| 68781UT0200010 |
Med Benchmark Expanded Bronze Select Copay Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze Select Copay Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200019 |
Med Benchmark Expanded Bronze Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200019 |
Med Benchmark Expanded Bronze Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200017 |
Med Benchmark Gold Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200017 |
Med Benchmark Gold Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200035 |
Med Benchmark Platinum |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200035 |
Med Benchmark Platinum |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200037 |
Med Benchmark Platinum Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200037 |
Med Benchmark Platinum Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200032 |
Med Benchmark Silver 3750 Deductible - HSA Qualified |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200032 |
Med Benchmark Silver 3750 Deductible - HSA Qualified |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0210001 |
Med Benchmark Silver 6000 Medical Deductible w/Vision |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0210001 |
Med Benchmark Silver 6000 Medical Deductible w/Vision |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200018 |
Med Benchmark Silver Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200018 |
Med Benchmark Silver Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020007 |
Med Gold 1500 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020007 |
Med Gold 1500 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0050015 |
Med Plus Bronze Max HSA Qualified |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050010 |
Med Plus Gold 1000 Medical Deductible - no deductible for Rx |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050012 |
Med Plus Gold 2000 Medical Deductible - no deductible for Rx |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050006 |
Med Plus Gold 250 Medical Deductible |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050009 |
Med Plus Gold 750 Medical Deductible |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050026 |
Med Plus Gold Copay Plan |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050011 |
Med Plus Silver 2600 Medical Deductible |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050014 |
Med Plus Silver 3300 HSA Qualified |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050016 |
Med Plus Silver 4000 HSA Qualified |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050027 |
Med Plus Silver Copay Plan |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0200030 |
Signature Benchmark Gold |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200030 |
Signature Benchmark Gold |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200022 |
Signature Benchmark Gold Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200022 |
Signature Benchmark Gold Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200033 |
Signature Benchmark Silver 3750 Deductible - HSA Qualified |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200033 |
Signature Benchmark Silver 3750 Deductible - HSA Qualified |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200014 |
Signature Benchmark Silver 5900 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200014 |
Signature Benchmark Silver 5900 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200023 |
Signature Benchmark Silver Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200023 |
Signature Benchmark Silver Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze Select Copay Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze Select Copay Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200020 |
Value Benchmark Gold Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200020 |
Value Benchmark Gold Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200034 |
Value Benchmark Platinum |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200034 |
Value Benchmark Platinum |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200038 |
Value Benchmark Platinum Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200038 |
Value Benchmark Platinum Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200031 |
Value Benchmark Silver 3750 Deductible - HSA Qualified |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200031 |
Value Benchmark Silver 3750 Deductible - HSA Qualified |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200007 |
Value Benchmark Silver 5900 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200007 |
Value Benchmark Silver 5900 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200021 |
Value Benchmark Silver Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200021 |
Value Benchmark Silver Standardized Plan |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0040015 |
Value Bronze Max HSA Qualified |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020025 |
Value Expanded Bronze 6900 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020025 |
Value Expanded Bronze 6900 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0040010 |
Value Gold 1000 Medical Deductible - no deductible for Rx |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020023 |
Value Gold 1500 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020023 |
Value Gold 1500 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0040012 |
Value Gold 2000 Medical Deductible - no deductible for Rx |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040006 |
Value Gold 250 Medical Deductible |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040009 |
Value Gold 750 Medical Deductible |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040026 |
Value Gold Copay Plan |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040011 |
Value Silver 2600 Medical Deductible |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020024 |
Value Silver 3000 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020024 |
Value Silver 3000 Medical Deductible |
2025 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0040014 |
Value Silver 3300 HSA Qualified |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040016 |
Value Silver 4000 HSA Qualified |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040039 |
Value Silver Copay Plan |
2025 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze Copay Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze Copay Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200019 |
Med Benchmark Expanded Bronze Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200019 |
