KAISER PERMANENTE PHARMACY #608
Accepted Insurance Health Plans for NPI 1144378985
Pharmacy - Community/Retail Pharmacy in Sacramento, CA
NPI Status: Active since January 08, 2007
Contact Information
7300 WYNDHAM DR
SACRAMENTO, CA
ZIP 95823
Phone: (916) 525-6025
Fax: (916) 525-6030
- Ambetter from Absolute Total Care
- Ambetter from Arizona Complete Health
- Ambetter from Arkansas Health & Wellness
- Ambetter from Home State Health
- Ambetter from Louisiana Healthcare Connections
- Ambetter from Magnolia Health
- Ambetter from Meridian
- Ambetter from Nebraska Total Care
- Ambetter from NH Healthy Families
- Ambetter from Sunflower Health Plan
- Ambetter from Superior HealthPlan
- Ambetter Health
- Ambetter Health of Delaware
- Ambetter of Alabama
- Ambetter of Illinois
- Ambetter of North Carolina
- Ambetter of Oklahoma
- Ambetter of Tennessee
- AvMed
- Blue Cross and Blue Shield of Illinois
- Blue Cross and Blue Shield of Montana
- Blue Cross and Blue Shield of Oklahoma
- Blue Cross and Blue Shield of Texas
- Blue Cross Blue Shield of North Dakota
- Blue Cross Blue Shield of Wyoming
- Chorus Community Health Plans
- CHRISTUS Health Plan
- Florida Blue (BlueCross BlueShield FL)
- Florida Blue HMO (a BlueCross BlueShield FL company)
- Highmark Blue Cross Blue Shield Delaware
- Highmark Blue Cross Blue Shield West Virginia
- Primewell Health Services of Mississippi
- Priority Health
- University of Michigan Health Plan
- WellCare of North Carolina
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by KAISER PERMANENTE PHARMACY #608. 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.
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear Silver | HMO | 79222SC0010023 | No |
Elite Bronze | HMO | 79222SC0010022 | No |
Elite Bronze + Vision + Adult Dental | HMO | 79222SC0020022 | No |
Elite Gold | HMO | 79222SC0010029 | No |
Elite Gold + Vision + Adult Dental | HMO | 79222SC0020030 | No |
Everyday Bronze | HMO | 79222SC0010011 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 79222SC0020011 | No |
Everyday Gold | HMO | 79222SC0010026 | No |
Everyday Gold + Vision + Adult Dental | HMO | 79222SC0020026 | No |
Focused Silver | HMO | 79222SC0010025 | No |
Focused Silver + Vision + Adult Dental | HMO | 79222SC0020025 | No |
Standard Expanded Bronze | HMO | 79222SC0010031 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 79222SC0020031 | No |
Standard Gold | HMO | 79222SC0010033 | No |
Standard Gold + Vision + Adult Dental | HMO | 79222SC0020033 | No |
Standard Silver | HMO | 79222SC0010032 | No |
Standard Silver + Vision + Adult Dental | HMO | 79222SC0020032 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Choice Bronze HSA | HMO | 91450AZ0080037 | No |
Choice Bronze HSA + Vision + Adult Dental | HMO | 91450AZ0180037 | No |
Clear Silver | HMO | 91450AZ0080097 | No |
Complete Gold | HMO | 91450AZ0080059 | No |
Complete Gold + Vision + Adult Dental | HMO | 91450AZ0180059 | No |
Complete Silver | HMO | 91450AZ0080044 | No |
Complete Silver + Vision + Adult Dental | HMO | 91450AZ0180044 | No |
Elite Gold | HMO | 91450AZ0080113 | No |
Elite Gold + Vision + Adult Dental | HMO | 91450AZ0180113 | No |
Everyday Bronze | HMO | 91450AZ0080119 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 91450AZ0180119 | No |
Standard Expanded Bronze | HMO | 91450AZ0080122 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 91450AZ0180104 | No |
Standard Gold | HMO | 91450AZ0080124 | No |
Standard Gold + Vision + Adult Dental | HMO | 91450AZ0180106 | No |
Standard Silver | HMO | 91450AZ0080123 | No |
Standard Silver + Vision + Adult Dental | HMO | 91450AZ0180105 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Choice Bronze HSA (QualChoice) | POS | 70525AR0070285 | No |
Complete Gold | PPO | 62141AR0080014 | No |
Complete Gold + Vision + Adult Dental | PPO | 62141AR0100014 | No |
Complete Silver (QualChoice) | POS | 70525AR0070001 | No |
Connected Silver | PPO | 62141AR0080007 | No |
Connected Silver (QualChoice) | POS | 70525AR0070261 | No |
Connected Silver (QualChoiceLife) | PPO | 37903AR0070025 | No |
Connected Silver + Vision + Adult Dental | PPO | 62141AR0100007 | No |
Elite Bronze | PPO | 62141AR0080026 | No |
Elite Bronze + Vision + Adult Dental | PPO | 62141AR0100026 | No |
Elite Gold (QualChoice) | POS | 70525AR0070268 | No |
Elite Gold (QualChoiceLife) | PPO | 37903AR0070031 | No |
Everyday Bronze | PPO | 62141AR0080017 | No |
Everyday Bronze + Vision + Adult Dental | PPO | 62141AR0100017 | No |
Everyday Gold | PPO | 62141AR0080030 | No |
Everyday Gold + Vision + Adult Dental | PPO | 62141AR0100030 | No |
Everyday Silver (QualChoiceLife) | PPO | 37903AR0070001 | No |
Focused Silver | PPO | 62141AR0080029 | No |
Focused Silver + Vision + Adult Dental | PPO | 62141AR0100032 | No |
Standard Expanded Bronze | PPO | 62141AR0080032 | No |
Standard Expanded Bronze (QualChoice) | POS | 70525AR0070287 | No |
Standard Expanded Bronze + Vision + Adult Dental | PPO | 62141AR0100033 | No |
Standard Gold | PPO | 62141AR0080034 | No |
Standard Gold (QualChoice) | POS | 70525AR0070289 | No |
Standard Gold (QualChoiceLife) | PPO | 37903AR0070034 | No |
Standard Gold + Vision + Adult Dental | PPO | 62141AR0100035 | No |
Standard Silver | PPO | 62141AR0080033 | No |
Standard Silver (QualChoice) | POS | 70525AR0070288 | No |
Standard Silver (QualChoiceLife) | PPO | 37903AR0070033 | No |
