Bronze First 7500 $25 Generic Drugs |
HMO |
54192IN0010015 |
No |
Bronze First 7500 $25 Generic Drugs |
HMO |
77552OH0010204 |
No |
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness |
HMO |
54192IN0020015 |
No |
Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness |
HMO |
77552OH0020204 |
No |
Core Gold 1500 $10 Generic Drugs |
HMO |
77552OH0010212 |
No |
Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness |
HMO |
77552OH0020212 |
No |
Diabetes Gold 1100 $0 Select Drugs & Specialized Services |
HMO |
54192IN0010026 |
No |
Diabetes Gold 1100 $0 Select Drugs & Specialized Services |
HMO |
77552OH0010210 |
No |
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
54192IN0020026 |
No |
Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
77552OH0020210 |
No |
Diabetes Silver 4000 $0 Select Drugs & Specialized Services |
HMO |
54192IN0010025 |
No |
Diabetes Silver 4000 $0 Select Drugs & Specialized Services |
HMO |
77552OH0010209 |
No |
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
54192IN0020025 |
No |
Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
77552OH0020209 |
No |
Gold 1500 $15 Generic Drugs |
HMO |
54192IN0010012 |
No |
Gold 1500 $15 Generic Drugs |
HMO |
77552OH0010202 |
No |
Gold 1500 $15 Generic Drugs Adult Vision & Fitness |
HMO |
54192IN0020012 |
No |
Gold 1500 $15 Generic Drugs Adult Vision & Fitness |
HMO |
77552OH0020202 |
No |
HDHP Preventive Silver 5500 $0 Select Drugs |
HMO |
54192IN0010033 |
No |
HDHP Preventive Silver 5500 $0 Select Drugs |
HMO |
77552OH0010219 |
No |
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services |
HMO |
54192IN0010030 |
No |
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services |
HMO |
77552OH0010215 |
No |
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
54192IN0020030 |
No |
Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
77552OH0020215 |
No |
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services |
HMO |
54192IN0010032 |
No |
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services |
HMO |
77552OH0010218 |
No |
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
54192IN0020032 |
No |
Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness |
HMO |
77552OH0020218 |
No |
HSA Eligible Bronze 6000 |
HMO |
54192IN0010010 |
No |
Low Premium Bronze 9200 $25 Generic Drugs |
HMO |
54192IN0010020 |
No |
Low Premium Bronze 9200 $25 Generic Drugs Adult Vision & Fitness |
HMO |
54192IN0020020 |
No |
Low Premium Silver 6000 $3 Generic Drugs |
HMO |
54192IN0010011 |
No |
Low Premium Silver 6000 $3 Generic Drugs |
HMO |
77552OH0010201 |
No |
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness |
HMO |
54192IN0020011 |
No |
Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness |
HMO |
77552OH0020201 |
No |
Platinum Zero $5 Generic Drugs |
HMO |
54192IN0010029 |
No |
Platinum Zero $5 Generic Drugs Adult Vision & Fitness |
HMO |
54192IN0020029 |
No |
Silver 5000 $20 Generic Drugs |
HMO |
54192IN0010014 |
No |
Silver 5000 $20 Generic Drugs |
HMO |
77552OH0010203 |
No |
Silver 5000 $20 Generic Drugs Adult Vision & Fitness |
HMO |
54192IN0020014 |
No |
Silver 5000 $20 Generic Drugs Adult Vision & Fitness |
HMO |
77552OH0020203 |
No |