Med Benchmark Expanded Bronze Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200017 |
Med Benchmark Gold Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200017 |
Med Benchmark Gold Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200035 |
Med Benchmark Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200035 |
Med Benchmark Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200037 |
Med Benchmark Platinum Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200037 |
Med Benchmark Platinum Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200032 |
Med Benchmark Silver 3750 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200032 |
Med Benchmark Silver 3750 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200008 |
Med Benchmark Silver 5900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200008 |
Med Benchmark Silver 5900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200018 |
Med Benchmark Silver Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200018 |
Med Benchmark Silver Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020016 |
Med Expanded Bronze 8050 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020016 |
Med Expanded Bronze 8050 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020007 |
Med Gold 1500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020007 |
Med Gold 1500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0050015 |
Med Plus Bronze Max HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050010 |
Med Plus Gold 1000 Ded - no deductible for office visits and Rx |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050028 |
Med Plus Gold 1750 Ded HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050012 |
Med Plus Gold 2000 Ded - no deductible for office visits and Rx |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050006 |
Med Plus Gold 250 Ded - no deductible for office visits |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050009 |
Med Plus Gold 750 Ded - no deductible for office visits |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050026 |
Med Plus Gold Copay Plan |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050025 |
Med Plus Platinum |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050011 |
Med Plus Silver 2600 Ded - no deductible for office visits |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050014 |
Med Plus Silver 3200 Ded HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050016 |
Med Plus Silver 4000 Ded HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0050027 |
Med Plus Silver Copay Plan |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020033 |
Med Silver 5500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020033 |
Med Silver 5500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200030 |
Signature Benchmark Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200030 |
Signature Benchmark Gold |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200022 |
Signature Benchmark Gold Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200022 |
Signature Benchmark Gold Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200036 |
Signature Benchmark Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200036 |
Signature Benchmark Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200039 |
Signature Benchmark Platinum Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200039 |
Signature Benchmark Platinum Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200033 |
Signature Benchmark Silver 3750 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200033 |
Signature Benchmark Silver 3750 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200014 |
Signature Benchmark Silver 5900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200014 |
Signature Benchmark Silver 5900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200023 |
Signature Benchmark Silver Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200023 |
Signature Benchmark Silver Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020048 |
Signature Gold 1500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020048 |
Signature Gold 1500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020055 |
Signature Silver 5500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020055 |
Signature Silver 5500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze Copay Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze Copay Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200020 |
Value Benchmark Gold Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200020 |
Value Benchmark Gold Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200034 |
Value Benchmark Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200034 |
Value Benchmark Platinum |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200038 |
Value Benchmark Platinum Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200038 |
Value Benchmark Platinum Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200031 |
Value Benchmark Silver 3750 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200031 |
Value Benchmark Silver 3750 Deductible - HSA Qualified |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0200007 |
Value Benchmark Silver 5900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200007 |
Value Benchmark Silver 5900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200021 |
Value Benchmark Silver Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0200021 |
Value Benchmark Silver Standardized Plan |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0040015 |
Value Bronze Max HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020025 |
Value Expanded Bronze 6900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020025 |
Value Expanded Bronze 6900 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0040010 |
Value Gold 1000 Ded - no deductible for office visits and Rx |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020023 |
Value Gold 1500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020023 |
Value Gold 1500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0040040 |
Value Gold 1750 Ded HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040012 |
Value Gold 2000 Ded - no deductible for office visits and Rx |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040006 |
Value Gold 250 Ded - no deductible for office visits |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040009 |
Value Gold 750 Ded - no deductible for office visits |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040026 |
Value Gold Copay Plan |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040025 |
Value Platinum |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040011 |
