1. Home
  2. Directory
  3. Arizona
  4. Luke Afb
  5. Military Us Coast Guard Pharmacy
  6. NPI Profile
  7. Accepted Health Plans 1043627631

56TH MEDGRP-LUKE
Accepted Insurance Health Plans for NPI 1043627631
Military/U.S. Coast Guard Pharmacy in Luke Afb, AZ

NPI Status: Active since July 16, 2014

Contact Information

7219 N LITCHFIELD RD BLDG 1130
LUKE AFB, AZ
ZIP 85309
Phone: (623) 856-3934
Fax: (623) 856-3616

Get Directions

Table of Contents - List of Insurance Companies

  1. Antidote Health Plan of Arizona, Inc.
  2. Antidote Health Plan of Ohio, Inc.
  3. Baylor Scott and White Health Plan
  4. Blue Cross and Blue Shield of Alabama
  5. Blue Cross and Blue Shield of Illinois
  6. Blue Cross and Blue Shield of Montana
  7. Blue Cross and Blue Shield of Nebraska
  8. Blue Cross and Blue Shield of Oklahoma
  9. Blue Cross and Blue Shield of Texas
  10. Blue Cross Blue Shield of North Dakota
  11. Blue Cross Blue Shield of Wyoming
  12. Dean Health Plan
  13. Florida Blue (BlueCross BlueShield FL)
  14. Florida Blue HMO (a BlueCross BlueShield FL company)
  15. Medica
  16. Primewell Health Services of Mississippi
  17. Sanford Health Plan

Accepted Health Plans and Insurance Coverage

List of insurance companies accepted by 56TH MEDGRP-LUKE. Use our filterable tables to quickly find the details of your health plan, including: Plan Name, Plan Type and Plan ID. Search this page to find if your specific insurance is accepted. Please verify directly with the provider to make sure your healthplan is currently accepted.

Antidote Health Plan of Arizona, Inc.

Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 68445AZ0600010 No
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 68445AZ0600011 No
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 68445AZ0610010 No
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 68445AZ0610011 No
Bronze Standard HMO 68445AZ0590010 No
Catastrophic Standard HMO 68445AZ0590050 No
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 68445AZ0600030 No
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 68445AZ0600031 No
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 68445AZ0610030 No
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 68445AZ0610031 No
Gold Standard HMO 68445AZ0590030 No
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 68445AZ0600020 No
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 68445AZ0600021 No
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 68445AZ0610020 No
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 68445AZ0610021 No
Silver Standard HMO 68445AZ0590020 No

Antidote Health Plan of Ohio, Inc.

Plan Name Plan Type Plan ID Dental Only Plan?
Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 31981OH0020010 No
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 31981OH0020011 No
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 31981OH0030010 No
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 31981OH0030011 No
Bronze Standard HMO 31981OH0010010 No
Catastrophic Standard HMO 31981OH0010050 No
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 31981OH0020030 No
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 31981OH0020031 No
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 31981OH0030030 No
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 31981OH0030031 No
Gold Standard HMO 31981OH0010030 No
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 31981OH0020020 No
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx HMO 31981OH0020021 No
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 31981OH0030020 No
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx HMO 31981OH0030021 No
Silver Standard HMO 31981OH0010020 No

Baylor Scott and White Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460001 No
BSW Elite Gold HMO 001 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460001 No
BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) HMO 40788TX0460004 No
BSW Elite Gold HMO 004 (Two free PCP visits, $0 Pediatric PCP visits) HMO 40788TX0460004 No
BSW Elite Gold HMO 012 HMO 40788TX0460012 No
BSW Elite Gold HMO 012 HMO 40788TX0460012 No
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460003 No
BSW Prime Silver HMO 003 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460003 No
BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) HMO 40788TX0460008 No
BSW Prime Silver HMO 008 (Two free PCP visits, $0 Pediatric PCP visit) HMO 40788TX0460008 No
BSW Prime Silver HMO 005 HMO 40788TX0460005 No
BSW Prime Silver HMO 005 HMO 40788TX0460005 No
BSW Savers Bronze HMO H S A 006 HMO 40788TX0460006 No
BSW Savers Bronze HMO H S A 006 HMO 40788TX0460006 No
BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460007 No
BSW Vital Bronze HMO 007 (CMS Standardized Plan with $0 Pediatric PCP copay) HMO 40788TX0460007 No
BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) HMO 40788TX0460009 No
BSW Vital Bronze HMO 009 (One free PCP visit, $0 Pediatric PCP visit) HMO 40788TX0460009 No

Blue Cross and Blue Shield of Alabama

Plan Name Plan Type Plan ID Dental Only Plan?
Blue Cross Select Gold PPO 46944AL0650001 No
Blue Cross Select Silver PPO 46944AL0660001 No
Blue HSA Bronze PPO 46944AL0560001 No
Blue Protect PPO 46944AL0470001 No
Blue Saver Bronze PPO 46944AL0460001 No
Blue Saver Silver EPO EPO 46944AL0710001 No
Blue Standardized Bronze PPO 46944AL0750001 No
Blue Standardized Gold PPO 46944AL0720001 No
Blue Standardized Silver PPO 46944AL0730001 No
Blue Standardized Silver EPO EPO 46944AL0740001 No
Blue Value Gold PPO 46944AL0370001 No
Blue Value Silver PPO 46944AL0410001 No
Blue Access Gold for Business PPO 46944AL0340001 No
Blue Choice Platinum for Business PPO 46944AL0280001 No
Blue HSA Silver for Business PPO 46944AL0680001 No
Blue Saver Bronze for Business PPO 46944AL0430001 No
Blue Saver Gold for Business PPO 46944AL0760001 No
Blue Secure Gold for Business PPO 46944AL0670001 No
Blue Secure Silver for Business PPO 46944AL0380001 No