Standard Silver + Vision + Adult Dental | PPO | 62141AR0100034 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Complete Gold | EPO | 99723MO0090016 | No |
Complete Gold + Vision + Adult Dental | EPO | 99723MO0110010 | No |
Complete Silver | EPO | 99723MO0090011 | No |
Complete Silver + Vision + Adult Dental | EPO | 99723MO0110013 | No |
Elite Bronze | EPO | 99723MO0090053 | No |
Elite Bronze + Vision + Adult Dental | EPO | 99723MO0110053 | No |
Everyday Bronze | EPO | 99723MO0090018 | No |
Everyday Bronze + Vision + Adult Dental | EPO | 99723MO0110009 | No |
Everyday Gold | EPO | 99723MO0090063 | No |
Everyday Gold + Vision + Adult Dental | EPO | 99723MO0110063 | No |
Premier Silver | EPO | 99723MO0090004 | No |
Premier Silver + Vision + Adult Dental | EPO | 99723MO0110014 | No |
Standard Expanded Bronze | EPO | 99723MO0090069 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 99723MO0110070 | No |
Standard Gold | EPO | 99723MO0090071 | No |
Standard Gold + Vision + Adult Dental | EPO | 99723MO0110072 | No |
Standard Silver | EPO | 99723MO0090070 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Complete Gold | EPO | 90787LA0010006 | No |
Complete Gold + Vision + Adult Dental | EPO | 90787LA0020005 | No |
Elite Bronze | EPO | 90787LA0010002 | No |
Elite Bronze + Vision + Adult Dental | EPO | 90787LA0020002 | No |
Elite Gold | EPO | 90787LA0010008 | No |
Elite Gold + Vision + Adult Dental | EPO | 90787LA0020008 | No |
Elite Silver | EPO | 90787LA0010012 | No |
Elite Silver + Vision + Adult Dental | EPO | 90787LA0020012 | No |
Everyday Bronze | EPO | 90787LA0010001 | No |
Everyday Bronze + Vision + Adult Dental | EPO | 90787LA0020001 | No |
Focused Silver | EPO | 90787LA0010005 | No |
Focused Silver + Vision + Adult Dental | EPO | 90787LA0020004 | No |
Standard Expanded Bronze | EPO | 90787LA0010009 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 90787LA0020009 | No |
Standard Gold | EPO | 90787LA0010011 | No |
Standard Gold + Vision + Adult Dental | EPO | 90787LA0020011 | No |
Standard Silver | EPO | 90787LA0010010 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Choice Bronze HSA | HMO | 90714MS0010052 | No |
Choice Bronze HSA + Vision + Adult Dental | HMO | 90714MS0030052 | No |
Complete Gold | HMO | 90714MS0010019 | No |
Complete Gold + Vision + Adult Dental | HMO | 90714MS0030019 | No |
Complete Silver | HMO | 90714MS0010011 | No |
Complete Silver + Vision + Adult Dental | HMO | 90714MS0030026 | No |
Everyday Bronze | HMO | 90714MS0010016 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 90714MS0030010 | No |
Everyday Gold | HMO | 90714MS0010060 | No |
Everyday Gold + Vision + Adult Dental | HMO | 90714MS0030060 | No |
Focused Silver | HMO | 90714MS0010059 | No |
Focused Silver + Vision + Adult Dental | HMO | 90714MS0030059 | No |
Standard Expanded Bronze | HMO | 90714MS0010063 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 90714MS0030064 | No |
Standard Gold | HMO | 90714MS0010065 | No |
Standard Gold + Vision + Adult Dental | HMO | 90714MS0030066 | No |
Standard Silver | HMO | 90714MS0010064 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear Silver | HMO | 58594MI0030017 | No |
Elite Bronze | HMO | 58594MI0030016 | No |
Elite Bronze + Vision + Adult Dental | HMO | 58594MI0040016 | No |
Elite Gold | HMO | 58594MI0030021 | No |
Elite Gold + Vision + Adult Dental | HMO | 58594MI0040023 | No |
Everyday Bronze | HMO | 58594MI0030013 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 58594MI0040013 | No |
Everyday Gold | HMO | 58594MI0030020 | No |
Everyday Gold + Vision + Adult Dental | HMO | 58594MI0040020 | No |
Focused Silver | HMO | 58594MI0030019 | No |
Focused Silver + Vision + Adult Dental | HMO | 58594MI0040019 | No |
Standard Expanded Bronze | HMO | 58594MI0030023 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 58594MI0040024 | No |
Standard Gold | HMO | 58594MI0030025 | No |
Standard Gold + Vision + Adult Dental | HMO | 58594MI0040026 | No |
Standard Silver | HMO | 58594MI0030024 | No |
Standard Silver + Vision + Adult Dental | HMO | 58594MI0040025 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Choice Bronze HSA | HMO | 26289NE0020002 | No |
Choice Bronze HSA + Vision + Adult Dental | HMO | 26289NE0030002 | No |
Clear Gold | HMO | 26289NE0020050 | No |
Clear Gold + Vision + Adult Dental | HMO | 26289NE0030044 | No |
Complete Silver | HMO | 26289NE0020008 | No |
Complete Silver + Vision + Adult Dental | HMO | 26289NE0030008 | No |
Elite Bronze | HMO | 26289NE0020007 | No |
Elite Bronze + Vision + Adult Dental | HMO | 26289NE0030007 | No |
Elite Gold | HMO | 26289NE0020036 | No |
Elite Gold + Vision + Adult Dental | HMO | 26289NE0030036 | No |
Focused Silver | HMO | 26289NE0020048 | No |
Focused Silver + Vision + Adult Dental | HMO | 26289NE0030042 | No |
Standard Expanded Bronze | HMO | 26289NE0020039 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 26289NE0030015 | No |
Standard Gold | HMO | 26289NE0020041 | No |
Standard Gold + Vision + Adult Dental | HMO | 26289NE0030017 | No |
Standard Silver | HMO | 26289NE0020040 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Choice Bronze HSA | EPO | 75841NH0090006 | No |
Choice Bronze HSA + Vision + Adult Dental | EPO | 75841NH0100002 | No |
Clear Silver | EPO | 75841NH0090013 | No |
Clear Silver + Vision + Adult Dental | EPO | 75841NH0100010 | No |
Complete Gold | EPO | 75841NH0090005 | No |
