MARK S DORFMAN M.D.
Accepted Insurance Health Plans for NPI 1962499376
Ophthalmology in Hollywood, FL
NPI Status: Active since September 30, 2005
Contact Information
300 S PARK RD STE 300
HOLLYWOOD, FL
ZIP 33021
Phone: (954) 925-2740
Fax: (954) 923-8379
- Aetna CVS Health
- Ambetter Health
- Ambetter of Alabama
- 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
- Cigna Healthcare
- Florida Blue (BlueCross BlueShield FL)
- Florida Blue HMO (a BlueCross BlueShield FL company)
- Molina Healthcare
- Oscar Insurance Company of Florida
Accepted Health Plans and Insurance Coverage
List of insurance companies accepted by MARK S DORFMAN M.D.. 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? |
---|---|---|---|
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160054 | No |
Bronze 4 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160060 | No |
Bronze S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160022 | No |
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160061 | No |
Gold 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160062 | No |
Gold 3 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160055 | No |
Gold 3 Advanced: Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160063 | No |
Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160030 | No |
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160064 | No |
Silver 10 Advanced: $0 PCP + Aetna network + $0 MinuteClinic + Adult Dental + Vision | HMO | 18628FL0160065 | No |
Silver 5 Advanced: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160029 | No |
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 | HMO | 18628FL0160009 | No |
Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Adult Dental+Vision | HMO | 18628FL0160067 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Complete Gold | HMO | 49004FL0010011 | No |
Complete Gold | HMO | 49004FL0010025 | No |
Complete Gold + Vision + Adult Dental | HMO | 49004FL0020010 | No |
Complete Gold + Vision + Adult Dental | HMO | 49004FL0020021 | No |
Elite Bronze | HMO | 49004FL0010004 | No |
Elite Bronze | HMO | 49004FL0010017 | No |
Elite Bronze + Vision + Adult Dental | HMO | 49004FL0020004 | No |
Elite Bronze + Vision + Adult Dental | HMO | 49004FL0020015 | No |
Elite Silver | HMO | 49004FL0010008 | No |
Elite Silver | HMO | 49004FL0010020 | No |
Elite Silver + Vision + Adult Dental | HMO | 49004FL0020007 | No |
Elite Silver + Vision + Adult Dental | HMO | 49004FL0020017 | 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 | 49004FL0010002 | No |
Everyday Bronze | HMO | 49004FL0010015 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 49004FL0020002 | No |
Everyday Bronze + Vision + Adult Dental | HMO | 49004FL0020013 | No |
Everyday Gold | HMO | 49004FL0010010 | No |
Everyday Gold | HMO | 49004FL0010026 | No |
Everyday Gold + Vision + Adult Dental | HMO | 49004FL0020009 | No |
Everyday Gold + Vision + Adult Dental | HMO | 49004FL0020022 | No |
Focused Silver | HMO | 49004FL0010007 | No |
Focused Silver | HMO | 49004FL0010021 | No |
Focused Silver + Vision + Adult Dental | HMO | 49004FL0020006 | No |
Focused Silver + Vision + Adult Dental | HMO | 49004FL0020018 | No |
Standard Expanded Bronze | HMO | 49004FL0010001 | No |
Standard Expanded Bronze | HMO | 49004FL0010018 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 49004FL0020001 | No |
Standard Expanded Bronze + Vision + Adult Dental | HMO | 49004FL0020016 | No |
Standard Gold | HMO | 49004FL0010013 | No |
Standard Gold | HMO | 49004FL0010028 | No |
Standard Gold + Vision + Adult Dental | HMO | 49004FL0020012 | No |
Standard Gold + Vision + Adult Dental | HMO | 49004FL0020024 | No |
Standard Silver | HMO | 49004FL0010006 | No |
Standard Silver | HMO | 49004FL0010024 | 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? |
---|---|---|---|
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? 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 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? 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 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? 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 |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Connect Bronze 0 Indiv Med Deductible | EPO | 48121FL0070108 | No |
