Medicare Advantage Plans in Pennsylvania (2024)

Find the most affordable Medicare Advantage Plans in Pennsylvania with $0 prescription deductibles and under $3K in max-out-of-pocket payments. Learn the difference between Medicare Part C, Part D, and MA plans so you can enroll with confidence. Read on to discover the best Medicare options in Pennsylvania.

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Medicare Plans by County

All Medicare Plans in Pennsylvania

Plan Name	Location	Type	Premium MOOP	Rx Deduct.	Rating
AARP Medicare Advantage (HMO) (2023)	Berks	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Bucks	Local HMO	$6,700	$200	5
AARP Medicare Advantage (HMO) (2023)	Chester	Local HMO	$6,700	$200	5
AARP Medicare Advantage (HMO) (2023)	Cumberland	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Dauphin	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Lancaster	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Lebanon	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Lehigh	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Montgomery	Local HMO	$6,700	$200	5
AARP Medicare Advantage (HMO) (2023)	Northampton	Local HMO	$6,700	$130	5
AARP Medicare Advantage (HMO) (2023)	Philadelphia	Local HMO	$6,700	$200	5
AARP Medicare Advantage (HMO) (2023)	York	Local HMO	$6,700	$130	5
AARP Medicare Advantage Choice (PPO) (2023)	Allegheny	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Armstrong	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Beaver	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Bedford	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Blair	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Butler	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Cambria	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Clarion	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Crawford	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Fayette	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Forest	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Greene	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Huntingdon	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Jefferson	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Lawrence	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Mercer	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Somerset	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Venango	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Warren	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Washington	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice (PPO) (2023)	Westmoreland	Local PPO	$4,900	$0	New plan - not yet rated.
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Berks	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Bucks	Local PPO	$6,700	$295	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Chester	Local PPO	$6,700	$295	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Cumberland	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Dauphin	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Erie	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Lancaster	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Lebanon	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Lehigh	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Montgomery	Local PPO	$6,700	$295	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Northampton	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	Philadelphia	Local PPO	$6,700	$295	5
AARP Medicare Advantage Choice Plan 1 (PPO) (2023)	York	Local PPO	$6,700	$95	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Berks	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Bucks	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Chester	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Cumberland	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Dauphin	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Erie	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Lancaster	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Lebanon	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Lehigh	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Montgomery	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Northampton	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	Philadelphia	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 2 (PPO) (2023)	York	Local PPO	$5,900	$150	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Berks	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Erie	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	Northampton	Local PPO	$6,700	$0	5
AARP Medicare Advantage Choice Plan 3 (PPO) (2023)	York	Local PPO	$6,700	$0	5
AARP Medicare Advantage Patriot (HMO) (2023)	Allegheny	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Armstrong	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Beaver	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Bedford	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Berks	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Blair	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Bucks	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Butler	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Cambria	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Chester	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Clarion	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Crawford	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Cumberland	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Dauphin	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Erie	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Fayette	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Forest	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Greene	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Huntingdon	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Jefferson	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Lancaster	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Lawrence	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Lebanon	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Lehigh	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Mercer	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Montgomery	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Northampton	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Philadelphia	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Somerset	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Venango	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Warren	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Washington	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	Westmoreland	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Patriot (HMO) (2023)	York	Local HMO *	$5,500	$-	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Allegheny	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Armstrong	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Beaver	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Bedford	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Blair	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Butler	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Cambria	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Clarion	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Crawford	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Erie	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Fayette	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Forest	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Greene	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Huntingdon	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Jefferson	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Lawrence	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Mercer	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Somerset	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Venango	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Warren	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Washington	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 1 (HMO) (2023)	Westmoreland	Local HMO	$6,700	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Allegheny	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Armstrong	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Beaver	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Bedford	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Blair	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Butler	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Cambria	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Clarion	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Crawford	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Erie	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Fayette	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Forest	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Greene	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Huntingdon	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Jefferson	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Lawrence	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Mercer	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Somerset	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Venango	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Warren	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Washington	Local HMO	$5,500	$0	5
AARP Medicare Advantage Plan 2 (HMO) (2023)	Westmoreland	Local HMO	$5,500	$0	5
Aetna Medicare Advantra Butler Prime (HMO) (2023)	Butler	Local HMO	$6,900	$0	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Adams	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Allegheny	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Armstrong	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Beaver	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Bedford	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Berks	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Blair	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Bucks	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Butler	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Cambria	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Carbon	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Centre	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Chester	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Clearfield	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Clinton	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Columbia	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Cumberland	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Dauphin	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Delaware	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Fayette	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Franklin	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Fulton	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Greene	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Huntingdon	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Indiana	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Jefferson	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Juniata	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Lackawanna	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Lancaster	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Lawrence	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Lycoming	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	McKean	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Mifflin	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Monroe	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Montgomery	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Montour	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Northampton	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Northumberland	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Perry	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Philadelphia	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Potter	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Schuylkill	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Snyder	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Somerset	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Sullivan	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Susquehanna	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Union	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Warren	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Washington	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Wayne	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Westmoreland	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	Wyoming	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Credit Value (PPO) (2023)	York	Local PPO	$7,550	$250	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Adams	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Allegheny	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Armstrong	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Beaver	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Bedford	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Berks	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Blair	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Butler	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Cambria	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Cameron	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Carbon	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Centre	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Clearfield	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Clinton	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Columbia	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Crawford	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Cumberland	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Dauphin	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Elk	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Erie	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Fayette	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Forest	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Franklin	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Fulton	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Greene	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Huntingdon	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Indiana	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Jefferson	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Juniata	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Lackawanna	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Lancaster	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Lawrence	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Lebanon	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Lehigh	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Luzerne	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Lycoming	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	McKean	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Mercer	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Mifflin	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Monroe	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Montour	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Northampton	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Northumberland	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Perry	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Potter	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Schuylkill	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Snyder	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Somerset	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Sullivan	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Susquehanna	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Union	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Venango	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Warren	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Washington	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Wayne	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Westmoreland	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	Wyoming	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Eagle (HMO) (2023)	York	Local HMO *	$4,000	$-	5
Aetna Medicare Advantra Excela Prime (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Allegheny	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Armstrong	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Beaver	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Bedford	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Blair	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Butler	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Cambria	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Cameron	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Carbon	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Centre	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Clearfield	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Clinton	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Columbia	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Crawford	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Elk	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Erie	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Fayette	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Forest	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Greene	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Indiana	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Jefferson	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Juniata	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Lackawanna	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Lawrence	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Luzerne	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	McKean	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Mercer	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Monroe	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Montour	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Northumberland	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Potter	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Schuylkill	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Snyder	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Somerset	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Union	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Venango	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Warren	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Washington	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Wayne	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Westmoreland	Local HMO	$4,900	$0	5
Aetna Medicare Advantra Gold (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Philly Prime (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Adams	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Berks	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Blair	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Bucks	Local HMO	$7,550	$150	5
Aetna Medicare Advantra Premier (HMO) (2023)	Cameron	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Carbon	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Centre	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Chester	Local HMO	$7,550	$150	5
Aetna Medicare Advantra Premier (HMO) (2023)	Clinton	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Columbia	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Crawford	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Delaware	Local HMO	$7,550	$150	5
Aetna Medicare Advantra Premier (HMO) (2023)	Erie	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Forest	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Franklin	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Fulton	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Juniata	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Lackawanna	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Luzerne	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	McKean	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Mercer	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Monroe	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Montgomery	Local HMO	$7,550	$150	5
Aetna Medicare Advantra Premier (HMO) (2023)	Montour	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Northampton	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Northumberland	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Perry	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Philadelphia	Local HMO	$7,550	$150	5