Blue Cross and Blue Shield of Illinois

Plan Name Plan Type Plan ID Dental Only Plan?
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990127 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990188 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990189 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990190 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990191 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990192 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990193 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990194 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990195 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990196 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990197 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990198 No
Blue Choice Preferred Bronze PPO? 201 PPO 36096IL0990199 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990265 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990267 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990268 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990269 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990270 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990271 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990272 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990273 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990274 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990275 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990276 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990277 No
Blue Choice Preferred Bronze PPO? 701 PPO 36096IL0990278 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990306 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990332 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990333 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990334 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990335 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990336 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990337 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990338 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990339 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990340 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990341 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990342 No
Blue Choice Preferred Bronze PPO? Standard - Select Rx Copays PPO 36096IL0990343 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990122 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990128 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990129 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990130 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990131 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990132 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990133 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990134 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990135 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990136 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990137 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990138 No
Blue Choice Preferred Gold PPO? 204 PPO 36096IL0990139 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990279 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990282 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990283 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990284 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990285 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990286 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990287 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990288 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990289 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990290 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990291 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990292 No
Blue Choice Preferred Gold PPO? Standard - Rx Copays PPO 36096IL0990293 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990126 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990176 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990177 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990178 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990179 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990180 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990181 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990182 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990183 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990184 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990185 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990186 No
Blue Choice Preferred Security PPO? 200 PPO 36096IL0990187 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990123 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990140 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990141 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990142 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990143 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990144 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990145 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990146 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990147 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990148 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990149 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990150 No
Blue Choice Preferred Silver PPO? 203 PPO 36096IL0990151 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990361 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990362 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990363 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990364 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990365 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990366 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990367 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990368 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990369 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990370 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990371 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990372 No
Blue Choice Preferred Silver PPO? 801 PPO 36096IL0990373 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990280 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990294 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990295 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990296 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990297 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990298 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990299 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990300 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990344 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990345 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990346 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990347 No
Blue Choice Preferred Silver PPO? Standard - Select Rx Copays PPO 36096IL0990348 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810083 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810108 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810109 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810110 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810111 No
Blue Precision Bronze HMO? 205 HMO 36096IL0810112 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810123 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810134 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810135 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810136 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810137 No
Blue Precision Bronze HMO? 701 HMO 36096IL0810138 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810172 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810173 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810174 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810175 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810176 No
Blue Precision Bronze HMO? Standard - Select Rx Copays HMO 36096IL0810177 No
Blue Precision Gold HMO? 207 HMO 36096IL0810080 No
Blue Precision Gold HMO? 207 HMO 36096IL0810090 No
Blue Precision Gold HMO? 207 HMO 36096IL0810091 No
Blue Precision Gold HMO? 207 HMO 36096IL0810092 No
Blue Precision Gold HMO? 207 HMO 36096IL0810093 No
Blue Precision Gold HMO? 207 HMO 36096IL0810094 No
Blue Precision Gold HMO? 703 HMO 36096IL0810121 No
Blue Precision Gold HMO? 703 HMO 36096IL0810124 No
Blue Precision Gold HMO? 703 HMO 36096IL0810125 No
Blue Precision Gold HMO? 703 HMO 36096IL0810126 No
Blue Precision Gold HMO? 703 HMO 36096IL0810127 No
Blue Precision Gold HMO? 703 HMO 36096IL0810128 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810139 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810142 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810143 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810144 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810145 No
Blue Precision Gold HMO? Standard - Rx Copays HMO 36096IL0810146 No
Blue Precision Silver HMO? 206 HMO 36096IL0810081 No
Blue Precision Silver HMO? 206 HMO 36096IL0810096 No
Blue Precision Silver HMO? 206 HMO 36096IL0810097 No
Blue Precision Silver HMO? 206 HMO 36096IL0810098 No
Blue Precision Silver HMO? 206 HMO 36096IL0810099 No
Blue Precision Silver HMO? 206 HMO 36096IL0810100 No
Blue Precision Silver HMO? 704 HMO 36096IL0810122 No
Blue Precision Silver HMO? 704 HMO 36096IL0810129 No
Blue Precision Silver HMO? 704 HMO 36096IL0810130 No
Blue Precision Silver HMO? 704 HMO 36096IL0810131 No
Blue Precision Silver HMO? 704 HMO 36096IL0810132 No
Blue Precision Silver HMO? 704 HMO 36096IL0810133 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810140 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810147 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810148 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810149 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810150 No
Blue Precision Silver HMO? Standard - Select Rx Copays HMO 36096IL0810151 No
BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate HMO 36096IL0810195 No
BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate HMO 36096IL0810212 No
BlueCare Direct Bronze? Standard - Select Rx Copays with Advocate HMO 36096IL0810213 No
BlueCare Direct Gold? Standard - Rx Copays with Advocate HMO 36096IL0810193 No
BlueCare Direct Gold? Standard - Rx Copays with Advocate HMO 36096IL0810208 No
BlueCare Direct Gold? Standard - Rx Copays with Advocate HMO 36096IL0810209 No
BlueCare Direct Silver? Standard - Select Rx Copays with Advocate HMO 36096IL0810194 No
BlueCare Direct Silver? Standard - Select Rx Copays with Advocate HMO 36096IL0810210 No
BlueCare Direct Silver? Standard - Select Rx Copays with Advocate HMO 36096IL0810211 No

Blue Cross and Blue Shield of Montana

Plan Name Plan Type Plan ID Dental Only Plan?
Blue Focus Bronze POS? 205 POS 30751MT0670003 No
Blue Focus Bronze POS? 205 POS 30751MT0670012 No
Blue Focus Bronze POS? 205 POS 30751MT0670013 No
Blue Focus Bronze POS? 705 POS 30751MT0670006 No
Blue Focus Bronze POS? 705 POS 30751MT0670016 No
Blue Focus Bronze POS? 705 POS 30751MT0670017 No
Blue Focus Bronze POS? Standard POS 30751MT0670009 No
Blue Focus Bronze POS? Standard POS 30751MT0670018 No
Blue Focus Bronze POS? Standard POS 30751MT0670019 No
Blue Focus Gold POS? 207 POS 30751MT0670001 No
Blue Focus Gold POS? 207 POS 30751MT0670020 No
Blue Focus Gold POS? 207 POS 30751MT0670021 No
Blue Focus Gold POS? Standard POS 30751MT0670007 No
Blue Focus Gold POS? Standard POS 30751MT0670022 No
Blue Focus Gold POS? Standard POS 30751MT0670023 No
Blue Focus Silver POS? 206 POS 30751MT0670002 No
Blue Focus Silver POS? 206 POS 30751MT0670024 No
Blue Focus Silver POS? 206 POS 30751MT0670025 No
Blue Focus Silver POS? Standard POS 30751MT0670008 No
Blue Focus Silver POS? Standard POS 30751MT0670028 No
Blue Focus Silver POS? Standard POS 30751MT0670029 No
Blue Preferred Bronze PPO? 201 PPO 30751MT0550040 No
Blue Preferred Bronze PPO? 201 PPO 30751MT0550049 No
Blue Preferred Bronze PPO? 201 PPO 30751MT0550050 No
Blue Preferred Bronze PPO? 201 PPO 30751MT0550051 No
Blue Preferred Bronze PPO? 202 PPO 30751MT0550041 No
Blue Preferred Bronze PPO? 202 PPO 30751MT0550052 No
Blue Preferred Bronze PPO? 202 PPO 30751MT0550053 No
Blue Preferred Bronze PPO? 202 PPO 30751MT0550054 No
Blue Preferred Bronze PPO? Standard PPO 30751MT0550092 No
Blue Preferred Bronze PPO? Standard PPO 30751MT0550093 No
Blue Preferred Bronze PPO? Standard PPO 30751MT0550100 No
Blue Preferred Bronze PPO? Standard PPO 30751MT0550101 No
Blue Preferred Gold PPO? 204 PPO 30751MT0550038 No
Blue Preferred Gold PPO? 204 PPO 30751MT0550043 No
Blue Preferred Gold PPO? 204 PPO 30751MT0550044 No
Blue Preferred Gold PPO? 204 PPO 30751MT0550045 No
Blue Preferred Gold PPO? Standard PPO 30751MT0550086 No
Blue Preferred Gold PPO? Standard PPO 30751MT0550089 No
Blue Preferred Gold PPO? Standard PPO 30751MT0550094 No
Blue Preferred Gold PPO? Standard PPO 30751MT0550095 No
Blue Preferred Security PPO? 200 PPO 30751MT0550042 No
Blue Preferred Security PPO? 200 PPO 30751MT0550055 No
Blue Preferred Security PPO? 200 PPO 30751MT0550056 No
Blue Preferred Security PPO? 200 PPO 30751MT0550057 No
Blue Preferred Silver PPO? 203 PPO 30751MT0550039 No
Blue Preferred Silver PPO? 203 PPO 30751MT0550046 No
Blue Preferred Silver PPO? 203 PPO 30751MT0550047 No
Blue Preferred Silver PPO? 203 PPO 30751MT0550048 No
Blue Preferred Silver PPO? 308 PPO 30751MT0550061 No
Blue Preferred Silver PPO? 308 PPO 30751MT0550071 No
Blue Preferred Silver PPO? 308 PPO 30751MT0550072 No
Blue Preferred Silver PPO? 308 PPO 30751MT0550073 No
Blue Preferred Silver PPO? Standard PPO 30751MT0550087 No
Blue Preferred Silver PPO? Standard PPO 30751MT0550090 No
Blue Preferred Silver PPO? Standard PPO 30751MT0550096 No
Blue Preferred Silver PPO? Standard PPO 30751MT0550097 No

