45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110003 |
UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110003 |
UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110003 |
UHC Bronze Value+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050038 |
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050038 |
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050038 |
UHC Gold Advantage ($0 Virtual Urgent Care, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $5 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110004 |
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110004 |
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0110004 |
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 15, 2024 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050035 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Insulin) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050030 |
UHC Bronze Standard (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050017 |
UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050027 |
UHC Bronze Value HSA (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050027 |
UHC Bronze Value HSA (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050027 |
UHC Bronze Value HSA (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110001 |
UHC Gold Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050034 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050028 |
UHC Gold Standard (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050033 |
UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050033 |
UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050033 |
UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0110002 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, Dental + Vision, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050037 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050032 |
UHC Silver Copay Focus $0 Indiv Med Ded ($5 Tier 2 Rx, $0 Insulin) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050032 |
UHC Silver Copay Focus $0 Indiv Med Ded ($5 Tier 2 Rx, $0 Insulin) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050032 |
UHC Silver Copay Focus $0 Indiv Med Ded ($5 Tier 2 Rx, $0 Insulin) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050029 |
UHC Silver Standard (No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 12, 2023 |
45480OK0050036 |
UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 12, 2023 |