| Elevate by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Iowa |
5 | $7,500 | $10,600 |
| Elevate by Medica Bronze Share |
Expanded Bronze | EPO | Iowa |
5 | $8,000 | $10,600 |
| Elevate by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Iowa |
5 | $7,500 | $10,000 |
| Inspire by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Iowa |
25 | $7,500 | $10,600 |
| Inspire by Medica Bronze Share |
Expanded Bronze | EPO | Iowa |
25 | $8,000 | $10,600 |
| Inspire by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Iowa |
25 | $7,500 | $10,000 |
| Medica Insure Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Iowa |
68 | $7,500 | $10,600 |
| Medica Insure Bronze Share |
Expanded Bronze | EPO | Iowa |
68 | $8,000 | $10,600 |
| Medica Insure Expanded Bronze Standard |
Expanded Bronze | EPO | Iowa |
99 | $7,500 | $10,000 |
| Medica with CHI Health Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Iowa |
1 | $7,500 | $10,600 |
| Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
Expanded Bronze | EPO | Iowa |
1 | $7,500 | $10,600 |
| Medica with CHI Health Bronze Share |
Expanded Bronze | EPO | Iowa |
1 | $8,000 | $10,600 |
| Medica with CHI Health Bronze Share + Adult Eye Exam |
Expanded Bronze | EPO | Iowa |
1 | $8,000 | $10,600 |
| Medica with CHI Health Expanded Bronze Standard |
Expanded Bronze | EPO | Iowa |
1 | $7,500 | $10,000 |
| Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
Expanded Bronze | EPO | Iowa |
1 | $7,500 | $10,000 |
| Elevate by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Iowa |
5 | $1,500 | $8,800 |
| Elevate by Medica Gold Share |
Gold | EPO | Iowa |
5 | $2,500 | $5,900 |
| Elevate by Medica Gold Standard |
Gold | EPO | Iowa |
5 | $2,000 | $8,200 |
| Inspire by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Iowa |
25 | $1,500 | $8,800 |
| Inspire by Medica Gold Share |
Gold | EPO | Iowa |
25 | $2,500 | $5,900 |
| Inspire by Medica Gold Standard |
Gold | EPO | Iowa |
25 | $2,000 | $8,200 |
| Medica Insure Gold $0 Copay PCP Visits |
Gold | EPO | Iowa |
68 | $1,500 | $8,800 |
| Medica Insure Gold Share |
Gold | EPO | Iowa |
68 | $2,500 | $5,900 |
| Medica Insure Gold Standard |
Gold | EPO | Iowa |
99 | $2,000 | $8,200 |
| Medica with CHI Health Gold $0 Copay PCP Visits |
Gold | EPO | Iowa |
1 | $1,500 | $8,800 |
| Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
Gold | EPO | Iowa |
1 | $1,500 | $8,800 |
| Medica with CHI Health Gold Share |
Gold | EPO | Iowa |
1 | $2,500 | $5,900 |
| Medica with CHI Health Gold Share + Adult Eye Exam |
Gold | EPO | Iowa |
1 | $2,500 | $5,900 |
| Medica with CHI Health Gold Standard |
Gold | EPO | Iowa |
1 | $2,000 | $8,200 |
| Medica with CHI Health Gold Standard + Adult Eye Exam |
Gold | EPO | Iowa |
1 | $2,000 | $8,200 |
| Elevate by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Iowa |
5 | $3,500 | $10,450 |
| Elevate by Medica Silver Share |
Silver | EPO | Iowa |
5 | $3,525 | $8,850 |
| Elevate by Medica Silver Standard |
Silver | EPO | Iowa |
5 | $6,000 | $8,900 |
| Inspire by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Iowa |
25 | $3,500 | $10,450 |
| Inspire by Medica Silver Share |
Silver | EPO | Iowa |
25 | $3,525 | $8,850 |
| Inspire by Medica Silver Standard |
Silver | EPO | Iowa |
25 | $6,000 | $8,900 |
| Medica Insure Silver $0 Copay PCP Visits |
