| Anthem Bronze Essential 6500 HSA (+ Incentives) |
HMO |
17575IN0700058 |
No |
| Anthem Bronze Essential 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700065 |
No |
| Anthem Bronze Essential 9200 (+ Incentives) |
HMO |
17575IN0700045 |
No |
| Anthem Bronze Essential 9200 Adult Dental/Vision (+ Incentives) |
HMO |
17575IN0700101 |
No |
| Anthem Bronze Essential POS 5500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
POS |
17575IN0760005 |
No |
| Anthem Bronze Essential POS 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
POS |
17575IN0760007 |
No |
| Anthem Bronze Pathway 6900 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950008 |
No |
| Anthem Bronze Pathway 7500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950021 |
No |
| Anthem Bronze Pathway 9200 (+ Incentives) |
EPO |
32753MO0950051 |
No |
| Anthem Bronze Pathway HMO 7450 for HSA |
HMO |
29276OH0920417 |
No |
| Anthem Bronze Pathway HMO 7500 Standard ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920432 |
No |
| Anthem Bronze Pathway HMO 9200 ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920414 |
No |
| Anthem Bronze Pathway HMO 9200 Adult Dental & Vision ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920916 |
No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340103 |
No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340141 |
No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340142 |
No |
| Anthem Bronze Pathway/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340143 |
No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
HMO |
79475WI0340102 |
No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
HMO |
79475WI0340132 |
No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
HMO |
79475WI0340133 |
No |
| Anthem Bronze Pathway/Lean HSA (+ Incentives) |
HMO |
79475WI0340134 |
No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340169 |
No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340178 |
No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340187 |
No |
| Anthem Bronze Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340188 |
No |
| Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340226 |
No |
| Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340227 |
No |
| Anthem Bronze Priority/Lean 5000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340257 |
No |
| Anthem Bronze Priority/Lean HSA (+ Incentives) |
HMO |
79475WI0340212 |
No |
| Anthem Bronze Priority/Lean HSA (+ Incentives) |
HMO |
79475WI0340213 |
No |
| Anthem Bronze Priority/Lean HSA (+ Incentives) |
HMO |
79475WI0340251 |
No |
| Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340224 |
No |
| Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340225 |
No |
| Anthem Bronze Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340256 |
No |
| Anthem Catastrophic Pathway 9200 (+ Incentives) |
EPO |
32753MO0950016 |
No |
| Anthem Catastrophic Pathway HMO 9200 |
HMO |
29276OH0920425 |
No |
| Anthem Gold Essential 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700067 |
No |
| Anthem Gold Essential 2200 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700056 |
No |
| Anthem Gold Pathway 1500 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950023 |
No |
| Anthem Gold Pathway HMO 1500 Standard ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920434 |
No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340110 |
No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340159 |
No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340160 |
No |
| Anthem Gold Pathway/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340161 |
No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340171 |
No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340179 |
No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340183 |
No |
| Anthem Gold Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340186 |
No |
| Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340218 |
No |
| Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340219 |
No |
| Anthem Gold Priority/Lean 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340253 |
No |
| Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340230 |
No |
| Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340231 |
No |
| Anthem Gold Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340258 |
No |
| Anthem Heart Healthy Bronze Pathway HMO 6000 ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920429 |
No |
| Anthem Heart Healthy Bronze Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700053 |
No |
| Anthem Heart Healthy Bronze Pathway 4900 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950017 |
No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340111 |
No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340162 |
No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340163 |
No |
| Anthem Heart Healthy Bronze Pathway/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340164 |
No |
| Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340220 |
No |
| Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340221 |
No |
| Anthem Heart Healthy Bronze Priority/Lean 0 Med Ded ($0 Virtual PCP+$0 Select Drugs+Incentives) |
HMO |
79475WI0340254 |
No |
| Anthem Heart Healthy Silver Essential 4500 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700061 |
No |
| Anthem Heart Healthy Silver Pathway 2900 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950002 |
No |
| Anthem Heart Healthy Silver Pathway X HMO 6000 ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920428 |
No |
| Anthem Silver Essential 3500 HSA (+ Incentives) |
HMO |
17575IN0700062 |
No |
| Anthem Silver Essential 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700066 |
No |
| Anthem Silver Essential 7000 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700055 |
No |
| Anthem Silver Essential 7000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
17575IN0700102 |
No |
| Anthem Silver Pathway 5000 Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950022 |
No |
| Anthem Silver Pathway 5350 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950013 |
No |
| Anthem Silver Pathway 7250 ($0 Virtual PCP + $0 Select Drugs + Incentives) |
EPO |
32753MO0950015 |
No |
| Anthem Silver Pathway HMO 4000 Adult Dental/Vision ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920917 |
No |
| Anthem Silver Pathway HMO 5000 Standard ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920433 |
No |
| Anthem Silver Pathway HMO 5400 for HSA |
HMO |
29276OH0920421 |
No |
| Anthem Silver Pathway X HMO 4000 ($0 Virtual PCP + $0 Select Drugs) |
HMO |
29276OH0920424 |
No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340106 |
No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340150 |
No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340151 |
No |
| Anthem Silver Pathway/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340152 |
No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340109 |
No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340156 |
No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340157 |
No |
| Anthem Silver Pathway/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340158 |
No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340170 |
No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340180 |
No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340181 |
No |
| Anthem Silver Pathway/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340184 |
No |
| Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340214 |
No |
| Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340215 |
No |
| Anthem Silver Priority/Lean 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340252 |
No |
| Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340222 |
No |
| Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340223 |
No |
| Anthem Silver Priority/Lean 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) |
HMO |
79475WI0340255 |
No |
| Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340232 |
No |
| Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340233 |
No |
| Anthem Silver Priority/Lean Standard ($0 Virtual PCP + $0 Select Drugs + Incentives) |
HMO |
79475WI0340259 |
No |
| Anthem Dental Family |
PPO |
17575IN0860003 |
Yes |
| Anthem Dental Family |
PPO |
29276OH0830003 |
Yes |
| Anthem Dental Family |
PPO |
32753MO0860003 |
Yes |
| Anthem Dental Family |
PPO |
90028WI0420003 |
Yes |
| Anthem Dental Family Enhanced |
PPO |
17575IN0860004 |
Yes |
| Anthem Dental Family Enhanced |
PPO |
29276OH0830004 |
Yes |
| Anthem Dental Family Enhanced |
PPO |
32753MO0860004 |
Yes |
| Anthem Dental Family Enhanced |
PPO |
90028WI0420004 |
Yes |
| Anthem Dental Family Preventive |
PPO |
17575IN0860006 |
Yes |
| Anthem Dental Family Preventive |
PPO |
29276OH0830006 |
Yes |
| Anthem Dental Family Preventive |
PPO |
32753MO0860006 |
Yes |
| Anthem Dental Family Preventive |
PPO |
90028WI0420006 |
Yes |
| Anthem Dental Family Value |
PPO |
17575IN0860005 |
Yes |
| Anthem Dental Family Value |
PPO |
29276OH0830005 |
Yes |
| Anthem Dental Family Value |
PPO |
32753MO0860005 |
Yes |
| Anthem Dental Family Value |
PPO |
90028WI0420005 |
Yes |