Elevate by Medica

Iowa

Elevate by Medica Gold Copay $0 PCP

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Policy of Coverage (PDF)

Elevate by Medica Gold Copay $0 PCP Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Copay $0 PCP Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard 73

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard 87

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard 94

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced

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Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced 73

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced 87

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced 94

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Share Plus

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Share Plus Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Share Plus Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP 73

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP 87

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP 94

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Copay $0 PCP

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Copay $0 PCP Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Copay $0 PCP Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Expanded Bronze Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Expanded Bronze Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Expanded Bronze Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Nebraska

Elevate by Medica Gold Share

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Policy of Coverage (PDF)

Elevate by Medica Gold Share Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Share Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard 73

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard 87

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Standard 94

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced 73

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced 87

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Enhanced 94

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Copay $0 PCP Office Visits

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Copay $0 PCP Office Visits Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Copay $0 PCP Office Visits Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Premier

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Premier Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Bronze Premier Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Copay $0 PCP Office Visits

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Copay $0 PCP Office Visits Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Gold Copay $0 PCP Office Visits Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Office Visits

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Office Visits Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Office Visits Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Office Visits 73

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Office Visits 87

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Silver Copay $0 PCP Office Visits 94

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Expanded Bronze Standard

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Expanded Bronze Standard Zero

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)

Elevate by Medica Expanded Bronze Standard Limited

Summary of Benefits and Coverage (PDF)
Policy of Coverage (PDF)