Complete Gold + Vision + Adult Dental | EPO | 75841NH0100009 | No |
Complete Silver | EPO | 75841NH0090011 | No |
Complete Silver + Vision + Adult Dental | EPO | 75841NH0100011 | No |
Elite Bronze | EPO | 75841NH0090021 | No |
Elite Bronze + Vision + Adult Dental | EPO | 75841NH0100021 | No |
Everyday Gold | EPO | 75841NH0090026 | No |
Everyday Gold + Vision + Adult Dental | EPO | 75841NH0100026 | No |
Standard Expanded Bronze | EPO | 75841NH0090028 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 75841NH0100029 | No |
Standard Gold | EPO | 75841NH0090030 | No |
Standard Gold + Vision + Adult Dental | EPO | 75841NH0100031 | No |
Standard Silver | EPO | 75841NH0090029 | No |
Standard Silver + Vision + Adult Dental | EPO | 75841NH0100030 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear Silver | EPO | 34368KS0110049 | No |
Elite Bronze | EPO | 34368KS0110047 | No |
Elite Bronze + Vision + Adult Dental | EPO | 34368KS0120047 | No |
Elite Gold | EPO | 34368KS0110066 | No |
Elite Gold + Vision + Adult Dental | EPO | 34368KS0120068 | No |
Everyday Bronze | EPO | 34368KS0110043 | No |
Everyday Bronze + Vision + Adult Dental | EPO | 34368KS0120043 | No |
Everyday Gold | EPO | 34368KS0110033 | No |
Everyday Gold + Vision + Adult Dental | EPO | 34368KS0120033 | No |
Focused Silver | EPO | 34368KS0110053 | No |
Focused Silver + Vision + Adult Dental | EPO | 34368KS0120053 | No |
Standard Expanded Bronze | EPO | 34368KS0110068 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 34368KS0120069 | No |
Standard Gold | EPO | 34368KS0110070 | No |
Standard Gold + Vision + Adult Dental | EPO | 34368KS0120071 | No |
Standard Silver | EPO | 34368KS0110069 | No |
Standard Silver + Vision + Adult Dental | EPO | 34368KS0120070 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear VALUE Silver | HMO | 87226TX0060007 | No |
Clear VALUE Silver | HMO | 87226TX0070007 | No |
Clear VALUE Silver | HMO | 87226TX0080007 | No |
Clear VALUE Silver | HMO | 87226TX0100007 | No |
Complete Gold | EPO | 29418TX0140064 | No |
Complete Gold + Vision + Adult Dental | EPO | 29418TX0160020 | No |
Complete Silver | EPO | 29418TX0140019 | No |
Complete Silver + Vision + Adult Dental | EPO | 29418TX0160038 | No |
Complete VALUE Gold | HMO | 87226TX0060013 | No |
Complete VALUE Gold | HMO | 87226TX0070013 | No |
Complete VALUE Gold | HMO | 87226TX0080013 | No |
Complete VALUE Gold | HMO | 87226TX0100013 | No |
Everyday Gold | EPO | 29418TX0140102 | No |
Everyday Gold + Vision + Adult Dental | EPO | 29418TX0160102 | No |
Focused Silver | EPO | 29418TX0140100 | No |
Focused Silver + Vision + Adult Dental | EPO | 29418TX0160100 | No |
Focused VALUE Silver | HMO | 87226TX0060009 | No |
Focused VALUE Silver | HMO | 87226TX0070009 | No |
Focused VALUE Silver | HMO | 87226TX0080009 | No |
Focused VALUE Silver | HMO | 87226TX0100009 | No |
Focused VALUE Silver + Vision + Adult Dental | HMO | 87226TX0120001 | No |
Focused VALUE Silver + Vision + Adult Dental | HMO | 87226TX0130003 | No |
Focused VALUE Silver + Vision + Adult Dental | HMO | 87226TX0140003 | No |
Focused VALUE Silver + Vision + Adult Dental | HMO | 87226TX0150001 | No |
Standard Gold | EPO | 29418TX0140109 | No |
Standard Gold + Vision + Adult Dental | EPO | 29418TX0160052 | No |
Standard Gold VALUE | HMO | 87226TX0060012 | No |
Standard Gold VALUE | HMO | 87226TX0070012 | No |
Standard Gold VALUE | HMO | 87226TX0080012 | No |
Standard Gold VALUE | HMO | 87226TX0100012 | No |
Standard Silver | EPO | 29418TX0140108 | No |
Standard Silver VALUE | HMO | 87226TX0060011 | No |
Standard Silver VALUE | HMO | 87226TX0070011 | No |
Standard Silver VALUE | HMO | 87226TX0080011 | No |
Standard Silver VALUE | HMO | 87226TX0100011 | No |
Standard Silver VALUE + Vision + Adult Dental | HMO | 87226TX0120005 | No |
Standard Silver VALUE + Vision + Adult Dental | HMO | 87226TX0130002 | No |
Standard Silver VALUE + Vision + Adult Dental | HMO | 87226TX0140004 | No |
Standard Silver VALUE + Vision + Adult Dental | HMO | 87226TX0150003 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Choice Bronze HSA | HMO | 35065IN0040002 | No |
Choice Bronze HSA | HMO | 41047OH0010045 | No |
Choice Bronze HSA + Vision + Adult Dental | HMO | 35065IN0050002 | No |
Choice Bronze HSA + Vision + Adult Dental | HMO | 41047OH0030045 | No |
Clear Gold | HMO | 41047OH0010067 | No |
Clear Gold + Vision + Adult Dental | HMO | 41047OH0030071 | No |
Clear Silver | HMO | 35065IN0040003 | No |
Clear Silver | HMO | 41047OH0010061 | No |
Complete Gold | HMO | 35065IN0040004 | No |
Complete Gold | HMO | 41047OH0010041 | No |
Complete Gold | HMO | 48286IA0010015 | No |
Complete Gold | HMO | 49004FL0010011 | No |
Complete Gold | HMO | 49004FL0010025 | No |
Complete Gold + Vision + Adult Dental | HMO | 35065IN0050003 | No |
Complete Gold + Vision + Adult Dental | HMO | 41047OH0030041 | No |
Complete Gold + Vision + Adult Dental | HMO | 48286IA0020015 | No |
Complete Gold + Vision + Adult Dental | HMO | 49004FL0020010 | No |
Complete Gold + Vision + Adult Dental | HMO | 49004FL0020021 | No |
Complete Silver | HMO | 41047OH0010025 | No |
Complete Silver + Vision + Adult Dental | HMO | 41047OH0030025 | No |
Complete VALUE Gold | HMO | 86382FL0050010 | No |
Complete VALUE Silver | HMO | 86382FL0050006 | No |
Elite Bronze | HMO | 48286IA0010013 | No |
Elite Bronze | HMO | 49004FL0010004 | No |
Elite Bronze | HMO | 49004FL0010017 | No |