Connect Bronze 5500 Indiv Med Deductible | EPO | 48121FL0070122 | No |
Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care | EPO | 48121FL0070051 | No |
Connect Bronze CMS Standard | EPO | 48121FL0070107 | No |
Connect Gold 2000 Indiv Med Deductible | EPO | 48121FL0070033 | No |
Connect Gold 800 Indiv Med Deductible | EPO | 48121FL0070057 | No |
Connect Gold CMS Standard | EPO | 48121FL0070104 | No |
Connect Silver 3600 Indiv Med Deductible | EPO | 48121FL0070029 | No |
Connect Silver 4300 Indiv Med Deductible | EPO | 48121FL0070030 | No |
Connect Silver CMS Standard | EPO | 48121FL0070105 | 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 |
myBlue Bronze 1601 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $45 / Rewards) | HMO | 30252FL0070001 | No |
myBlue Bronze 2013 ($0 Virtual PCP Visits / 3 PCP Visits for $0 then $30 / Rewards) | HMO | 30252FL0070025 | No |
myBlue Bronze 2129 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) | HMO | 30252FL0070031 | No |
myBlue Bronze 2129E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) | HMO | 30252FL0200009 | No |
myBlue Bronze 2129V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) | HMO | 30252FL0190009 | No |
myBlue Bronze 2149 ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Rewards) | HMO | 30252FL0070033 | No |
myBlue Bronze 2149E ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Dental & Vision / Rewards) | HMO | 30252FL0200010 | No |
myBlue Bronze 2149V ($0 Virtual PCP Visits / $35 PCP Visits / $75 Specialist Visits / Adult Vision / Rewards) | HMO | 30252FL0190010 | No |
myBlue Bronze 2219 ($0 Virtual PCP Visits / Rewards) | HMO | 30252FL0070039 | No |
myBlue Bronze 2286 ($0 Virtual PCP Visits / Rewards) | HMO | 30252FL0070041 | No |
myBlue Bronze 2312S ($50 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070044 | No |
myBlue Bronze 2322S ($50 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070045 | No |
myBlue Bronze 2329 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards) | HMO | 30252FL0070046 | No |
myBlue Bronze 2329E ($0 Virtual PCP Visits / $75 PCP Visits / Adult Dental & Vision / Rewards) | HMO | 30252FL0200022 | No |
myBlue Bronze 2329V ($0 Virtual PCP Visits / $75 PCP Visits / Adult Vision / Rewards) | HMO | 30252FL0190018 | No |
myBlue Bronze 2349 ($0 Virtual PCP Visits / $75 PCP Visits / Rewards) | HMO | 30252FL0070036 | No |
myBlue Connected Care Silver 24M03-70 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / 24x7 Provider Access / Rewards) | HMO | 30252FL0070070 | No |
myBlue Gold 1605 ($0 Virtual PCP Visits / $0 Labs / Rewards) | HMO | 30252FL0070009 | No |
myBlue Gold 2011 ($0 Virtual PCP Visits / $0 Labs / Rewards) | HMO | 30252FL0070023 | No |
myBlue Gold 2016 ($0 Deductible / $0 Virtual PCP Visits / Rewards) | HMO | 30252FL0070028 | No |
myBlue Gold 2314S ($30 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070055 | No |
myBlue Gold 2325S ($30 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070056 | No |
myBlue Gold 24M05-74 ($0 Deductible / $0 Virtual PCP Visits / Rewards) | HMO | 30252FL0070074 | No |
myBlue Platinum 2015 ($0 Deductible / $0 Virtual PCP Visits / $0 Labs / $10 PCP Visits / Rewards) | HMO | 30252FL0070027 | No |
myBlue Platinum 2324S ($0 Deductible / $10 PCP Visits / $20 Specialist Visits / Multilingual Available / Rewards) | HMO | 30252FL0070058 | No |
myBlue Platinum 24M05-00S ($0 Deductible / $10 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070100 | No |
myBlue Platinum 24M05-75 ($0 Deductible / $0 Virtual PCP Visits / $0 Labs / Rewards) | HMO | 30252FL0070075 | No |
myBlue Silver 2010 ($0 Virtual PCP Visits / Rewards) | HMO | 30252FL0070022 | No |
myBlue Silver 2010E ($0 Virtual PCP Visits / Adult Dental & Vision / Rewards) | HMO | 30252FL0200003 | No |
myBlue Silver 2010V ($0 Virtual PCP Visits / Adult Vision / Rewards) | HMO | 30252FL0190003 | No |
myBlue Silver 2237 ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Rewards) | HMO | 30252FL0070035 | No |
myBlue Silver 2237E ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Adult Dental & Vision / Rewards) | HMO | 30252FL0200011 | No |
