66966FL0050005 |
HMO Bronze 1000 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050005 |
HMO Bronze 1000 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050005 |
HMO Bronze 1000 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050005 |
HMO Bronze 1000 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050003 |
HMO Gold 3000 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050003 |
HMO Gold 3000 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050003 |
HMO Gold 3000 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050003 |
HMO Gold 3000 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050007 |
HMO Gold 3100 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050007 |
HMO Gold 3100 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050007 |
HMO Gold 3100 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050007 |
HMO Gold 3100 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050008 |
HMO Platinum 4000 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050008 |
HMO Platinum 4000 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050008 |
HMO Platinum 4000 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050008 |
HMO Platinum 4000 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050002 |
HMO Silver 2100 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050002 |
HMO Silver 2100 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050002 |
HMO Silver 2100 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050002 |
HMO Silver 2100 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050006 |
HMO Silver 2300 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050006 |
HMO Silver 2300 |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050006 |
HMO Silver 2300 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050006 |
HMO Silver 2300 |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2024 |
PREFERRED [PCP] [Dentist]
|
Sep 20, 2023 |
66966FL0050004 |
HMO Silver 2200 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050004 |
HMO Silver 2200 |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Oct 08, 2024 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050005 |
Capital Health Plan HMO Bronze 1000 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050003 |
Capital Health Plan HMO Gold 3000 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050007 |
Capital Health Plan HMO Gold 3100 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050008 |
Capital Health Plan HMO Platinum 4000 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050002 |
Capital Health Plan HMO Silver 2100 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2023 |
NON PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050006 |
Capital Health Plan HMO Silver 2300 |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
66966FL0050003 |
HMO Gold 3000 |
2022 |
NON PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050003 |
HMO Gold 3000 |
2022 |
NON PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050003 |
HMO Gold 3000 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050003 |
HMO Gold 3000 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050001 |
HMO Silver 2000 |
2022 |
FLN001
|
Nov 16, 2021 |
66966FL0050002 |
HMO Silver 2100 |
2022 |
NON PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050002 |
HMO Silver 2100 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050002 |
HMO Silver 2100 |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |
66966FL0050002 |
HMO Silver 2100 |
2022 |
NON PREFERRED [PCP] [Dentist]
|
Nov 16, 2021 |