| 70893GA0010051 |
Choice Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030051 |
Choice Bronze HSA + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010006 |
Clear Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030019 |
Clear Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010073 |
Clear Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030074 |
Clear Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010068 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030072 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010020 |
Complete Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030020 |
Complete Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010017 |
Complete Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030017 |
Complete Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010074 |
Elite Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030075 |
Elite Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010064 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030064 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010071 |
Everyday Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030071 |
Everyday Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010070 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030070 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010076 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030076 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010078 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0070014 |
Standard Gold SELECT Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0090008 |
Standard Gold SELECT St. Joseph's/Candler |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0060014 |
Standard Gold SELECT Wellstar |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030078 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0010077 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0070013 |
Standard Silver SELECT Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0090007 |
Standard Silver SELECT St. Joseph's/Candler |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0060013 |
Standard Silver SELECT Wellstar |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0030077 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 16, 2023 |
| 70893GA0100001 |
Ambetter Virtual Access Bronze - Virtual PCP selection required |
2023 |
GAN005
|
Apr 18, 2023 |
| 70893GA0100003 |
Ambetter Virtual Access Gold - Virtual PCP selection required |
2023 |
GAN005
|
Apr 18, 2023 |
| 70893GA0100002 |
Ambetter Virtual Access Silver - Virtual PCP selection required |
2023 |
GAN005
|
Apr 18, 2023 |
| 70893GA0010051 |
Choice Bronze HSA |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030051 |
Choice Bronze HSA + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0010006 |
Clear Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030019 |
Clear Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0010073 |
Clear Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030074 |
Clear Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0070012 |
Clear Plus SELECT Gold with Select Providers |
2023 |
GAN003
|
Apr 18, 2023 |
| 70893GA0070007 |
Clear Plus SELECT Silver with Select Providers |
2023 |
GAN003
|
Apr 18, 2023 |
| 70893GA0010068 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030072 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0090006 |
Clear St. Joseph's/Candler SELECT Gold with Select Providers |
2023 |
GAN004
|
Apr 18, 2023 |
| 70893GA0090002 |
Clear St. Joseph's/Candler SELECT Silver with Select Providers |
2023 |
GAN004
|
Apr 18, 2023 |
| 70893GA0060012 |
Clear Wellstar SELECT Gold with Select Providers |
2023 |
GAN002
|
Apr 18, 2023 |
| 70893GA0060007 |
Clear Wellstar SELECT Silver with Select Providers |
2023 |
GAN002
|
Apr 18, 2023 |
| 70893GA0010075 |
CMS Standard Bronze |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0010076 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0010078 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0070014 |
CMS Standard Gold SELECT Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0090008 |
CMS Standard Gold SELECT St. Joseph's/Candler |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0060014 |
CMS Standard Gold SELECT Wellstar |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0010077 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0070013 |
CMS Standard Silver SELECT Plus |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0090007 |
CMS Standard Silver SELECT St. Joseph's/Candler |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0060013 |
CMS Standard Silver SELECT Wellstar |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0010020 |
Complete Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030020 |
Complete Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0070006 |
Complete Plus SELECT Silver with Select Providers |
2023 |
GAN003
|
Apr 18, 2023 |
| 70893GA0010017 |
Complete Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030017 |
Complete Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0090001 |
Complete St. Joseph's/Candler SELECT Silver with Select Providers |
2023 |
GAN004
|
Apr 18, 2023 |
| 70893GA0060006 |
Complete Wellstar SELECT Silver with Select Providers |
2023 |
GAN002
|
Apr 18, 2023 |
| 70893GA0010067 |