Value Silver 2600 Ded - no deductible for office visits |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020024 |
Value Silver 3000 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0020024 |
Value Silver 3000 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Aug 29, 2023 |
| 68781UT0040014 |
Value Silver 3200 Ded HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0040016 |
Value Silver 4000 Ded HSA Qualified |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0020032 |
Value Silver 5500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0020032 |
Value Silver 5500 Medical Deductible - no deductible for office visits |
2024 |
PREFERRED [PCP] [Dentist]
|
Oct 17, 2024 |
| 68781UT0040039 |
Value Silver Copay Plan |
2024 |
PREFERRED
|
Oct 17, 2024 |
| 68781UT0200004 |
Med Benchmark Bronze 9100 |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200004 |
Med Benchmark Bronze 9100 |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200019 |
Med Benchmark Expanded Bronze Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200019 |
Med Benchmark Expanded Bronze Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200029 |
Med Benchmark Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200029 |
Med Benchmark Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200017 |
Med Benchmark Gold Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200017 |
Med Benchmark Gold Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200035 |
Med Benchmark Platinum |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200035 |
Med Benchmark Platinum |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200037 |
Med Benchmark Platinum Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200037 |
Med Benchmark Platinum Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200008 |
Med Benchmark Silver 6300 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200008 |
Med Benchmark Silver 6300 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200012 |
Med Benchmark Silver Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200012 |
Med Benchmark Silver Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200018 |
Med Benchmark Silver Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200018 |
Med Benchmark Silver Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020043 |
Med Expanded Bronze 5900 Medical Deductible Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020043 |
Med Expanded Bronze 5900 Medical Deductible Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020011 |
Med Expanded Bronze 6900 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020011 |
Med Expanded Bronze 6900 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020016 |
Med Expanded Bronze 7500 HSA Qualified |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020016 |
Med Expanded Bronze 7500 HSA Qualified |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020007 |
Med Gold 1500 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020007 |
Med Gold 1500 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020005 |
Med Silver 3000 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020053 |
Med Silver 6500 - Diabetes Support Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020053 |
Med Silver 6500 - Diabetes Support Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200013 |
Signature Benchmark Bronze 9100 |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200013 |
Signature Benchmark Bronze 9100 |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200015 |
Signature Benchmark Expanded Bronze Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200015 |
Signature Benchmark Expanded Bronze Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200030 |
Signature Benchmark Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200030 |
Signature Benchmark Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200022 |
Signature Benchmark Gold Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200022 |
Signature Benchmark Gold Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200036 |
Signature Benchmark Platinum |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200036 |
Signature Benchmark Platinum |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200039 |
Signature Benchmark Platinum Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200039 |
Signature Benchmark Platinum Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200014 |
Signature Benchmark Silver 6300 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200014 |
Signature Benchmark Silver 6300 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200016 |
Signature Benchmark Silver Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200016 |
Signature Benchmark Silver Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200023 |
Signature Benchmark Silver Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200023 |
Signature Benchmark Silver Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020051 |
Signature Expanded Bronze 6900 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020051 |
Signature Expanded Bronze 6900 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020048 |
Signature Gold 1500 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020048 |
Signature Gold 1500 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020050 |
Signature Silver 3000 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020050 |
Signature Silver 3000 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020054 |
Signature Silver 6500 - Diabetes Support Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020054 |
Signature Silver 6500 - Diabetes Support Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200003 |
Value Benchmark Bronze 9100 |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200003 |
Value Benchmark Bronze 9100 |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200028 |
Value Benchmark Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200028 |
Value Benchmark Gold |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200020 |
Value Benchmark Gold Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200020 |
Value Benchmark Gold Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200034 |
Value Benchmark Platinum |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200034 |
Value Benchmark Platinum |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200038 |
Value Benchmark Platinum Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200038 |
Value Benchmark Platinum Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200007 |
Value Benchmark Silver 6300 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200007 |
Value Benchmark Silver 6300 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200011 |
