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Security Health Plan of Wisconsin, Inc. - Health Insurance Plans Data

Field Data
Health Insurance Plans405
StateWisconsin
Last Import DateTue, 21 May 2024 06:25 GMT
Import Errors174

Health Insurance Plans of Security Health Plan of Wisconsin, Inc.

Insurance Plan ID Health Insurance Plan Name Year Health Plan Network Last Update
38166WI0280011 Enrich $1,500 - 25% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280011 Enrich $1,500 - 25% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290002 Enrich $1,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290003 Enrich $2,500 - 20% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290014 Enrich $3,200- 30% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280002 Enrich $3,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280002 Enrich $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290005 Enrich $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290009 Enrich $3,500 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290010 Enrich $4,000 - 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280005 Enrich $4,100 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280005 Enrich $4,100 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290011 Enrich $5,000- 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290006 Enrich $5,500 - 30% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280012 Enrich $5,900 - 40% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280012 Enrich $5,900 - 40% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280006 Enrich $6,200 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280006 Enrich $6,200 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290012 Enrich $7,050 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280013 Enrich $7,500 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280013 Enrich $7,500 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290001 Enrich $750 - 10% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290013 Enrich $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280009 Enrich $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280009 Enrich $9,100 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280010 Enrich Protection 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0280010 Enrich Protection 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310001 Premier $1,500 - 25% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310001 Premier $1,500 - 25% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310002 Premier $3,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310002 Premier $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310004 Premier $4,100 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310004 Premier $4,100 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310003 Premier $5,900 - 40% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310003 Premier $5,900 - 40% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310005 Premier $6,200 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310005 Premier $6,200 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310006 Premier $7,500 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310006 Premier $7,500 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310007 Premier $9,100 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310007 Premier $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140004 Premier HMO $1,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140040 Premier HMO $2,500 - 20% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140045 Premier HMO $3,200- 30% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140011 Premier HMO $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140033 Premier HMO $3,500 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140012 Premier HMO $4,000 - 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140034 Premier HMO $5,000- 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140036 Premier HMO $5,500 - 30% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140037 Premier HMO $7,050 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140001 Premier HMO $750 - 10% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0140044 Premier HMO $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150002 Premier POS $1,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150002 Premier POS $1,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150040 Premier POS $2,500 - 20% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150040 Premier POS $2,500 - 20% Copay 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150045 Premier POS $3,200- 30% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150045 Premier POS $3,200- 30% HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150011 Premier POS $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150011 Premier POS $3,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150033 Premier POS $3,500 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150033 Premier POS $3,500 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150012 Premier POS $4,000 - 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150012 Premier POS $4,000 - 20% HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150034 Premier POS $5,000- 20% HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150034 Premier POS $5,000- 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150036 Premier POS $5,500 - 30% Copay 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150036 Premier POS $5,500 - 30% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150037 Premier POS $7,050 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150037 Premier POS $7,050 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150001 Premier POS $750 - 10% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150001 Premier POS $750 - 10% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150044 Premier POS $9,100 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0150044 Premier POS $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310008 Premier Protection 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0310008 Premier Protection 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160002 Reliance $1,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160002 Reliance $1,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160040 Reliance $2,500 - 20% Copay 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160040 Reliance $2,500 - 20% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160045 Reliance $3,200- 30% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160045 Reliance $3,200- 30% HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160011 Reliance $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160011 Reliance $3,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160033 Reliance $3,500 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160033 Reliance $3,500 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160012 Reliance $4,000 - 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160012 Reliance $4,000 - 20% HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160034 Reliance $5,000- 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160034 Reliance $5,000- 20% HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160036 Reliance $5,500 - 30% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160036 Reliance $5,500 - 30% Copay 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160037 Reliance $7,050 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160037 Reliance $7,050 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160001 Reliance $750 - 10% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160001 Reliance $750 - 10% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160044 Reliance $9,100 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0160044 