Blue Cross and Blue Shield of Nebraska

Plan Name Plan Type Plan ID Dental Only Plan?
HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue EPO 29678NE1450002 No
HeartlandBlue Bronze 0% Coinsurance after Deductible NEtwork Blue PPO PPO 29678NE1510002 No
HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision EPO 29678NE1560014 No
HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision EPO 29678NE1570014 No
HeartlandBlue Bronze 5000 Blueprint Health w/ Adult Vision EPO 29678NE1580014 No
HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision EPO 29678NE1530014 No
HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision EPO 29678NE1540014 No
HeartlandBlue Bronze 5000 Premier Select BlueChoice w/ Adult Vision EPO 29678NE1550014 No
HeartlandBlue Bronze HSA 6500 Blueprint Health EPO 29678NE1480001 No
HeartlandBlue Bronze HSA 6500 Blueprint Health EPO 29678NE1490001 No
HeartlandBlue Bronze HSA 6500 Blueprint Health EPO 29678NE1500001 No
HeartlandBlue Bronze HSA 6500 NEtwork Blue EPO 29678NE1450001 No
HeartlandBlue Bronze HSA 6500 NEtwork Blue PPO PPO 29678NE1510001 No
HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice EPO 29678NE1460001 No
HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice EPO 29678NE1470001 No
HeartlandBlue Bronze HSA 6500 Premier Select BlueChoice EPO 29678NE1520001 No
HeartlandBlue Bronze Standard 7500 Blueprint Health EPO 29678NE1480006 No
HeartlandBlue Bronze Standard 7500 Blueprint Health EPO 29678NE1490006 No
HeartlandBlue Bronze Standard 7500 Blueprint Health EPO 29678NE1500006 No
HeartlandBlue Bronze Standard 7500 NEtwork Blue EPO 29678NE1450006 No
HeartlandBlue Bronze Standard 7500 NEtwork Blue PPO PPO 29678NE1510006 No
HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice EPO 29678NE1460006 No
HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice EPO 29678NE1470006 No
HeartlandBlue Bronze Standard 7500 Premier Select BlueChoice EPO 29678NE1520006 No
HeartlandBlue Gold $0 Deductible NEtwork Blue EPO 29678NE1450012 No
HeartlandBlue Gold $0 Deductible NEtwork Blue PPO PPO 29678NE1510012 No
HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue EPO 29678NE1450011 No
HeartlandBlue Gold $0 PCP Visit 1500 NEtwork Blue PPO PPO 29678NE1510011 No
HeartlandBlue Gold Standard 1500 Blueprint Health EPO 29678NE1480013 No
HeartlandBlue Gold Standard 1500 Blueprint Health EPO 29678NE1490013 No
HeartlandBlue Gold Standard 1500 Blueprint Health EPO 29678NE1500013 No
HeartlandBlue Gold Standard 1500 NEtwork Blue EPO 29678NE1450013 No
HeartlandBlue Gold Standard 1500 NEtwork Blue PPO PPO 29678NE1510013 No
HeartlandBlue Gold Standard 1500 Premier Select BlueChoice EPO 29678NE1460013 No
HeartlandBlue Gold Standard 1500 Premier Select BlueChoice EPO 29678NE1470013 No
HeartlandBlue Gold Standard 1500 Premier Select BlueChoice EPO 29678NE1520013 No
HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue EPO 29678NE1450009 No
HeartlandBlue Silver $0 Mental Health Visit 6000 NEtwork Blue PPO PPO 29678NE1510009 No
HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue EPO 29678NE1450008 No
HeartlandBlue Silver $0 PCP Visit 4500 NEtwork Blue PPO PPO 29678NE1510008 No
HeartlandBlue Silver Standard 5000 Blueprint Health EPO 29678NE1480010 No
HeartlandBlue Silver Standard 5000 Blueprint Health EPO 29678NE1490010 No
HeartlandBlue Silver Standard 5000 Blueprint Health EPO 29678NE1500010 No
HeartlandBlue Silver Standard 5000 NEtwork Blue EPO 29678NE1450010 No
HeartlandBlue Silver Standard 5000 NEtwork Blue PPO PPO 29678NE1510010 No
HeartlandBlue Silver Standard 5000 Premier Select BlueChoice EPO 29678NE1460010 No
HeartlandBlue Silver Standard 5000 Premier Select BlueChoice EPO 29678NE1470010 No
HeartlandBlue Silver Standard 5000 Premier Select BlueChoice EPO 29678NE1520010 No

Blue Cross and Blue Shield of Oklahoma

Plan Name Plan Type Plan ID Dental Only Plan?
Blue Advantage Bronze PPO? 202 PPO 87571OK0350070 No
Blue Advantage Bronze PPO? 202 PPO 87571OK0350091 No
Blue Advantage Bronze PPO? 202 PPO 87571OK0350092 No
Blue Advantage Bronze PPO? 202 PPO 87571OK0350093 No
Blue Advantage Bronze PPO? 202 PPO 87571OK0350094 No
Blue Advantage Bronze PPO? 203 PPO 87571OK0350068 No
Blue Advantage Bronze PPO? 203 PPO 87571OK0350083 No
Blue Advantage Bronze PPO? 203 PPO 87571OK0350084 No
Blue Advantage Bronze PPO? 203 PPO 87571OK0350085 No
Blue Advantage Bronze PPO? 203 PPO 87571OK0350086 No
Blue Advantage Bronze PPO? Standard PPO 87571OK0350176 No
Blue Advantage Bronze PPO? Standard PPO 87571OK0350219 No
Blue Advantage Bronze PPO? Standard PPO 87571OK0350220 No
Blue Advantage Bronze PPO? Standard PPO 87571OK0350221 No
Blue Advantage Bronze PPO? Standard PPO 87571OK0350222 No
Blue Advantage Gold PPO? 309 PPO 87571OK0350097 No
Blue Advantage Gold PPO? 309 PPO 87571OK0350106 No
Blue Advantage Gold PPO? 309 PPO 87571OK0350107 No
Blue Advantage Gold PPO? 309 PPO 87571OK0350108 No
Blue Advantage Gold PPO? 309 PPO 87571OK0350109 No
Blue Advantage Gold PPO? 604 PPO 87571OK0350118 No
Blue Advantage Gold PPO? 604 PPO 87571OK0350127 No
Blue Advantage Gold PPO? 604 PPO 87571OK0350128 No
Blue Advantage Gold PPO? 604 PPO 87571OK0350129 No
Blue Advantage Gold PPO? 604 PPO 87571OK0350130 No
Blue Advantage Gold PPO? Standard PPO 87571OK0350178 No
Blue Advantage Gold PPO? Standard PPO 87571OK0350227 No
Blue Advantage Gold PPO? Standard PPO 87571OK0350228 No
Blue Advantage Gold PPO? Standard PPO 87571OK0350229 No
Blue Advantage Gold PPO? Standard PPO 87571OK0350230 No
Blue Advantage Silver PPO? 204 PPO 87571OK0350069 No
Blue Advantage Silver PPO? 204 PPO 87571OK0350087 No
Blue Advantage Silver PPO? 204 PPO 87571OK0350088 No
Blue Advantage Silver PPO? 204 PPO 87571OK0350089 No
Blue Advantage Silver PPO? 204 PPO 87571OK0350090 No
Blue Advantage Silver PPO? 501 PPO 87571OK0350115 No
Blue Advantage Silver PPO? Standard PPO 87571OK0350177 No
Blue Advantage Silver PPO? Standard PPO 87571OK0350223 No
Blue Advantage Silver PPO? Standard PPO 87571OK0350224 No
Blue Advantage Silver PPO? Standard PPO 87571OK0350225 No
Blue Advantage Silver PPO? Standard PPO 87571OK0350226 No
Blue Preferred Bronze PPO? Standard PPO 87571OK0350173 No
Blue Preferred Bronze PPO? Standard PPO 87571OK0350191 No
Blue Preferred Bronze PPO? Standard PPO 87571OK0350192 No
Blue Preferred Bronze PPO? Standard PPO 87571OK0350193 No
Blue Preferred Bronze PPO? Standard PPO 87571OK0350194 No
Blue Preferred Gold PPO? Standard PPO 87571OK0350171 No
Blue Preferred Gold PPO? Standard PPO 87571OK0350199 No
Blue Preferred Gold PPO? Standard PPO 87571OK0350200 No
Blue Preferred Gold PPO? Standard PPO 87571OK0350201 No
Blue Preferred Gold PPO? Standard PPO 87571OK0350202 No
Blue Preferred Security PPO? 200 PPO 87571OK0350165 No
Blue Preferred Security PPO? 200 PPO 87571OK0350203 No
Blue Preferred Security PPO? 200 PPO 87571OK0350204 No
Blue Preferred Security PPO? 200 PPO 87571OK0350205 No
Blue Preferred Security PPO? 200 PPO 87571OK0350206 No
Blue Preferred Silver PPO? Standard PPO 87571OK0350172 No
Blue Preferred Silver PPO? Standard PPO 87571OK0350215 No
Blue Preferred Silver PPO? Standard PPO 87571OK0350216 No
Blue Preferred Silver PPO? Standard PPO 87571OK0350217 No
Blue Preferred Silver PPO? Standard PPO 87571OK0350218 No
MyBlue Gold HMO? 704 HMO 87571OK0510057 No
MyBlue Gold HMO? 704 HMO 87571OK0510060 No
MyBlue Gold HMO? 804 HMO 87571OK0510071 No
MyBlue Gold HMO? 804 HMO 87571OK0510073 No
MyBlue Gold HMO? Standard HMO 87571OK0510063 No
MyBlue Gold HMO? Standard HMO 87571OK0510066 No
MyBlue Silver HMO? 705 HMO 87571OK0510058 No
MyBlue Silver HMO? 705 HMO 87571OK0510061 No
MyBlue Silver HMO? 803 HMO 87571OK0510070 No
MyBlue Silver HMO? 803 HMO 87571OK0510072 No
MyBlue Silver HMO? Standard HMO 87571OK0510064 No
MyBlue Silver HMO? Standard HMO 87571OK0510067 No