Silver | EPO | Iowa |
68 | $3,500 | $10,450 |
| Medica Insure Silver Share |
Silver | EPO | Iowa |
68 | $3,525 | $8,850 |
| Medica Insure Silver Standard |
Silver | EPO | Iowa |
99 | $6,000 | $8,900 |
| Medica with CHI Health Silver $0 Copay PCP Visits |
Silver | EPO | Iowa |
1 | $3,500 | $10,450 |
| Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
Silver | EPO | Iowa |
1 | $3,500 | $10,450 |
| Medica with CHI Health Silver Share |
Silver | EPO | Iowa |
1 | $3,525 | $8,850 |
| Medica with CHI Health Silver Share + Adult Eye Exam |
Silver | EPO | Iowa |
1 | $3,525 | $8,850 |
| Medica with CHI Health Silver Standard |
Silver | EPO | Iowa |
1 | $6,000 | $8,900 |
| Medica with CHI Health Silver Standard + Adult Eye Exam |
Silver | EPO | Iowa |
1 | $6,000 | $8,900 |
| Select by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Kansas |
4 | $7,500 | $10,600 |
| Select by Medica Bronze Share |
Expanded Bronze | EPO | Kansas |
4 | $8,000 | $10,600 |
| Select by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Kansas |
4 | $7,500 | $10,000 |
| Select by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Kansas |
4 | $1,500 | $8,800 |
| Select by Medica Gold Share |
Gold | EPO | Kansas |
4 | $2,500 | $5,900 |
| Select by Medica Gold Standard |
Gold | EPO | Kansas |
4 | $2,000 | $8,200 |
| Select by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Kansas |
4 | $3,500 | $10,450 |
| Select by Medica Silver Share |
Silver | EPO | Kansas |
4 | $3,525 | $8,850 |
| Select by Medica Silver Standard |
Silver | EPO | Kansas |
4 | $6,000 | $8,900 |
| Balance by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Missouri |
31 | $7,500 | $10,600 |
| Balance by Medica Bronze Premier |
Expanded Bronze | EPO | Missouri |
31 | $2,000 | $10,600 |
| Balance by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Missouri |
31 | $7,500 | $10,000 |
| Medica with MU Health Care Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Missouri |
10 | $7,500 | $10,600 |
| Medica with MU Health Care Bronze Premier |
Expanded Bronze | EPO | Missouri |
10 | $2,000 | $10,600 |
| Medica with MU Health Care Expanded Bronze Standard |
Expanded Bronze | EPO | Missouri |
10 | $7,500 | $10,000 |
| Medica with SSM Health Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Missouri |
4 | $7,500 | $10,600 |
| Medica with SSM Health Bronze Share |
Expanded Bronze | EPO | Missouri |
4 | $8,000 | $10,600 |
| Medica with SSM Health Expanded Bronze Standard |
Expanded Bronze | EPO | Missouri |
4 | $7,500 | $10,000 |
| Select by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Missouri |
13 | $7,500 | $10,600 |
| Select by Medica Bronze Share |
Expanded Bronze | EPO | Missouri |
13 | $8,000 | $10,600 |
| Select by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Missouri |
13 | $7,500 | $10,000 |
| Balance by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Missouri |
31 | $1,500 | $8,800 |
| Balance by Medica Gold Share |
Gold | EPO | Missouri |
31 | $2,500 | $5,900 |
| Balance by Medica Gold Standard |
Gold | EPO | Missouri |
31 | $2,000 | $8,200 |
| Medica with MU Health Care Gold $0 Copay PCP Visits |
Gold | EPO | Missouri |
10 | $1,500 | $8,800 |
| Medica with MU Health Care Gold Share |
Gold | EPO | Missouri |
10 | $2,500 | $5,900 |
| Medica with MU Health Care Gold Standard |
Gold | EPO | Missouri |