Elite Bronze + Vision + Adult Dental | HMO | 48286IA0020013 | No |
Elite Bronze + Vision + Adult Dental | HMO | 49004FL0020004 | No |
Elite Bronze + Vision + Adult Dental | HMO | 49004FL0020015 | No |
Elite Gold | HMO | 35065IN0040007 | No |
Elite Gold + Vision + Adult Dental | HMO | 35065IN0050006 | No |
Elite Silver | HMO | 48286IA0010022 | No |
Elite Silver | HMO | 49004FL0010008 | No |
Elite Silver | HMO | 49004FL0010020 | No |
Elite Silver + Vision + Adult Dental | HMO | 48286IA0020021 | No |
Elite Silver + Vision + Adult Dental | HMO | 49004FL0020007 | No |
Elite Silver + Vision + Adult Dental | HMO | 49004FL0020017 | No |
Elite VALUE Bronze | HMO | 86382FL0050005 | No |
Enhanced Diabetes Care Silver with $0 Drug Options | HMO | 49004FL0010009 | No |
Enhanced Diabetes Care Silver with $0 Drug Options | HMO | 49004FL0010023 | No |
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | HMO | 49004FL0020008 | No |
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | HMO | 49004FL0020020 | No |
Everyday Bronze | HMO | 35065IN0040008 | No |
Everyday Bronze | HMO | 41047OH0010057 | No |
Everyday Bronze | HMO | 48286IA0010012 | No |
Everyday Bronze | HMO | 49004FL0010002 | No |
Everyday Bronze | HMO | 49004FL0010015 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 35065IN0050007 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 41047OH0030057 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 48286IA0020012 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 49004FL0020002 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 49004FL0020013 | No |
Everyday Gold | HMO | 48286IA0010016 | No |
Everyday Gold | HMO | 49004FL0010010 | No |
Everyday Gold | HMO | 49004FL0010026 | No |
Everyday Gold + Vision + Adult Dental | HMO | 48286IA0020016 | No |
Everyday Gold + Vision + Adult Dental | HMO | 49004FL0020009 | No |
Everyday Gold + Vision + Adult Dental | HMO | 49004FL0020022 | No |
Focused Silver | HMO | 35065IN0040010 | No |
Focused Silver | HMO | 48286IA0010019 | No |
Focused Silver | HMO | 49004FL0010007 | No |
Focused Silver | HMO | 49004FL0010021 | No |
Focused Silver + Vision + Adult Dental | HMO | 35065IN0050009 | No |
Focused Silver + Vision + Adult Dental | HMO | 48286IA0020019 | No |
Focused Silver + Vision + Adult Dental | HMO | 49004FL0020006 | No |
Focused Silver + Vision + Adult Dental | HMO | 49004FL0020018 | No |
Focused VALUE Silver | HMO | 86382FL0050009 | No |
Standard Expanded Bronze | HMO | 35065IN0040012 | No |
Standard Expanded Bronze | HMO | 41047OH0010069 | No |
Standard Expanded Bronze | HMO | 48286IA0010014 | No |
Standard Expanded Bronze | HMO | 49004FL0010001 | No |
Standard Expanded Bronze | HMO | 49004FL0010018 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 35065IN0050011 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 41047OH0030072 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 48286IA0020014 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 49004FL0020001 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 49004FL0020016 | No |
Standard Expanded Bronze VALUE | HMO | 86382FL0050017 | No |
Standard Gold | HMO | 35065IN0040013 | No |
Standard Gold | HMO | 41047OH0010071 | No |
Standard Gold | HMO | 48286IA0010017 | No |
Standard Gold | HMO | 49004FL0010013 | No |
Standard Gold | HMO | 49004FL0010028 | No |
Standard Gold + Vision + Adult Dental | HMO | 35065IN0050012 | No |
Standard Gold + Vision + Adult Dental | HMO | 41047OH0030074 | No |
Standard Gold + Vision + Adult Dental | HMO | 48286IA0020017 | No |
Standard Gold + Vision + Adult Dental | HMO | 49004FL0020012 | No |
Standard Gold + Vision + Adult Dental | HMO | 49004FL0020024 | No |
Standard Gold VALUE | HMO | 86382FL0050019 | No |
Standard Silver | HMO | 35065IN0040001 | No |
Standard Silver | HMO | 41047OH0010070 | No |
Standard Silver | HMO | 48286IA0010020 | No |
Standard Silver | HMO | 49004FL0010006 | No |
Standard Silver | HMO | 49004FL0010024 | No |
Standard Silver + Vision + Adult Dental | HMO | 35065IN0050001 | No |
Standard Silver + Vision + Adult Dental | HMO | 41047OH0030073 | No |
Standard Silver VALUE | HMO | 86382FL0050018 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear Gold | EPO | 64004DE0090011 | No |
Clear Gold + Vision + Adult Dental | EPO | 64004DE0100011 | No |
Complete Gold | EPO | 64004DE0090009 | No |
Complete Gold + Vision + Adult Dental | EPO | 64004DE0100009 | No |
Elite Silver | EPO | 64004DE0090013 | No |
Elite Silver + Vision + Adult Dental | EPO | 64004DE0100013 | No |
Everyday Bronze | EPO | 64004DE0090002 | No |
Everyday Bronze + Vision + Adult Dental | EPO | 64004DE0100002 | No |
Focused Silver | EPO | 64004DE0090007 | No |
Focused Silver + Vision + Adult Dental | EPO | 64004DE0100007 | No |
Premier Bronze HSA | EPO | 64004DE0090001 | No |
Premier Bronze HSA + Vision + Adult Dental | EPO | 64004DE0100001 | No |
Standard Expanded Bronze | EPO | 64004DE0090004 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 64004DE0100004 | No |
Standard Gold | EPO | 64004DE0090012 | No |
Standard Gold + Vision + Adult Dental | EPO | 64004DE0100012 | No |
Standard Silver | EPO | 64004DE0090008 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Complete Gold | EPO | 53932AL0100015 | No |
Complete Gold + Vision + Adult Dental | EPO | 53932AL0110010 | No |
Elite Bronze | EPO | 53932AL0100014 | No |
