| 77264NC0060001 |
Ambetter Virtual Access Bronze (Virtual PCP selection required) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0060003 |
Ambetter Virtual Access Gold (Virtual PCP selection required) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0060002 |
Ambetter Virtual Access Silver (Virtual PCP selection required) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010003 |
Choice Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020003 |
Choice Bronze HSA + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010048 |
Choice Bronze HSA with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020045 |
Choice Bronze HSA with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010037 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020043 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010053 |
Clear Silver with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020050 |
Clear Silver with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010007 |
Complete Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020007 |
Complete Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010056 |
Complete Gold with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020053 |
Complete Gold with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010005 |
Complete Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020005 |
Complete Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010051 |
Complete Silver with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020048 |
Complete Silver with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010036 |
Elite Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020036 |
Elite Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010050 |
Elite Bronze with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020047 |
Elite Bronze with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010028 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020028 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010049 |
Everyday Bronze with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020046 |
Everyday Bronze with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010052 |
Everyday Silver with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020049 |
Everyday Silver with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010039 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020039 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010054 |
Focused Silver with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020051 |
Focused Silver with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010044 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020055 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010059 |
Standard Expanded Bronze with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020058 |
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010046 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020057 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010061 |
Standard Gold with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020060 |
Standard Gold with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010045 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020056 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0010060 |
Standard Silver with Atrium Health |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0020059 |
Standard Silver with Atrium Health + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 77264NC0060001 |
Ambetter Virtual Access Bronze - Virtual PCP selection required |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0060003 |
Ambetter Virtual Access Gold - Virtual PCP selection required |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0060002 |
Ambetter Virtual Access Silver - Virtual PCP selection required |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010003 |
Choice Bronze HSA |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020003 |
Choice Bronze HSA + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010048 |
Choice Bronze HSA with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020045 |
Choice Bronze HSA with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010002 |
Clear Bronze |
2023 |
NCN001
|
Feb 24, 2023 |
| 77264NC0020002 |
Clear Bronze + Vision + Adult Dental |
2023 |
NCN001
|
Feb 24, 2023 |
| 77264NC0010047 |
Clear Bronze with Atrium Health |
2023 |
NCN001
|
Feb 24, 2023 |
| 77264NC0020044 |
Clear Bronze with Atrium Health + Vision + Adult Dental |
2023 |
NCN001
|
Feb 24, 2023 |
| 77264NC0010037 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020043 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010053 |
Clear Silver with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020050 |
Clear Silver with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010044 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010059 |
CMS Standard Expanded Bronze with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010046 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010061 |
CMS Standard Gold with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010045 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010060 |
CMS Standard Silver with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010007 |
Complete Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020007 |
Complete Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010056 |
Complete Gold with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020053 |
Complete Gold with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010005 |
Complete Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020005 |
Complete Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010051 |
Complete Silver with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020048 |
Complete Silver with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010036 |
Elite Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020036 |
Elite Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010050 |
Elite Bronze with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020047 |
Elite Bronze with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010028 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020028 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010049 |
Everyday Bronze with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020046 |
Everyday Bronze with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010012 |
Everyday Silver |
2023 |
NCN001
|
Feb 24, 2023 |
| 77264NC0020012 |
Everyday Silver + Vision + Adult Dental |
2023 |
NCN001
|
Feb 24, 2023 |
| 77264NC0010052 |
Everyday Silver with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020049 |
Everyday Silver with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010039 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020039 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010054 |
Focused Silver with Atrium Health |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0020051 |
Focused Silver with Atrium Health + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 77264NC0010005 |
Ambetter Balanced Care 11 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0020005 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0010012 |
Ambetter Balanced Care 12 |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0020012 |
Ambetter Balanced Care 12 + Vision + Adult Dental |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0010037 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0010038 |
Ambetter Balanced Care 31 |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0020038 |
Ambetter Balanced Care 31 + Vision + Adult Dental |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0010039 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0020039 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0010036 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0020036 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0010035 |
Ambetter Essential Care: $1,500 Medical Deductible |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0020035 |
Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0010002 |
Ambetter Essential Care 1 |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0020002 |
Ambetter Essential Care 1 + Vision + Adult Dental |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0010034 |
Ambetter Essential Care 22 |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0020034 |
Ambetter Essential Care 22 + Vision + Adult Dental |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0010003 |
Ambetter Essential Care 2 HSA |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0020003 |
Ambetter Essential Care 2 HSA + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0010028 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0020028 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0010040 |
Ambetter Secure Care 20 |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0020040 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
NCN001
|
Aug 17, 2021 |
| 77264NC0010007 |
Ambetter Secure Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
| 77264NC0020007 |
Ambetter Secure Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2021 |