10 | $2,000 | $8,200 |
| Medica with SSM Health Gold $0 Copay PCP Visits |
Gold | EPO | Missouri |
4 | $1,500 | $8,800 |
| Medica with SSM Health Gold Share |
Gold | EPO | Missouri |
4 | $2,500 | $5,900 |
| Medica with SSM Health Gold Standard |
Gold | EPO | Missouri |
4 | $2,000 | $8,200 |
| Select by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Missouri |
13 | $1,500 | $8,800 |
| Select by Medica Gold Share |
Gold | EPO | Missouri |
13 | $2,500 | $5,900 |
| Select by Medica Gold Standard |
Gold | EPO | Missouri |
13 | $2,000 | $8,200 |
| Balance by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Missouri |
31 | $3,500 | $10,450 |
| Balance by Medica Silver Share |
Silver | EPO | Missouri |
31 | $3,525 | $8,850 |
| Balance by Medica Silver Standard |
Silver | EPO | Missouri |
31 | $6,000 | $8,900 |
| Medica with MU Health Care Silver $0 Copay PCP Visits |
Silver | EPO | Missouri |
10 | $3,500 | $10,450 |
| Medica with MU Health Care Silver Share |
Silver | EPO | Missouri |
10 | $3,525 | $8,850 |
| Medica with MU Health Care Silver Standard |
Silver | EPO | Missouri |
10 | $6,000 | $8,900 |
| Medica with SSM Health Silver $0 Copay PCP Visits |
Silver | EPO | Missouri |
4 | $3,500 | $10,450 |
| Medica with SSM Health Silver Share |
Silver | EPO | Missouri |
4 | $3,525 | $8,850 |
| Medica with SSM Health Silver Standard |
Silver | EPO | Missouri |
4 | $6,000 | $8,900 |
| Select by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Missouri |
13 | $3,500 | $10,450 |
| Select by Medica Silver Share |
Silver | EPO | Missouri |
13 | $3,525 | $8,850 |
| Select by Medica Silver Standard |
Silver | EPO | Missouri |
13 | $6,000 | $8,900 |
| Altru Prime by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | HMO | North Dakota |
8 | $7,500 | $10,600 |
| Altru Prime by Medica Bronze Share |
Expanded Bronze | HMO | North Dakota |
8 | $8,000 | $10,600 |
| Altru Prime by Medica Expanded Bronze Standard |
Expanded Bronze | HMO | North Dakota |
8 | $7,500 | $10,000 |
| Essentia Choice Care with Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | HMO | North Dakota |
5 | $7,500 | $10,600 |
| Essentia Choice Care with Medica Bronze Share |
Expanded Bronze | HMO | North Dakota |
5 | $8,000 | $10,600 |
| Essentia Choice Care with Medica Expanded Bronze Standard |
Expanded Bronze | HMO | North Dakota |
5 | $7,500 | $10,000 |
| Medica Individual Choice Bronze $0 Copay PCP Visits |
Expanded Bronze | HMO | North Dakota |
35 | $7,500 | $10,600 |
| Medica Individual Choice Bronze Share |
Expanded Bronze | HMO | North Dakota |
35 | $8,000 | $10,600 |
| Medica Individual Choice Expanded Bronze Standard |
Expanded Bronze | HMO | North Dakota |
47 | $7,500 | $10,000 |
| Altru Prime by Medica Gold $0 Copay PCP Visits |
Gold | HMO | North Dakota |
8 | $1,500 | $8,800 |
| Altru Prime by Medica Gold Share |
Gold | HMO | North Dakota |
8 | $2,500 | $5,900 |
| Altru Prime by Medica Gold Standard |
Gold | HMO | North Dakota |
8 | $2,000 | $8,200 |
| Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
Gold | HMO | North Dakota |
5 | $1,500 | $8,800 |
| Essentia Choice Care with Medica Gold Share |
Gold | HMO | North Dakota |
5 | $2,500 | $5,900 |
| Essentia Choice Care with Medica Gold Standard |
Gold | HMO | North Dakota |
5 | $2,000 | $8,200 |
| Medica Individual Choice Gold $0 Copay PCP Visits |