Blue Cross and Blue Shield of Texas

Plan Name Plan Type Plan ID Dental Only Plan?
Blue Advantage Bronze HMO? 204 HMO 33602TX0460554 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460705 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460706 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460707 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460708 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460709 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460710 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460711 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460712 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460713 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460714 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460715 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460716 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460717 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460718 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460719 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460721 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460722 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460723 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460724 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460725 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460726 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460727 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460728 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0460869 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0461073 No
Blue Advantage Bronze HMO? 204 HMO 33602TX0461074 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460782 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460783 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460787 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460792 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460793 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460794 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460795 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460797 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460799 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460801 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460802 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460803 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460804 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460806 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0460871 No
Blue Advantage Bronze HMO? 301 HMO 33602TX0461076 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461033 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461034 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461035 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461036 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461037 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461038 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461039 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461040 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461041 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461042 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461043 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461044 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461045 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461046 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461047 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461048 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461049 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461050 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461051 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461052 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461053 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461054 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461055 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461056 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461057 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461058 No
Blue Advantage Bronze HMO? Standard HMO 33602TX0461079 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460548 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460555 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460556 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460557 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460558 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460559 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460560 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460561 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460562 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460563 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460564 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460565 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460566 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460567 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460568 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460569 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460571 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460572 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460573 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460574 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460575 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460576 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460577 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460578 No
Blue Advantage Gold HMO? 206 HMO 33602TX0460863 No
Blue Advantage Gold HMO? 206 HMO 33602TX0461061 No
Blue Advantage Gold HMO? 206 HMO 33602TX0461062 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460809 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460814 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460819 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460820 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460821 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460822 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460824 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460826 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460828 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460829 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460830 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460831 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460833 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460860 No
Blue Advantage Gold HMO? 603 HMO 33602TX0460865 No
Blue Advantage Gold HMO? 603 HMO 33602TX0461066 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460925 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460928 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460929 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460930 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460931 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460932 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460933 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460934 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460935 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460936 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460937 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460938 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460939 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460940 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460941 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460942 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460943 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460944 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460945 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460946 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460947 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460948 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460949 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460950 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460951 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460952 No
Blue Advantage Gold HMO? Standard HMO 33602TX0460953 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870002 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870038 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870039 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870040 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870041 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870042 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870043 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870044 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870045 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870046 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870047 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870048 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870049 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870050 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870051 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870052 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870053 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870054 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870055 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870056 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870057 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870058 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870059 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870060 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870061 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870062 No