Aetna Medicare Advantra Premier (HMO) (2023)	Potter	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Schuylkill	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Snyder	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Union	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Venango	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Warren	Local HMO	$5,900	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	Wayne	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (HMO) (2023)	York	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Premier (PPO) (2023)	Allegheny	Local PPO	$6,800	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Adams	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Allegheny	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Blair	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Bucks	Local PPO	$7,000	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Carbon	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Centre	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Chester	Local PPO	$7,000	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Columbia	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Cumberland	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Dauphin	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Delaware	Local PPO	$7,000	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Franklin	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Fulton	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Huntingdon	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Juniata	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Lackawanna	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Lancaster	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Lebanon	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Lehigh	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Mifflin	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Monroe	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Montgomery	Local PPO	$7,000	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Montour	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Northampton	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Northumberland	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Perry	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Philadelphia	Local PPO	$7,000	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Potter	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Schuylkill	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Snyder	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Sullivan	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Susquehanna	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Wayne	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	Wyoming	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Premier Plus (PPO) (2023)	York	Local PPO	$4,900	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Beaver	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Bedford	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Butler	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Cambria	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Cameron	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Crawford	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Elk	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Erie	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Fayette	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Forest	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Greene	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Indiana	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	McKean	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Mercer	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Somerset	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Venango	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Warren	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Washington	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Adams	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Armstrong	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Beaver	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Bedford	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Berks	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Blair	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Butler	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Cambria	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Cameron	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Carbon	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Centre	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Clearfield	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Clinton	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Columbia	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Crawford	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Cumberland	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Dauphin	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Elk	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Erie	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Fayette	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Forest	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Franklin	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Fulton	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Greene	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Huntingdon	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Indiana	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Jefferson	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Juniata	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Lackawanna	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Lancaster	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Lawrence	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Lebanon	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Luzerne	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Lycoming	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	McKean	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Mercer	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Mifflin	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Monroe	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Montour	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Northampton	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Northumberland	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Perry	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Potter	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Schuylkill	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Snyder	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Somerset	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Sullivan	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Susquehanna	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Union	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Venango	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Warren	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Washington	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Wayne	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Westmoreland	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	Wyoming	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver (PPO) (2023)	York	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Berks	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Carbon	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Centre	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Clinton	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Columbia	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Cumberland	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Dauphin	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Fulton	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Huntingdon	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Juniata	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Lackawanna	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Lancaster	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Lebanon	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Luzerne	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Mifflin	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Perry	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Potter	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Snyder	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Susquehanna	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Wayne	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	Wyoming	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Silver Plus (PPO) (2023)	York	Local PPO	$7,550	$0	5
Aetna Medicare Advantra Value (HMO) (2023)	Bucks	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Value (HMO) (2023)	Chester	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Value (HMO) (2023)	Delaware	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Value (HMO) (2023)	Montgomery	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Value (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Washington Prime (HMO) (2023)	Greene	Local HMO	$7,550	$0	5
Aetna Medicare Advantra Washington Prime (HMO) (2023)	Washington	Local HMO	$7,550	$0	5
Aetna Medicare Beaver Valley Prime (HMO) (2023)	Beaver	Local HMO	$7,550	$0	5
Aetna Medicare Elite (HMO) (2023)	Bucks	Local HMO	$7,550	$150	5
Aetna Medicare Elite (HMO) (2023)	Chester	Local HMO	$7,550	$150	5
Aetna Medicare Elite (HMO) (2023)	Delaware	Local HMO	$7,550	$150	5
Aetna Medicare Elite (HMO) (2023)	Lehigh	Local HMO	$7,550	$150	5
Aetna Medicare Elite (HMO) (2023)	Montgomery	Local HMO	$7,550	$150	5
Aetna Medicare Elite (HMO) (2023)	Northampton	Local HMO	$7,550	$150	5
Aetna Medicare Elite (HMO) (2023)	Philadelphia	Local HMO	$7,550	$150	5
Aetna Medicare Gold Plan (PPO) (2023)	Adams	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Allegheny	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Armstrong	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Beaver	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Bedford	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Berks	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Blair	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Bradford	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Bucks	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Butler	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Cambria	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Cameron	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Carbon	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Centre	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Chester	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Clarion	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Clearfield	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Clinton	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Columbia	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Crawford	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Cumberland	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Dauphin	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Delaware	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Elk	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Erie	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Fayette	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Forest	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Franklin	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Fulton	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Greene	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Huntingdon	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Indiana	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Jefferson	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Juniata	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Lackawanna	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Lancaster	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Lawrence	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Lebanon	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Luzerne	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Lycoming	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	McKean	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Mercer	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Mifflin	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Monroe	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Montgomery	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Montour	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Northampton	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Northumberland	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Perry	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Philadelphia	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Pike	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Potter	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Schuylkill	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Snyder	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Somerset	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Sullivan	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Susquehanna	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Tioga	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Union	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Venango	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Warren	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Washington	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Wayne	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Westmoreland	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	Wyoming	Local PPO	$7,550	$0	5
Aetna Medicare Gold Plan (PPO) (2023)	York	Local PPO	$7,550	$0	5
Aetna Medicare Main Line Health Prime (HMO) (2023)	Chester	Local HMO	$7,550	$150	5
Aetna Medicare Main Line Health Prime (HMO) (2023)	Delaware	Local HMO	$7,550	$150	5
Aetna Medicare Main Line Health Prime (HMO) (2023)	Montgomery	Local HMO	$7,550	$150	5
Aetna Medicare PennHighlands Prime (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	5
Aetna Medicare PennHighlands Prime (HMO) (2023)	Elk	Local HMO	$7,550	$0	5
Aetna Medicare PennHighlands Prime (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	5
Aetna Medicare PinnacleHealth Prime (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	5
Aetna Medicare PinnacleHealth Prime (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	5
Aetna Medicare Premier (HMO) (2023)	Bucks	Local HMO	$7,550	$0	5
Aetna Medicare Premier (HMO) (2023)	Chester	Local HMO	$7,550	$0	5
Aetna Medicare Premier (HMO) (2023)	Delaware	Local HMO	$7,550	$0	5
Aetna Medicare Premier (HMO) (2023)	Montgomery	Local HMO	$7,550	$0	5
Aetna Medicare Premier (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	5
Aetna Medicare Premier Plus (HMO) (2023)	Bucks	Local HMO	$7,550	$0	5
Aetna Medicare Premier Plus (HMO) (2023)	Chester	Local HMO	$7,550	$0	5
Aetna Medicare Premier Plus (HMO) (2023)	Delaware	Local HMO	$7,550	$0	5
Aetna Medicare Premier Plus (HMO) (2023)	Montgomery	Local HMO	$7,550	$0	5
Aetna Medicare Premier Plus (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Berks	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Carbon	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Lancaster	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Lebanon	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Lehigh	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Monroe	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Northampton	Local PPO	$6,300	$0	5
Aetna Medicare Premier Plus (PPO) (2023)	Schuylkill	Local PPO	$6,300	$0	5
Aetna Medicare Silver (HMO) (2023)	Adams	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Beaver	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Bedford	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Berks	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Blair	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Bradford	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Bucks	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Butler	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Cambria	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Cameron	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Carbon	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Centre	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Chester	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Clarion	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Clinton	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Crawford	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Delaware	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Elk	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Erie	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Fayette	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Forest	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Franklin	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Fulton	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Greene	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Indiana	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Juniata	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Lackawanna	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Luzerne	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	McKean	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Mercer	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Monroe	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Montgomery	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Montour	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Northampton	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Northumberland	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Perry	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Pike	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Potter	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Schuylkill	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Snyder	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Somerset	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Tioga	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Union	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Venango	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Warren	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Washington	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Wayne	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	5
Aetna Medicare Silver (HMO) (2023)	York	Local HMO	$7,550	$0	5
Aetna Medicare St. Luke's Prime Plan (PPO) (2023)	Carbon	Local PPO	$7,550	$0	5
Aetna Medicare St. Luke's Prime Plan (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	5
Aetna Medicare St. Luke's Prime Plan (PPO) (2023)	Monroe	Local PPO	$7,550	$0	5
Aetna Medicare St. Luke's Prime Plan (PPO) (2023)	Northampton	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Adams	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Allegheny	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Armstrong	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Beaver	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Bedford	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Berks	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Blair	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Bradford	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Bucks	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Butler	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Cambria	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Cameron	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Carbon	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Centre	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Chester	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Clarion	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Clearfield	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Clinton	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Columbia	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Crawford	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Cumberland	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Dauphin	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Delaware	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Elk	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Erie	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Fayette	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Forest	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Franklin	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Fulton	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Greene	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Huntingdon	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Indiana	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Jefferson	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Juniata	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Lackawanna	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Lancaster	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Lawrence	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Lebanon	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Luzerne	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Lycoming	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	McKean	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Mercer	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Monroe	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Montgomery	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Montour	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Northampton	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Northumberland	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Perry	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Philadelphia	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Pike	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Potter	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Schuylkill	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Snyder	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Somerset	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Sullivan	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Susquehanna	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Tioga	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Union	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Venango	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Warren	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Washington	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Wayne	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Westmoreland	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	Wyoming	Local PPO	$7,550	$0	5