Reliance $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180026 Select $1,500 - 25% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180026 Select $1,500 - 25% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180023 Select $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180023 Select $3,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180018 Select $4,100 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180018 Select $4,100 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180027 Select $5,900 - 40% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180027 Select $5,900 - 40% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180022 Select $6,200 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180022 Select $6,200 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180028 Select $7,500 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180028 Select $7,500 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180014 Select $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180014 Select $9,100 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180008 Select Protection 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0180008 Select Protection 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270011 SimplyOne $1,500 - 25% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270011 SimplyOne $1,500 - 25% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300002 SimplyOne $1,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300003 SimplyOne $2,500 - 20% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300014 SimplyOne $3,200 - 30% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270001 SimplyOne $3,500 - 30% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300005 SimplyOne $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270001 SimplyOne $3,500 - 30% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300009 SimplyOne $3,500 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300010 SimplyOne $4,000 - 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270004 SimplyOne $4,100 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270004 SimplyOne $4,100 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300011 SimplyOne $5,000- 20% HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300006 SimplyOne $5,500 - 30% Copay 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270012 SimplyOne $5,900 - 40% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270012 SimplyOne $5,900 - 40% 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270005 SimplyOne $6,200 HDHP 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270005 SimplyOne $6,200 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300012 SimplyOne $7,050 HDHP 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270013 SimplyOne $7,500 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270013 SimplyOne $7,500 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300001 SimplyOne $750 - 10% 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270007 SimplyOne $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0300013 SimplyOne $9,100 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270007 SimplyOne $9,100 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270008 SimplyOne Protection 2024    PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0270008 SimplyOne Protection 2024    NON PREFERRED [PCP] [Dentist] Dec 16, 2023
38166WI0290002 Enrich $1,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280011 Enrich $2,000 - 25% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280011 Enrich $2,000 - 25% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290003 Enrich $2,500 - 20% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290014 Enrich $3,000 - 30% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280002 Enrich $3,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290005 Enrich $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280002 Enrich $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290009 Enrich $3,500 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290010 Enrich $4,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280005 Enrich $4,100 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280005 Enrich $4,100 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290011 Enrich $5,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290006 Enrich $5,500 - 30% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280012 Enrich $5,800 - 40% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280012 Enrich $5,800 - 40% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280006 Enrich $6,200 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280006 Enrich $6,200 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290012 Enrich $7,000 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280013 Enrich $7,500 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280013 Enrich $7,500 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290001 Enrich $750 - 10% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290013 Enrich $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280009 Enrich $9,100 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280009 Enrich $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280010 Enrich Protection 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0280010 Enrich Protection 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310001 Premier $2,000 - 25% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310001 Premier $2,000 - 25% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310002 Premier $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310002 Premier $3,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310004 Premier $4,100 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310004 Premier $4,100 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310003 Premier $5,800 - 40% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310003 Premier $5,800 - 40% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310005 Premier $6,200 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310005 Premier $6,200 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310006 Premier $7,500 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310006 Premier $7,500 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310007 Premier $9,100 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310007 Premier $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140004 Premier HMO $1,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140040 Premier HMO $2,500 - 20% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140045 Premier HMO $3,000 - 30% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140011 Premier HMO $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140033 Premier HMO $3,500 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140012 Premier HMO $4,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140034 Premier HMO $5,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140036 Premier HMO $5,500 - 30% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140037 Premier HMO $7,000 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140001 Premier HMO $750 - 10% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0140044 Premier HMO $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150002 Premier POS $1,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150002 Premier POS $1,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150040 Premier POS $2,500 - 20% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150040 Premier POS $2,500 - 20% Copay 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150045 Premier POS $3,000 - 30% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150045 Premier POS $3,000 - 30% HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150011 Premier POS $3,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150011 Premier POS $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150033 Premier POS $3,500 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150033 Premier POS $3,500 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150012 Premier POS $4,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150012 Premier POS $4,000 - 20% HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150034 Premier POS $5,000 - 20% HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150034 Premier POS $5,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150036 Premier POS $5,500 - 30% Copay 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150036 Premier POS $5,500 - 30% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150037 Premier POS $7,000 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150037 Premier POS $7,000 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150001 Premier POS $750 - 10% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150001 Premier POS $750 - 10% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150044 Premier POS $9,100 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0150044 Premier POS $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310008 Premier Protection 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0310008 Premier Protection 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160002 Reliance $1,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160002 Reliance $1,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160040 Reliance $2,500 - 20% Copay 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160040 Reliance $2,500 - 20% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160045 Reliance $3,000 - 30% HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160045 Reliance $3,000 - 30% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160011 Reliance $3,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160011 Reliance $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160033 Reliance $3,500 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160033 Reliance $3,500 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160012 Reliance $4,000 - 20% HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160012 Reliance $4,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160034 Reliance $5,000 - 20% HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160034 Reliance $5,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160036 Reliance $5,500 - 30% Copay 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160036 Reliance $5,500 - 30% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160037 Reliance $7,000 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160037 Reliance $7,000 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160001 Reliance $750 - 10% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160001 Reliance $750 - 10% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160044 Reliance $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0160044 Reliance $9,100 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180026 Select $2,000 - 25% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180026 Select $2,000 - 25% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180023 Select $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180023 Select $3,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180018 Select $4,100 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180018 Select $4,100 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180027 Select $5,800 - 40% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180027 Select $5,800 - 40% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180022 Select $6,200 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180022 Select $6,200 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180028 Select $7,500 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180028 Select $7,500 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180014 Select $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180014 Select $9,100 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180008 Select Protection 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0180008 Select Protection 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300002 SimplyOne $1,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270011 SimplyOne $2,000 - 25% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270011 SimplyOne $2,000 - 25% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300003 SimplyOne $2,500 - 20% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300014 SimplyOne $3,000 - 30% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300005 SimplyOne $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270001 SimplyOne $3,500 - 30% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270001 SimplyOne $3,500 - 30% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300009 SimplyOne $3,500 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300010 SimplyOne $4,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270004 SimplyOne $4,100 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270004 SimplyOne $4,100 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300011 SimplyOne $5,000 - 20% HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300006 SimplyOne $5,500 - 30% Copay 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270012 SimplyOne $5,800 - 40% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270012 SimplyOne $5,800 - 40% 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270005 SimplyOne $6,200 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270005 SimplyOne $6,200 HDHP 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300012 SimplyOne $7,000 HDHP 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270013 SimplyOne $7,500 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270013 SimplyOne $7,500 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300001 SimplyOne $750 - 10% 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0300013 SimplyOne $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270007 SimplyOne $9,100 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270007 SimplyOne $9,100 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270008 SimplyOne Protection 2023    PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0270008 SimplyOne Protection 2023    NON PREFERRED [PCP] [Dentist] Oct 11, 2022
38166WI0290002 Enrich $1,500 - 25% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280001 Enrich $1,500 - 30% 2022    WIN006 Jan 15, 2022
38166WI0290004 Enrich $2,000 - 20% 2022    WIN006 Jan 15, 2022
38166WI0290003 Enrich $2,500 - 10% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0290005 Enrich $3,000 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280002 Enrich $3,500 - 30% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280002 Enrich $3,500 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0290009 Enrich $3,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0290010 Enrich $4,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0290006 Enrich $4,500 - 30% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280005 Enrich $4,500 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280005 Enrich $4,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280003 Enrich $4,800 - 30% 2022    WIN006 Jan 15, 2022
38166WI0290011 Enrich $5,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280006 Enrich $6,200 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280006 Enrich $6,200 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0290007 Enrich $6,500 - 30% 2022    WIN006 Jan 15, 2022
38166WI0280004 Enrich $6,950 - 30% 2022    WIN006 Jan 15, 2022
38166WI0290012 Enrich $7,000 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280008 Enrich $7,500 2022    WIN006 Jan 15, 2022
