32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010059 |
Medica Pinnacle Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010059 |
Medica Pinnacle Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010059 |
Medica Pinnacle Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010073 |
Medica Pinnacle Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010073 |
Medica Pinnacle Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010073 |
Medica Pinnacle Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010001 |
Medica Pinnacle Gold Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010001 |
Medica Pinnacle Gold Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010001 |
Medica Pinnacle Gold Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010025 |
Medica Pinnacle Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010025 |
Medica Pinnacle Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010025 |
Medica Pinnacle Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010055 |
Medica Pinnacle Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010055 |
Medica Pinnacle Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010055 |
Medica Pinnacle Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010047 |
Medica Pinnacle Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010047 |
Medica Pinnacle Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010047 |
Medica Pinnacle Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010057 |
Medica Pinnacle Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010057 |
Medica Pinnacle Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010057 |
Medica Pinnacle Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
32311AZ0010005 |
Medica Pinnacle Bronze Copay ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
AZN001
|
Oct 25, 2022 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010011 |
Medica Pinnacle Bronze H S A ($0 Non-Urgent Virtual Care after deductible with Designated Providers) |
2023 |
AZN001
|
Oct 25, 2022 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010059 |
Medica Pinnacle Bronze Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010059 |
Medica Pinnacle Bronze Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010059 |
Medica Pinnacle Bronze Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010001 |
Medica Pinnacle Gold Copay ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010001 |
Medica Pinnacle Gold Copay ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010001 |
Medica Pinnacle Gold Copay ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010025 |
Medica Pinnacle Gold Share ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010025 |
Medica Pinnacle Gold Share ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010025 |
Medica Pinnacle Gold Share ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010055 |
Medica Pinnacle Gold Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010055 |
Medica Pinnacle Gold Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010055 |
Medica Pinnacle Gold Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010047 |
Medica Pinnacle Silver Copay $0 PCP ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010047 |
Medica Pinnacle Silver Copay $0 PCP ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010047 |
Medica Pinnacle Silver Copay $0 PCP ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010057 |
Medica Pinnacle Silver Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010057 |
Medica Pinnacle Silver Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010057 |
Medica Pinnacle Silver Standard ($0 Non-Urgent Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 25, 2022 |
32311AZ0010005 |
Medica Pinnacle Bronze Copay ($0 non-urgent Virtual Care with designated providers) |
2022 |
AZN001
|
Feb 12, 2022 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP ($0 non-urgent Virtual Care with designated providers) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP ($0 non-urgent Virtual Care with designated providers) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010041 |
Medica Pinnacle Bronze Copay $0 PCP ($0 non-urgent Virtual Care with designated providers) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus ($0 non-urgent Virtual Care with designated providers) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus ($0 non-urgent Virtual Care with designated providers) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010029 |
Medica Pinnacle Bronze Share Plus ($0 non-urgent Virtual Care with designated providers) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010035 |
Medica Pinnacle Bronze Value ($0 non-urgent Virtual Care with designated providers) |
2022 |
AZN001
|
Feb 12, 2022 |
32311AZ0010001 |
Medica Pinnacle Gold Copay ($0 non-urgent Virtual Care with designated providers + $5 Formulary Generic Drugs) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010001 |
Medica Pinnacle Gold Copay ($0 non-urgent Virtual Care with designated providers + $5 Formulary Generic Drugs) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010001 |
Medica Pinnacle Gold Copay ($0 non-urgent Virtual Care with designated providers + $5 Formulary Generic Drugs) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010025 |
Medica Pinnacle Gold Share ($0 non-urgent Virtual Care with designated providers + $5 Formulary Generic Drugs) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010025 |
Medica Pinnacle Gold Share ($0 non-urgent Virtual Care with designated providers + $5 Formulary Generic Drugs) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010025 |
Medica Pinnacle Gold Share ($0 non-urgent Virtual Care with designated providers + $5 Formulary Generic Drugs) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 12, 2022 |
32311AZ0010003 |
Medica Pinnacle Silver Copay ($0 non-urgent Virtual Care with designated providers) |
2022 |
AZN001
|
Feb 12, 2022 |
32311AZ0010027 |
Medica Pinnacle Silver Share ($0 non-urgent Virtual Care with designated providers) |
2022 |
AZN001
|
Feb 12, 2022 |