Value Benchmark Silver Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200011 |
Value Benchmark Silver Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200021 |
Value Benchmark Silver Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200021 |
Value Benchmark Silver Standardized Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020042 |
Value Expanded Bronze 5900 Medical Deductible Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020042 |
Value Expanded Bronze 5900 Medical Deductible Copay Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020025 |
Value Expanded Bronze 6900 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020025 |
Value Expanded Bronze 6900 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020027 |
Value Expanded Bronze 7500 HSA Qualified |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020027 |
Value Expanded Bronze 7500 HSA Qualified |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020023 |
Value Gold 1500 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020023 |
Value Gold 1500 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020024 |
Value Silver 3000 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020024 |
Value Silver 3000 - no deductible for office visits |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020052 |
Value Silver 6500 - Diabetes Support Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0020052 |
Value Silver 6500 - Diabetes Support Plan |
2023 |
PREFERRED [PCP] [Dentist]
|
May 25, 2023 |
| 68781UT0200004 |
Med Benchmark Bronze 8700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200004 |
Med Benchmark Bronze 8700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200010 |
Med Benchmark Expanded Bronze 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0130013 |
Med Benchmark Expanded Bronze 3800 |
2022 |
UTN001
|
Aug 18, 2021 |
| 68781UT0130010 |
Med Benchmark Expanded Bronze 6800 |
2022 |
UTN001
|
Aug 18, 2021 |
| 68781UT0200012 |
Med Benchmark Silver 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200012 |
Med Benchmark Silver 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200008 |
Med Benchmark Silver 6500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200008 |
Med Benchmark Silver 6500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020019 |
Med Catastrophic 8700 |
2022 |
UTN001
|
Aug 18, 2021 |
| 68781UT0020043 |
Med Expanded Bronze 5900 Copay Plan - no deductible for all office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020043 |
Med Expanded Bronze 5900 Copay Plan - no deductible for all office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020016 |
Med Expanded Bronze 6900 HSA Qualified |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020016 |
Med Expanded Bronze 6900 HSA Qualified |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020011 |
Med Expanded Bronze 7800 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020011 |
Med Expanded Bronze 7800 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020045 |
Med Expanded Bronze 8700 - $0 PCP Office Visits |
2022 |
UTN001
|
Aug 18, 2021 |
| 68781UT0020007 |
Med Gold 1500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020007 |
Med Gold 1500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020005 |
Med Silver 2500 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200013 |
Signature Benchmark Bronze 8700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200013 |
Signature Benchmark Bronze 8700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200015 |
Signature Benchmark Expanded Bronze 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200015 |
Signature Benchmark Expanded Bronze 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200016 |
Signature Benchmark Silver 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200016 |
Signature Benchmark Silver 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200014 |
Signature Benchmark Silver 6500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200014 |
Signature Benchmark Silver 6500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020051 |
Signature Expanded Bronze 7800 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020051 |
Signature Expanded Bronze 7800 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020049 |
Signature Expanded Bronze 8700 - $0 PCP Office Visits |
2022 |
UTN003
|
Aug 18, 2021 |
| 68781UT0020048 |
Signature Gold 1500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020048 |
Signature Gold 1500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020050 |
Signature Silver 2500 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020050 |
Signature Silver 2500 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200003 |
Value Benchmark Bronze 8700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200003 |
Value Benchmark Bronze 8700 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200009 |
Value Benchmark Expanded Bronze 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0130012 |
Value Benchmark Expanded Bronze 3800 |
2022 |
UTN002
|
Aug 18, 2021 |
| 68781UT0130011 |
Value Benchmark Expanded Bronze 6800 |
2022 |
UTN002
|
Aug 18, 2021 |
| 68781UT0200011 |
Value Benchmark Silver 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200011 |
Value Benchmark Silver 0 Copay Plan |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200007 |
Value Benchmark Silver 6500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0200007 |
Value Benchmark Silver 6500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020031 |
Value Catastrophic 8700 |
2022 |
UTN002
|
Aug 18, 2021 |
| 68781UT0020042 |
Value Expanded Bronze 5900 Copay Plan - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020042 |
Value Expanded Bronze 5900 Copay Plan - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020027 |
Value Expanded Bronze 6900 HSA Qualified |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020027 |
Value Expanded Bronze 6900 HSA Qualified |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020025 |
Value Expanded Bronze 7800 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020025 |
Value Expanded Bronze 7800 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020044 |
Value Expanded Bronze 8700 - $0 PCP Office Visits |
2022 |
UTN002
|
Aug 18, 2021 |
| 68781UT0020023 |
Value Gold 1500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020023 |
Value Gold 1500 - no deductible for office visits |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020024 |
Value Silver 2500 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
| 68781UT0020024 |
Value Silver 2500 |
2022 |
PREFERRED [PCP] [Dentist]
|
Aug 18, 2021 |
