| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030073 |
Elevate by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030045 |
Elevate by Medica Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030025 |
Elevate by Medica Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030055 |
Elevate by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030047 |
Elevate by Medica Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030057 |
Elevate by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040051 |
Medica Insure Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040059 |
Medica Insure Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040073 |
Medica Insure Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040025 |
Medica Insure Gold Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040055 |
Medica Insure Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040047 |
Medica Insure Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040053 |
Medica Insure Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040027 |
Medica Insure Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0040057 |
Medica Insure Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus + Adult Eye Exam |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050073 |
Medica with CHI Health Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050047 |
Medica with CHI Health Silver Copay $0 PCP Office Visits |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050027 |
Medica with CHI Health Silver Share |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 13, 2023 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030005 |
Elevate by Medica Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
NEN004
|
Nov 18, 2022 |
| 20305NE0030011 |
Elevate by Medica Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NEN004
|
Nov 18, 2022 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030051 |
Elevate by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030029 |
Elevate by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
NEN004
|
Nov 18, 2022 |
| 20305NE0030059 |
Elevate by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
NEN004
|
Nov 18, 2022 |
| 20305NE0030013 |
Elevate by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
NEN004
|
Nov 18, 2022 |
| 20305NE0030025 |
Elevate by Medica Gold Share ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030025 |
Elevate by Medica Gold Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030025 |
Elevate by Medica Gold Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030055 |
Elevate by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030055 |
Elevate by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030055 |
Elevate by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030053 |
Elevate by Medica Silver Enhanced ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030027 |
Elevate by Medica Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
NEN004
|
Nov 18, 2022 |
| 20305NE0030057 |
Elevate by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030057 |
Elevate by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030057 |
Elevate by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040005 |
Medica Insure Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
NEN001
|
Nov 18, 2022 |
| 20305NE0040006 |
Medica Insure Bronze Copay + Dental Reimbursement ($0 Virtual Care with Designated Providers) |
2023 |
NEN001
|
Nov 18, 2022 |
| 20305NE0040011 |
Medica Insure Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NEN001
|
Nov 18, 2022 |
| 20305NE0040051 |
Medica Insure Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040051 |
Medica Insure Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040051 |
Medica Insure Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040059 |
Medica Insure Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040059 |
Medica Insure Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040059 |
Medica Insure Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040013 |
Medica Insure Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
NEN001
|
Nov 18, 2022 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040045 |
Medica Insure Gold Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040063 |
Medica Insure Gold HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NEN001
|
Nov 18, 2022 |
| 20305NE0040025 |
Medica Insure Gold Share ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040025 |
Medica Insure Gold Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040025 |
Medica Insure Gold Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040055 |
Medica Insure Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040055 |
Medica Insure Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040055 |
Medica Insure Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040027 |
Medica Insure Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040027 |
Medica Insure Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040027 |
Medica Insure Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040057 |
Medica Insure Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040057 |
Medica Insure Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0040057 |
Medica Insure Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050006 |
Medica with CHI Health Bronze Copay + Dental Reimbursement ($0 Virtual Care with Designated Providers) |
2023 |
NEN003
|
Nov 18, 2022 |
| 20305NE0050011 |
Medica with CHI Health Bronze HSA ($0 Virtual Care after Deductible with Designated Providers) |
2023 |
NEN003
|
Nov 18, 2022 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050051 |
Medica with CHI Health Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050059 |
Medica with CHI Health Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
NEN003
|
Nov 18, 2022 |
| 20305NE0050013 |
Medica with CHI Health Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
NEN003
|
Nov 18, 2022 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050045 |
Medica with CHI Health Gold Copay $0 PCP Office Visits ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050055 |
Medica with CHI Health Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050053 |
Medica with CHI Health Silver Enhanced ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050027 |
Medica with CHI Health Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050027 |
Medica with CHI Health Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050027 |
Medica with CHI Health Silver Share ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0050057 |
Medica with CHI Health Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Nov 18, 2022 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0030041 |
Elevate by Medica Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0030005 |
Elevate by Medica Bronze Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0030011 |
Elevate by Medica Bronze HSA ($0 Virtual Care after deductible on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0030029 |
Elevate by Medica Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0030035 |
Elevate by Medica Bronze Value ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0030013 |
Elevate by Medica Catastrophic ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0030025 |
Elevate by Medica Gold Share ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0030025 |
Elevate by Medica Gold Share ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0030025 |
Elevate by Medica Gold Share ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0030003 |
Elevate by Medica Silver Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0030027 |
Elevate by Medica Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN004
|
Feb 01, 2022 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040041 |
Medica Insure Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040005 |
Medica Insure Bronze Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040006 |
Medica Insure Bronze Copay + Dental Reimbursement ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040011 |
Medica Insure Bronze HSA ($0 Virtual Care after deductible on our platforms + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040029 |
Medica Insure Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040035 |
Medica Insure Bronze Value ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040013 |
Medica Insure Catastrophic ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040001 |
Medica Insure Gold Copay ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040025 |
Medica Insure Gold Share ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040025 |
Medica Insure Gold Share ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040025 |
Medica Insure Gold Share ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040003 |
Medica Insure Silver Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN001
|
Feb 01, 2022 |
| 20305NE0040027 |
Medica Insure Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040027 |
Medica Insure Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0040027 |
Medica Insure Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050041 |
Medica with CHI Health Bronze Copay $0 PC Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050005 |
Medica with CHI Health Bronze Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050006 |
Medica with CHI Health Bronze Copay + Dental Reimbursement ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN003
|
Feb 01, 2022 |
| 20305NE0050011 |
Medica with CHI Health Bronze HSA ($0 Virtual Care after deductible on our platforms + Online Wellness) |
2022 |
NEN003
|
Feb 01, 2022 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050029 |
Medica with CHI Health Bronze Share Plus ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050035 |
Medica with CHI Health Bronze Value ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN003
|
Feb 01, 2022 |
| 20305NE0050013 |
Medica with CHI Health Catastrophic ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN003
|
Feb 01, 2022 |
| 20305NE0050001 |
Medica with CHI Health Gold Copay ($0 Virtual Care on our platforms + $5 Generic Drugs + Online Wellness) |
2022 |
NEN003
|
Feb 01, 2022 |
| 20305NE0050003 |
Medica with CHI Health Silver Copay ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
NEN003
|
Feb 01, 2022 |
| 20305NE0050027 |
Medica with CHI Health Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050027 |
Medica with CHI Health Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERRED [PCP] [Dentist]
|
Feb 01, 2022 |
| 20305NE0050027 |
Medica with CHI Health Silver Share ($0 Virtual Care on our platforms + Online Wellness) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Feb 01, 2022 |