Blue Advantage Plus Bronze? 303 POS 33602TX0870063 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870003 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870064 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870065 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870066 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870067 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870068 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870069 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870070 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870071 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870072 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870073 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870074 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870075 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870076 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870077 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870078 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870079 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870080 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870081 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870082 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870083 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870084 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870085 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870086 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870087 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870088 No
Blue Advantage Plus Bronze? 305 POS 33602TX0870089 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870004 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870090 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870091 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870092 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870093 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870094 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870095 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870096 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870097 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870098 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870099 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870100 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870101 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870102 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870103 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870104 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870105 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870106 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870107 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870108 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870109 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870110 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870111 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870112 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870113 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870114 No
Blue Advantage Plus Bronze? Standard POS 33602TX0870115 No
Blue Advantage Plus Gold? 203 POS 33602TX0870005 No
Blue Advantage Plus Gold? 203 POS 33602TX0870116 No
Blue Advantage Plus Gold? 203 POS 33602TX0870117 No
Blue Advantage Plus Gold? 203 POS 33602TX0870118 No
Blue Advantage Plus Gold? 203 POS 33602TX0870119 No
Blue Advantage Plus Gold? 203 POS 33602TX0870120 No
Blue Advantage Plus Gold? 203 POS 33602TX0870121 No
Blue Advantage Plus Gold? 203 POS 33602TX0870122 No
Blue Advantage Plus Gold? 203 POS 33602TX0870123 No
Blue Advantage Plus Gold? 203 POS 33602TX0870124 No
Blue Advantage Plus Gold? 203 POS 33602TX0870125 No
Blue Advantage Plus Gold? 203 POS 33602TX0870126 No
Blue Advantage Plus Gold? 203 POS 33602TX0870127 No
Blue Advantage Plus Gold? 203 POS 33602TX0870128 No
Blue Advantage Plus Gold? 203 POS 33602TX0870129 No
Blue Advantage Plus Gold? 203 POS 33602TX0870130 No
Blue Advantage Plus Gold? 203 POS 33602TX0870131 No
Blue Advantage Plus Gold? 203 POS 33602TX0870132 No
Blue Advantage Plus Gold? 203 POS 33602TX0870133 No
Blue Advantage Plus Gold? 203 POS 33602TX0870134 No
Blue Advantage Plus Gold? 203 POS 33602TX0870135 No
Blue Advantage Plus Gold? 203 POS 33602TX0870136 No
Blue Advantage Plus Gold? 203 POS 33602TX0870137 No
Blue Advantage Plus Gold? 203 POS 33602TX0870138 No
Blue Advantage Plus Gold? 203 POS 33602TX0870139 No
Blue Advantage Plus Gold? 203 POS 33602TX0870140 No
Blue Advantage Plus Gold? 203 POS 33602TX0870141 No
Blue Advantage Plus Gold? 803 POS 33602TX0870011 No
Blue Advantage Plus Gold? 803 POS 33602TX0870272 No
Blue Advantage Plus Gold? 803 POS 33602TX0870273 No
Blue Advantage Plus Gold? 803 POS 33602TX0870274 No
Blue Advantage Plus Gold? 803 POS 33602TX0870275 No
Blue Advantage Plus Gold? 803 POS 33602TX0870276 No
Blue Advantage Plus Gold? 803 POS 33602TX0870277 No
Blue Advantage Plus Gold? 803 POS 33602TX0870278 No
Blue Advantage Plus Gold? 803 POS 33602TX0870279 No
Blue Advantage Plus Gold? 803 POS 33602TX0870280 No
Blue Advantage Plus Gold? 803 POS 33602TX0870281 No
Blue Advantage Plus Gold? 803 POS 33602TX0870282 No
Blue Advantage Plus Gold? 803 POS 33602TX0870283 No
Blue Advantage Plus Gold? 803 POS 33602TX0870284 No
Blue Advantage Plus Gold? 803 POS 33602TX0870285 No
Blue Advantage Plus Gold? 803 POS 33602TX0870286 No
Blue Advantage Plus Gold? 803 POS 33602TX0870287 No
Blue Advantage Plus Gold? 803 POS 33602TX0870288 No
Blue Advantage Plus Gold? 803 POS 33602TX0870289 No
Blue Advantage Plus Gold? 803 POS 33602TX0870290 No
Blue Advantage Plus Gold? 803 POS 33602TX0870291 No
Blue Advantage Plus Gold? 803 POS 33602TX0870292 No
Blue Advantage Plus Gold? 803 POS 33602TX0870293 No
Blue Advantage Plus Gold? 803 POS 33602TX0870294 No
Blue Advantage Plus Gold? 803 POS 33602TX0870295 No
Blue Advantage Plus Gold? 803 POS 33602TX0870296 No
Blue Advantage Plus Gold? 803 POS 33602TX0870297 No
Blue Advantage Plus Gold? Standard POS 33602TX0870006 No
Blue Advantage Plus Gold? Standard POS 33602TX0870142 No
Blue Advantage Plus Gold? Standard POS 33602TX0870143 No
Blue Advantage Plus Gold? Standard POS 33602TX0870144 No
Blue Advantage Plus Gold? Standard POS 33602TX0870145 No
Blue Advantage Plus Gold? Standard POS 33602TX0870146 No
Blue Advantage Plus Gold? Standard POS 33602TX0870147 No
Blue Advantage Plus Gold? Standard POS 33602TX0870148 No
Blue Advantage Plus Gold? Standard POS 33602TX0870149 No
Blue Advantage Plus Gold? Standard POS 33602TX0870150 No
Blue Advantage Plus Gold? Standard POS 33602TX0870151 No
Blue Advantage Plus Gold? Standard POS 33602TX0870152 No
Blue Advantage Plus Gold? Standard POS 33602TX0870153 No
Blue Advantage Plus Gold? Standard POS 33602TX0870154 No
Blue Advantage Plus Gold? Standard POS 33602TX0870155 No
Blue Advantage Plus Gold? Standard POS 33602TX0870156 No
Blue Advantage Plus Gold? Standard POS 33602TX0870157 No
Blue Advantage Plus Gold? Standard POS 33602TX0870158 No
Blue Advantage Plus Gold? Standard POS 33602TX0870159 No
Blue Advantage Plus Gold? Standard POS 33602TX0870160 No
Blue Advantage Plus Gold? Standard POS 33602TX0870161 No
Blue Advantage Plus Gold? Standard POS 33602TX0870162 No
Blue Advantage Plus Gold? Standard POS 33602TX0870163 No
Blue Advantage Plus Gold? Standard POS 33602TX0870164 No
Blue Advantage Plus Gold? Standard POS 33602TX0870165 No
Blue Advantage Plus Gold? Standard POS 33602TX0870166 No
Blue Advantage Plus Gold? Standard POS 33602TX0870167 No
Blue Advantage Plus Silver? 202 POS 33602TX0870007 No
Blue Advantage Plus Silver? 202 POS 33602TX0870168 No
Blue Advantage Plus Silver? 202 POS 33602TX0870169 No
Blue Advantage Plus Silver? 202 POS 33602TX0870170 No
Blue Advantage Plus Silver? 202 POS 33602TX0870171 No
Blue Advantage Plus Silver? 202 POS 33602TX0870172 No
Blue Advantage Plus Silver? 202 POS 33602TX0870173 No
Blue Advantage Plus Silver? 202 POS 33602TX0870174 No
Blue Advantage Plus Silver? 202 POS 33602TX0870175 No
Blue Advantage Plus Silver? 202 POS 33602TX0870176 No
Blue Advantage Plus Silver? 202 POS 33602TX0870177 No
Blue Advantage Plus Silver? 202 POS 33602TX0870178 No
Blue Advantage Plus Silver? 202 POS 33602TX0870179 No
Blue Advantage Plus Silver? 202 POS 33602TX0870180 No
Blue Advantage Plus Silver? 202 POS 33602TX0870181 No
Blue Advantage Plus Silver? 202 POS 33602TX0870182 No
Blue Advantage Plus Silver? 202 POS 33602TX0870183 No
Blue Advantage Plus Silver? 202 POS 33602TX0870184 No
Blue Advantage Plus Silver? 202 POS 33602TX0870185 No
Blue Advantage Plus Silver? 202 POS 33602TX0870186 No
Blue Advantage Plus Silver? 202 POS 33602TX0870187 No
Blue Advantage Plus Silver? 202 POS 33602TX0870188 No
Blue Advantage Plus Silver? 202 POS 33602TX0870189 No
Blue Advantage Plus Silver? 202 POS 33602TX0870190 No
Blue Advantage Plus Silver? 202 POS 33602TX0870191 No
Blue Advantage Plus Silver? 202 POS 33602TX0870192 No
Blue Advantage Plus Silver? 202 POS 33602TX0870193 No
Blue Advantage Plus Silver? 605 POS 33602TX0870009 No
Blue Advantage Plus Silver? 605 POS 33602TX0870220 No
Blue Advantage Plus Silver? 605 POS 33602TX0870221 No
Blue Advantage Plus Silver? 605 POS 33602TX0870222 No
Blue Advantage Plus Silver? 605 POS 33602TX0870223 No
Blue Advantage Plus Silver? 605 POS 33602TX0870224 No
Blue Advantage Plus Silver? 605 POS 33602TX0870225 No
Blue Advantage Plus Silver? 605 POS 33602TX0870226 No
Blue Advantage Plus Silver? 605 POS 33602TX0870227 No
Blue Advantage Plus Silver? 605 POS 33602TX0870228 No
Blue Advantage Plus Silver? 605 POS 33602TX0870229 No
Blue Advantage Plus Silver? 605 POS 33602TX0870230 No
Blue Advantage Plus Silver? 605 POS 33602TX0870231 No
Blue Advantage Plus Silver? 605 POS 33602TX0870232 No
Blue Advantage Plus Silver? 605 POS 33602TX0870233 No
Blue Advantage Plus Silver? 605 POS 33602TX0870234 No
Blue Advantage Plus Silver? 605 POS 33602TX0870235 No
Blue Advantage Plus Silver? 605 POS 33602TX0870236 No
Blue Advantage Plus Silver? 605 POS 33602TX0870237 No
Blue Advantage Plus Silver? 605 POS 33602TX0870238 No
Blue Advantage Plus Silver? 605 POS 33602TX0870239 No
Blue Advantage Plus Silver? 605 POS 33602TX0870240 No
Blue Advantage Plus Silver? 605 POS 33602TX0870241 No
Blue Advantage Plus Silver? 605 POS 33602TX0870242 No
Blue Advantage Plus Silver? 605 POS 33602TX0870243 No
Blue Advantage Plus Silver? 605 POS 33602TX0870244 No
Blue Advantage Plus Silver? 605 POS 33602TX0870245 No