Elite Bronze + Vision + Adult Dental | EPO | 53932AL0110014 | No |
Elite Gold | EPO | 53932AL0100016 | No |
Elite Gold + Vision + Adult Dental | EPO | 53932AL0110015 | No |
Elite Silver | EPO | 53932AL0100017 | No |
Elite Silver + Vision + Adult Dental | EPO | 53932AL0110016 | No |
Everyday Bronze | EPO | 53932AL0100003 | No |
Everyday Bronze + Vision + Adult Dental | EPO | 53932AL0110003 | No |
Focused Silver | EPO | 53932AL0100005 | No |
Focused Silver + Vision + Adult Dental | EPO | 53932AL0110005 | No |
Standard Expanded Bronze | EPO | 53932AL0100011 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 53932AL0110011 | No |
Standard Gold | EPO | 53932AL0100013 | No |
Standard Gold + Vision + Adult Dental | EPO | 53932AL0110013 | No |
Standard Silver | EPO | 53932AL0100012 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Central Bronze | HMO | 27833IL0140069 | No |
Central Bronze + Vision + Adult Dental | HMO | 27833IL0150069 | No |
Central Gold | HMO | 27833IL0140071 | No |
Central Gold + Vision + Adult Dental | HMO | 27833IL0150071 | No |
Clear Silver | HMO | 27833IL0140061 | No |
Everyday Bronze | HMO | 27833IL0140016 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 27833IL0150016 | No |
Everyday Gold | HMO | 27833IL0140064 | No |
Everyday Gold + Vision + Adult Dental | HMO | 27833IL0150059 | No |
Focused Silver | HMO | 27833IL0140063 | No |
Focused Silver + Vision + Adult Dental | HMO | 27833IL0150058 | No |
Standard Expanded Bronze | HMO | 27833IL0140073 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 27833IL0150072 | No |
Standard Gold | HMO | 27833IL0140075 | No |
Standard Gold + Vision + Adult Dental | HMO | 27833IL0150074 | No |
Standard Silver | HMO | 27833IL0140074 | No |
Standard Silver + Vision + Adult Dental | HMO | 27833IL0150073 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear Silver with $0 Insulin Options | HMO | 77264NC0010037 | No |
Complete Gold | HMO | 77264NC0010007 | No |
Complete Gold + Vision + Adult Dental | HMO | 77264NC0020007 | No |
Complete Gold with Atrium Health | HMO | 77264NC0010056 | No |
Complete Gold with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020053 | No |
Complete Silver with Atrium Health | HMO | 77264NC0010051 | No |
Complete Silver with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020048 | No |
Elite Bronze | HMO | 77264NC0010036 | No |
Elite Bronze + Vision + Adult Dental | HMO | 77264NC0020036 | No |
Elite Bronze with Atrium Health | HMO | 77264NC0010050 | No |
Elite Bronze with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020047 | No |
Everyday Bronze | HMO | 77264NC0010028 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 77264NC0020028 | No |
Everyday Bronze with Atrium Health | HMO | 77264NC0010049 | No |
Everyday Bronze with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020046 | No |
Focused Silver | HMO | 77264NC0010039 | No |
Focused Silver + Vision + Adult Dental | HMO | 77264NC0020039 | No |
Focused Silver with Atrium Health | HMO | 77264NC0010054 | No |
Focused Silver with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020051 | No |
Standard Expanded Bronze | HMO | 77264NC0010044 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 77264NC0020055 | No |
Standard Expanded Bronze with Atrium Health | HMO | 77264NC0010059 | No |
Standard Expanded Bronze with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020058 | No |
Standard Gold | HMO | 77264NC0010046 | No |
Standard Gold + Vision + Adult Dental | HMO | 77264NC0020057 | No |
Standard Gold with Atrium Health | HMO | 77264NC0010061 | No |
Standard Gold with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020060 | No |
Standard Silver | HMO | 77264NC0010045 | No |
Standard Silver + Vision + Adult Dental | HMO | 77264NC0020056 | No |
Standard Silver with Atrium Health | HMO | 77264NC0010060 | No |
Standard Silver with Atrium Health + Vision + Adult Dental | HMO | 77264NC0020059 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Elite Bronze | PPO | 62505OK0120006 | No |
Elite Bronze + Vision + Adult Dental | PPO | 62505OK0130006 | No |
Elite Gold | PPO | 62505OK0120016 | No |
Elite Gold + Vision + Adult Dental | PPO | 62505OK0130017 | No |
Everyday Bronze | PPO | 62505OK0120002 | No |
Everyday Bronze + Vision + Adult Dental | PPO | 62505OK0130002 | No |
Everyday Gold | PPO | 62505OK0120014 | No |
Everyday Gold + Vision + Adult Dental | PPO | 62505OK0130014 | No |
Focused Silver | PPO | 62505OK0120012 | No |
Focused Silver + Vision + Adult Dental | PPO | 62505OK0130012 | No |
Standard Expanded Bronze | PPO | 62505OK0120019 | No |
Standard Expanded Bronze + Vision + Adult Dental | PPO | 62505OK0130019 | No |
Standard Gold | PPO | 62505OK0120021 | No |
Standard Gold + Vision + Adult Dental | PPO | 62505OK0130021 | No |
Standard Silver | PPO | 62505OK0120020 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Clear Silver | EPO | 70111TN0110027 | No |
Elite Bronze | EPO | 70111TN0110026 | No |
Elite Bronze + Vision + Adult Dental | EPO | 70111TN0120026 | No |
Elite Gold | EPO | 70111TN0110031 | No |
Elite Gold + Vision + Adult Dental | EPO | 70111TN0120034 | No |
Enhanced Diabetes Care Silver with $0 Drug Options | EPO | 70111TN0110018 | No |
Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental | EPO | 70111TN0120001 | No |
Everyday Bronze | EPO | 70111TN0110023 | No |
Everyday Bronze + Vision + Adult Dental | EPO | 70111TN0120023 | No |
