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Medica with CHI Health

Iowa

Medica with CHI Health Gold Copay $0 PCP

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

Medica with CHI Health Gold Copay $0 PCP Zero

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

Medica with CHI Health Gold Copay $0 PCP Limited

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

Medica with CHI Health Gold Standard

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

Medica with CHI Health Gold Standard Zero

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

Medica with CHI Health Gold Standard Limited

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

Medica with CHI Health Silver Standard

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

Medica with CHI Health Silver Standard Zero

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

Medica with CHI Health Silver Standard Limited

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

Medica with CHI Health Silver Standard 73

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

Medica with CHI Health Silver Standard 87

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

Medica with CHI Health Silver Standard 94

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

Medica with CHI Health Silver Enhanced

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

Medica with CHI Health Silver Enhanced Zero

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

Medica with CHI Health Silver Enhanced Limited

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

Medica with CHI Health Silver Enhanced 73

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

Medica with CHI Health Silver Enhanced 87

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

Medica with CHI Health Silver Enhanced 94

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

Medica with CHI Health Bronze Share Plus

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

Medica with CHI Health Bronze Share Plus Zero

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

Medica with CHI Health Bronze Share Plus Limited

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

Medica with CHI Health Bronze Standard

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

Medica with CHI Health Bronze Standard Zero

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

Medica with CHI Health Bronze Standard Limited

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

Medica with CHI Health Silver Copay $0 PCP

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

Medica with CHI Health Silver Copay $0 PCP Zero

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

Medica with CHI Health Silver Copay $0 PCP Limited

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

Medica with CHI Health Silver Copay $0 PCP 73

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

Medica with CHI Health Silver Copay $0 PCP 87

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

Medica with CHI Health Silver Copay $0 PCP 94

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

Medica with CHI Health Bronze Copay $0 PCP

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

Medica with CHI Health Bronze Copay $0 PCP Zero

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

Medica with CHI Health Bronze Copay $0 PCP Limited

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

Medica with CHI Health Expanded Bronze Standard

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

Medica with CHI Health Expanded Bronze Standard Zero

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

Medica with CHI Health Expanded Bronze Standard Limited

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

Nebraska

Medica with CHI Health Gold Copay $0 PCP Office Visits

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

Medica with CHI Health Gold Copay $0 PCP Office Visits Zero

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

Medica with CHI Health Gold Copay $0 PCP Office Visits Limited

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

Medica with CHI Health Gold Standard

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

Medica with CHI Health Gold Standard Zero

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

Medica with CHI Health Gold Standard Limited

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

Medica with CHI Health Silver Standard

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

Medica with CHI Health Silver Standard Zero

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

Medica with CHI Health Silver Standard Limited

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

Medica with CHI Health Silver Standard 73

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

Medica with CHI Health Silver Standard 87

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

Medica with CHI Health Silver Standard 94

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

Medica with CHI Health Silver Share

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

Medica with CHI Health Silver Share Zero

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

Medica with CHI Health Silver Share Limited

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

Medica with CHI Health Silver Share 73

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

Medica with CHI Health Silver Share 87

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

Medica with CHI Health Silver Share 94

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

Medica with CHI Health Silver Enhanced

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

Medica with CHI Health Silver Enhanced Zero

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

Medica with CHI Health Silver Enhanced Limited

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

Medica with CHI Health Silver Enhanced 73

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

Medica with CHI Health Silver Enhanced 87

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

Medica with CHI Health Silver Enhanced 94

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

Medica with CHI Health Bronze Copay + Adult Eye Exam

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

Medica with CHI Health Bronze Copay + Adult Eye Exam Zero

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

Medica with CHI Health Bronze Copay + Adult Eye Exam Limited

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

Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam

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

Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam Zero

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

Medica with CHI Health Bronze Copay $0 PCP Office Visits + Adult Eye Exam Limited

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

Medica with CHI Health Bronze Share Plus + Adult Eye Exam

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

Medica with CHI Health Bronze Share Plus + Adult Eye Exam Zero

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

Medica with CHI Health Bronze Share Plus + Adult Eye Exam Limited

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

Medica with CHI Health Bronze Premier

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

Medica with CHI Health Bronze Premier Zero

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

Medica with CHI Health Bronze Premier Limited

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

Medica with CHI Health Silver Copay $0 PCP Office Visits

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

Medica with CHI Health Silver Copay $0 PCP Office Visits Zero

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

Medica with CHI Health Silver Copay $0 PCP Office Visits Limited

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

Medica with CHI Health Silver Copay $0 PCP Office Visits 73

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

Medica with CHI Health Silver Copay $0 PCP Office Visits 87

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

Medica with CHI Health Silver Copay $0 PCP Office Visits 94

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

Medica with CHI Health Expanded Bronze Standard

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

Medica with CHI Health Expanded Bronze Standard Zero

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

Medica with CHI Health Expanded Bronze Standard Limited

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