Blue Advantage Plus Silver? Standard POS 33602TX0870010 No
Blue Advantage Plus Silver? Standard POS 33602TX0870246 No
Blue Advantage Plus Silver? Standard POS 33602TX0870247 No
Blue Advantage Plus Silver? Standard POS 33602TX0870248 No
Blue Advantage Plus Silver? Standard POS 33602TX0870249 No
Blue Advantage Plus Silver? Standard POS 33602TX0870250 No
Blue Advantage Plus Silver? Standard POS 33602TX0870251 No
Blue Advantage Plus Silver? Standard POS 33602TX0870252 No
Blue Advantage Plus Silver? Standard POS 33602TX0870253 No
Blue Advantage Plus Silver? Standard POS 33602TX0870254 No
Blue Advantage Plus Silver? Standard POS 33602TX0870255 No
Blue Advantage Plus Silver? Standard POS 33602TX0870256 No
Blue Advantage Plus Silver? Standard POS 33602TX0870257 No
Blue Advantage Plus Silver? Standard POS 33602TX0870258 No
Blue Advantage Plus Silver? Standard POS 33602TX0870259 No
Blue Advantage Plus Silver? Standard POS 33602TX0870260 No
Blue Advantage Plus Silver? Standard POS 33602TX0870261 No
Blue Advantage Plus Silver? Standard POS 33602TX0870262 No
Blue Advantage Plus Silver? Standard POS 33602TX0870263 No
Blue Advantage Plus Silver? Standard POS 33602TX0870264 No
Blue Advantage Plus Silver? Standard POS 33602TX0870265 No
Blue Advantage Plus Silver? Standard POS 33602TX0870266 No
Blue Advantage Plus Silver? Standard POS 33602TX0870267 No
Blue Advantage Plus Silver? Standard POS 33602TX0870268 No
Blue Advantage Plus Silver? Standard POS 33602TX0870269 No
Blue Advantage Plus Silver? Standard POS 33602TX0870270 No
Blue Advantage Plus Silver? Standard POS 33602TX0870271 No
Blue Advantage Security HMO? 200 HMO 33602TX0460552 No
Blue Advantage Security HMO? 200 HMO 33602TX0460655 No
Blue Advantage Security HMO? 200 HMO 33602TX0460656 No
Blue Advantage Security HMO? 200 HMO 33602TX0460657 No
Blue Advantage Security HMO? 200 HMO 33602TX0460658 No
Blue Advantage Security HMO? 200 HMO 33602TX0460659 No
Blue Advantage Security HMO? 200 HMO 33602TX0460660 No
Blue Advantage Security HMO? 200 HMO 33602TX0460661 No
Blue Advantage Security HMO? 200 HMO 33602TX0460662 No
Blue Advantage Security HMO? 200 HMO 33602TX0460663 No
Blue Advantage Security HMO? 200 HMO 33602TX0460664 No
Blue Advantage Security HMO? 200 HMO 33602TX0460665 No
Blue Advantage Security HMO? 200 HMO 33602TX0460666 No
Blue Advantage Security HMO? 200 HMO 33602TX0460667 No
Blue Advantage Security HMO? 200 HMO 33602TX0460668 No
Blue Advantage Security HMO? 200 HMO 33602TX0460669 No
Blue Advantage Security HMO? 200 HMO 33602TX0460671 No
Blue Advantage Security HMO? 200 HMO 33602TX0460672 No
Blue Advantage Security HMO? 200 HMO 33602TX0460673 No
Blue Advantage Security HMO? 200 HMO 33602TX0460674 No
Blue Advantage Security HMO? 200 HMO 33602TX0460675 No
Blue Advantage Security HMO? 200 HMO 33602TX0460676 No
Blue Advantage Security HMO? 200 HMO 33602TX0460677 No
Blue Advantage Security HMO? 200 HMO 33602TX0460678 No
Blue Advantage Security HMO? 200 HMO 33602TX0460872 No
Blue Advantage Security HMO? 200 HMO 33602TX0461077 No
Blue Advantage Security HMO? 200 HMO 33602TX0461078 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460553 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460680 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460681 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460682 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460683 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460684 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460685 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460686 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460687 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460688 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460689 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460690 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460691 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460692 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460693 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460694 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460696 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460697 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460698 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460699 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460700 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460701 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460702 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460703 No
Blue Advantage Silver HMO? 205 HMO 33602TX0460867 No
Blue Advantage Silver HMO? 205 HMO 33602TX0461069 No
Blue Advantage Silver HMO? 205 HMO 33602TX0461070 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461083 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461090 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461094 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461099 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461100 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461101 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461102 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461104 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461105 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461107 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461108 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461109 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461110 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461112 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461114 No
Blue Advantage Silver HMO? 801 HMO 33602TX0461115 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460926 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460954 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460955 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460956 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460957 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460958 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460959 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460960 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460961 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460962 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460963 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460964 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460965 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460966 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460967 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460968 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460969 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460970 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460971 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460972 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460973 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460974 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460975 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460976 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460977 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460978 No
Blue Advantage Silver HMO? Standard HMO 33602TX0460979 No
MyBlue Health Bronze? 402 HMO 33602TX0461080 No
MyBlue Health Bronze? 402 HMO 33602TX0461116 No
MyBlue Health Bronze? 402 HMO 33602TX0461117 No
MyBlue Health Bronze? 402 HMO 33602TX0461118 No
MyBlue Health Bronze? 402 HMO 33602TX0461119 No
MyBlue Health Bronze? 402 HMO 33602TX0461120 No
MyBlue Health Bronze? 402 HMO 33602TX0461121 No
MyBlue Health Bronze? 402 HMO 33602TX0461122 No
MyBlue Health Bronze? 402 HMO 33602TX0461179 No
MyBlue Health Bronze? 402 HMO 33602TX0461196 No
MyBlue Health Bronze? 402 HMO 33602TX0461197 No
MyBlue Health Bronze? Standard HMO 33602TX0461087 No
MyBlue Health Bronze? Standard HMO 33602TX0461159 No
MyBlue Health Bronze? Standard HMO 33602TX0461160 No
MyBlue Health Bronze? Standard HMO 33602TX0461161 No
MyBlue Health Bronze? Standard HMO 33602TX0461163 No
MyBlue Health Bronze? Standard HMO 33602TX0461164 No
MyBlue Health Bronze? Standard HMO 33602TX0461185 No
MyBlue Health Bronze? Standard HMO 33602TX0461198 No
MyBlue Health Bronze? Standard HMO 33602TX0461199 No
MyBlue Health Gold? 403 HMO 33602TX0461081 No
MyBlue Health Gold? 403 HMO 33602TX0461123 No
MyBlue Health Gold? 403 HMO 33602TX0461124 No
MyBlue Health Gold? 403 HMO 33602TX0461125 No
MyBlue Health Gold? 403 HMO 33602TX0461126 No
MyBlue Health Gold? 403 HMO 33602TX0461127 No
MyBlue Health Gold? 403 HMO 33602TX0461128 No
MyBlue Health Gold? 403 HMO 33602TX0461129 No
MyBlue Health Gold? 403 HMO 33602TX0461180 No
MyBlue Health Gold? 403 HMO 33602TX0461200 No
MyBlue Health Gold? 403 HMO 33602TX0461201 No
MyBlue Health Gold? Standard HMO 33602TX0461088 No
MyBlue Health Gold? Standard HMO 33602TX0461166 No
MyBlue Health Gold? Standard HMO 33602TX0461167 No
MyBlue Health Gold? Standard HMO 33602TX0461168 No
MyBlue Health Gold? Standard HMO 33602TX0461170 No
MyBlue Health Gold? Standard HMO 33602TX0461171 No
MyBlue Health Gold? Standard HMO 33602TX0461186 No
MyBlue Health Gold? Standard HMO 33602TX0461202 No
MyBlue Health Gold? Standard HMO 33602TX0461203 No
MyBlue Health Silver? 405 HMO 33602TX0461082 No
MyBlue Health Silver? 405 HMO 33602TX0461130 No
MyBlue Health Silver? 405 HMO 33602TX0461131 No
MyBlue Health Silver? 405 HMO 33602TX0461132 No
MyBlue Health Silver? 405 HMO 33602TX0461133 No
MyBlue Health Silver? 405 HMO 33602TX0461134 No
MyBlue Health Silver? 405 HMO 33602TX0461135 No
MyBlue Health Silver? 405 HMO 33602TX0461136 No
MyBlue Health Silver? 405 HMO 33602TX0461181 No
MyBlue Health Silver? 405 HMO 33602TX0461204 No
MyBlue Health Silver? 405 HMO 33602TX0461205 No
MyBlue Health Silver? Standard HMO 33602TX0461089 No
MyBlue Health Silver? Standard HMO 33602TX0461173 No
MyBlue Health Silver? Standard HMO 33602TX0461174 No
MyBlue Health Silver? Standard HMO 33602TX0461175 No
MyBlue Health Silver? Standard HMO 33602TX0461177 No
MyBlue Health Silver? Standard HMO 33602TX0461178 No
MyBlue Health Silver? Standard HMO 33602TX0461187 No
MyBlue Health Silver? Standard HMO 33602TX0461208 No
MyBlue Health Silver? Standard HMO 33602TX0461209 No