Aetna Medicare Value (PPO) (2023)	York	Local PPO	$7,550	$0	5
Allwell Medicare (HMO) (2023)	Allegheny	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Armstrong	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Beaver	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Bedford	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Berks	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Blair	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Bradford	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Bucks	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Butler	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Cambria	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Cameron	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Centre	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Chester	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Clarion	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Clearfield	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Crawford	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Cumberland	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Dauphin	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Delaware	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Elk	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Erie	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Fayette	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Forest	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Fulton	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Greene	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Huntingdon	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Indiana	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Jefferson	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Juniata	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Lackawanna	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Lancaster	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Lawrence	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Lebanon	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Lycoming	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	McKean	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Mercer	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Mifflin	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Montgomery	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Perry	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Philadelphia	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Potter	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Snyder	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Somerset	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Sullivan	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Susquehanna	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Tioga	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Union	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Venango	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Warren	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Washington	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Wayne	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Westmoreland	Local HMO	$6,700	$0	4
Allwell Medicare (HMO) (2023)	Wyoming	Local HMO	$6,700	$0	4
Allwell Medicare Boost (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Berks	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Bradford	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Bucks	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Chester	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Clarion	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Crawford	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Delaware	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Elk	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Fayette	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Forest	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Fulton	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Greene	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Indiana	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Juniata	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Lackawanna	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	McKean	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Montgomery	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Perry	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Potter	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Snyder	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Union	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Warren	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Wayne	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
Allwell Medicare Boost (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
Allwell Medicare Complement (HMO) (2023)	Allegheny	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Armstrong	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Beaver	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Bedford	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Berks	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Blair	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Bradford	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Bucks	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Butler	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Cambria	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Cameron	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Centre	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Chester	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Clarion	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Clearfield	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Crawford	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Cumberland	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Dauphin	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Delaware	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Elk	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Erie	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Fayette	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Forest	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Fulton	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Greene	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Huntingdon	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Indiana	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Jefferson	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Juniata	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Lackawanna	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Lancaster	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Lawrence	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Lebanon	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Lycoming	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	McKean	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Mercer	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Mifflin	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Montgomery	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Perry	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Philadelphia	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Potter	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Snyder	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Somerset	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Sullivan	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Susquehanna	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Tioga	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Union	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Venango	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Warren	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Washington	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Wayne	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Westmoreland	Local HMO	$7,550	$445	4
Allwell Medicare Complement (HMO) (2023)	Wyoming	Local HMO	$7,550	$445	4
Allwell Medicare Simple (HMO) (2023)	Allegheny	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Armstrong	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Beaver	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Bedford	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Berks	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Blair	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Bradford	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Bucks	Local HMO *	$4,900	$-	4
Allwell Medicare Simple (HMO) (2023)	Butler	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Cambria	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Cameron	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Centre	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Chester	Local HMO *	$4,900	$-	4
Allwell Medicare Simple (HMO) (2023)	Clarion	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Clearfield	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Crawford	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Cumberland	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Dauphin	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Delaware	Local HMO *	$4,900	$-	4
Allwell Medicare Simple (HMO) (2023)	Elk	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Erie	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Fayette	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Forest	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Fulton	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Greene	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Huntingdon	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Indiana	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Jefferson	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Juniata	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Lackawanna	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Lancaster	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Lawrence	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Lebanon	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Lycoming	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	McKean	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Mercer	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Mifflin	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Montgomery	Local HMO *	$4,900	$-	4
Allwell Medicare Simple (HMO) (2023)	Perry	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Philadelphia	Local HMO *	$4,900	$-	4
Allwell Medicare Simple (HMO) (2023)	Potter	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Snyder	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Somerset	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Sullivan	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Susquehanna	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Tioga	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Union	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Venango	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Warren	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Washington	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Wayne	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Westmoreland	Local HMO *	$3,450	$-	4
Allwell Medicare Simple (HMO) (2023)	Wyoming	Local HMO *	$3,450	$-	4
BlueJourney Classic (PPO) (2023)	Adams	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Berks	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Centre	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Columbia	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Franklin	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Fulton	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Juniata	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Montour	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Northampton	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Northumberland	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Perry	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Snyder	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	Union	Local PPO	$6,700	$0	5
BlueJourney Classic (PPO) (2023)	York	Local PPO	$6,700	$0	5
BlueJourney Essential (HMO) (2023)	Adams	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Berks	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Centre	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Columbia	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Cumberland	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Dauphin	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Franklin	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Fulton	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Juniata	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Lancaster	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Lebanon	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Lehigh	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Mifflin	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Montour	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Northampton	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Northumberland	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Perry	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Schuylkill	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Snyder	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	Union	Local HMO	$6,700	$0	3
BlueJourney Essential (HMO) (2023)	York	Local HMO	$6,700	$0	3
BlueJourney Premier (HMO) (2023)	Adams	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Berks	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Centre	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Columbia	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Cumberland	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Dauphin	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Franklin	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Fulton	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Juniata	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Lancaster	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Lebanon	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Lehigh	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Mifflin	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Montour	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Northampton	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Northumberland	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Perry	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Schuylkill	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Snyder	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	Union	Local HMO	$3,400	$0	3
BlueJourney Premier (HMO) (2023)	York	Local HMO	$3,400	$0	3
BlueJourney Prime (PPO) (2023)	Adams	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Berks	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Centre	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Columbia	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Cumberland	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Dauphin	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Franklin	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Fulton	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Juniata	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Lancaster	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Lebanon	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Lehigh	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Mifflin	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Montour	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Northampton	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Northumberland	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Perry	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Schuylkill	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Snyder	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	Union	Local PPO	$4,000	$0	5
BlueJourney Prime (PPO) (2023)	York	Local PPO	$4,000	$0	5
BlueJourney Select (PPO) (2023)	Adams	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Berks	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Centre	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Columbia	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Franklin	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Fulton	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Juniata	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Montour	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Northampton	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Northumberland	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Perry	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Snyder	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	Union	Local PPO	$6,700	$0	5
BlueJourney Select (PPO) (2023)	York	Local PPO	$6,700	$0	5
BlueJourney Value (HMO) (2023)	Adams	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Berks	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Centre	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Columbia	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Cumberland	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Dauphin	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Franklin	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Fulton	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Juniata	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Lancaster	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Lebanon	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Lehigh	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Mifflin	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Montour	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Northampton	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Northumberland	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Perry	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Schuylkill	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Snyder	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	Union	Local HMO	$4,500	$0	3
BlueJourney Value (HMO) (2023)	York	Local HMO	$4,500	$0	3
Cigna Alliance Medicare (HMO) (2023)	Bucks	Local HMO	$6,900	$0	4
Cigna Alliance Medicare (HMO) (2023)	Chester	Local HMO	$6,900	$0	4
Cigna Alliance Medicare (HMO) (2023)	Delaware	Local HMO	$6,900	$0	4
Cigna Alliance Medicare (HMO) (2023)	Montgomery	Local HMO	$6,900	$0	4
Cigna Alliance Medicare (HMO) (2023)	Philadelphia	Local HMO	$6,900	$0	4
Cigna Fundamental Medicare (HMO) (2023)	Bucks	Local HMO *	$6,900	$-	4
Cigna Fundamental Medicare (HMO) (2023)	Chester	Local HMO *	$6,900	$-	4
Cigna Fundamental Medicare (HMO) (2023)	Delaware	Local HMO *	$6,900	$-	4
Cigna Fundamental Medicare (HMO) (2023)	Montgomery	Local HMO *	$6,900	$-	4
Cigna Fundamental Medicare (HMO) (2023)	Philadelphia	Local HMO *	$6,900	$-	4
Cigna Preferred Medicare (HMO) (2023)	Berks	Local HMO	$6,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Bucks	Local HMO	$5,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Chester	Local HMO	$5,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Cumberland	Local HMO	$6,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Dauphin	Local HMO	$6,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Delaware	Local HMO	$5,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Lancaster	Local HMO	$6,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Lebanon	Local HMO	$6,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Montgomery	Local HMO	$5,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	Philadelphia	Local HMO	$5,900	$0	4
Cigna Preferred Medicare (HMO) (2023)	York	Local HMO	$6,900	$0	4
Cigna Preferred Plus Medicare (HMO) (2023)	Bucks	Local HMO	$5,100	$0	4
Cigna Preferred Plus Medicare (HMO) (2023)	Chester	Local HMO	$5,100	$0	4
Cigna Preferred Plus Medicare (HMO) (2023)	Delaware	Local HMO	$5,100	$0	4
Cigna Preferred Plus Medicare (HMO) (2023)	Montgomery	Local HMO	$5,100	$0	4
Cigna Preferred Plus Medicare (HMO) (2023)	Philadelphia	Local HMO	$5,100	$0	4
Cigna True Choice Medicare (PPO) (2023)	Berks	Local PPO	$7,250	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Bucks	Local PPO	$7,200	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Chester	Local PPO	$7,200	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Cumberland	Local PPO	$7,250	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Dauphin	Local PPO	$7,250	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Delaware	Local PPO	$7,200	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Lancaster	Local PPO	$7,250	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Lebanon	Local PPO	$7,250	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Montgomery	Local PPO	$7,200	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	Philadelphia	Local PPO	$7,200	$0	New plan - not yet rated.