38166WI0290001 Enrich $750 - 10% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0290008 Enrich $8,550 2022    WIN006 Jan 15, 2022
38166WI0280009 Enrich $8,700 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280009 Enrich $8,700 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280007 Enrich $8,700 Copay 2022    WIN006 Jan 15, 2022
38166WI0280010 Enrich Protection 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0280010 Enrich Protection 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150002 Independence $1,500 - 25% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150002 Independence $1,500 - 25% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150041 Independence - $2,000 - 20% 2022    WIN004 Jan 15, 2022
38166WI0150040 Independence $2,500 - 10% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150040 Independence $2,500 - 10% Copay 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150011 Independence $3,000 - 30% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150011 Independence $3,000 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150033 Independence $3,500 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150033 Independence $3,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150012 Independence $4,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150012 Independence $4,000 - 20% HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150036 Independence $4,500 - 30% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150036 Independence $4,500 - 30% Copay 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150034 Independence $5,000 - 20% HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150034 Independence $5,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150042 Independence $6,500 - 30% 2022    WIN004 Jan 15, 2022
38166WI0150037 Independence $7,000 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150037 Independence $7,000 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150001 Independence $750 - 10% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150001 Independence $750 - 10% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0150043 Independence $8,550 2022    WIN004 Jan 15, 2022
38166WI0160002 Reliance $1,500 - 25% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160002 Reliance $1,500 - 25% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160041 Reliance - $2,000 - 20% 2022    WIN003 Jan 15, 2022
38166WI0160040 Reliance $2,500 - 10% Copay 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160040 Reliance $2,500 - 10% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160011 Reliance $3,000 - 30% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160011 Reliance $3,000 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160033 Reliance $3,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160033 Reliance $3,500 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160012 Reliance $4,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160012 Reliance $4,000 - 20% HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160036 Reliance $4,500 - 30% Copay 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160036 Reliance $4,500 - 30% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160034 Reliance $5,000 - 20% HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160034 Reliance $5,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160042 Reliance $6,500 - 30% 2022    WIN003 Jan 15, 2022
38166WI0160037 Reliance $7,000 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160037 Reliance $7,000 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160001 Reliance $750 - 10% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160001 Reliance $750 - 10% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0160043 Reliance $8,550 2022    WIN003 Jan 15, 2022
38166WI0180024 Select $1,500 - 30% 2022    WIN001 Jan 15, 2022
38166WI0180023 Select $3,500 - 30% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180023 Select $3,500 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180018 Select $4,500 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180018 Select $4,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180021 Select $4,800 - 30% 2022    WIN001 Jan 15, 2022
38166WI0180022 Select $6,200 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180022 Select $6,200 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180016 Select $6,950 - 30% 2022    WIN001 Jan 15, 2022
38166WI0180020 Select $7,500 2022    WIN001 Jan 15, 2022
38166WI0180014 Select $8,700 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180014 Select $8,700 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180025 Select $8,700 Copay 2022    WIN001 Jan 15, 2022
38166WI0180008 Select Protection 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0180008 Select Protection 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300002 SimplyOne $1,500 - 25% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270009 SimplyOne $1,500 - 30% 2022    WIN005 Jan 15, 2022
38166WI0300004 SimplyOne $2,000 - 20% 2022    WIN005 Jan 15, 2022
38166WI0300003 SimplyOne $2,500 - 10% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300005 SimplyOne $3,000 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270001 SimplyOne $3,500 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270001 SimplyOne $3,500 - 30% 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300009 SimplyOne $3,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300010 SimplyOne $4,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300006 SimplyOne $4,500 - 30% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270004 SimplyOne $4,500 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270004 SimplyOne $4,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270002 SimplyOne $4,800 - 30% 2022    WIN005 Jan 15, 2022
38166WI0300011 SimplyOne $5,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270005 SimplyOne $6,200 HDHP 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270005 SimplyOne $6,200 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300007 SimplyOne $6,500 - 30% 2022    WIN005 Jan 15, 2022
38166WI0270003 SimplyOne $6,950 - 30% 2022    WIN005 Jan 15, 2022
38166WI0300012 SimplyOne $7,000 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270006 SimplyOne $7,500 2022    WIN005 Jan 15, 2022
38166WI0300001 SimplyOne $750 - 10% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0300008 SimplyOne $8,550 2022    WIN005 Jan 15, 2022
38166WI0270007 SimplyOne $8,700 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270007 SimplyOne $8,700 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270010 SimplyOne $8,700 Copay 2022    WIN005 Jan 15, 2022
38166WI0270008 SimplyOne Protection 2022    NON PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0270008 SimplyOne Protection 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140004 Tradition $1,500 - 25% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140041 Tradition $2,000 - 20% 2022    WIN002 Jan 15, 2022
38166WI0140040 Tradition $2,500 - 10% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140011 Tradition $3,000 - 30% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140033 Tradition $3,500 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140012 Tradition $4,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140036 Tradition $4,500 - 30% Copay 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140034 Tradition $5,000 - 20% HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140042 Tradition $6,500 - 30% 2022    WIN002 Jan 15, 2022
38166WI0140037 Tradition $7,000 HDHP 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140001 Tradition $750 - 10% 2022    PREFERRED [PCP] [Dentist] Jan 15, 2022
38166WI0140043 Tradition $8,550 2022    WIN002 Jan 15, 2022

 

Disclaimer: This is based on import of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API