Referral HMO Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110050 |
SoloCare No Referral HMO Standard Silver Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110028 |
SoloCare Platinum No Referral HMO - $0 PCP, $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110034 |
SoloCare Platinum No Referral HMO Chiro - $0 PCP, $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040380 |
SoloCare Platinum PPO - $0 PCP, $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040398 |
SoloCare Platinum PPO Chiro - $0 PCP, $0 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040393 |
SoloCare PPO Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040397 |
SoloCare PPO Standard Expanded Bronze Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040378 |
SoloCare PPO Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040395 |
SoloCare PPO Standard Gold Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040377 |
SoloCare PPO Standard Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040394 |
SoloCare PPO Standard Platinum Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040379 |
SoloCare PPO Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040396 |
SoloCare PPO Standard Silver Chiro |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110009 |
SoloCare Silver No Referral HMO 6000/60 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110008 |
SoloCare Silver No Referral HMO 7000 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110039 |
SoloCare Silver No Referral HMO Chiro 6000/60 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110038 |
SoloCare Silver No Referral HMO Chiro 7000 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040331 |
SoloCare Silver PPO 6000/60 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040017 |
SoloCare Silver PPO 7000 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040373 |
SoloCare Silver PPO Chiro 6000/60 - 3 Free PCP Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0040369 |
SoloCare Silver PPO Chiro 7000 - 3 Free PCP Visits, $5 Generic Rx |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2023 |
| 83761GA0110011 |
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay) 110011 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110013 |
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay + Dental) 110013 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110015 |
SoloCare Bronze No Referral HMO 110015 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110017 |
SoloCare Bronze No Referral HMO (+ Dental) 110017 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110019 |
SoloCare Bronze No Referral HMO HDHP 110019 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110021 |
SoloCare Bronze No Referral HMO HDHP (+ Dental) 110021 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110023 |
SoloCare Catastropic No Referral HMO 110023 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110003 |
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110004 |
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110004 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040002 |
SoloCare Gold PPO (3 Free PCP Visits) 40002 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040330 |
SoloCare Gold PPO (3 Free PCP Visits) 40330 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040355 |
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40355 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040358 |
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40358 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040354 |
SoloCare Gold PPO (3 Free PCP Visits + Dental) 40354 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040357 |
SoloCare Gold PPO (3 Free PCP Visits + Dental) 40357 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110026 |
SoloCare HMO Bronze Standardized |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110027 |
SoloCare HMO Expanded Bronze Standardized |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110024 |
SoloCare HMO Gold Standardized |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110025 |
SoloCare HMO Silver Standardized |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040184 |
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 40184 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040349 |
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 40349 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040348 |
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Dental) 40348 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040378 |
SoloCare PPO Gold Standardized |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040377 |
SoloCare PPO Platinum Standardized |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040379 |
SoloCare PPO Silver Standardized |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110010 |
SoloCare Silver HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110010 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110008 |
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110008 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0110009 |
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110009 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040017 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40017 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040331 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40331 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040336 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40336 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040368 |
SoloCare Silver PPO (3 Free PCP Visits +$225 Specialty Drug Copay + Dental) 40368 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040372 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40372 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040375 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40375 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0040369 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40369 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040373 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40373 |
2023 |
PREFERRED [PCP] [Dentist]
|
Mar 14, 2023 |
| 83761GA0040376 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40376 |
2023 |
GAN001
|
Mar 14, 2023 |
| 83761GA0110011 |
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay) 110011 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110013 |
SoloCare Bronze No Referral HMO ($250 Specialty Drug Copay + Dental) 110013 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110015 |
SoloCare Bronze No Referral HMO 110015 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110017 |
SoloCare Bronze No Referral HMO (+ Dental) 110017 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110019 |
SoloCare Bronze No Referral HMO HDHP 110019 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0110021 |
SoloCare Bronze No Referral HMO HDHP (+ Dental) 110021 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110023 |
SoloCare Catastropic No Referral HMO 110023 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0110003 |
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110003 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0110004 |
SoloCare Gold No Referral HMO (3 Free PCP Visits) 110004 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040002 |
SoloCare Gold PPO (3 Free PCP Visits) 40002 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040330 |
SoloCare Gold PPO (3 Free PCP Visits) 40330 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040355 |
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40355 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040358 |
SoloCare Gold PPO (3 Free PCP Visits + Chiro + Dental) 40358 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040354 |
SoloCare Gold PPO (3 Free PCP Visits + Dental) 40354 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040357 |
SoloCare Gold PPO (3 Free PCP Visits + Dental) 40357 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040184 |
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits) 40184 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040349 |
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Chiro + Dental) 40349 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040348 |
SoloCare Platinum PPO Copay Plan (3 Free PCP Visits + Dental) 40348 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110010 |
SoloCare Silver HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110010 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0110008 |
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110008 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0110009 |
SoloCare Silver No Referral HMO (3 Free PCP Visits + $225 Specialty Drug Copay) 110009 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040017 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40017 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040331 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40331 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040336 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay) 40336 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040368 |
SoloCare Silver PPO (3 Free PCP Visits +$225 Specialty Drug Copay + Dental) 40368 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040372 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40372 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040375 |
SoloCare Silver PPO (3 Free PCP Visits + $225 Specialty Drug Copay + Dental) 40375 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040367 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 40367 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040371 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 40371 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040374 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay) 40374 |
2022 |
GAN001
|
Nov 10, 2021 |
| 83761GA0040369 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40369 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040373 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40373 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 10, 2021 |
| 83761GA0040376 |
SoloCare Silver PPO (3 Free PCP Visits + Chiro + $225 Specialty Drug Copay + Dental) 40376 |
2022 |
GAN001
|
Nov 10, 2021 |