Cigna True Choice Medicare (PPO) (2023)	York	Local PPO	$7,250	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Berks	Local PPO	$6,150	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Bucks	Local PPO	$6,100	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Chester	Local PPO	$6,100	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Cumberland	Local PPO	$6,150	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Dauphin	Local PPO	$6,150	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Delaware	Local PPO	$6,100	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Lancaster	Local PPO	$6,150	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Lebanon	Local PPO	$6,150	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Montgomery	Local PPO	$6,100	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	Philadelphia	Local PPO	$6,100	$0	New plan - not yet rated.
Cigna True Choice Plus Medicare (PPO) (2023)	York	Local PPO	$6,150	$0	New plan - not yet rated.
Clover Health Choice (PPO) (2023)	Bucks	Local PPO	$7,550	$0	4
Clover Health Choice (PPO) (2023)	Delaware	Local PPO	$7,550	$0	4
Clover Health Choice (PPO) (2023)	Philadelphia	Local PPO	$7,550	$0	4
Clover Health Choice Value (PPO) (2023)	Bucks	Local PPO	$7,550	$445	4
Clover Health Choice Value (PPO) (2023)	Delaware	Local PPO	$7,550	$445	4
Clover Health Choice Value (PPO) (2023)	Philadelphia	Local PPO	$7,550	$445	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Allegheny	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Armstrong	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Beaver	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Butler	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Cambria	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Fayette	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Greene	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Indiana	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Lawrence	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Washington	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Prestige (HMO) (2023)	Westmoreland	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Adams	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Berks	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Bradford	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Carbon	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Clarion	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Crawford	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Cumberland	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Dauphin	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Elk	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Fayette	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Forest	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Franklin	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Fulton	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Greene	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Indiana	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Juniata	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Lackawanna	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Lancaster	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Lebanon	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Lehigh	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Luzerne	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	McKean	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Monroe	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Northampton	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Perry	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Schuylkill	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Snyder	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Susquehanna	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Union	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Warren	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Wayne	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	Wyoming	Local HMO	$6,700	$0	4
Community Blue Medicare HMO Signature (HMO) (2023)	York	Local HMO	$6,700	$0	4
Community Blue Medicare Plus PPO Distinct (PPO) (2023)	Clinton	Local PPO	$6,500	$0	4
Community Blue Medicare Plus PPO Distinct (PPO) (2023)	Lycoming	Local PPO	$6,500	$0	4
Community Blue Medicare Plus PPO Distinct (PPO) (2023)	Sullivan	Local PPO	$6,500	$0	4
Community Blue Medicare Plus PPO Distinct (PPO) (2023)	Tioga	Local PPO	$6,500	$0	4
Community Blue Medicare Plus PPO Signature (PPO) (2023)	Clinton	Local PPO	$7,550	$0	4
Community Blue Medicare Plus PPO Signature (PPO) (2023)	Lycoming	Local PPO	$7,550	$0	4
Community Blue Medicare Plus PPO Signature (PPO) (2023)	Sullivan	Local PPO	$7,550	$0	4
Community Blue Medicare Plus PPO Signature (PPO) (2023)	Tioga	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Adams	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Berks	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Bradford	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Carbon	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Centre	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Columbia	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Cumberland	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Dauphin	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Franklin	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Fulton	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Juniata	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Lackawanna	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Lancaster	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Lebanon	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Lehigh	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Luzerne	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Mifflin	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Monroe	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Montour	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Northampton	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Northumberland	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Perry	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Pike	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Schuylkill	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Snyder	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Susquehanna	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Union	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Wayne	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	Wyoming	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Distinct (PPO) (2023)	York	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Adams	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Berks	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Bradford	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Carbon	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Centre	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Columbia	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Crawford	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Cumberland	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Dauphin	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Erie	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Forest	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Franklin	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Fulton	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Juniata	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Lackawanna	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Lancaster	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Lawrence	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Lebanon	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Luzerne	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	McKean	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Mercer	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Mifflin	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Monroe	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Montour	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Northampton	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Northumberland	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Perry	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Pike	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Potter	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Schuylkill	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Snyder	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Susquehanna	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Union	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Venango	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Warren	Local PPO	$6,500	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Wayne	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	Wyoming	Local PPO	$7,550	$0	4
Community Blue Medicare PPO Signature (PPO) (2023)	York	Local PPO	$7,550	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Allegheny	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Armstrong	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Beaver	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Bedford	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Blair	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Butler	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Cambria	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Cameron	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Clarion	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Clearfield	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Crawford	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Elk	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Erie	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Fayette	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Forest	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Greene	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Huntingdon	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Indiana	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Jefferson	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Lawrence	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	McKean	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Mercer	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Potter	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Somerset	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Venango	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Warren	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Washington	Local PPO	$6,500	$0	4
Complete Blue PPO Distinct (PPO) (2023)	Westmoreland	Local PPO	$6,500	$0	4
Erickson Advantage Freedom (HMO-POS) (2023)	Bucks	Local HMO	$4,300	$200	5
Erickson Advantage Freedom (HMO-POS) (2023)	Delaware	Local HMO	$4,300	$200	5
Erickson Advantage Liberty with Drugs (HMO-POS) (2023)	Bucks	Local HMO	$6,700	$400	5
Erickson Advantage Liberty with Drugs (HMO-POS) (2023)	Delaware	Local HMO	$6,700	$400	5
Erickson Advantage Liberty without Drugs (HMO-POS) (2023)	Bucks	Local HMO *	$6,700	$-	5
Erickson Advantage Liberty without Drugs (HMO-POS) (2023)	Delaware	Local HMO *	$6,700	$-	5
Erickson Advantage Signature with Drugs (HMO-POS) (2023)	Bucks	Local HMO	$2,600	$0	5
Erickson Advantage Signature with Drugs (HMO-POS) (2023)	Delaware	Local HMO	$2,600	$0	5
Freedom Blue PPO Basic (PPO) (2023)	Adams	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Berks	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Bradford	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Carbon	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Centre	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Clinton	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Columbia	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Cumberland	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Dauphin	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Franklin	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Fulton	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Juniata	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Lackawanna	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Lancaster	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Lebanon	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Lehigh	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Luzerne	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Lycoming	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Mifflin	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Monroe	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Montour	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Northampton	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Northumberland	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Perry	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Pike	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Schuylkill	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Snyder	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Sullivan	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Susquehanna	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Tioga	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Union	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Wayne	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	Wyoming	Local PPO *	$5,900	$-	4
Freedom Blue PPO Basic (PPO) (2023)	York	Local PPO *	$5,900	$-	4
Freedom Blue PPO Classic (PPO) (2023)	Allegheny	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Armstrong	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Beaver	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Bedford	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Blair	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Butler	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Cambria	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Cameron	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Clarion	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Clearfield	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Crawford	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Elk	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Erie	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Fayette	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Forest	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Greene	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Huntingdon	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Indiana	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Jefferson	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Lawrence	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	McKean	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Mercer	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Potter	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Somerset	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Venango	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Warren	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Washington	Local PPO	$4,500	$0	4
Freedom Blue PPO Classic (PPO) (2023)	Westmoreland	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Adams	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Berks	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Bradford	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Carbon	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Centre	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Clinton	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Columbia	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Cumberland	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Dauphin	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Franklin	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Fulton	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Juniata	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Lackawanna	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Lancaster	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Lebanon	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Lehigh	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Luzerne	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Lycoming	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Mifflin	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Monroe	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Montour	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Northampton	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Northumberland	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Perry	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Pike	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Schuylkill	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Snyder	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Sullivan	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Susquehanna	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Tioga	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Union	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Wayne	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	Wyoming	Local PPO	$4,500	$0	4
Freedom Blue PPO Deluxe (PPO) (2023)	York	Local PPO	$4,500	$0	4
Freedom Blue PPO Select (PPO) (2023)	Allegheny	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Armstrong	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Beaver	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Bedford	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Blair	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Butler	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Cambria	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Cameron	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Clarion	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Clearfield	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Crawford	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Elk	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Erie	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Fayette	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Forest	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Greene	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Huntingdon	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Indiana	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Jefferson	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Lawrence	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	McKean	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Mercer	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Potter	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Somerset	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Venango	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Warren	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Washington	Local PPO	$5,000	$0	4
Freedom Blue PPO Select (PPO) (2023)	Westmoreland	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Adams	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Berks	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Bradford	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Carbon	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Centre	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Clinton	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Columbia	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Cumberland	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Dauphin	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Franklin	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Fulton	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Juniata	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Lackawanna	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Lancaster	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Lebanon	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Lehigh	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Luzerne	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Lycoming	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Mifflin	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Monroe	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Montour	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Northampton	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Northumberland	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Perry	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Pike	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Schuylkill	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Snyder	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Sullivan	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Susquehanna	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Tioga	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Union	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Wayne	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	Wyoming	Local PPO	$5,000	$0	4
