| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120073 |
Altru Prime by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120027 |
Altru Prime by Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140073 |
Essentia Choice Care with Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140027 |
Essentia Choice Care with Medica Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130073 |
Medica Individual Choice Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130045 |
Medica Individual Choice Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130047 |
Medica Individual Choice Silver Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130027 |
Medica Individual Choice Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Dec 20, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2023 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120041 |
Altru Prime by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120011 |
Altru Prime by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NDN003
|
Aug 18, 2022 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120059 |
Altru Prime by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120045 |
Altru Prime by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120055 |
Altru Prime by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120047 |
Altru Prime by Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120057 |
Altru Prime by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140041 |
Essentia Choice Care with Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140011 |
Essentia Choice Care with Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NDN005
|
Aug 18, 2022 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140029 |
Essentia Choice Care with Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140059 |
Essentia Choice Care with Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140013 |
Essentia Choice Care with Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140045 |
Essentia Choice Care with Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140055 |
Essentia Choice Care with Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140047 |
Essentia Choice Care with Medica Silver Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0140057 |
Essentia Choice Care with Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130041 |
Medica Individual Choice Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NDN004
|
Aug 18, 2022 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130059 |
Medica Individual Choice Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130013 |
Medica Individual Choice Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130055 |
Medica Individual Choice Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0130057 |
Medica Individual Choice Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 18, 2022 |
| 73751ND0120005 |
Altru Prime by Medica Bronze Copay ($0 Virtual Care + $15 Primary Care Copay + Online Wellness) |
2022 |
NDN003
|
Jul 20, 2021 |
| 73751ND0120011 |
Altru Prime by Medica Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
NDN003
|
Jul 20, 2021 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0120029 |
Altru Prime by Medica Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0120035 |
Altru Prime by Medica Bronze Value ($0 Virtual Care + Online Wellness) |
2022 |
NDN003
|
Jul 20, 2021 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0120013 |
Altru Prime by Medica Catastrophic ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0120001 |
Altru Prime by Medica Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
NDN003
|
Jul 20, 2021 |
| 73751ND0120003 |
Altru Prime by Medica Silver Copay ($0 Virtual Care + Online Wellness) |
2022 |
NDN003
|
Jul 20, 2021 |
| 73751ND0130005 |
Medica Individual Choice Bronze Copay ($0 Virtual Care + $15 Primary Care Copay + Online Wellness) |
2022 |
NDN004
|
Jul 20, 2021 |
| 73751ND0130011 |
Medica Individual Choice Bronze HSA ($0 Virtual Care after deductible + Online Wellness) |
2022 |
NDN004
|
Jul 20, 2021 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0130029 |
Medica Individual Choice Bronze Share Plus ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0130035 |
Medica Individual Choice Bronze Value ($0 Virtual Care + Online Wellness) |
2022 |
NDN004
|
Jul 20, 2021 |
| 73751ND0130013 |
Medica Individual Choice Catastophic ($0 Virtual Care + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0130013 |
Medica Individual Choice Catastophic ($0 Virtual Care + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0130013 |
Medica Individual Choice Catastophic ($0 Virtual Care + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Jul 20, 2021 |
| 73751ND0130001 |
Medica Individual Choice Gold Copay ($0 Virtual Care + $5 Generic Drugs + Online Wellness) |
2022 |
NDN004
|
Jul 20, 2021 |
| 73751ND0130003 |
Medica Individual Choice Silver Copay ($0 Virtual Care + Online Wellness) |
2022 |
NDN004
|
Jul 20, 2021 |
