| 62505OK0120017 |
Clear Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120017 |
Clear Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130018 |
Clear Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130018 |
Clear Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120010 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120010 |
Clear Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130015 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130015 |
Clear Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120007 |
Complete Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120007 |
Complete Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130007 |
Complete Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130007 |
Complete Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120006 |
Elite Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120006 |
Elite Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130006 |
Elite Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130006 |
Elite Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120016 |
Elite Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120016 |
Elite Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130017 |
Elite Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130017 |
Elite Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120002 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120002 |
Everyday Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130002 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130002 |
Everyday Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120014 |
Everyday Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120014 |
Everyday Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130014 |
Everyday Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130014 |
Everyday Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120012 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120012 |
Focused Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130012 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130012 |
Focused Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120019 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120019 |
Standard Expanded Bronze |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130019 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130019 |
Standard Expanded Bronze + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120021 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120021 |
Standard Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130021 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130021 |
Standard Gold + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120020 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120020 |
Standard Silver |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130020 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0130020 |
Standard Silver + Vision + Adult Dental |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 62505OK0120001 |
Clear Bronze |
2023 |
OKN001
|
Feb 24, 2023 |
| 62505OK0130001 |
Clear Bronze + Vision + Adult Dental |
2023 |
OKN001
|
Feb 24, 2023 |
| 62505OK0120017 |
Clear Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120017 |
Clear Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130018 |
Clear Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130018 |
Clear Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120010 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120010 |
Clear Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130015 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130015 |
Clear Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120019 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120019 |
CMS Standard Expanded Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120021 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120021 |
CMS Standard Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120020 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120020 |
CMS Standard Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120007 |
Complete Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120007 |
Complete Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130007 |
Complete Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130007 |
Complete Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120006 |
Elite Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120006 |
Elite Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130006 |
Elite Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130006 |
Elite Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120016 |
Elite Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120016 |
Elite Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130017 |
Elite Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130017 |
Elite Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120002 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120002 |
Everyday Bronze |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130002 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130002 |
Everyday Bronze + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120014 |
Everyday Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120014 |
Everyday Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130014 |
Everyday Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130014 |
Everyday Gold + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120012 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120012 |
Focused Silver |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130012 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0130012 |
Focused Silver + Vision + Adult Dental |
2023 |
PREFERRED [PCP] [Dentist]
|
Feb 24, 2023 |
| 62505OK0120007 |
Ambetter Balanced Care 11 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120007 |
Ambetter Balanced Care 11 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130007 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130007 |
Ambetter Balanced Care 11 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120008 |
Ambetter Balanced Care 12 |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0130008 |
Ambetter Balanced Care 12 + Vision + Adult Dental |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0120010 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120010 |
Ambetter Balanced Care 30 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120011 |
Ambetter Balanced Care 31 |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0130011 |
Ambetter Balanced Care 31 + Vision + Adult Dental |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0120012 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120012 |
Ambetter Balanced Care 32 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130012 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130012 |
Ambetter Balanced Care 32 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120006 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120006 |
Ambetter Essential Care: $0 Medical Deductible |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130006 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130006 |
Ambetter Essential Care: $0 Medical Deductible + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120005 |
Ambetter Essential Care: $1,500 Medical Deductible |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0130005 |
Ambetter Essential Care: $1,500 Medical Deductible + Vision + Adult Dental |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0120001 |
Ambetter Essential Care 1 |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0130001 |
Ambetter Essential Care 1 + Vision + Adult Dental |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0120002 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120002 |
Ambetter Essential Care 5 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130002 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130002 |
Ambetter Essential Care 5 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120014 |
Ambetter Secure Care 20 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120014 |
Ambetter Secure Care 20 |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130014 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0130014 |
Ambetter Secure Care 20 + Vision + Adult Dental |
2022 |
PREFERRED [PCP] [Dentist]
|
Oct 09, 2021 |
| 62505OK0120013 |
Ambetter Secure Care 5 |
2022 |
OKN001
|
Oct 09, 2021 |
| 62505OK0130013 |
Ambetter Secure Care 5 + Vision + Adult Dental |
2022 |
OKN001
|
Oct 09, 2021 |