Gold | HMO | North Dakota |
35 | $1,500 | $8,800 |
| Medica Individual Choice Gold Share |
Gold | HMO | North Dakota |
35 | $2,500 | $5,900 |
| Medica Individual Choice Gold Standard |
Gold | HMO | North Dakota |
47 | $2,000 | $8,200 |
| Altru Prime by Medica Silver $0 Copay PCP Visits |
Silver | HMO | North Dakota |
8 | $3,500 | $10,450 |
| Altru Prime by Medica Silver Share |
Silver | HMO | North Dakota |
8 | $3,525 | $8,850 |
| Altru Prime by Medica Silver Standard |
Silver | HMO | North Dakota |
8 | $6,000 | $8,900 |
| Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
Silver | HMO | North Dakota |
5 | $3,500 | $10,450 |
| Essentia Choice Care with Medica Silver Share |
Silver | HMO | North Dakota |
5 | $3,525 | $8,850 |
| Essentia Choice Care with Medica Silver Standard |
Silver | HMO | North Dakota |
5 | $6,000 | $8,900 |
| Medica Individual Choice Silver $0 Copay PCP Visits |
Silver | HMO | North Dakota |
35 | $3,500 | $10,450 |
| Medica Individual Choice Silver Share |
Silver | HMO | North Dakota |
35 | $3,525 | $8,850 |
| Medica Individual Choice Silver Standard |
Silver | HMO | North Dakota |
47 | $6,000 | $8,900 |
| Elevate by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Nebraska |
16 | $7,500 | $10,600 |
| Elevate by Medica Bronze Premier |
Expanded Bronze | EPO | Nebraska |
16 | $2,000 | $10,600 |
| Elevate by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Nebraska |
16 | $7,500 | $10,000 |
| Medica Insure Bronze Premier |
Expanded Bronze | EPO | Nebraska |
59 | $2,000 | $10,600 |
| Medica Insure Bronze Share |
Expanded Bronze | EPO | Nebraska |
59 | $8,000 | $10,600 |
| Medica Insure Expanded Bronze Standard |
Expanded Bronze | EPO | Nebraska |
93 | $7,500 | $10,000 |
| Medica with CHI Health Bronze $0 Copay PCP Visits |
Expanded Bronze | EPO | Nebraska |
18 | $7,500 | $10,600 |
| Medica with CHI Health Bronze $0 Copay PCP Visits + Adult Eye Exam |
Expanded Bronze | EPO | Nebraska |
13 | $7,500 | $10,600 |
| Medica with CHI Health Bronze Premier |
Expanded Bronze | EPO | Nebraska |
18 | $2,000 | $10,600 |
| Medica with CHI Health Bronze Premier + Adult Eye Exam |
Expanded Bronze | EPO | Nebraska |
13 | $2,000 | $10,600 |
| Medica with CHI Health Expanded Bronze Standard |
Expanded Bronze | EPO | Nebraska |
18 | $7,500 | $10,000 |
| Medica with CHI Health Expanded Bronze Standard + Adult Eye Exam |
Expanded Bronze | EPO | Nebraska |
13 | $7,500 | $10,000 |
| Elevate by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Nebraska |
16 | $1,500 | $8,800 |
| Elevate by Medica Gold Share |
Gold | EPO | Nebraska |
16 | $2,500 | $5,900 |
| Elevate by Medica Gold Standard |
Gold | EPO | Nebraska |
16 | $2,000 | $8,200 |
| Medica Insure Gold $0 Copay PCP Visits |
Gold | EPO | Nebraska |
59 | $1,500 | $8,800 |
| Medica Insure Gold Share |
Gold | EPO | Nebraska |
59 | $2,500 | $5,900 |
| Medica Insure Gold Standard |
Gold | EPO | Nebraska |
93 | $2,000 | $8,200 |
| Medica with CHI Health Gold $0 Copay PCP Visits |
Gold | EPO | Nebraska |
18 | $1,500 | $8,800 |
| Medica with CHI Health Gold $0 Copay PCP Visits + Adult Eye Exam |
Gold | EPO | Nebraska |
13 | $1,500 | $8,800 |
| Medica with CHI Health Gold Share |
Gold | EPO | Nebraska |
18 | $2,500 | $5,900 |
| Medica with CHI Health Gold Share + Adult Eye Exam |
Gold | EPO | Nebraska |
