| 39520KS0050049 |
Medica Connect Bronze Basic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050049 |
Medica Connect Bronze Basic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050049 |
Medica Connect Bronze Basic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050013 |
Medica Connect Catastrophic |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050013 |
Medica Connect Catastrophic |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050013 |
Medica Connect Catastrophic |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050073 |
Medica Connect Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050073 |
Medica Connect Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050073 |
Medica Connect Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050055 |
Medica Connect Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050055 |
Medica Connect Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050055 |
Medica Connect Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050057 |
Medica Connect Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050057 |
Medica Connect Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050057 |
Medica Connect Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040041 |
Select by Medica Bronze Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040041 |
Select by Medica Bronze Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040041 |
Select by Medica Bronze Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040051 |
Select by Medica Bronze Premier |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040051 |
Select by Medica Bronze Premier |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040051 |
Select by Medica Bronze Premier |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040059 |
Select by Medica Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040059 |
Select by Medica Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040059 |
Select by Medica Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040073 |
Select by Medica Expanded Bronze Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040073 |
Select by Medica Expanded Bronze Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040073 |
Select by Medica Expanded Bronze Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040045 |
Select by Medica Gold Copay $0 PCP |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040045 |
Select by Medica Gold Copay $0 PCP |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040045 |
Select by Medica Gold Copay $0 PCP |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040055 |
Select by Medica Gold Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040055 |
Select by Medica Gold Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040055 |
Select by Medica Gold Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040057 |
Select by Medica Silver Standard |
2024 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040057 |
Select by Medica Silver Standard |
2024 |
STANDARDTIER [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0040057 |
Select by Medica Silver Standard |
2024 |
PREFERRED [PCP] [Dentist]
|
Nov 17, 2023 |
| 39520KS0050005 |
Medica Connect Bronze Copay ($0 Virtual Care with Designated Providers) |
2023 |
KSN001
|
Aug 17, 2022 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050059 |
Medica Connect Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
KSN001
|
Aug 17, 2022 |
| 39520KS0050013 |
Medica Connect Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050013 |
Medica Connect Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050013 |
Medica Connect Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050055 |
Medica Connect Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050055 |
Medica Connect Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050055 |
Medica Connect Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050057 |
Medica Connect Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050057 |
Medica Connect Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050057 |
Medica Connect Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040041 |
Select by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040041 |
Select by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040041 |
Select by Medica Bronze Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040011 |
Select by Medica Bronze HSA ($0 Virtual Care after deductible with Designated Providers) |
2023 |
KSN004
|
Aug 17, 2022 |
| 39520KS0040051 |
Select by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040051 |
Select by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040051 |
Select by Medica Bronze Premier ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040059 |
Select by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040059 |
Select by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040059 |
Select by Medica Bronze Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040013 |
Select by Medica Catastrophic ($0 Virtual Care with Designated Providers) |
2023 |
KSN004
|
Aug 17, 2022 |
| 39520KS0040045 |
Select by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040045 |
Select by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040045 |
Select by Medica Gold Copay $0 PCP ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040055 |
Select by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040055 |
Select by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040055 |
Select by Medica Gold Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040057 |
Select by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERREDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040057 |
Select by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
STANDARDTIER [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0040057 |
Select by Medica Silver Standard ($0 Virtual Care with Designated Providers) |
2023 |
PREFERRED [PCP] [Dentist]
|
Aug 17, 2022 |
| 39520KS0050005 |
Medica Connect Bronze Copay ($0 Virtual Care) |
2022 |
KSN001
|
Nov 29, 2021 |
| 39520KS0050011 |
Medica Connect Bronze H S A ($0 Virtual Care after deductible) |
2022 |
KSN001
|
Nov 29, 2021 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus ($0 Virtual Care) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus ($0 Virtual Care) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0050029 |
Medica Connect Bronze Share Plus ($0 Virtual Care) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0050035 |
Medica Connect Bronze Value ($0 Virtual Care) |
2022 |
KSN001
|
Nov 29, 2021 |
| 39520KS0050013 |
Medica Connect Catastrophic ($0 Virtual Care) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0050013 |
Medica Connect Catastrophic ($0 Virtual Care) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0050013 |
Medica Connect Catastrophic ($0 Virtual Care) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0050001 |
Medica Connect Gold Copay ($0 Virtual Care) |
2022 |
KSN001
|
Nov 29, 2021 |
| 39520KS0050003 |
Medica Connect Silver Copay ($0 Virtual Care) |
2022 |
KSN001
|
Nov 29, 2021 |
| 39520KS0060041 |
Medica with Healthier You Bronze Copay $0 Primary Care ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060011 |
Medica with Healthier You Bronze H S A ($0 Virtual Care after deductible) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060029 |
Medica with Healthier You Bronze Share Plus ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060035 |
Medica with Healthier You Bronze Value ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060036 |
Medica with Healthier You Bronze Value + Dental Reimbursement ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060013 |
Medica with Healthier You Catastrophic ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060001 |
Medica with Healthier You Gold Copay ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060025 |
Medica with Healthier You Gold Share ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060003 |
Medica with Healthier You Silver Copay ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0060027 |
Medica with Healthier You Silver Share ($0 Virtual Care) |
2022 |
KSN006
|
Nov 29, 2021 |
| 39520KS0040037 |
Select by Medica Bronze Copay $0 Preferred Primary Care ($0 Virtual Care) |
2022 |
KSN005
|
Nov 29, 2021 |
| 39520KS0040011 |
Select by Medica Bronze H S A ($0 Virtual Care after deductible) |
2022 |
KSN004
|
Nov 29, 2021 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus ($0 Virtual Care) |
2022 |
PREFERRED [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus ($0 Virtual Care) |
2022 |
PREFERREDTIER [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0040029 |
Select by Medica Bronze Share Plus ($0 Virtual Care) |
2022 |
STANDARDTIER [PCP] [Dentist]
|
Nov 29, 2021 |
| 39520KS0040035 |
Select by Medica Bronze Value ($0 Virtual Care) |
2022 |
KSN004
|
Nov 29, 2021 |
| 39520KS0040036 |
Select by Medica Bronze Value + Dental Reimbursement ($0 Virtual Care) |
2022 |
KSN004
|
Nov 29, 2021 |
| 39520KS0040013 |
Select by Medica Catastrophic ($0 Virtual Care) |
2022 |
KSN004
|
Nov 29, 2021 |
| 39520KS0040001 |
Select by Medica Gold Copay ($0 Virtual Care) |
2022 |
KSN004
|
Nov 29, 2021 |
| 39520KS0040025 |
Select by Medica Gold Share ($0 Virtual Care) |
2022 |
KSN004
|
Nov 29, 2021 |
| 39520KS0040003 |
Select by Medica Silver Copay ($0 Virtual Care) |
2022 |
KSN004
|
Nov 29, 2021 |