Everyday Gold | EPO | 70111TN0110030 | No |
Everyday Gold + Vision + Adult Dental | EPO | 70111TN0120030 | No |
Focused Silver | EPO | 70111TN0110029 | No |
Focused Silver + Vision + Adult Dental | EPO | 70111TN0120029 | No |
Standard Expanded Bronze | EPO | 70111TN0110033 | No |
Standard Expanded Bronze + Vision + Adult Dental | EPO | 70111TN0120035 | No |
Standard Gold | EPO | 70111TN0110035 | No |
Standard Gold + Vision + Adult Dental | EPO | 70111TN0120037 | No |
Standard Silver | EPO | 70111TN0110034 | No |
Standard Silver + Vision + Adult Dental | EPO | 70111TN0120036 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
AvMed Entrust Bronze 600 (2025) | HMO | 19898FL0340006 | No |
AvMed Entrust Bronze 600 (2025) | HMO | 19898FL0340016 | No |
AvMed Entrust Bronze 600 (2025) | HMO | 19898FL0340026 | No |
AvMed Entrust Bronze 600 (2025) | HMO | 19898FL0340036 | No |
AvMed Entrust Bronze 600 (2025) | HMO | 19898FL0340046 | No |
AvMed Entrust Bronze 650 (2025) | HMO | 19898FL0340007 | No |
AvMed Entrust Bronze 650 (2025) | HMO | 19898FL0340017 | No |
AvMed Entrust Bronze 650 (2025) | HMO | 19898FL0340027 | No |
AvMed Entrust Bronze 650 (2025) | HMO | 19898FL0340037 | No |
AvMed Entrust Bronze 650 (2025) | HMO | 19898FL0340047 | No |
AvMed Entrust Expanded Bronze Standard (2025) | HMO | 19898FL0340091 | No |
AvMed Entrust Expanded Bronze Standard (2025) | HMO | 19898FL0340092 | No |
AvMed Entrust Expanded Bronze Standard (2025) | HMO | 19898FL0340093 | No |
AvMed Entrust Expanded Bronze Standard (2025) | HMO | 19898FL0340094 | No |
AvMed Entrust Expanded Bronze Standard (2025) | HMO | 19898FL0340095 | No |
AvMed Entrust Gold 125 (2025) | HMO | 19898FL0340001 | No |
AvMed Entrust Gold 125 (2025) | HMO | 19898FL0340011 | No |
AvMed Entrust Gold 125 (2025) | HMO | 19898FL0340021 | No |
AvMed Entrust Gold 125 (2025) | HMO | 19898FL0340031 | No |
AvMed Entrust Gold 125 (2025) | HMO | 19898FL0340041 | No |
AvMed Entrust Gold 125 Dental+Vision (2025) | HMO | 19898FL0350001 | No |
AvMed Entrust Gold 125 Dental+Vision (2025) | HMO | 19898FL0350011 | No |
AvMed Entrust Gold 125 Dental+Vision (2025) | HMO | 19898FL0350021 | No |
AvMed Entrust Gold 125 Dental+Vision (2025) | HMO | 19898FL0350031 | No |
AvMed Entrust Gold 125 Dental+Vision (2025) | HMO | 19898FL0350041 | No |
AvMed Entrust Gold Standard (2025) | HMO | 19898FL0340071 | No |
AvMed Entrust Gold Standard (2025) | HMO | 19898FL0340072 | No |
AvMed Entrust Gold Standard (2025) | HMO | 19898FL0340073 | No |
AvMed Entrust Gold Standard (2025) | HMO | 19898FL0340074 | No |
AvMed Entrust Gold Standard (2025) | HMO | 19898FL0340075 | No |
AvMed Entrust Platinum 25 (2025) | HMO | 19898FL0340020 | No |
AvMed Entrust Platinum 25 (2025) | HMO | 19898FL0340061 | No |
AvMed Entrust Platinum 25 (2025) | HMO | 19898FL0340064 | No |
AvMed Entrust Platinum 25 Dental+Vision (2025) | HMO | 19898FL0350020 | No |
AvMed Entrust Platinum 25 Dental+Vision (2025) | HMO | 19898FL0350061 | No |
AvMed Entrust Platinum 25 Dental+Vision (2025) | HMO | 19898FL0350064 | No |
AvMed Entrust Platinum Standard (2025) | HMO | 19898FL0340062 | No |
AvMed Entrust Platinum Standard (2025) | HMO | 19898FL0340063 | No |
AvMed Entrust Platinum Standard (2025) | HMO | 19898FL0340065 | No |
AvMed Entrust Silver 350 (2025) | HMO | 19898FL0340003 | No |
AvMed Entrust Silver 350 (2025) | HMO | 19898FL0340013 | No |
AvMed Entrust Silver 350 (2025) | HMO | 19898FL0340023 | No |
AvMed Entrust Silver 350 (2025) | HMO | 19898FL0340033 | No |
AvMed Entrust Silver 350 (2025) | HMO | 19898FL0340043 | No |
AvMed Entrust Silver 350 Dental+Vision (2025) | HMO | 19898FL0350003 | No |
AvMed Entrust Silver 350 Dental+Vision (2025) | HMO | 19898FL0350013 | No |
AvMed Entrust Silver 350 Dental+Vision (2025) | HMO | 19898FL0350023 | No |
AvMed Entrust Silver 350 Dental+Vision (2025) | HMO | 19898FL0350033 | No |
AvMed Entrust Silver 350 Dental+Vision (2025) | HMO | 19898FL0350043 | No |
AvMed Entrust Silver 550 (2025) | HMO | 19898FL0340005 | No |
AvMed Entrust Silver 550 (2025) | HMO | 19898FL0340015 | No |
AvMed Entrust Silver 550 (2025) | HMO | 19898FL0340025 | No |
AvMed Entrust Silver 550 (2025) | HMO | 19898FL0340035 | No |
AvMed Entrust Silver 550 (2025) | HMO | 19898FL0340045 | No |
AvMed Entrust Silver 550 Dental+Vision (2025) | HMO | 19898FL0350005 | No |
AvMed Entrust Silver 550 Dental+Vision (2025) | HMO | 19898FL0350015 | No |
AvMed Entrust Silver 550 Dental+Vision (2025) | HMO | 19898FL0350025 | No |
AvMed Entrust Silver 550 Dental+Vision (2025) | HMO | 19898FL0350035 | No |
AvMed Entrust Silver 550 Dental+Vision (2025) | HMO | 19898FL0350045 | No |
AvMed Entrust Silver Standard (2025) | HMO | 19898FL0340081 | No |
AvMed Entrust Silver Standard (2025) | HMO | 19898FL0340082 | No |
AvMed Entrust Silver Standard (2025) | HMO | 19898FL0340083 | No |
AvMed Entrust Silver Standard (2025) | HMO | 19898FL0340084 | No |
AvMed Entrust Silver Standard (2025) | HMO | 19898FL0340085 | No |
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 |
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 |
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 |
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 |
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 |
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 |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Chorus Bronze Complete | EPO | 14630WI0010010 | No |