Blue Cross Blue Shield of North Dakota

Plan Name Plan Type Plan ID Dental Only Plan?
BlueCare Gold $25 PCP Copay ($5 Value Based Drug List) PPO 37160ND2410005 No
BlueCare Silver $45 PCP Copay ($5 Value Based Drug List) PPO 37160ND2410002 No
BlueDirect Bronze 100 HSA Eligible ($7500 Deductible / $5 Preventive Drug List) PPO 37160ND2410020 No
BlueDirect Gold 90 HSA Eligible ($2600 Deductible / $5 Preventive Drug List) PPO 37160ND2410022 No
BlueDirect Silver 80 HSA Eligible ($3500 Deductible / $5 Preventive Drug List) PPO 37160ND2410014 No
BlueEssential Catastrophic 100 $9200 Deductible PPO 37160ND2410021 No
BlueValue Bronze $50 PCP Copay (Standardized plan) PPO 37160ND2410028 No
BlueValue Gold $30 PCP Copay (Standardized plan) PPO 37160ND2410026 No
BlueValue Silver $40 PCP Copay (Standardized plan) PPO 37160ND2410027 No
DakotaBlue Altru Gold ($5 Value Based Drug List) PPO 37160ND2480001 No
DakotaBlue Altru Silver ($5 Value Based Drug List) PPO 37160ND2480003 No
DakotaBlue Trinity Gold ($5 Value Based Drug List) PPO 37160ND2480009 No
DakotaBlue Trinity Silver ($5 Value Based Drug List) PPO 37160ND2480010 No

Blue Cross Blue Shield of Wyoming

Plan Name Plan Type Plan ID Dental Only Plan?
BlueSelect Bronze Basic PPO 11269WY0070026 No
BlueSelect Bronze Core PPO 11269WY0070004 No
BlueSelect Expanded Bronze Standard without Kid's Dental PPO 11269WY0170020 No
BlueSelect Gold Core PPO 11269WY0070025 No
BlueSelect Gold HealthPlus PPO 11269WY0070013 No
BlueSelect Gold Standard without Kid's Dental PPO 11269WY0170017 No
BlueSelect Silver Classic PPO 11269WY0070014 No
BlueSelect Silver Classic without Kid's Dental PPO 11269WY0170016 No
BlueSelect Silver HealthPlus PPO 11269WY0070016 No
BlueSelect Silver HealthPlus without Kid's Dental PPO 11269WY0170021 No
BlueSelect Silver Standard without Kid's Dental PPO 11269WY0170018 No

Dean Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
Dean Bronze $0 Copay PCP Visits HMO 38345WI0010183 No
Dean Bronze Share HMO 38345WI0010186 No
Dean Catastrophic HMO 38345WI0010063 No
Dean Expanded Bronze Standard HMO 38345WI0010164 No
Dean Focus Bronze $0 Copay PCP Visits EPO 38345WI0080073 No
Dean Focus Bronze Share EPO 38345WI0080076 No
Dean Focus Catastrophic EPO 38345WI0080064 No
Dean Focus Expanded Bronze Standard EPO 38345WI0080070 No
Dean Focus Gold HSA EPO 38345WI0080063 No
Dean Focus Gold Share EPO 38345WI0080074 No
Dean Focus Gold Standard EPO 38345WI0080068 No
Dean Focus Silver $0 Copay PCP Visits EPO 38345WI0080072 No
Dean Focus Silver Share EPO 38345WI0080075 No
Dean Focus Silver Standard EPO 38345WI0080069 No
Dean Gold HSA HMO 38345WI0010158 No
Dean Gold Share HMO 38345WI0010184 No
Dean Gold Standard HMO 38345WI0010162 No
Dean Silver $0 Copay PCP Visits HMO 38345WI0010182 No
Dean Silver Share HMO 38345WI0010185 No
Dean Silver Standard HMO 38345WI0010163 No
Prevea360 Bronze HSA HMO 38345WI0240009 No
Prevea360 Bronze Share HMO 38345WI0240022 No
Prevea360 Catastrophic HMO 38345WI0240010 No
Prevea360 Expanded Bronze Standard HMO 38345WI0240017 No
Prevea360 Gold HSA HMO 38345WI0240011 No
Prevea360 Gold Share HMO 38345WI0240020 No
Prevea360 Gold Standard HMO 38345WI0240015 No
Prevea360 Silver $0 Copay PCP Visits HMO 38345WI0240019 No
Prevea360 Silver Share HMO 38345WI0240021 No
Prevea360 Silver Standard HMO 38345WI0240016 No

Florida Blue (BlueCross BlueShield FL)

Plan Name Plan Type Plan ID Dental Only Plan?
BlueOptions Bronze (HSA) 24J01-10 (Rewards / $4 Condition Care Rx) PPO 16842FL0260010 No
BlueOptions Bronze 24J01-04 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) PPO 16842FL0260004 No
BlueOptions Bronze 24J01-06 ($0 Virtual PCP Visits / Rewards) PPO 16842FL0260006 No
BlueOptions Bronze 24J01-17 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) PPO 16842FL0260017 No
BlueOptions Bronze 24J01-18S (Multilingual Available / Rewards) PPO 16842FL0260018 No
BlueOptions Gold 24J01-09 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) PPO 16842FL0260009 No
BlueOptions Gold 24J01-12 ($0 Virtual PCP Visits / $15 Labs / Rewards) PPO 16842FL0260012 No
BlueOptions Gold 24J01-20S ($30 PCP Visits / Multilingual Available / Rewards) PPO 16842FL0260020 No
BlueOptions Platinum 24J01-05 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) PPO 16842FL0260005 No
BlueOptions Platinum 24J01-08 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) PPO 16842FL0260008 No
BlueOptions Platinum 24J01-21S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) PPO 16842FL0260021 No
BlueOptions Silver 24J01-03 ($0 Virtual PCP Visits / $0 Labs / Rewards) PPO 16842FL0260003 No
BlueOptions Silver 24J01-07 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) PPO 16842FL0260007 No
BlueOptions Silver 24J01-19S ($40 PCP Visits / Multilingual Available / Rewards) PPO 16842FL0260019 No
BlueSelect Bronze (HSA) 1735 (Rewards / $4 Condition Care Rx) EPO 16842FL0120078 No
BlueSelect Bronze 1449 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) EPO 16842FL0120068 No
BlueSelect Bronze 2139 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) EPO 16842FL0120091 No
BlueSelect Bronze 2139E ($0 Virtual PCP Visits / $50 PCP Visits / Adult Dental & Vision / Rewards) EPO 16842FL0320014 No
BlueSelect Bronze 2139V ($0 Virtual PCP Visits / $50 PCP Visits / Adult Vision / Rewards) EPO 16842FL0310014 No
BlueSelect Bronze 2342S ($50 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120093 No
BlueSelect Bronze 24L01-01 ($0 Virtual PCP Visits / Rewards) EPO 16842FL0120001 No
BlueSelect Gold 1535 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) EPO 16842FL0120076 No
BlueSelect Gold 1535V ($0 Virtual PCP Visits / $15 PCP Visits / Adult Vision / Rewards) EPO 16842FL0310001 No
BlueSelect Gold 1835 ($0 Virtual PCP Visits / $15 Labs / Rewards) EPO 16842FL0120086 No
BlueSelect Gold 2344S ($30 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120095 No
BlueSelect Platinum 1451 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) EPO 16842FL0120062 No
BlueSelect Platinum 1457 ($0 Deductible / $0 Virtual PCP Visits / $10 PCP Visits / Rewards) EPO 16842FL0120070 No
BlueSelect Platinum 2345S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) EPO 16842FL0120096 No
BlueSelect Silver 1443 ($0 Virtual PCP Visits / $0 Labs / Rewards) EPO 16842FL0120072 No
BlueSelect Silver 1443E ($0 Virtual PCP Visits / $0 Labs / Adult Dental & Vision / Rewards) EPO 16842FL0320004 No
BlueSelect Silver 1443V ($0 Virtual PCP Visits / $0 Labs / Adult Vision / Rewards) EPO 16842FL0310004 No
BlueSelect Silver 1456 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) EPO 16842FL0120033 No
BlueSelect Silver 2343S ($40 PCP Visits / Multilingual Available / Rewards) EPO 16842FL0120094 No