Elite Bronze |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0030067 |
Elite Bronze + Vision + Adult Dental |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0010074 |
Elite Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030075 |
Elite Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0070011 |
Enhanced Plus SELECT Silver with Select Providers |
2023 |
GAN003
|
Apr 18, 2023 |
| 70893GA0090004 |
Enhanced St. Joseph's/Candler SELECT Silver with Select Providers |
2023 |
GAN004
|
Apr 18, 2023 |
| 70893GA0060011 |
Enhanced Wellstar SELECT Silver with Select Providers |
2023 |
GAN002
|
Apr 18, 2023 |
| 70893GA0010064 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030064 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0010071 |
Everyday Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030071 |
Everyday Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0070010 |
Everyday Plus SELECT Gold with Select Providers |
2023 |
GAN003
|
Apr 18, 2023 |
| 70893GA0010022 |
Everyday Silver |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0030013 |
Everyday Silver + Vision + Adult Dental |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0090005 |
Everyday St. Joseph's/Candler SELECT Gold with Select Providers |
2023 |
GAN004
|
Apr 18, 2023 |
| 70893GA0060010 |
Everyday Wellstar SELECT Gold with Select Providers |
2023 |
GAN002
|
Apr 18, 2023 |
| 70893GA0070009 |
Focused Plus SELECT Silver with Select Providers |
2023 |
GAN003
|
Apr 18, 2023 |
| 70893GA0010070 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0030070 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Apr 18, 2023 |
| 70893GA0090003 |
Focused St. Joseph's/Candler SELECT Silver with Select Providers |
2023 |
GAN004
|
Apr 18, 2023 |
| 70893GA0060009 |
Focused Wellstar SELECT Silver with Select Providers |
2023 |
GAN002
|
Apr 18, 2023 |
| 70893GA0010009 |
Premier Silver |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0030014 |
Premier Silver + Vision + Adult Dental |
2023 |
GAN001
|
Apr 18, 2023 |
| 70893GA0010017 |
Ambetter Balanced Care 11 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030017 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010022 |
Ambetter Balanced Care 12 |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030013 |
Ambetter Balanced Care 12 + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010034 |
Ambetter Balanced Care 28 |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030034 |
Ambetter Balanced Care 28 + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010030 |
Ambetter Balanced Care 29 |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030043 |
Ambetter Balanced Care 29 + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010068 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010069 |
Ambetter Balanced Care 31 |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030069 |
Ambetter Balanced Care 31 + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010070 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030070 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010009 |
Ambetter Balanced Care 4 |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030014 |
Ambetter Balanced Care 4 + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010067 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030067 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010066 |
Ambetter Essential Care: $1,500 Medical Deductible |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030066 |
Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010006 |
Ambetter Essential Care 1 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030019 |
Ambetter Essential Care 1 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010065 |
Ambetter Essential Care 22 |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0030065 |
Ambetter Essential Care 22 + Vision + Adult Dental |
2022 |
GAN001
|
Aug 18, 2021 |
| 70893GA0010051 |
Ambetter Essential Care 2 HSA |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030051 |
Ambetter Essential Care 2 HSA + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010064 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030064 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010071 |
Ambetter Secure Care 20 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030071 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0010020 |
Ambetter Secure Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0030020 |
Ambetter Secure Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 70893GA0070010 |
Ambetter Select Plus Gold 20 |
2022 |
GAN003
|
Aug 18, 2021 |
| 70893GA0070006 |
Ambetter Select Plus Silver 11 |
2022 |
GAN003
|
Aug 18, 2021 |
| 70893GA0070007 |
Ambetter Select Plus Silver 30 |
2022 |
GAN003
|
Aug 18, 2021 |
| 70893GA0070008 |
Ambetter Select Plus Silver 31 |
2022 |
GAN003
|
Aug 18, 2021 |
| 70893GA0070009 |
Ambetter Select Plus Silver 32 |
2022 |
GAN003
|
Aug 18, 2021 |
| 70893GA0060010 |
Ambetter Select Wellstar Gold 20 |
2022 |
GAN002
|
Aug 18, 2021 |
| 70893GA0060006 |
Ambetter Select Wellstar Silver 11 |
2022 |
GAN002
|
Aug 18, 2021 |
| 70893GA0060007 |
Ambetter Select Wellstar Silver 30 |
2022 |
GAN002
|
Aug 18, 2021 |
| 70893GA0060008 |
Ambetter Select Wellstar Silver 31 |
2022 |
GAN002
|
Aug 18, 2021 |
| 70893GA0060009 |
Ambetter Select Wellstar Silver 32 |
2022 |
GAN002
|
Aug 18, 2021 |