Freedom Blue PPO Standard (PPO) (2023)	York	Local PPO	$5,000	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Adams	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Allegheny	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Armstrong	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Beaver	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Bedford	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Berks	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Blair	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Bradford	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Butler	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Cambria	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Cameron	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Carbon	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Centre	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Clarion	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Clearfield	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Clinton	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Columbia	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Crawford	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Cumberland	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Dauphin	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Elk	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Erie	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Fayette	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Forest	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Franklin	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Fulton	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Greene	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Huntingdon	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Indiana	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Jefferson	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Juniata	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Lackawanna	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Lancaster	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Lawrence	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Lebanon	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Lehigh	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Luzerne	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Lycoming	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	McKean	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Mercer	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Mifflin	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Monroe	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Montour	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Northampton	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Northumberland	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Perry	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Pike	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Potter	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Schuylkill	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Snyder	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Somerset	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Sullivan	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Susquehanna	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Tioga	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Union	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Venango	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Warren	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Washington	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Wayne	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Westmoreland	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	Wyoming	Local PPO	$5,500	$0	4
Freedom Blue PPO ValueRx (PPO) (2023)	York	Local PPO	$5,500	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Adams	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Bucks	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Carbon	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Clinton	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Franklin	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Lackawanna	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Luzerne	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Monroe	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Northampton	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Pike	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Schuylkill	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
Geisinger Gold Classic 360 Rx (HMO) (2023)	York	Local HMO	$7,550	$0	4
Geisinger Gold Classic Advantage (HMO) (2023)	Adams	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Berks	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Blair	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Bradford	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Bucks	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Cambria	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Cameron	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Carbon	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Centre	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Chester	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Clearfield	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Clinton	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Columbia	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Cumberland	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Dauphin	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Franklin	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Fulton	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Huntingdon	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Jefferson	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Juniata	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Lackawanna	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Lancaster	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Lebanon	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Lehigh	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Luzerne	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Lycoming	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Mifflin	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Monroe	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Montour	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Northampton	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Northumberland	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Perry	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Pike	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Potter	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Schuylkill	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Snyder	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Somerset	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Sullivan	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Susquehanna	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Tioga	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Union	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Wayne	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	Wyoming	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage (HMO) (2023)	York	Local HMO *	$3,450	$-	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Adams	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Berks	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Blair	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Bradford	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Bucks	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Cambria	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Cameron	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Carbon	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Centre	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Chester	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Clearfield	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Clinton	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Columbia	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Cumberland	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Dauphin	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Franklin	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Fulton	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Huntingdon	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Jefferson	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Juniata	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Lackawanna	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Lancaster	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Lebanon	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Lehigh	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Luzerne	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Lycoming	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Mifflin	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Monroe	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Montour	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Northampton	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Northumberland	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Perry	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Pike	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Schuylkill	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Snyder	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Somerset	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Sullivan	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Susquehanna	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Tioga	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Union	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Wayne	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	Wyoming	Local HMO	$3,450	$0	4
Geisinger Gold Classic Advantage Rx (HMO) (2023)	York	Local HMO	$3,450	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Adams	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Berks	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Blair	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Bradford	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Bucks	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Cambria	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Cameron	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Carbon	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Centre	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Chester	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Clearfield	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Clinton	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Columbia	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Cumberland	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Dauphin	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Franklin	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Fulton	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Huntingdon	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Jefferson	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Juniata	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Lackawanna	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Lancaster	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Lebanon	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Lehigh	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Luzerne	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Lycoming	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Mifflin	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Monroe	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Montour	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Northampton	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Northumberland	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Perry	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Pike	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Potter	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Schuylkill	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Snyder	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Somerset	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Sullivan	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Susquehanna	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Tioga	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Union	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Wayne	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	Wyoming	Local HMO	$4,900	$0	4
Geisinger Gold Classic Complete Rx (HMO) (2023)	York	Local HMO	$4,900	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Adams	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Berks	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Bradford	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Bucks	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Carbon	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Chester	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Clinton	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Columbia	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Franklin	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Fulton	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Juniata	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Lackawanna	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Luzerne	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Monroe	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Montour	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Northampton	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Northumberland	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Perry	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Pike	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Potter	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Schuylkill	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Snyder	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Union	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Wayne	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
Geisinger Gold Classic Essential Rx (HMO) (2023)	York	Local HMO	$7,550	$0	4
Geisinger Gold Preferred 360 Rx (PPO) (2023)	Adams	Local PPO	$7,550	$0	3
Geisinger Gold Preferred 360 Rx (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	3
Geisinger Gold Preferred 360 Rx (PPO) (2023)	Northampton	Local PPO	$7,550	$0	3
Geisinger Gold Preferred 360 Rx (PPO) (2023)	York	Local PPO	$7,550	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Adams	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Berks	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Blair	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Bradford	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Bucks	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Cambria	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Cameron	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Carbon	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Centre	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Chester	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Clearfield	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Clinton	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Columbia	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Cumberland	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Dauphin	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Franklin	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Fulton	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Huntingdon	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Jefferson	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Juniata	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Lackawanna	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Lancaster	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Lebanon	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Lehigh	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Luzerne	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Lycoming	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Mifflin	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Monroe	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Montour	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Northampton	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Northumberland	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Perry	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Pike	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Potter	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Schuylkill	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Snyder	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Somerset	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Sullivan	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Susquehanna	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Tioga	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Union	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Wayne	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	Wyoming	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Advantage Rx (PPO) (2023)	York	Local PPO	$4,000	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Adams	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Berks	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Blair	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Bradford	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Bucks	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Cambria	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Cameron	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Carbon	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Centre	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Chester	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Clearfield	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Clinton	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Columbia	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Franklin	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Fulton	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Huntingdon	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Jefferson	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Juniata	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Lackawanna	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Luzerne	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Lycoming	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Monroe	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Montour	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Northampton	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Northumberland	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Perry	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Pike	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Potter	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Snyder	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Somerset	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Sullivan	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Susquehanna	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Tioga	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Union	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Wayne	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	Wyoming	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Complete Rx (PPO) (2023)	York	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Adams	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Berks	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Blair	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Bradford	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Bucks	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Cambria	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Cameron	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Carbon	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Centre	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Chester	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Clearfield	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Clinton	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Columbia	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Franklin	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Fulton	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Huntingdon	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Jefferson	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Juniata	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Lackawanna	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Luzerne	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Lycoming	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Monroe	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Montour	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Northampton	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Northumberland	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Perry	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Pike	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Potter	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Snyder	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Somerset	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Sullivan	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Susquehanna	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Tioga	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Union	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Wayne	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	Wyoming	Local PPO	$6,700	$0	3
