| 79222SC0050001 |
Ambetter Virtual Access Bronze (Virtual PCP selection required) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0050002 |
Ambetter Virtual Access Silver (Virtual PCP selection required) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010023 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020023 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010006 |
Complete Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020001 |
Complete Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010022 |
Elite Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020022 |
Elite Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010029 |
Elite Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020030 |
Elite Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010011 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020011 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010026 |
Everyday Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020026 |
Everyday Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010008 |
Everyday Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020008 |
Everyday Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010025 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020025 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010031 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020031 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010033 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020033 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0010032 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0020032 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 79222SC0050001 |
Ambetter Virtual Access Bronze - Virtual PCP selection required |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0050002 |
Ambetter Virtual Access Silver - Virtual PCP selection required |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010002 |
Clear Bronze |
2023 |
SCN001
|
Feb 24, 2023 |
| 79222SC0020002 |
Clear Bronze + Vision + Adult Dental |
2023 |
SCN001
|
Feb 24, 2023 |
| 79222SC0010023 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020023 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010030 |
CMS Standard Bronze |
2023 |
SCN001
|
Feb 24, 2023 |
| 79222SC0010031 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010033 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010032 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010006 |
Complete Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020001 |
Complete Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010022 |
Elite Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020022 |
Elite Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010029 |
Elite Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020030 |
Elite Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010027 |
Enhanced Silver |
2023 |
SCN001
|
Feb 24, 2023 |
| 79222SC0020028 |
Enhanced Silver + Vision + Adult Dental |
2023 |
SCN001
|
Feb 24, 2023 |
| 79222SC0010011 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020011 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010026 |
Everyday Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020026 |
Everyday Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010008 |
Everyday Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020008 |
Everyday Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010025 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0020025 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 79222SC0010004 |
Ambetter Balanced Care 11 |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0020004 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0010008 |
Ambetter Balanced Care 12 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020008 |
Ambetter Balanced Care 12 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0010013 |
Ambetter Balanced Care 29 |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0020027 |
Ambetter Balanced Care 29 + Vision + Adult Dental |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0010023 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020023 |
Ambetter Balanced Care 30 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0010024 |
Ambetter Balanced Care 31 |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0020024 |
Ambetter Balanced Care 31 + Vision + Adult Dental |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0010025 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020025 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0010022 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020022 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0010021 |
Ambetter Essential Care: $1,500 Medical Deductible |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0020021 |
Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0010002 |
Ambetter Essential Care 1 |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0010012 |
Ambetter Essential Care 10 |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0020012 |
Ambetter Essential Care 10 + Vision + Adult Dental |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0020002 |
Ambetter Essential Care 1 + Vision + Adult Dental |
2022 |
SCN001
|
Aug 18, 2021 |
| 79222SC0010011 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020011 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0010026 |
Ambetter Secure Care 20 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020026 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0010006 |
Ambetter Secure Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0020001 |
Ambetter Secure Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0050001 |
Ambetter Virtual Access Bronze ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 79222SC0050002 |
Ambetter Virtual Access Silver ($0 Virtual Primary Care + $0 Virtual Urgent Care + $0 Preferred Labs) |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
