Elite PPO Basic - 54965VA0030004 Health Insurance Plan
Dominion National health insurance plan with the Plan ID 54965VA0030004. The plan is called Elite PPO Basic.
| Health Insurance Plan ID | 54965VA0030004 | ||||||||||||||||||
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| Health Insurance Plan Year | 2025 | ||||||||||||||||||
| State | Virginia | ||||||||||||||||||
| Health Insurance Issuer | Dominion National | ||||||||||||||||||
| Plan Formulary Description URL | Formulary URL | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Provider Network(s) | ELITE | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 23 Apr 2024 07:07 GMT). |
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| Last Plan Update Date | Fri, 19 Apr 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 23 Apr 2024 07:07 GMT |
Copay & Coinsurance of Elite PPO Basic Health Insurance Plan, 54965VA0030004
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Elite PPO Basic, 54965VA0030004 Health Insurance Plan, 54965VA0030004
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Does Elite PPO Basic Health Insurance Plan, 54965VA0030004 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Disclaimer: This is based on the import(Date: Tue, 23 Apr 2024 07:07 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API