13 | $2,500 | $5,900 |
| Medica with CHI Health Gold Standard |
Gold | EPO | Nebraska |
18 | $2,000 | $8,200 |
| Medica with CHI Health Gold Standard + Adult Eye Exam |
Gold | EPO | Nebraska |
13 | $2,000 | $8,200 |
| Elevate by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Nebraska |
16 | $3,500 | $10,450 |
| Elevate by Medica Silver Share |
Silver | EPO | Nebraska |
16 | $3,525 | $8,850 |
| Elevate by Medica Silver Standard |
Silver | EPO | Nebraska |
16 | $6,000 | $8,900 |
| Medica Insure Silver $0 Copay PCP Visits |
Silver | EPO | Nebraska |
59 | $3,500 | $10,450 |
| Medica Insure Silver Share |
Silver | EPO | Nebraska |
59 | $3,525 | $8,850 |
| Medica Insure Silver Standard |
Silver | EPO | Nebraska |
93 | $6,000 | $8,900 |
| Medica with CHI Health Silver $0 Copay PCP Visits |
Silver | EPO | Nebraska |
18 | $3,500 | $10,450 |
| Medica with CHI Health Silver $0 Copay PCP Visits + Adult Eye Exam |
Silver | EPO | Nebraska |
13 | $3,500 | $10,450 |
| Medica with CHI Health Silver Share |
Silver | EPO | Nebraska |
18 | $3,525 | $8,850 |
| Medica with CHI Health Silver Share + Adult Eye Exam |
Silver | EPO | Nebraska |
13 | $3,525 | $8,850 |
| Medica with CHI Health Silver Standard |
Silver | EPO | Nebraska |
18 | $6,000 | $8,900 |
| Medica with CHI Health Silver Standard + Adult Eye Exam |
Silver | EPO | Nebraska |
13 | $6,000 | $8,900 |
| Balance by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | PPO | Oklahoma |
9 | $7,500 | $10,600 |
| Balance by Medica Bronze Premier |
Expanded Bronze | PPO | Oklahoma |
9 | $2,000 | $10,600 |
| Balance by Medica Expanded Bronze Standard |
Expanded Bronze | PPO | Oklahoma |
9 | $7,500 | $10,000 |
| Harmony by Medica Bronze $0 Copay PCP Visits |
Expanded Bronze | PPO | Oklahoma |
25 | $7,500 | $10,600 |
| Harmony by Medica Bronze $0 Copay PCP Visits + Adult Eye Exam |
Expanded Bronze | PPO | Oklahoma |
3 | $7,500 | $10,600 |
| Harmony by Medica Bronze Premier |
Expanded Bronze | PPO | Oklahoma |
25 | $2,000 | $10,600 |
| Harmony by Medica Bronze Premier + Adult Eye Exam |
Expanded Bronze | PPO | Oklahoma |
3 | $2,000 | $10,600 |
| Harmony by Medica Expanded Bronze Standard |
Expanded Bronze | PPO | Oklahoma |
25 | $7,500 | $10,000 |
| Harmony by Medica Expanded Bronze Standard + Adult Eye Exam |
Expanded Bronze | PPO | Oklahoma |
3 | $7,500 | $10,000 |
| Balance by Medica Gold $0 Copay PCP Visits |
Gold | PPO | Oklahoma |
9 | $1,500 | $8,800 |
| Balance by Medica Gold Share |
Gold | PPO | Oklahoma |
9 | $2,500 | $5,900 |
| Balance by Medica Gold Standard |
Gold | PPO | Oklahoma |
9 | $2,000 | $8,200 |
| Harmony by Medica Gold $0 Copay PCP Visits |
Gold | PPO | Oklahoma |
25 | $1,500 | $8,800 |
| Harmony by Medica Gold $0 Copay PCP Visits + Adult Eye Exam |
Gold | PPO | Oklahoma |
3 | $1,500 | $8,800 |
| Harmony by Medica Gold Share |
Gold | PPO | Oklahoma |
25 | $2,500 | $5,900 |
| Harmony by Medica Gold Share + Adult Eye Exam |
Gold | PPO | Oklahoma |
3 | $2,500 | $5,900 |
| Harmony by Medica Gold Standard |
Gold | PPO | Oklahoma |
25 | $2,000 | $8,200 |
| Harmony by Medica Gold Standard + Adult Eye Exam |
Gold | PPO | Oklahoma |
3 | $2,000 | $8,200 |
| Balance by Medica Silver $0 Copay PCP Visits |
Silver | PPO | Oklahoma |
9 | $3,500 | $10,450 |
| Balance by Medica Silver Share |
Silver | PPO | Oklahoma |
9 | $3,525 | $8,850 |
