| 57845WI0050011 |
Engage by Medica Bronze HSA |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050029 |
Engage by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050029 |
Engage by Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050029 |
Engage by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050029 |
Engage by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050029 |
Engage by Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050029 |
Engage by Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050074 |
Engage by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050074 |
Engage by Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050074 |
Engage by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050074 |
Engage by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050074 |
Engage by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050074 |
Engage by Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050076 |
Engage by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050076 |
Engage by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050076 |
Engage by Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050076 |
Engage by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050076 |
Engage by Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050076 |
Engage by Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050075 |
Engage by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050075 |
Engage by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050075 |
Engage by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050075 |
Engage by Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050075 |
Engage by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050075 |
Engage by Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060074 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060074 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060074 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060074 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060074 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060074 |
Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060076 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060076 |
Essentia Choice Care with Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060076 |
Essentia Choice Care with Medica Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060076 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060076 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060076 |
Essentia Choice Care with Medica Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060075 |
Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040074 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040074 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040074 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040074 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040074 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040074 |
Medica Individual Choice Gold $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040076 |
Medica Individual Choice Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040076 |
Medica Individual Choice Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040076 |
Medica Individual Choice Gold Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040076 |
Medica Individual Choice Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040076 |
Medica Individual Choice Gold Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040076 |
Medica Individual Choice Gold Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040075 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040075 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040075 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040075 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040075 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040075 |
Medica Individual Choice Silver $0 Copay PCP Visits |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERRED [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2025 |
PREFERREDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2025 |
STANDARDTIER [PCP] [Dentist]
|
Sep 23, 2024 |
| 57845WI0050005 |
Engage by Medica Bronze Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050005 |
Engage by Medica Bronze Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050005 |
Engage by Medica Bronze Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050005 |
Engage by Medica Bronze Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050005 |
Engage by Medica Bronze Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050005 |
Engage by Medica Bronze Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050011 |
Engage by Medica Bronze HSA |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050059 |
Engage by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050059 |
Engage by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050059 |
Engage by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050059 |
Engage by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050059 |
Engage by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050059 |
Engage by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050073 |
Engage by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050001 |
Engage by Medica Gold Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050001 |
Engage by Medica Gold Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050001 |
Engage by Medica Gold Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050001 |
Engage by Medica Gold Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050001 |
Engage by Medica Gold Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050001 |
Engage by Medica Gold Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050055 |
Engage by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050027 |
Engage by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050057 |
Engage by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040027 |
Medica Individual Choice Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 16, 2023 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050059 |
Engage by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050059 |
Engage by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050059 |
Engage by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050059 |
Engage by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050059 |
Engage by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050059 |
Engage by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050013 |
Engage by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
WIN003
|
Oct 28, 2022 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050055 |
Engage by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050055 |
Engage by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050055 |
Engage by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050055 |
Engage by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050055 |
Engage by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050055 |
Engage by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050057 |
Engage by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050057 |
Engage by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050057 |
Engage by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050057 |
Engage by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050057 |
Engage by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050057 |
Engage by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060005 |
Essentia Choice Care with Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
WIN005
|
Oct 28, 2022 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060059 |
Essentia Choice Care with Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
WIN005
|
Oct 28, 2022 |
| 57845WI0060013 |
Essentia Choice Care with Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
WIN005
|
Oct 28, 2022 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060001 |
Essentia Choice Care with Medica Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060027 |
Essentia Choice Care with Medica Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0060057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040013 |
Medica Individual Choice Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
WIN002
|
Oct 28, 2022 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay ($0 Virtual Care with Designated Providers + $0 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care with Designated Providers + $5 Preferred Generic Drugs) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0040057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Oct 28, 2022 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050005 |
Engage by Medica Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050011 |
Engage by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050029 |
Engage by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050035 |
Engage by Medica Bronze Value ($0 Virtual Care + Online Wellness) |
2022 |
WIN003
|
Jul 20, 2021 |
| 57845WI0050013 |
Engage by Medica Catastrophic ($0 Virtual Care + Online Wellness) |
2022 |
WIN003
|
Jul 20, 2021 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050001 |
Engage by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050003 |
Engage by Medica Silver Copay ($0 Virtual Care + Online Wellness) |
2022 |
WIN003
|
Jul 20, 2021 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0050027 |
Engage by Medica Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040035 |
Medica Individual Choice Bronze Value ($0 Virtual Care + Online Wellness) |
2022 |
WIN002
|
Jul 20, 2021 |
| 57845WI0040013 |
Medica Individual Choice Catastrophic ($0 Virtual Care + Online Wellness) |
2022 |
WIN002
|
Jul 20, 2021 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040001 |
Medica Individual Choice Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040003 |
Medica Individual Choice Silver Copay ($0 Virtual Care + Online Wellness) |
2022 |
WIN002
|
Jul 20, 2021 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 57845WI0040027 |
Medica Individual Choice Silver Share ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
