| Elevate by Medica Bronze $0 Copay PCP Visits |
EPO |
20305NE0030041 |
No |
| Elevate by Medica Bronze Premier |
EPO |
20305NE0030051 |
No |
| Elevate by Medica Expanded Bronze Standard |
EPO |
20305NE0030073 |
No |
| Elevate by Medica Gold $0 Copay PCP Visits |
EPO |
20305NE0030045 |
No |
| Elevate by Medica Gold Share |
EPO |
20305NE0030025 |
No |
| Elevate by Medica Gold Standard |
EPO |
20305NE0030055 |
No |
| Elevate by Medica Silver $0 Copay PCP Visits |
EPO |
20305NE0030047 |
No |
| Elevate by Medica Silver Share |
EPO |
20305NE0030074 |
No |
| Elevate by Medica Silver Standard |
EPO |
20305NE0030057 |
No |
| Medica Individual Choice Bronze $0 Copay PCP Visits |
HMO |
73751ND0130041 |
No |
| Medica Individual Choice Bronze HSA |
EPO |
57845WI0040011 |
No |
| Medica Individual Choice Bronze Share |
EPO |
57845WI0040029 |
No |
| Medica Individual Choice Bronze Share |
HMO |
73751ND0130029 |
No |
| Medica Individual Choice Expanded Bronze Standard |
EPO |
57845WI0040073 |
No |
| Medica Individual Choice Expanded Bronze Standard |
HMO |
73751ND0130073 |
No |
| Medica Individual Choice Gold $0 Copay PCP Visits |
EPO |
57845WI0040074 |
No |
| Medica Individual Choice Gold $0 Copay PCP Visits |
HMO |
73751ND0130045 |
No |
| Medica Individual Choice Gold Share |
EPO |
57845WI0040076 |
No |
| Medica Individual Choice Gold Share |
HMO |
73751ND0130074 |
No |
| Medica Individual Choice Gold Standard |
EPO |
57845WI0040055 |
No |
| Medica Individual Choice Gold Standard |
HMO |
73751ND0130055 |
No |
| Medica Individual Choice Silver $0 Copay PCP Visits |
EPO |
57845WI0040075 |
No |
| Medica Individual Choice Silver $0 Copay PCP Visits |
HMO |
73751ND0130047 |
No |
| Medica Individual Choice Silver Share |
EPO |
57845WI0040027 |
No |
| Medica Individual Choice Silver Share |
HMO |
73751ND0130076 |
No |
| Medica Individual Choice Silver Standard |
EPO |
57845WI0040057 |
No |
| Medica Individual Choice Silver Standard |
HMO |
73751ND0130057 |
No |
| Medica Insure Bronze Premier |
EPO |
20305NE0040051 |
No |
| Medica Insure Bronze Share |
EPO |
20305NE0040029 |
No |
| Medica Insure Expanded Bronze Standard |
EPO |
20305NE0040073 |
No |
| Medica Insure Gold $0 Copay PCP Visits |
EPO |
20305NE0040045 |
No |
| Medica Insure Gold Share |
EPO |
20305NE0040025 |
No |
| Medica Insure Gold Standard |
EPO |
20305NE0040055 |
No |
| Medica Insure Silver $0 Copay PCP Visits |
EPO |
20305NE0040047 |
No |
| Medica Insure Silver Share |
EPO |
20305NE0040027 |
No |
| Medica Insure Silver Standard |
EPO |
20305NE0040057 |
No |
| Medica with CHI Health Bronze $0 Copay PCP Visits |
EPO |
20305NE0050074 |
No |
| Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
EPO |
20305NE0100003 |
No |
| Medica with CHI Health Bronze Premier |
EPO |
20305NE0050051 |
No |
| Medica with CHI Health Bronze Premier + Adult Eye Exam |
EPO |
20305NE0100006 |
No |
| Medica with CHI Health Expanded Bronze Standard |
EPO |
20305NE0050073 |
No |
| Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
EPO |
20305NE0100009 |
No |
| Medica with CHI Health Gold $0 Copay PCP Visits |
EPO |
20305NE0050045 |
No |
| Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
EPO |
20305NE0100001 |
No |
| Medica with CHI Health Gold Share |
EPO |
20305NE0050075 |
No |
| Medica with CHI Health Gold Share + Adult Eye Exam |
EPO |
20305NE0100004 |
No |
| Medica with CHI Health Gold Standard |
EPO |
20305NE0050055 |
No |
| Medica with CHI Health Gold Standard + Adult Eye Exam |
EPO |
20305NE0100007 |
No |
| Medica with CHI Health Silver $0 Copay PCP Visits |
EPO |
20305NE0050047 |
No |
| Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
EPO |
20305NE0100002 |
No |
| Medica with CHI Health Silver Share |
EPO |
20305NE0050027 |
No |
| Medica with CHI Health Silver Share + Adult Eye Exam |
EPO |
20305NE0100005 |
No |
| Medica with CHI Health Silver Standard |
EPO |
20305NE0050057 |
No |
| Medica with CHI Health Silver Standard + Adult Eye Exam |
EPO |
20305NE0100008 |
No |