Chorus Bronze HDHP | EPO | 14630WI0010005 | No |
Chorus Catastrophic | EPO | 14630WI0010008 | No |
Chorus Core Bronze | EPO | 14630WI0010015 | No |
Chorus Core Gold | EPO | 14630WI0010014 | No |
Chorus Core Silver | EPO | 14630WI0010013 | No |
Chorus Gold | EPO | 14630WI0010004 | No |
Chorus Silver | EPO | 14630WI0010003 | No |
Chorus Silver Select | EPO | 14630WI0010007 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
CHRISTUS Bronze | HMO | 98780LA0150001 | No |
CHRISTUS Bronze | HMO | 98780LA0150002 | No |
CHRISTUS Bronze | HMO | 98780LA0150003 | No |
CHRISTUS Bronze Essential | HMO | 98780LA0040001 | No |
CHRISTUS Bronze Essential | HMO | 98780LA0040002 | No |
CHRISTUS Bronze Essential | HMO | 98780LA0040003 | No |
CHRISTUS Bronze Essential Plus | HMO | 98780LA0160001 | No |
CHRISTUS Bronze Essential Plus | HMO | 98780LA0160002 | No |
CHRISTUS Bronze Essential Plus | HMO | 98780LA0160003 | No |
CHRISTUS Bronze Plus | HMO | 98780LA0170001 | No |
CHRISTUS Bronze Plus | HMO | 98780LA0170002 | No |
CHRISTUS Bronze Plus | HMO | 98780LA0170003 | No |
CHRISTUS Gold | HMO | 98780LA0200001 | No |
CHRISTUS Gold | HMO | 98780LA0200002 | No |
CHRISTUS Gold | HMO | 98780LA0200003 | No |
CHRISTUS Gold Essential | HMO | 98780LA0030001 | No |
CHRISTUS Gold Essential | HMO | 98780LA0030002 | No |
CHRISTUS Gold Essential | HMO | 98780LA0030003 | No |
CHRISTUS Gold Essential Plus | HMO | 98780LA0090001 | No |
CHRISTUS Gold Essential Plus | HMO | 98780LA0090002 | No |
CHRISTUS Gold Essential Plus | HMO | 98780LA0090003 | No |
CHRISTUS Gold Plus | HMO | 98780LA0210001 | No |
CHRISTUS Gold Plus | HMO | 98780LA0210002 | No |
CHRISTUS Gold Plus | HMO | 98780LA0210003 | No |
CHRISTUS Silver | HMO | 98780LA0010001 | No |
CHRISTUS Silver | HMO | 98780LA0010002 | No |
CHRISTUS Silver | HMO | 98780LA0010003 | No |
CHRISTUS Silver Essential | HMO | 98780LA0080001 | No |
CHRISTUS Silver Essential | HMO | 98780LA0080002 | No |
CHRISTUS Silver Essential | HMO | 98780LA0080003 | No |
CHRISTUS Silver Essential Plus | HMO | 98780LA0180001 | No |
CHRISTUS Silver Essential Plus | HMO | 98780LA0180002 | No |
CHRISTUS Silver Essential Plus | HMO | 98780LA0180003 | No |
CHRISTUS Silver Plus | HMO | 98780LA0190001 | No |
CHRISTUS Silver Plus | HMO | 98780LA0190002 | No |
CHRISTUS Silver Plus | HMO | 98780LA0190003 | No |
CHRISTUS Standard Expanded Bronze | HMO | 98780LA0140001 | No |
CHRISTUS Standard Expanded Bronze | HMO | 98780LA0140002 | No |
CHRISTUS Standard Expanded Bronze | HMO | 98780LA0140003 | No |
CHRISTUS Standard Gold | HMO | 98780LA0130001 | No |
CHRISTUS Standard Gold | HMO | 98780LA0130002 | No |
CHRISTUS Standard Gold | HMO | 98780LA0130003 | No |
CHRISTUS Standard Silver | HMO | 98780LA0120001 | No |
CHRISTUS Standard Silver | HMO | 98780LA0120002 | No |
CHRISTUS Standard Silver | HMO | 98780LA0120003 | No |
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 |
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 |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits | PPO | 76168DE0690013 | No |
my Blue Access PPO Bronze 3800 | PPO | 76168DE0690001 | No |
my Blue Access PPO Bronze 3800 + Adult Dental and Vision | PPO | 76168DE0700001 | No |
my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit | PPO | 76168DE0710001 | No |
my Blue Access PPO Bronze 8900 | PPO | 76168DE0690008 | No |
my Blue Access PPO Gold 0 | PPO | 76168DE0690004 | No |
my Blue Access PPO Gold 0 + Adult Dental and Vision | PPO | 76168DE0700004 | No |
my Blue Access PPO Gold 1700 HSA | PPO | 76168DE0710003 | No |
my Blue Access PPO Premier Gold 0 | PPO | 76168DE0730001 | No |
my Blue Access PPO Premier Gold 0 + Adult Dental and Vision | PPO | 76168DE0740002 | No |
my Blue Access PPO Premier Platinum 0 | PPO | 76168DE0730003 | No |
my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision | PPO | 76168DE0740004 | No |
my Blue Access PPO Silver 7000 | PPO | 76168DE0690007 | No |
my Blue Access PPO Standard Bronze 7500 | PPO | 76168DE0690012 | No |
my Blue Access PPO Standard Gold 1500 | PPO | 76168DE0690010 | No |
my Blue Access PPO Standard Platinum 0 | PPO | 76168DE0690011 | No |
my Blue Access PPO Standard Silver 5000 | PPO | 76168DE0690009 | No |
my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision | PPO | 76168DE0700006 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
my Blue Access WV Major Events PPO Catastrophic 9200 - 3 Free PCP Visits | PPO | 31274WV0560010 | No |
my Blue Access WV PPO Bronze 3800 | PPO | 31274WV0560001 | No |
my Blue Access WV PPO Bronze 3800 + Adult Dental and Vision | PPO | 31274WV0570001 | No |
my Blue Access WV PPO Bronze 7400 HSA - Custom Drug Benefit | PPO | 31274WV0580001 | No |
my Blue Access WV PPO Bronze 8900 | PPO | 31274WV0560006 | No |
my Blue Access WV PPO Gold 0 | PPO | 31274WV0560005 | No |
my Blue Access WV PPO Gold 0 + Adult Dental and Vision | PPO | 31274WV0570003 | No |
my Blue Access WV PPO Gold 1700 HSA | PPO | 31274WV0580002 | No |
my Blue Access WV PPO Premier Gold 0 | PPO | 31274WV0590002 | No |
my Blue Access WV PPO Premier Gold 0 + Adult Dental and Vision | PPO | 31274WV0600002 | No |
my Blue Access WV PPO Silver 7000 | PPO | 31274WV0560003 | No |
my Blue Access WV PPO Standard Bronze 7500 | PPO | 31274WV0560007 | No |
my Blue Access WV PPO Standard Gold 1500 | PPO | 31274WV0560009 | No |
my Blue Access WV PPO Standard Silver 5000 | PPO | 31274WV0560008 | No |
