80180WI0110003 |
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110003 |
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110003 |
UHC Bronze Copay Focus+ $0 Indiv Med Ded ($0 Virtual Urgent Care, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100001 |
UHC Bronze Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100001 |
UHC Bronze Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100001 |
UHC Bronze Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100001 |
UHC Bronze Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100003 |
UHC Bronze Value HSA (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100003 |
UHC Bronze Value HSA (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100003 |
UHC Bronze Value HSA (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100003 |
UHC Bronze Value HSA (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100002 |
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100002 |
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100002 |
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100010 |
UHC Gold Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100010 |
UHC Gold Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100010 |
UHC Gold Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100010 |
UHC Gold Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100005 |
UHC Silver Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100005 |
UHC Silver Standard (No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100005 |
UHC Silver Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100005 |
UHC Silver Standard (No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110004 |
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110004 |
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0110004 |
UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NON PREFERRED [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) |
2025 |
NETWORK [PCP] [Dentist]
|
Aug 16, 2024 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100004 |
UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100001 |
UHC Bronze Standard |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100001 |
UHC Bronze Standard |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100001 |
UHC Bronze Standard |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100001 |
UHC Bronze Standard |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100003 |
UHC Bronze Value HSA |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100003 |
UHC Bronze Value HSA |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100003 |
UHC Bronze Value HSA |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100003 |
UHC Bronze Value HSA |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110002 |
UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100012 |
UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100010 |
UHC Gold Standard |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100010 |
UHC Gold Standard |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100010 |
UHC Gold Standard |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100010 |
UHC Gold Standard |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100011 |
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100011 |
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100011 |
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100009 |
UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0110001 |
UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100007 |
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100007 |
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100007 |
UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100005 |
UHC Silver Standard |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100005 |
UHC Silver Standard |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100005 |
UHC Silver Standard |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100005 |
UHC Silver Standard |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NON PREFERRED [PCP] [Dentist]
|
Dec 16, 2023 |
80180WI0100008 |
UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx) |
2024 |
NETWORK [PCP] [Dentist]
|
Dec 16, 2023 |