WellFirst by Medica Silver Copay PCP 4500X (Free Virtual Visits) - 65280IL0010016 Health Insurance Plan

SSM Health Plan health insurance plan with the Plan ID 65280IL0010016. The plan is called WellFirst by Medica Silver Copay PCP 4500X (Free Virtual Visits).

Health Insurance Plan ID 65280IL0010016
Health Insurance Plan Year 2024
State Illinois
Health Insurance Issuer SSM Health Plan
Plan Formulary Description URL Formulary URL
Plan Marketing Materials URL Marketing URL
Provider Network(s) ['ILN001']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Mon, 23 Jun 2025 12:50 GMT).

Providers Illinois All US States
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Last Plan Update Date Tue, 24 Oct 2023 00:00 GMT
Last Import Date Mon, 23 Jun 2025 12:50 GMT

Copay & Coinsurance of WellFirst by Medica Silver Copay PCP 4500X (Free Virtual Visits) Health Insurance Plan, 65280IL0010016

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about WellFirst by Medica Silver Copay PCP 4500X (Free Virtual Visits), 65280IL0010016 Health Insurance Plan, 65280IL0010016

  • Does WellFirst by Medica Silver Copay PCP 4500X (Free Virtual Visits) Health Insurance Plan, 65280IL0010016 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: Mon, 23 Jun 2025 12:50 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