my Blue Access WV PPO Standard Silver 5000 + Adult Dental and Vision | PPO | 31274WV0570004 | No |
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 |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
MyPriority Balanced Silver | HMO | 29698MI0541020 | No |
MyPriority Balanced Silver Bronson Healthcare Partners | HMO | 29698MI0541022 | No |
MyPriority Balanced Silver Corewell Health West Michigan Network | HMO | 29698MI0541021 | No |
MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541037 | No |
MyPriority Balanced Silver Southeast Michigan Network | HMO | 29698MI0541023 | No |
MyPriority Balanced Silver Trinity Health East Network | HMO | 29698MI0541025 | No |
MyPriority Enhanced Gold Bronson Healthcare Partners | HMO | 29698MI0540596 | No |
MyPriority Enhanced Gold Corewell Health West Michigan Network | HMO | 29698MI0540595 | No |
MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0540742 | No |
MyPriority Enhanced Gold Southeast Michigan Network | HMO | 29698MI0540597 | No |
MyPriority Enhanced Gold Trinity Health East Network | HMO | 29698MI0540599 | No |
MyPriority Premier Silver | HMO | 29698MI0541060 | No |
MyPriority Premier Silver Bronson Healthcare Partners | HMO | 29698MI0541062 | No |
MyPriority Premier Silver Corewell Health West Michigan Network | HMO | 29698MI0541061 | No |
MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541039 | No |
MyPriority Premier Silver Southeast Michigan Network | HMO | 29698MI0541063 | No |
MyPriority Premier Silver Trinity Health East Network | HMO | 29698MI0541065 | No |
MyPriority Standard Bronze | HMO | 29698MI0541100 | No |
MyPriority Standard Bronze - Bronson Healthcare Partners | HMO | 29698MI0541102 | No |
MyPriority Standard Bronze - Corewell Health West Michigan Network | HMO | 29698MI0541101 | No |
MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541143 | No |
MyPriority Standard Bronze - Southeast Michigan Network | HMO | 29698MI0541103 | No |
MyPriority Standard Bronze - Travel | HMO | 29698MI0541106 | No |
MyPriority Standard Bronze - Trinity Health East Network | HMO | 29698MI0541105 | No |
MyPriority Standard Gold | HMO | 29698MI0541120 | No |
MyPriority Standard Gold Bronson Healthcare Partners | HMO | 29698MI0541122 | No |
MyPriority Standard Gold Corewell Health West Michigan Network | HMO | 29698MI0541121 | No |
MyPriority Standard Gold Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541145 | No |
MyPriority Standard Gold Southeast Michigan Network | HMO | 29698MI0541123 | No |
MyPriority Standard Gold Trinity Health East Network | HMO | 29698MI0541125 | No |
MyPriority Standard Silver | HMO | 29698MI0541110 | No |
MyPriority Standard Silver - Bronson Healthcare Partners | HMO | 29698MI0541112 | No |
MyPriority Standard Silver - Corewell Health West Michigan Network | HMO | 29698MI0541111 | No |
MyPriority Standard Silver - Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541144 | No |
MyPriority Standard Silver - Southeast Michigan Network | HMO | 29698MI0541113 | No |
MyPriority Standard Silver - Travel | HMO | 29698MI0541116 | No |
MyPriority Standard Silver - Trinity Health East Network | HMO | 29698MI0541115 | No |
MyPriority Value Bronze | HMO | 29698MI0541010 | No |
MyPriority Value Bronze Bronson Healthcare Partners | HMO | 29698MI0541012 | No |
MyPriority Value Bronze Corewell Health West Michigan Network | HMO | 29698MI0541011 | No |
MyPriority Value Bronze Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541036 | No |
MyPriority Value Bronze HSA | HMO | 29698MI0541000 | No |
MyPriority Value Bronze HSA Bronson Healthcare Partners | HMO | 29698MI0541002 | No |
MyPriority Value Bronze HSA Corewell Health West Michigan Network | HMO | 29698MI0541001 | No |
MyPriority Value Bronze HSA Corewell Health West Michigan Network (Allegan, Barry) | HMO | 29698MI0541035 | No |
MyPriority Value Bronze HSA Southeast Michigan Network | HMO | 29698MI0541003 | No |
MyPriority Value Bronze HSA Trinity Health East Network | HMO | 29698MI0541005 | No |
MyPriority Value Bronze Southeast Michigan Network | HMO | 29698MI0541013 | No |
MyPriority Value Bronze Trinity Health East Network | HMO | 29698MI0541015 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
University of Michigan Health Plan HMO Exclusive Bronze | HMO | 60829MI0190030 | No |
University of Michigan Health Plan HMO Exclusive Bronze HSA | HMO | 60829MI0220002 | No |
University of Michigan Health Plan HMO Exclusive Bronze Standard | HMO | 60829MI0190034 | No |
University of Michigan Health Plan HMO Exclusive Catastrophic | HMO | 60829MI0190026 | No |
University of Michigan Health Plan HMO Exclusive Gold Classic | HMO | 60829MI0190009 | No |
University of Michigan Health Plan HMO Exclusive Gold Select | HMO | 60829MI0190016 | No |
University of Michigan Health Plan HMO Exclusive Gold Standard | HMO | 60829MI0190032 | No |
University of Michigan Health Plan HMO Exclusive Silver | HMO | 60829MI0190017 | No |
University of Michigan Health Plan HMO Exclusive Silver Select Plus | HMO | 60829MI0190020 | No |
University of Michigan Health Plan HMO Exclusive Silver Standard | HMO | 60829MI0190033 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Standard Expanded Bronze WellCare | PPO | 44007NC0120004 | No |
Standard Gold WellCare | PPO | 44007NC0120006 | No |
Standard Silver WellCare | PPO | 44007NC0120005 | No |