| Balance by Medica Silver Standard |
Silver | PPO | Oklahoma |
9 | $6,000 | $8,900 |
| Harmony by Medica Silver $0 Copay PCP Visits |
Silver | PPO | Oklahoma |
25 | $3,500 | $10,450 |
| Harmony by Medica Silver $0 Copay PCP Visits + Adult Eye Exam |
Silver | PPO | Oklahoma |
3 | $3,500 | $10,450 |
| Harmony by Medica Silver Share |
Silver | PPO | Oklahoma |
25 | $3,525 | $8,850 |
| Harmony by Medica Silver Share + Adult Eye Exam |
Silver | PPO | Oklahoma |
3 | $3,525 | $8,850 |
| Harmony by Medica Silver Standard |
Silver | PPO | Oklahoma |
25 | $6,000 | $8,900 |
| Harmony by Medica Silver Standard + Adult Eye Exam |
Silver | PPO | Oklahoma |
3 | $6,000 | $8,900 |
| Engage by Medica Bronze HSA |
Expanded Bronze | EPO | Wisconsin |
14 | $7,500 | $8,500 |
| Engage by Medica Bronze Share |
Expanded Bronze | EPO | Wisconsin |
14 | $8,000 | $10,600 |
| Engage by Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Wisconsin |
14 | $7,500 | $10,000 |
| Essentia Choice Care with Medica Bronze HSA |
Expanded Bronze | EPO | Wisconsin |
3 | $7,500 | $8,500 |
| Essentia Choice Care with Medica Bronze Share |
Expanded Bronze | EPO | Wisconsin |
3 | $8,000 | $10,600 |
| Essentia Choice Care with Medica Expanded Bronze Standard |
Expanded Bronze | EPO | Wisconsin |
3 | $7,500 | $10,000 |
| Medica Individual Choice Bronze HSA |
Expanded Bronze | EPO | Wisconsin |
7 | $7,500 | $8,500 |
| Medica Individual Choice Bronze Share |
Expanded Bronze | EPO | Wisconsin |
7 | $8,000 | $10,600 |
| Medica Individual Choice Expanded Bronze Standard |
Expanded Bronze | EPO | Wisconsin |
13 | $7,500 | $10,000 |
| Engage by Medica Gold $0 Copay PCP Visits |
Gold | EPO | Wisconsin |
14 | $1,500 | $8,800 |
| Engage by Medica Gold Share |
Gold | EPO | Wisconsin |
14 | $2,500 | $5,900 |
| Engage by Medica Gold Standard |
Gold | EPO | Wisconsin |
14 | $2,000 | $8,200 |
| Essentia Choice Care with Medica Gold $0 Copay PCP Visits |
Gold | EPO | Wisconsin |
3 | $1,500 | $8,800 |
| Essentia Choice Care with Medica Gold Share |
Gold | EPO | Wisconsin |
3 | $2,500 | $5,900 |
| Essentia Choice Care with Medica Gold Standard |
Gold | EPO | Wisconsin |
3 | $2,000 | $8,200 |
| Medica Individual Choice Gold $0 Copay PCP Visits |
Gold | EPO | Wisconsin |
7 | $1,500 | $8,800 |
| Medica Individual Choice Gold Share |
Gold | EPO | Wisconsin |
7 | $2,500 | $5,900 |
| Medica Individual Choice Gold Standard |
Gold | EPO | Wisconsin |
13 | $2,000 | $8,200 |
| Engage by Medica Silver $0 Copay PCP Visits |
Silver | EPO | Wisconsin |
14 | $3,500 | $10,450 |
| Engage by Medica Silver Share |
Silver | EPO | Wisconsin |
14 | $3,525 | $8,850 |
| Engage by Medica Silver Standard |
Silver | EPO | Wisconsin |
14 | $6,000 | $8,900 |
| Essentia Choice Care with Medica Silver $0 Copay PCP Visits |
Silver | EPO | Wisconsin |
3 | $3,500 | $10,450 |
| Essentia Choice Care with Medica Silver Share |
Silver | EPO | Wisconsin |
3 | $3,525 | $8,850 |
| Essentia Choice Care with Medica Silver Standard |
Silver | EPO | Wisconsin |
3 | $6,000 | $8,900 |
| Medica Individual Choice Silver $0 Copay PCP Visits |
Silver | EPO | Wisconsin |
7 | $3,500 | $10,450 |
| Medica Individual Choice Silver Share |
Silver | EPO | Wisconsin |
7 | $3,525 | $8,850 |
| Medica Individual Choice Silver Standard |
Silver | EPO | Wisconsin |
13 | $6,000 | $8,900 |