| 21663FL0130025 |
Choice Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130026 |
Choice Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150014 |
Choice Bronze HSA + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150013 |
Choice Bronze HSA + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130108 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130109 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150075 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150074 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130020 |
Complete Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130021 |
Complete Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150021 |
Complete Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150020 |
Complete Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130106 |
Elite Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130107 |
Elite Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150106 |
Elite Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150107 |
Elite Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130123 |
Elite Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130124 |
Elite Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150084 |
Elite Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150085 |
Elite Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130100 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130101 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150101 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150100 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130114 |
Everyday Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130115 |
Everyday Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150115 |
Everyday Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150114 |
Everyday Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130040 |
Everyday Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130039 |
Everyday Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150015 |
Everyday Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150012 |
Everyday Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130113 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130112 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150112 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150113 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130130 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130126 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150086 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150089 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130128 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130132 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150088 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150091 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130127 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130131 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150087 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0150090 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 21663FL0130025 |
Choice Bronze HSA |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130026 |
Choice Bronze HSA |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150014 |
Choice Bronze HSA + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150013 |
Choice Bronze HSA + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130006 |
Clear Bronze |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0130023 |
Clear Bronze |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0150023 |
Clear Bronze + Vision + Adult Dental |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0150025 |
Clear Bronze + Vision + Adult Dental |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0130109 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130108 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150075 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150074 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130126 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130130 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130132 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130128 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130131 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130127 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130020 |
Complete Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130021 |
Complete Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150020 |
Complete Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150021 |
Complete Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130107 |
Elite Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130106 |
Elite Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150106 |
Elite Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150107 |
Elite Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130123 |
Elite Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130124 |
Elite Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150084 |
Elite Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150085 |
Elite Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130119 |
Enhanced Silver |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0130120 |
Enhanced SIlver |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0150080 |
Enhanced Silver + Vision + Adult Dental |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0150081 |
Enhanced Silver + Vision + Adult Dental |
2023 |
FLN001
|
Feb 24, 2023 |
| 21663FL0130100 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130101 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150101 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150100 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130114 |
Everyday Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130115 |
Everyday Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150114 |
Everyday Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150115 |
Everyday Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130039 |
Everyday Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130040 |
Everyday SIlver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150015 |
Everyday Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150012 |
Everyday Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130113 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130112 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150113 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0150112 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 21663FL0130037 |
Ambetter Balanced Care 11 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130019 |
Ambetter Balanced Care 11 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150037 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150071 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130040 |
Ambetter Balanced Care 12 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130039 |
Ambetter Balanced Care 12 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150015 |
Ambetter Balanced Care 12 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150012 |
Ambetter Balanced Care 12 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130053 |
Ambetter Balanced Care 24 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130047 |
Ambetter Balanced Care 24 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150053 |
Ambetter Balanced Care 24 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150047 |
Ambetter Balanced Care 24 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130048 |
Ambetter Balanced Care 29 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130054 |
Ambetter Balanced Care 29 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150116 |
Ambetter Balanced Care 29 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150117 |
Ambetter Balanced Care 29 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130108 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130109 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130110 |
Ambetter Balanced Care 31 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130111 |
Ambetter Balanced Care 31 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150110 |
Ambetter Balanced Care 31 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150111 |
Ambetter Balanced Care 31 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130112 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130113 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150112 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150113 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130106 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130107 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150107 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150106 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130104 |
Ambetter Essential Care: $1,500 Medical Deductible |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130105 |
Ambetter Essential Care: $1,500 Medical Deductible |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150105 |
Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150104 |
Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130006 |
Ambetter Essential Care 1 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130023 |
Ambetter Essential Care 1 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150023 |
Ambetter Essential Care 1 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150025 |
Ambetter Essential Care 1 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130103 |
Ambetter Essential Care 22 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130102 |
Ambetter Essential Care 22 |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150103 |
Ambetter Essential Care 22 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0150102 |
Ambetter Essential Care 22 + Vision + Adult Dental |
2022 |
FLN001
|
Sep 14, 2021 |
| 21663FL0130026 |
Ambetter Essential Care 2 HSA |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130025 |
Ambetter Essential Care 2 HSA |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150014 |
Ambetter Essential Care 2 HSA + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150013 |
Ambetter Essential Care 2 HSA + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130100 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130101 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150100 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150101 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130115 |
Ambetter Secure Care 20 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130114 |
Ambetter Secure Care 20 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150114 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150115 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130021 |
Ambetter Secure Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0130020 |
Ambetter Secure Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150020 |
Ambetter Secure Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
| 21663FL0150021 |
Ambetter Secure Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 14, 2021 |