Geisinger Gold Preferred Enhanced Rx (PPO) (2023)	York	Local PPO	$6,700	$0	3
Health Partners Medicare Complete (HMO-POS) (2023)	Berks	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Bucks	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Carbon	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Chester	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Dauphin	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Delaware	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Lancaster	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Lebanon	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Lehigh	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Northampton	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Perry	Local HMO	$7,550	$0	4
Health Partners Medicare Complete (HMO-POS) (2023)	Philadelphia	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Berks	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Bucks	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Carbon	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Chester	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Dauphin	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Delaware	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Lancaster	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Lebanon	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Lehigh	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Northampton	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Perry	Local HMO	$7,550	$0	4
Health Partners Medicare Prime (HMO-POS) (2023)	Philadelphia	Local HMO	$7,550	$0	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Adams	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Berks	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Bradford	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Cameron	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Carbon	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Centre	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Chester	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Clinton	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Crawford	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Cumberland	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Dauphin	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Erie	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Franklin	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Huntingdon	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Jefferson	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Juniata	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Lackawanna	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Lancaster	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Lebanon	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Luzerne	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Lycoming	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Mifflin	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Montour	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Perry	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Potter	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Snyder	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Sullivan	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Susquehanna	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Tioga	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Wayne	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	Wyoming	PFFS	$-	$360	4
Humana Gold Choice H8145-052 (PFFS) (2023)	York	PFFS	$-	$360	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Adams	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Berks	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Bradford	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Cameron	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Carbon	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Centre	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Chester	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Clinton	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Crawford	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Cumberland	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Dauphin	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Erie	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Franklin	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Huntingdon	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Jefferson	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Juniata	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Lackawanna	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Lancaster	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Lebanon	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Luzerne	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Lycoming	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Mifflin	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Montour	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Perry	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Potter	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Snyder	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Sullivan	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Susquehanna	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Tioga	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Wayne	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	Wyoming	PFFS *	$-	$-	4
Humana Gold Choice H8145-055 (PFFS) (2023)	York	PFFS *	$-	$-	4
Humana Gold Plus H6622-035 (HMO) (2023)	Berks	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Cumberland	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Dauphin	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Franklin	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Lancaster	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Lawrence	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Lebanon	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Mercer	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-035 (HMO) (2023)	Perry	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Carbon	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Lackawanna	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Lehigh	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Luzerne	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Monroe	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Northampton	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Schuylkill	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-036 (HMO) (2023)	Wyoming	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-037 (HMO) (2023)	Bucks	Local HMO	$6,200	$0	4
Humana Gold Plus H6622-037 (HMO) (2023)	Chester	Local HMO	$6,200	$0	4
Humana Gold Plus H6622-037 (HMO) (2023)	Delaware	Local HMO	$6,200	$0	4
Humana Gold Plus H6622-037 (HMO) (2023)	Montgomery	Local HMO	$6,200	$0	4
Humana Gold Plus H6622-037 (HMO) (2023)	Philadelphia	Local HMO	$6,200	$0	4
Humana Gold Plus H6622-052 (HMO) (2023)	Bradford	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-052 (HMO) (2023)	Crawford	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-052 (HMO) (2023)	Lycoming	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-052 (HMO) (2023)	Sullivan	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-052 (HMO) (2023)	Susquehanna	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-052 (HMO) (2023)	Tioga	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-054 (HMO) (2023)	Beaver	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-054 (HMO) (2023)	Butler	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-054 (HMO) (2023)	Clarion	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-054 (HMO) (2023)	Greene	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-054 (HMO) (2023)	Washington	Local HMO	$6,700	$0	4
Humana Gold Plus H6622-054 (HMO) (2023)	Westmoreland	Local HMO	$6,700	$0	4
Humana Honor (PPO) (2023)	Adams	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Allegheny	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Armstrong	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Beaver	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Bedford	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Berks	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Blair	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Bradford	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Bucks	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Butler	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Cameron	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Carbon	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Chester	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Clarion	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Clearfield	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Clinton	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Crawford	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Cumberland	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Dauphin	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Delaware	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Elk	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Erie	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Fayette	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Forest	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Franklin	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Fulton	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Greene	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Huntingdon	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Jefferson	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Juniata	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Lackawanna	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Lancaster	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Lawrence	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Lebanon	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Lehigh	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Luzerne	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Lycoming	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	McKean	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Mercer	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Mifflin	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Monroe	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Montgomery	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Montour	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Northampton	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Perry	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Philadelphia	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Potter	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Schuylkill	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Snyder	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Somerset	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Sullivan	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Susquehanna	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Tioga	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Union	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Venango	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Warren	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Washington	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Wayne	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Westmoreland	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	Wyoming	Local PPO *	$6,700	$-	4
Humana Honor (PPO) (2023)	York	Local PPO *	$6,700	$-	4
Humana Value Plus H5216-117 (PPO) (2023)	Adams	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Allegheny	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Armstrong	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Beaver	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Bradford	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Butler	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Carbon	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Centre	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Clinton	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Columbia	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Crawford	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Erie	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Franklin	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Huntingdon	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Juniata	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Lebanon	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Lycoming	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	McKean	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Monroe	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Montour	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Potter	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Schuylkill	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Snyder	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Sullivan	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Susquehanna	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Tioga	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Warren	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Washington	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Wayne	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	Westmoreland	Local PPO	$6,700	$420	4
Humana Value Plus H5216-117 (PPO) (2023)	York	Local PPO	$6,700	$420	4
Humana Value Plus H5525-039 (PPO) (2023)	Bedford	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Blair	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Cambria	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Cameron	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Clarion	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Clearfield	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Elk	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Fayette	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Forest	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Fulton	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Greene	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Indiana	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Jefferson	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Mifflin	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Northumberland	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Somerset	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Union	Local PPO	$6,700	$400	4
Humana Value Plus H5525-039 (PPO) (2023)	Venango	Local PPO	$6,700	$400	4
HumanaChoice H5216-051 (PPO) (2023)	Lawrence	Local PPO	$6,300	$0	4
HumanaChoice H5216-051 (PPO) (2023)	Mercer	Local PPO	$6,300	$0	4
HumanaChoice H5216-116 (PPO) (2023)	Adams	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Allegheny	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Armstrong	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Beaver	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Bedford	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Berks	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Blair	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Bradford	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Bucks	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Butler	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Cameron	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Carbon	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Centre	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Chester	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Clarion	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Clearfield	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Clinton	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Columbia	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Crawford	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Cumberland	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Dauphin	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Delaware	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Elk	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Erie	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Fayette	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Forest	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Franklin	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Fulton	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Greene	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Huntingdon	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Jefferson	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Juniata	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Lackawanna	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Lancaster	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Lawrence	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Lebanon	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Lehigh	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Luzerne	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Lycoming	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	McKean	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Mercer	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Mifflin	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Monroe	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Montgomery	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Montour	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Northampton	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Perry	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Philadelphia	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Potter	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Schuylkill	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Snyder	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Somerset	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Sullivan	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Susquehanna	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Tioga	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Union	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Venango	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Warren	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Washington	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Wayne	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Westmoreland	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	Wyoming	Local PPO *	$3,900	$-	4
HumanaChoice H5216-116 (PPO) (2023)	York	Local PPO *	$3,900	$-	4
