94788NY0260107 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260112 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260108 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260105 |
HDHMO 426, Bronze, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260109 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260111 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260110 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260106 |
HDHMO 426, Bronze, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0280153 |
HDHMO 60, Bronze Child Only, ST, 3PCP, INN |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280151 |
HDHMO 60, Bronze, ST, 3PCP, INN, Dep25 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280152 |
HDHMO 60, Bronze, ST, 3PCP, INN, Dep29 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280047 |
HDHMO HSA Non-Qualified 50, Catastrophic, ST, INN, Dep25 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0260083 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260088 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260084 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260081 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260085 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260087 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260086 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260082 |
HDHMO HSA Qualified 324, Silver, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0280021 |
HDHMO HSA Qualified 33, Silver, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280022 |
HDHMO HSA Qualified 33, Silver, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280149 |
HDHMO HSA Qualified 35 Silver, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280150 |
HDHMO HSA Qualified 35 Silver, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280079 |
HDHMO HSA Qualified 40, Bronze Child Only, HSA, ST, INN |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280059 |
HDHMO HSA Qualified 40, Bronze, HSA, ST, INN, Dep25 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280070 |
HDHMO HSA Qualified 40, Bronze, HSA, ST, INN, Dep29 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0260115 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260120 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260116 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260113 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260117 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260119 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260118 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260114 |
HDHMO HSA Qualified 428, Bronze, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0280029 |
HDHMO HSA Qualified 44, Bronze, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280030 |
HDHMO HSA Qualified 44, Bronze, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280145 |
HDHMO HSA Qualified 45, Bronze, HSA, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280146 |
HDHMO HSA Qualified 45, Bronze, HSA, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280081 |
HMO Copayment 10, Platinum, Child Only, ST, INN |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280053 |
HMO Copayment 10, Platinum, ST, INN, Dep25 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280064 |
HMO Copayment 10, Platinum, ST, INN, Dep29 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280147 |
HMO Copayment 14, Platinum, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280148 |
HMO Copayment 14, Platinum, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280080 |
HMO Copayment 20, Gold Child Only, ST, INN |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280054 |
HMO Copayment 20, Gold, ST, INN, Dep25 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280065 |
HMO Copayment 20, Gold, ST, INN, Dep29 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280082 |
HMO Copayment 30, Silver Child Only, ST, INN |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280055 |
HMO Copayment 30, Silver, ST, INN, Dep25 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280066 |
HMO Copayment 30, Silver, ST, INN, Dep29 |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280129 |
HMO Hybrid 13, Platinum, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280130 |
HMO Hybrid 13, Platinum, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280131 |
HMO Hybrid 23, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0280132 |
HMO Hybrid 23, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN002
|
Jan 23, 2023 |
94788NY0260099 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260104 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260100 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260097 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep25, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260101 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260103 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260102 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, DP, FP |
2023 |
NYN001
|
Jan 23, 2023 |
94788NY0260098 |
HMO Triple Zero Copayment 224, Gold, NS, INN, Dep29, Adult Vision, Lasik, Wellness, FP |
2023 |
NYN001
|
Jan 23, 2023 |