Florida Blue HMO (a BlueCross BlueShield FL company)

Plan Name Plan Type Plan ID Dental Only Plan?
BlueCare Bronze (HSA) 24K01-09 (Rewards / $4 Condition Care Rx) POS 30252FL0140009 No
BlueCare Bronze 24K01-03 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) POS 30252FL0140003 No
BlueCare Bronze 24K01-05 ($0 Virtual PCP Visits / Rewards) POS 30252FL0140005 No
BlueCare Bronze 24K01-25 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140025 No
BlueCare Bronze 24K01-31S (Multilingual Available / Rewards) POS 30252FL0140031 No
BlueCare Bronze 24K02-17 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $55 / Rewards) POS 30252FL0140017 No
BlueCare Bronze 24K02-18 ($0 Virtual PCP Visits / Rewards) POS 30252FL0140018 No
BlueCare Bronze 24K02-23 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140023 No
BlueCare Bronze 24K02-26S (Multilingual Available / Rewards) POS 30252FL0140026 No
BlueCare Gold 24K01-08 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) POS 30252FL0140008 No
BlueCare Gold 24K01-10 ($0 Virtual PCP Visits / $15 Labs / Rewards) POS 30252FL0140010 No
BlueCare Gold 24K01-33S ($30 PCP Visits / Multilingual Available/ Rewards) POS 30252FL0140033 No
BlueCare Gold 24K02-20 ($0 Virtual PCP Visits / $15 PCP Visits / Rewards) POS 30252FL0140020 No
BlueCare Gold 24K02-28S ($30 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140028 No
BlueCare Platinum 24K01-04 ($0 Virtual PCP Visits / $0 Labs / $15 PCP Visits / Rewards) POS 30252FL0140004 No
BlueCare Platinum 24K01-07 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) POS 30252FL0140007 No
BlueCare Platinum 24K01-34S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) POS 30252FL0140034 No
BlueCare Platinum 24K02-15 ($0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) POS 30252FL0140015 No
BlueCare Platinum 24K02-29S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) POS 30252FL0140029 No
BlueCare Silver 24K01-02 ($0 Virtual PCP Visits / $0 Labs / Rewards) POS 30252FL0140002 No
BlueCare Silver 24K01-06 ($0 Virtual PCP Visits / $50 PCP Visits / Rewards) POS 30252FL0140006 No
BlueCare Silver 24K01-32S ($40 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140032 No
BlueCare Silver 24K02-21 ($0 Virtual PCP Visits / $0 Labs / Rewards) POS 30252FL0140021 No
BlueCare Silver 24K02-27S ($40 PCP Visits / Multilingual Available / Rewards) POS 30252FL0140027 No

Medica

Plan Name Plan Type Plan ID Dental Only Plan?
WellFirst by Medica Bronze $0 Copay PCP Visits EPO 47840MO0010021 No
WellFirst by Medica Bronze Share EPO 47840MO0010022 No
WellFirst by Medica Catastrophic EPO 47840MO0010010 No
WellFirst by Medica Expanded Bronze Standard EPO 47840MO0010017 No
WellFirst by Medica Gold $0 Copay PCP Visits EPO 47840MO0010019 No
WellFirst by Medica Gold Copay Plus EPO 47840MO0010001 No
WellFirst by Medica Gold Standard EPO 47840MO0010015 No
WellFirst by Medica Silver $0 Copay PCP Visits EPO 47840MO0010020 No
WellFirst by Medica Silver Copay Plus EPO 47840MO0010002 No
WellFirst by Medica Silver Standard EPO 47840MO0010016 No

Primewell Health Services of Mississippi

Plan Name Plan Type Plan ID Dental Only Plan?
Essential Bronze 6500 POS 14624MS0010001 No
Essential Gold 1500 POS 14624MS0010002 No
Freedom Silver 4000 POS 14624MS0010004 No
Savings Bronze 7700 POS 14624MS0010006 No
Standard Bronze 7500 POS 14624MS0010009 No
Standard Gold 1500 POS 14624MS0010007 No
Standard Silver 5000 POS 14624MS0010008 No

Sanford Health Plan

Plan Name Plan Type Plan ID Dental Only Plan?
Sanford Individual Simplicity $1,750 PPO 31195SD0110001 No
Sanford Individual Simplicity $1,750 PPO 89364ND0120001 No
Sanford Individual Simplicity $3,500 PPO 31195SD0110003 No
Sanford Individual Simplicity $3,500 PPO 89364ND0120003 No
Sanford Individual Simplicity $4,750 PPO 31195SD0110005 No
Sanford Individual Simplicity $4,750 PPO 89364ND0120005 No
Sanford Individual Simplicity $6,000 PPO 31195SD0110007 No
Sanford Individual Simplicity $6,000 PPO 89364ND0120007 No
Sanford Individual Simplicity $7,100 HSA Qualified PPO 31195SD0110006 No
Sanford Individual Simplicity $7,100 HSA Qualified PPO 89364ND0120006 No
Sanford Individual Simplicity $9,200 PPO 31195SD0110009 No
Sanford Individual Simplicity $9,200 PPO 89364ND0120009 No
Sanford Individual Simplicity Standardized $1,500 PPO 31195SD0110018 No
Sanford Individual Simplicity Standardized $1,500 PPO 89364ND0120018 No
Sanford Individual Simplicity Standardized $5,000 PPO 31195SD0110017 No
Sanford Individual Simplicity Standardized $5,000 PPO 89364ND0120017 No
Sanford Individual Simplicity Standardized $7,500 PPO 31195SD0110016 No
Sanford Individual Simplicity Standardized $7,500 PPO 89364ND0120016 No
Sanford Individual TRUE $1,750 HMO 31195SD0080018 No
Sanford Individual TRUE $1,750 HMO 89364ND0090018 No
Sanford Individual TRUE $3,500 HMO 31195SD0080008 No
Sanford Individual TRUE $3,500 HMO 89364ND0090008 No
Sanford Individual TRUE $4,750 HMO 31195SD0080016 No
Sanford Individual TRUE $4,750 HMO 89364ND0090016 No
Sanford Individual TRUE $6,000 HMO 31195SD0080007 No
Sanford Individual TRUE $6,000 HMO 89364ND0090007 No
Sanford Individual TRUE $7,100 HSA Qualified HMO 31195SD0080009 No
Sanford Individual TRUE $7,100 HSA Qualified HMO 89364ND0090009 No
Sanford Individual TRUE $9,200 HMO 31195SD0080015 No
Sanford Individual TRUE $9,200 HMO 89364ND0090015 No
Sanford Individual TRUE Standardized $1,500 HMO 31195SD0080028 No
Sanford Individual TRUE Standardized $1,500 HMO 89364ND0090028 No
Sanford Individual TRUE Standardized $5,000 HMO 31195SD0080027 No
Sanford Individual TRUE Standardized $5,000 HMO 89364ND0090027 No
Sanford Individual TRUE Standardized $7,500 HMO 31195SD0080026 No
Sanford Individual TRUE Standardized $7,500 HMO 89364ND0090026 No