| 31981OH0020010 |
Bronze Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0020011 |
Bronze Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0030010 |
Bronze Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0030011 |
Bronze Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0010010 |
Bronze Standard |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0020030 |
Gold Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0020031 |
Gold Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0030030 |
Gold Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0030031 |
Gold Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0010030 |
Gold Standard |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0020020 |
Silver Complete 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0020021 |
Silver Complete+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0030020 |
Silver Elite 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0030021 |
Silver Elite+Dental 4 $0 Tier-1 PCP Visits, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0010020 |
Silver Standard |
2026 |
NON PREFER
|
Oct 15, 2025 |
| 31981OH0020010 |
Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0020011 |
Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0030010 |
Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0030011 |
Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0010010 |
Bronze Standard |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0010050 |
Catastrophic Standard |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0020030 |
Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0020031 |
Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0030030 |
Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0030031 |
Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0010030 |
Gold Standard |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0020020 |
Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0020021 |
Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0030020 |
Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0030021 |
Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx |
2025 |
OHN001
|
Dec 20, 2024 |
| 31981OH0010020 |
Silver Standard |
2025 |
OHN001
|
Dec 20, 2024 |