HumanaChoice H5216-120 (PPO) (2023)	Adams	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Allegheny	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Beaver	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Berks	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Bradford	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Bucks	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Butler	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Carbon	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Centre	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Chester	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Clinton	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Columbia	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Crawford	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Delaware	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Erie	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Franklin	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Huntingdon	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Juniata	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Lackawanna	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Lawrence	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Luzerne	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Lycoming	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	McKean	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Mercer	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Monroe	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Montgomery	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Montour	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Northampton	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Perry	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Philadelphia	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Potter	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Snyder	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Sullivan	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Susquehanna	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Tioga	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Warren	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Washington	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Wayne	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Westmoreland	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	Wyoming	Local PPO	$6,700	$0	4
HumanaChoice H5216-120 (PPO) (2023)	York	Local PPO	$6,700	$0	4
HumanaChoice H5525-005 (PPO) (2023)	Bucks	Local PPO	$6,700	$0	4
HumanaChoice H5525-005 (PPO) (2023)	Chester	Local PPO	$6,700	$0	4
HumanaChoice H5525-005 (PPO) (2023)	Delaware	Local PPO	$6,700	$0	4
HumanaChoice H5525-005 (PPO) (2023)	Montgomery	Local PPO	$6,700	$0	4
HumanaChoice H5525-005 (PPO) (2023)	Philadelphia	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Adams	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Berks	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Blair	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Franklin	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Fulton	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Huntingdon	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Juniata	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Perry	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	Snyder	Local PPO	$6,700	$0	4
HumanaChoice H5525-006 (PPO) (2023)	York	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Armstrong	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Bradford	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Carbon	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Centre	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Clinton	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Columbia	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Crawford	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Erie	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Jefferson	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Lackawanna	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Lawrence	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Luzerne	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Lycoming	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	McKean	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Mercer	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Monroe	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Montour	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Northampton	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Potter	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Sullivan	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Susquehanna	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Tioga	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Union	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Warren	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Wayne	Local PPO	$6,700	$0	4
HumanaChoice H5525-007 (PPO) (2023)	Wyoming	Local PPO	$6,700	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Allegheny	Local PPO	$5,900	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Beaver	Local PPO	$5,900	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Butler	Local PPO	$5,900	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Fayette	Local PPO	$5,900	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Greene	Local PPO	$5,900	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Washington	Local PPO	$5,900	$0	4
HumanaChoice H5525-017 (PPO) (2023)	Westmoreland	Local PPO	$5,900	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Adams	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Allegheny	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Armstrong	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Beaver	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Bedford	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Berks	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Blair	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Bradford	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Bucks	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Butler	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Cameron	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Carbon	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Centre	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Chester	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Clarion	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Clearfield	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Clinton	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Columbia	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Crawford	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Delaware	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Elk	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Erie	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Fayette	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Forest	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Franklin	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Fulton	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Greene	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Huntingdon	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Jefferson	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Juniata	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Lackawanna	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Lawrence	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Luzerne	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Lycoming	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	McKean	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Mercer	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Monroe	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Montgomery	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Montour	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Northampton	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Perry	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Philadelphia	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Potter	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Snyder	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Somerset	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Sullivan	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Susquehanna	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Tioga	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Union	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Venango	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Warren	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Washington	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Wayne	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Westmoreland	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	Wyoming	Local PPO	$6,700	$0	4
HumanaChoice H5525-038 (PPO) (2023)	York	Local PPO	$6,700	$0	4
HumanaChoice H5525-047 (PPO) (2023)	Bucks	Local PPO	$6,700	$0	4
HumanaChoice H5525-047 (PPO) (2023)	Chester	Local PPO	$6,700	$0	4
HumanaChoice H5525-047 (PPO) (2023)	Delaware	Local PPO	$6,700	$0	4
HumanaChoice H5525-047 (PPO) (2023)	Montgomery	Local PPO	$6,700	$0	4
HumanaChoice H5525-047 (PPO) (2023)	Philadelphia	Local PPO	$6,700	$0	4
HumanaChoice R0923-001 (Regional PPO) (2023)	Adams	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Allegheny	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Armstrong	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Beaver	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Bedford	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Berks	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Blair	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Bradford	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Bucks	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Butler	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Cambria	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Cameron	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Carbon	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Centre	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Chester	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Clarion	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Clearfield	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Clinton	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Columbia	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Crawford	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Cumberland	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Dauphin	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Delaware	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Elk	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Erie	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Fayette	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Forest	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Franklin	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Fulton	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Greene	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Huntingdon	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Indiana	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Jefferson	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Juniata	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Lackawanna	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Lancaster	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Lawrence	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Lebanon	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Lehigh	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Luzerne	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Lycoming	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	McKean	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Mercer	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Mifflin	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Monroe	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Montgomery	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Montour	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Northampton	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Northumberland	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Perry	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Philadelphia	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Pike	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Potter	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Schuylkill	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Snyder	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Somerset	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Sullivan	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Susquehanna	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Tioga	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Union	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Venango	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Warren	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Washington	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Wayne	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Westmoreland	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	Wyoming	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-001 (Regional PPO) (2023)	York	Regional PPO *	$4,900	$-	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Adams	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Allegheny	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Armstrong	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Beaver	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Bedford	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Berks	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Blair	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Bradford	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Bucks	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Butler	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Cambria	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Cameron	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Carbon	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Centre	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Chester	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Clarion	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Clearfield	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Clinton	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Columbia	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Crawford	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Cumberland	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Dauphin	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Delaware	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Elk	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Erie	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Fayette	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Forest	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Franklin	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Fulton	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Greene	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Huntingdon	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Indiana	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Jefferson	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Juniata	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Lackawanna	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Lancaster	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Lawrence	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Lebanon	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Lehigh	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Luzerne	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Lycoming	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	McKean	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Mercer	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Mifflin	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Monroe	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Montgomery	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Montour	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Northampton	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Northumberland	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Perry	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Philadelphia	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Pike	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Potter	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Schuylkill	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Snyder	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Somerset	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Sullivan	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Susquehanna	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Tioga	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Union	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Venango	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Warren	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Washington	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Wayne	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Westmoreland	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	Wyoming	Regional PPO	$6,700	$0	3
HumanaChoice R0923-002 (Regional PPO) (2023)	York	Regional PPO	$6,700	$0	3
Keystone 65 Basic Rx (HMO) (2023)	Bucks	Local HMO	$7,550	$0	3
Keystone 65 Basic Rx (HMO) (2023)	Chester	Local HMO	$7,550	$0	3
Keystone 65 Basic Rx (HMO) (2023)	Delaware	Local HMO	$7,550	$0	3
Keystone 65 Basic Rx (HMO) (2023)	Montgomery	Local HMO	$7,550	$0	3
Keystone 65 Basic Rx (HMO) (2023)	Philadelphia	Local HMO	$7,550	$0	3
Keystone 65 Focus Rx (HMO-POS) (2023)	Bucks	Local HMO	$6,500	$0	3
Keystone 65 Focus Rx (HMO-POS) (2023)	Chester	Local HMO	$6,500	$0	3
Keystone 65 Focus Rx (HMO-POS) (2023)	Delaware	Local HMO	$6,500	$0	3
Keystone 65 Focus Rx (HMO-POS) (2023)	Montgomery	Local HMO	$6,500	$0	3
Keystone 65 Focus Rx (HMO-POS) (2023)	Philadelphia	Local HMO	$6,500	$0	3
Keystone 65 Preferred Medical Only (HMO) (2023)	Bucks	Local HMO *	$4,000	$-	3
Keystone 65 Preferred Medical Only (HMO) (2023)	Chester	Local HMO *	$4,000	$-	3
Keystone 65 Preferred Medical Only (HMO) (2023)	Delaware	Local HMO *	$4,000	$-	3
Keystone 65 Preferred Medical Only (HMO) (2023)	Montgomery	Local HMO *	$4,000	$-	3
Keystone 65 Preferred Medical Only (HMO) (2023)	Philadelphia	Local HMO *	$4,000	$-	3
Keystone 65 Preferred Rx (HMO) (2023)	Bucks	Local HMO	$4,000	$0	3
Keystone 65 Preferred Rx (HMO) (2023)	Chester	Local HMO	$4,000	$0	3
Keystone 65 Preferred Rx (HMO) (2023)	Delaware	Local HMO	$4,000	$0	3
Keystone 65 Preferred Rx (HMO) (2023)	Montgomery	Local HMO	$4,000	$0	3
Keystone 65 Preferred Rx (HMO) (2023)	Philadelphia	Local HMO	$4,000	$0	3
Keystone 65 Select Medical Only (HMO) (2023)	Bucks	Local HMO *	$4,900	$-	3
Keystone 65 Select Medical Only (HMO) (2023)	Chester	Local HMO *	$4,900	$-	3
Keystone 65 Select Medical Only (HMO) (2023)	Delaware	Local HMO *	$4,900	$-	3
Keystone 65 Select Medical Only (HMO) (2023)	Montgomery	Local HMO *	$4,900	$-	3
Keystone 65 Select Medical Only (HMO) (2023)	Philadelphia	Local HMO *	$4,900	$-	3
Keystone 65 Select Rx (HMO) (2023)	Bucks	Local HMO	$4,900	$0	3
Keystone 65 Select Rx (HMO) (2023)	Chester	Local HMO	$4,900	$0	3
Keystone 65 Select Rx (HMO) (2023)	Delaware	Local HMO	$4,900	$0	3
Keystone 65 Select Rx (HMO) (2023)	Montgomery	Local HMO	$4,900	$0	3
Keystone 65 Select Rx (HMO) (2023)	Philadelphia	Local HMO	$4,900	$0	3
Lasso Healthcare Growth (MSA) (2023)	Adams	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Allegheny	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Armstrong	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Beaver	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Bedford	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Berks	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Blair	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Bradford	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Bucks	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Butler	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Cambria	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Cameron	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Carbon	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Centre	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Chester	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Clarion	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Clearfield	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Clinton	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Columbia	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Crawford	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Cumberland	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Dauphin	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Delaware	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Elk	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Erie	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Fayette	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Forest	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Franklin	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Fulton	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Greene	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Huntingdon	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Indiana	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Jefferson	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Juniata	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Lackawanna	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Lancaster	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Lawrence	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Lebanon	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Lehigh	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Luzerne	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Lycoming	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	McKean	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Mercer	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Mifflin	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Monroe	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Montgomery	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Montour	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Northampton	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Northumberland	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Perry	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Philadelphia	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Pike	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Potter	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Schuylkill	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Snyder	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Somerset	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Sullivan	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Susquehanna	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Tioga	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Union	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Venango	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Warren	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Washington	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Wayne	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Westmoreland	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	Wyoming	MSA *	$-	$-	4
