| 91908OK0010050 |
Bronze Classic Standard |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010005 |
Bronze Elite + PCP Saver Plus |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010068 |
Bronze Simple |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010056 |
Bronze Simple Breathe Easy with Enhanced COPD Benefits |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010057 |
Bronze Simple Chronic Care CKM |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010058 |
Bronze Simple Diabetes |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010053 |
Gold Classic Standard |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010052 |
Silver Classic Standard |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010030 |
Silver Elite Saver Plus |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010055 |
Silver Simple Breathe Easy with Enhanced COPD Benefits |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010059 |
Silver Simple Chronic Care CKM |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010045 |
Silver Simple Diabetes |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010025 |
Silver Simple PCP Saver |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010060 |
Silver Simple Women's Health with Menopause Benefits |
2026 |
PREFERRED
|
Oct 28, 2025 |
| 91908OK0010024 |
Bronze Classic 4700 |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010050 |
Bronze Classic Standard |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010005 |
Bronze Elite + PCP Saver Plus |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010053 |
Gold Classic Standard |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010011 |
Secure |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010052 |
Silver Classic Standard |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010030 |
Silver Elite Saver Plus |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010055 |
Silver Simple Breathe Easy with Enhanced COPD Benefits |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010045 |
Silver Simple Diabetes |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010025 |
Silver Simple PCP Saver |
2025 |
PREFERRED
|
Jan 11, 2025 |
| 91908OK0010024 |
Bronze Classic 4700 |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010021 |
Bronze Classic PCP Saver Plus |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010050 |
Bronze Classic Standard |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010005 |
Bronze Elite + PCP Saver Plus |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010053 |
Gold Classic Standard |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010011 |
Secure |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010052 |
Silver Classic Standard |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010030 |
Silver Elite Saver Plus |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010055 |
Silver Simple Breathe Easy with Enhanced COPD Benefits |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010045 |
Silver Simple Diabetes |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010025 |
Silver Simple PCP Saver |
2024 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010003 |
Bronze Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010024 |
Bronze Classic 4700 |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010021 |
Bronze Classic PCP Saver Plus |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010050 |
Bronze Classic Standard |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010005 |
Bronze Elite + PCP Saver Plus |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010014 |
Bronze Simple- HSA |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010051 |
Bronze Simple- Standard |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010053 |
Gold Classic Standard |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010011 |
Secure |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010006 |
Silver Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010052 |
Silver Classic Standard |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010030 |
Silver Elite Saver Plus |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010045 |
Silver Simple Diabetes |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010025 |
Silver Simple PCP Saver |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010015 |
Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2023 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010003 |
Bronze Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010039 |
Bronze Classic- $4000 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010024 |
Bronze Classic 4700 |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010002 |
Bronze Classic- PCP Saver ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010021 |
Bronze Classic PCP Saver Plus |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010022 |
Bronze Classic- Specialist Saver ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010043 |
Bronze Elite- $0 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010042 |
Bronze Elite- $1000 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010005 |
Bronze Elite + PCP Saver Plus |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010014 |
Bronze Simple- HSA |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010013 |
Gold Classic ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010037 |
Gold Classic- HSA |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010020 |
Gold Classic- Low Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010035 |
Gold Elite- $0 Ded ($0 Primary Care + $3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010036 |
Gold Elite ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010033 |
Gold Simple ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010011 |
Secure |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010017 |
Silver Classic- $0 Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010006 |
Silver Classic ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010027 |
Silver Classic- Low Ded ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010028 |
Silver Elite- $0 PCP ($0 Primary Care + $0 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010030 |
Silver Elite Saver Plus |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010026 |
Silver Elite- Specialist Saver ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010008 |
Silver Simple ($3 Drugs + $0 Virtual Care) |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010045 |
Silver Simple Diabetes |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010025 |
Silver Simple PCP Saver |
2022 |
PREFERRED
|
Oct 10, 2025 |
| 91908OK0010015 |
Silver Simple- Specialist Saver ($3 Preferred Generic Drugs + $0 Virtual Urgent Care Visits with Select Providers) |
2022 |
PREFERRED
|
Oct 10, 2025 |