myBlue Silver 2237V ($0 Virtual PCP Visits / $60 PCP Visits / $20 Labs / Adult Vision / Adult Vision / Rewards) | HMO | 30252FL0190011 | No |
myBlue Silver 2313S ($40 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070053 | No |
myBlue Silver 2323S ($40 PCP Visits / Multilingual Available / Rewards) | HMO | 30252FL0070054 | No |
myBlue Silver 24M02-78 ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Rewards) | HMO | 30252FL0070078 | No |
myBlue Silver 24M02-78E ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Adult Dental & Vision / Rewards) | HMO | 30252FL0200032 | No |
myBlue Silver 24M02-78V ($0 Virtual PCP Visits / $50 PCP Visits / $15 Labs / Adult Vision / Rewards) | HMO | 30252FL0190028 | No |
myBlue Silver 24M03-70E ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / Adult Dental & Vision / Rewards) | HMO | 30252FL0200029 | No |
myBlue Silver 24M03-70V ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / Adult Vision / Rewards) | HMO | 30252FL0190025 | No |
myBlue Silver 24M06-76 ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Rewards) | HMO | 30252FL0070076 | No |
myBlue Silver 24M06-76E ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Adult Dental & Vision / Rewards) | HMO | 30252FL0200034 | No |
myBlue Silver 24M06-76V ($0 Virtual PCP Visits / $50 PCP Visits / $10 Labs / Adult Vision / Rewards) | HMO | 30252FL0190030 | No |
myBlue Silver 25M02-03 ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Rewards) | HMO | 30252FL0070103 | No |
myBlue Silver 25M02-03E ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) | HMO | 30252FL0200038 | No |
myBlue Silver 25M02-03V ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Vision / Rewards) | HMO | 30252FL0190034 | No |
myBlue Silver 25M03-01 ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Rewards) | HMO | 30252FL0070101 | No |
myBlue Silver 25M03-01E ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Adult Dental & Vision / Rewards) | HMO | 30252FL0200036 | No |
myBlue Silver 25M03-01V ($0 Virtual PCP Visits / $0 Primary Care Visits with Select Providers / $20 Labs / Adult Vision / Rewards) | HMO | 30252FL0190032 | No |
myBlue Silver 25M06-02 ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Rewards) | HMO | 30252FL0070102 | No |
myBlue Silver 25M06-02E ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Dental & Vision / Rewards) | HMO | 30252FL0200037 | No |
myBlue Silver 25M06-02V ($0 Virtual PCP Visits / $0 Labs / $50 PCP Visits / Adult Vision / Rewards) | HMO | 30252FL0190033 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Bronze 4 | HMO | 54172FL0010005 | No |
Bronze 8 | HMO | 54172FL0010010 | No |
Gold 1 | HMO | 54172FL0010001 | No |
Gold 1 with Adult Vision Services | HMO | 54172FL0040001 | No |
Gold 8 | HMO | 54172FL0010008 | No |
Silver 1 | HMO | 54172FL0010002 | No |
Silver 1 with Adult Vision Services | HMO | 54172FL0040002 | No |
Silver 12 with First 4 Primary Care Visits Free | HMO | 54172FL0010011 | No |
Silver 8 | HMO | 54172FL0010009 | No |
Silver 9 | HMO | 54172FL0060002 | No |
Plan Name | Plan Type | Plan ID | Dental Only Plan? |
---|---|---|---|
Bronze Classic 4700 | EPO | 40572FL0070024 | No |
Bronze Classic 4700 | EPO | 40572FL0200024 | No |
Bronze Classic Standard | EPO | 40572FL0070050 | No |
Bronze Classic Standard | EPO | 40572FL0200050 | No |
Bronze Elite + PCP Saver Plus | EPO | 40572FL0070005 | No |
Bronze Elite + PCP Saver Plus | EPO | 40572FL0200005 | No |
Gold Classic Standard | EPO | 40572FL0070053 | No |
Gold Classic Standard | EPO | 40572FL0200053 | No |
Gold Elite | EPO | 40572FL0070036 | No |
Gold Elite Saver Plus | EPO | 40572FL0070035 | No |
Secure | EPO | 40572FL0070011 | No |
Secure | EPO | 40572FL0200011 | No |
Silver Classic Standard | EPO | 40572FL0070052 | No |
Silver Classic Standard | EPO | 40572FL0200052 | No |
Silver Elite | EPO | 40572FL0070016 | No |
Silver Elite | EPO | 40572FL0200016 | No |
Silver Simple Chronic Care CKM | EPO | 40572FL0070060 | No |
Silver Simple Chronic Care CKM | EPO | 40572FL0200060 | No |
Silver Simple Diabetes | EPO | 40572FL0070061 | No |
Silver Simple Diabetes | EPO | 40572FL0200061 | No |
Silver Simple PCP Saver | EPO | 40572FL0070025 | No |
Silver Simple PCP Saver | EPO | 40572FL0200025 | No |