| 16842FL0260004 |
BlueOptions Bronze 24J01-04 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260006 |
BlueOptions Bronze 24J01-06 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260017 |
BlueOptions Bronze 24J01-17 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260018 |
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260010 |
BlueOptions Bronze (HSA) 24J01-10 (Rewards $$$ / $4 Condition Care Rx) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0230004 |
BlueOptions Bronze Plus 24J01-04P (Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0260009 |
BlueOptions Gold 24J01-09 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260011 |
BlueOptions Gold 24J01-11 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0260012 |
BlueOptions Gold 24J01-12 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260020 |
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260005 |
BlueOptions Platinum 24J01-05 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260008 |
BlueOptions Platinum 24J01-08 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260021 |
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260003 |
BlueOptions Silver 24J01-03 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260007 |
BlueOptions Silver 24J01-07 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260013 |
BlueOptions Silver 24J01-13 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0260014 |
BlueOptions Silver 24J01-14 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0260015 |
BlueOptions Silver 24J01-15 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0260016 |
BlueOptions Silver 24J01-16 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0260019 |
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0260002 |
BlueOptions Silver (HSA) 24J01-02 (Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0120068 |
BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 then $40 / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120091 |
BlueSelect Bronze 2139 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120093 |
BlueSelect Bronze 2342S (Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120001 |
BlueSelect Bronze 24L01-01 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120078 |
BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0240001 |
BlueSelect Bronze Plus 1449P (Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0120076 |
BlueSelect Gold 1535 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120086 |
BlueSelect Gold 1835 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120095 |
BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120062 |
BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120070 |
BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120096 |
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120072 |
BlueSelect Silver 1443 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120033 |
BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120087 |
BlueSelect Silver 1836 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0120088 |
BlueSelect Silver 1837 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0120089 |
BlueSelect Silver 1838 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0120090 |
BlueSelect Silver 2130 ($0 Virtual Visits / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0120094 |
BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 26, 2023 |
| 16842FL0120074 |
BlueSelect Silver (HSA) 1442 (Rewards $$$) |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 18, 2023 |
| 16842FL0070108 |
BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070084 |
BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070137 |
BlueOptions Bronze 2119 ($0 Virtual Visits / $50 PCP Visits / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070138 |
BlueOptions Bronze 2301S (Multilingual Available / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070139 |
BlueOptions Bronze 2302S (Multilingual Available / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070143 |
BlueOptions Bronze 2319 ($0 Virtual Visits / Multilingual Available/ Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070122 |
BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070120 |
BlueOptions Gold 1505 ($0 Virtual Visits / $20 PCP Visits / $15 Generic Meds / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070130 |
BlueOptions Gold 1805 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070141 |
BlueOptions Gold 2304S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070102 |
BlueOptions Platinum 1418 ($0 Virtual Visits / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070110 |
BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070142 |
BlueOptions Platinum 2305S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070114 |
BlueOptions Silver 1410 ($0 Virtual Visits / $0 Lab / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070073 |
BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070100 |
BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0070140 |
BlueOptions Silver 2303S ($40 PCP Visits / Multilingual Available/ Rewards $$$) |
2023 |
FLN001
|
Feb 28, 2023 |
| 16842FL0120068 |
BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120044 |
BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120091 |
BlueSelect Bronze 2139 ($0 Virtual Visits / $50 PCP Visit / $30 Generic Meds / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120097 |
BlueSelect Bronze 2339 ($0 Virtual Visits / Multilingual Available / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120092 |
BlueSelect Bronze 2341S (Multilingual Available / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120093 |
BlueSelect Bronze 2342S (Multilingual Available / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120078 |
BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120076 |
BlueSelect Gold 1535 ($0 Virtual Visits / $20 PCP Visit / $15 Generic Meds / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120086 |
BlueSelect Gold 1835 ($0 Virtual Visits / $20 Labs / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120095 |
BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120062 |
BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120070 |
BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120096 |
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120072 |
BlueSelect Silver 1443 ($0 Virtual Visits / $0 Labs / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120033 |
BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120060 |
BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0120094 |
BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards $$$) |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 28, 2023 |
| 16842FL0070108 |
BlueOptions Bronze 1416 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070084 |
BlueOptions Bronze 1419 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070126 |
BlueOptions Bronze 1707S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070137 |
BlueOptions Bronze 2119 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070122 |
BlueOptions Bronze (HSA) 1705 (Rewards $$$ / $4 Condition Care Rx) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0230001 |
BlueOptions Bronze Plus 1416P (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
| 16842FL0070120 |
BlueOptions Gold 1505 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070132 |
BlueOptions Gold 1801 (Rewards $$$) |
2022 |
PREFERRED
|
Sep 16, 2021 |
| 16842FL0070130 |
BlueOptions Gold 1805 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070102 |
BlueOptions Platinum 1418 ($0 Virtual Visits /Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070110 |
BlueOptions Platinum 1424 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070114 |
BlueOptions Silver 1410 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070073 |
BlueOptions Silver 1423 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070100 |
BlueOptions Silver 1431 ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070124 |
BlueOptions Silver 1706S ($0 Virtual Visits / Rewards $$$) |
2022 |
FLN001
|
Nov 05, 2021 |
| 16842FL0070133 |
BlueOptions Silver 1806 (Rewards $$$) |
2022 |
PREFERRED
|
Sep 16, 2021 |
| 16842FL0070134 |
BlueOptions Silver 1807 (Rewards $$$) |
2022 |
PREFERRED
|
Sep 16, 2021 |
| 16842FL0070135 |
BlueOptions Silver 1808 (Rewards $$$) |
2022 |
PREFERRED
|
Sep 16, 2021 |
| 16842FL0070136 |
BlueOptions Silver 2110 (Rewards $$$) |
2022 |
PREFERRED
|
Sep 16, 2021 |
| 16842FL0070116 |
BlueOptions Silver (HSA) 1409 (Rewards $$$) |
2022 |
PREFERRED
|
Sep 16, 2021 |
| 16842FL0120068 |
BlueSelect Bronze 1449 ($0 Virtual Visits / 3 PCP Visits for $0 / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120044 |
BlueSelect Bronze 1452 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120082 |
BlueSelect Bronze 1737S ($0 Virtual Visits / $40 PCP Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120091 |
BlueSelect Bronze 2139 ($0 Deductible / $50 PCP Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120078 |
BlueSelect Bronze (HSA) 1735 (Rewards $$$ / $4 Condition Care Rx) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0240001 |
BlueSelect Bronze Plus 1449P (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
| 16842FL0120076 |
BlueSelect Gold 1535 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120086 |
BlueSelect Gold 1835 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120062 |
BlueSelect Platinum 1451 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120070 |
BlueSelect Platinum 1457 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120072 |
BlueSelect Silver 1443 ($0 Labs / $0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120033 |
BlueSelect Silver 1456 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120060 |
BlueSelect Silver 1464 ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120080 |
BlueSelect Silver 1736S ($0 Virtual Visits / Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 05, 2021 |
| 16842FL0120087 |
BlueSelect Silver 1836 (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
| 16842FL0120088 |
BlueSelect Silver 1837 (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
| 16842FL0120089 |
BlueSelect Silver 1838 (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
| 16842FL0120090 |
BlueSelect Silver 2130 (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
| 16842FL0120074 |
BlueSelect Silver (HSA) 1442 (Rewards $$$) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 16, 2021 |
