29341OH0100024 |
Bronze Classic 4700 (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100002 |
Bronze Classic PCP Saver (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100002 |
Bronze Classic PCP Saver (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100050 |
Bronze Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100050 |
Bronze Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100013 |
Gold Classic (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100013 |
Gold Classic (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100053 |
Gold Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100053 |
Gold Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100011 |
Secure (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100011 |
Secure (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100052 |
Silver Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100052 |
Silver Classic Standard (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100060 |
Silver Simple Chronic Care CKM (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100060 |
Silver Simple Chronic Care CKM (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 10, 2024 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100002 |
Bronze Classic PCP Saver (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100002 |
Bronze Classic PCP Saver (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100050 |
Bronze Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100050 |
Bronze Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100005 |
Bronze Elite + PCP Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100005 |
Bronze Elite + PCP Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100012 |
Bronze Elite + Specialist Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100012 |
Bronze Elite + Specialist Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100013 |
Gold Classic (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100013 |
Gold Classic (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100053 |
Gold Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100053 |
Gold Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100011 |
Secure (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100011 |
Secure (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100006 |
Silver Classic (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100006 |
Silver Classic (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100052 |
Silver Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100052 |
Silver Classic Standard (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100008 |
Silver Simple (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100008 |
Silver Simple (Select) |
2024 |
PREFERRED [PCP] [Dentist]
|
Dec 18, 2023 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200003 |
Bronze Classic (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200002 |
Bronze Classic- PCP Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100021 |
Bronze Classic- PCP Saver Plus (Select) ($0 Primary Care + $3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100002 |
Bronze Classic PCP Saver(Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100002 |
Bronze Classic PCP Saver(Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100003 |
Bronze Classic (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100050 |
Bronze Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100050 |
Bronze Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200005 |
Bronze Elite- Deductible+PCP Saver Plus (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200012 |
Bronze Elite- Deductible+Specialist Saver Plus (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100005 |
Bronze Elite + PCP Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100005 |
Bronze Elite + PCP Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100012 |
Bronze Elite + Specialist Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100012 |
Bronze Elite + Specialist Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200014 |
Bronze Simple- HSA (Choice) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100014 |
Bronze Simple- HSA (Select) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100001 |
Bronze Simple (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100051 |
Bronze Simple- Standard (Select) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200013 |
Gold Classic (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100013 |
Gold Classic (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100013 |
Gold Classic (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100053 |
Gold Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100053 |
Gold Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200036 |
Gold Elite (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200035 |
Gold Elite- Deductible Saver Plus (Choice) ($0 Primary Care + $3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100036 |
Gold Elite (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100011 |
Secure (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100011 |
Secure (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200017 |
Silver Classic- Deductible Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100017 |
Silver Classic- Deductible Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100009 |
Silver Classic- PCP Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100006 |
Silver Classic (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100006 |
Silver Classic (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200046 |
Silver Classic- Specialist Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100046 |
Silver Classic- Specialist Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100052 |
Silver Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100052 |
Silver Classic Standard (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200016 |
Silver Elite (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200030 |
Silver Elite- Deductible Saver Plus (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100016 |
Silver Elite (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200008 |
Silver Simple (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100045 |
Silver Simple- For Diabetes (Select) ($0 Diabetic Labs + $100 Monthly Cap for Formulary Insulin + $0 Diabetic Foot and Eye Exams) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200029 |
Silver Simple- HSA (Choice) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100029 |
Silver Simple- HSA (Select) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100008 |
Silver Simple (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100008 |
Silver Simple (Select) |
2023 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100015 |
Silver Simple- Specialist Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200023 |
Bronze Classic- $3000 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100023 |
Bronze Classic- $3000 Ded (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100024 |
Bronze Classic 4700 (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200003 |
Bronze Classic (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200002 |
Bronze Classic- PCP Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100021 |
Bronze Classic- PCP Saver Plus (Select) ($0 Primary Care + $3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100002 |
Bronze Classic PCP Saver(Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100002 |
Bronze Classic PCP Saver(Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100003 |
Bronze Classic (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200042 |
Bronze Elite- $1000 Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100042 |
Bronze Elite- $1000 Ded (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200005 |
Bronze Elite- Deductible+PCP Saver Plus (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200012 |
Bronze Elite- Deductible+Specialist Saver Plus (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100005 |
Bronze Elite + PCP Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100005 |
Bronze Elite + PCP Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100012 |
Bronze Elite + Specialist Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100012 |
Bronze Elite + Specialist Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200014 |
Bronze Simple- HSA (Choice) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100014 |
Bronze Simple- HSA (Select) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100001 |
Bronze Simple (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200013 |
Gold Classic (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200037 |
Gold Classic- HSA (Choice) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100037 |
Gold Classic- HSA (Select) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200020 |
Gold Classic- Low Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100020 |
Gold Classic- Low Ded (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100013 |
Gold Classic (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100013 |
Gold Classic (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200036 |
Gold Elite (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200035 |
Gold Elite- Deductible Saver Plus (Choice) ($0 Primary Care + $3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100035 |
Gold Elite Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100036 |
Gold Elite (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200033 |
Gold Simple (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100033 |
Gold Simple (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100011 |
Secure (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100011 |
Secure (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200017 |
Silver Classic- Deductible Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100017 |
Silver Classic- Deductible Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200027 |
Silver Classic- Low Ded (Choice) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100027 |
Silver Classic- Low Ded (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100009 |
Silver Classic- PCP Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100006 |
Silver Classic (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100006 |
Silver Classic (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0200046 |
Silver Classic- Specialist Saver (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100046 |
Silver Classic- Specialist Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100028 |
Silver Elite- $0 PCP (Select) ($0 Primary Care + $0 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200016 |
Silver Elite (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200030 |
Silver Elite- Deductible Saver Plus (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100030 |
Silver Elite Saver Plus (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100016 |
Silver Elite (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100026 |
Silver Elite- Specialist Saver (Select) ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200008 |
Silver Simple (Choice) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100045 |
Silver Simple- For Diabetes (Select) ($0 Diabetic Labs + $100 Monthly Cap for Formulary Insulin + $0 Diabetic Foot and Eye Exams) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0200029 |
Silver Simple- HSA (Choice) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100029 |
Silver Simple- HSA (Select) |
2022 |
PREFERRED
|
Sep 06, 2024 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100025 |
Silver Simple PCP Saver (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100008 |
Silver Simple (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100008 |
Silver Simple (Select) |
2022 |
PREFERRED [PCP] [Dentist]
|
Sep 06, 2024 |
29341OH0100015 |
Silver Simple- Specialist Saver (Select) ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Sep 06, 2024 |