Lasso Healthcare Growth (MSA) (2023)	York	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Adams	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Allegheny	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Armstrong	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Beaver	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Bedford	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Berks	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Blair	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Bradford	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Bucks	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Butler	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Cambria	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Cameron	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Carbon	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Centre	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Chester	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Clarion	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Clearfield	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Clinton	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Columbia	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Crawford	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Cumberland	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Dauphin	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Delaware	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Elk	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Erie	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Fayette	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Forest	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Franklin	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Fulton	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Greene	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Huntingdon	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Indiana	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Jefferson	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Juniata	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Lackawanna	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Lancaster	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Lawrence	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Lebanon	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Lehigh	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Luzerne	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Lycoming	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	McKean	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Mercer	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Mifflin	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Monroe	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Montgomery	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Montour	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Northampton	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Northumberland	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Perry	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Philadelphia	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Pike	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Potter	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Schuylkill	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Snyder	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Somerset	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Sullivan	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Susquehanna	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Tioga	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Union	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Venango	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Warren	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Washington	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Wayne	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Westmoreland	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	Wyoming	MSA *	$-	$-	4
Lasso Healthcare Growth Plus (MSA) (2023)	York	MSA *	$-	$-	4
Personal Choice 65 Medical Only (PPO) (2023)	Bucks	Local PPO *	$5,000	$-	4
Personal Choice 65 Medical Only (PPO) (2023)	Philadelphia	Local PPO *	$5,000	$-	4
Personal Choice 65 Prime Rx (PPO) (2023)	Bucks	Local PPO	$7,550	$0	4
Personal Choice 65 Prime Rx (PPO) (2023)	Chester	Local PPO	$7,550	$0	4
Personal Choice 65 Prime Rx (PPO) (2023)	Delaware	Local PPO	$7,550	$0	4
Personal Choice 65 Prime Rx (PPO) (2023)	Montgomery	Local PPO	$7,550	$0	4
Personal Choice 65 Prime Rx (PPO) (2023)	Philadelphia	Local PPO	$7,550	$0	4
Personal Choice 65 Rx (PPO) (2023)	Bucks	Local PPO	$5,000	$0	4
Personal Choice 65 Rx (PPO) (2023)	Chester	Local PPO	$5,000	$0	4
Personal Choice 65 Rx (PPO) (2023)	Delaware	Local PPO	$5,000	$0	4
Personal Choice 65 Rx (PPO) (2023)	Montgomery	Local PPO	$5,000	$0	4
Personal Choice 65 Rx (PPO) (2023)	Philadelphia	Local PPO	$5,000	$0	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Allegheny	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Armstrong	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Beaver	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Bedford	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Blair	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Butler	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Cambria	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Cameron	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Clarion	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Clearfield	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Crawford	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Elk	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Erie	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Fayette	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Forest	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Greene	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Huntingdon	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Indiana	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Jefferson	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Lawrence	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	McKean	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Mercer	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Potter	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Somerset	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Venango	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Warren	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Washington	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Basic (HMO-POS) (2023)	Westmoreland	Local HMO *	$5,900	$-	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Allegheny	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Armstrong	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Beaver	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Bedford	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Blair	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Butler	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Cambria	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Cameron	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Clarion	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Clearfield	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Crawford	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Elk	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Erie	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Fayette	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Forest	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Greene	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Huntingdon	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Indiana	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Jefferson	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Lawrence	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	McKean	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Mercer	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Potter	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Somerset	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Venango	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Warren	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Washington	Local HMO	$4,500	$0	4
Security Blue HMO-POS Deluxe (HMO-POS) (2023)	Westmoreland	Local HMO	$4,500	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Allegheny	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Armstrong	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Beaver	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Bedford	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Blair	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Butler	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Cambria	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Cameron	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Clarion	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Clearfield	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Crawford	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Elk	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Erie	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Fayette	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Forest	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Greene	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Huntingdon	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Indiana	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Jefferson	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Lawrence	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	McKean	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Mercer	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Potter	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Somerset	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Venango	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Warren	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Washington	Local HMO	$5,000	$0	4
Security Blue HMO-POS Standard (HMO-POS) (2023)	Westmoreland	Local HMO	$5,000	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Allegheny	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Armstrong	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Beaver	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Bedford	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Blair	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Butler	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Cambria	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Cameron	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Clarion	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Clearfield	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Crawford	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Elk	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Erie	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Fayette	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Forest	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Greene	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Huntingdon	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Indiana	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Jefferson	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Lawrence	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	McKean	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Mercer	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Potter	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Somerset	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Venango	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Warren	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Washington	Local HMO	$5,500	$0	4
Security Blue HMO-POS ValueRx (HMO-POS) (2023)	Westmoreland	Local HMO	$5,500	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Adams	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Bradford	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Carbon	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Clarion	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Clinton	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Crawford	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Elk	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Fayette	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Forest	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Fulton	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Greene	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Indiana	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Juniata	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	McKean	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Montour	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Northampton	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Perry	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Potter	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Snyder	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Union	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Warren	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Wayne	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Deductible with Rx (HMO) (2023)	York	Local HMO	$7,550	$0	4
UPMC for Life HMO No Rx (HMO) (2023)	Adams	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Allegheny	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Armstrong	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Beaver	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Bedford	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Berks	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Blair	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Bradford	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Butler	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Cambria	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Cameron	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Carbon	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Centre	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Clarion	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Clearfield	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Clinton	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Crawford	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Cumberland	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Dauphin	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Elk	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Erie	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Fayette	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Forest	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Fulton	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Greene	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Huntingdon	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Indiana	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Jefferson	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Juniata	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Lancaster	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Lawrence	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Lebanon	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Lehigh	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Lycoming	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	McKean	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Mercer	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Mifflin	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Montour	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Northampton	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Perry	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Potter	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Snyder	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Somerset	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Sullivan	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Susquehanna	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Tioga	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Union	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Venango	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Warren	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Washington	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Wayne	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Westmoreland	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	Wyoming	Local HMO *	$7,550	$-	4
UPMC for Life HMO No Rx (HMO) (2023)	York	Local HMO *	$7,550	$-	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Berks	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
UPMC for Life HMO Premier Rx (HMO) (2023)	York	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Adams	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Berks	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Bradford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Carbon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Clarion	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Clinton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Crawford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Elk	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Fayette	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Forest	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Fulton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Greene	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Indiana	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Juniata	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	McKean	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Montour	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Northampton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Perry	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Potter	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Snyder	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Union	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Warren	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Wayne	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx (HMO) (2023)	York	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Adams	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Bradford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Carbon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Clarion	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Clinton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Crawford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Elk	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Fayette	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Forest	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Fulton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Greene	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Indiana	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Juniata	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	McKean	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Montour	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Northampton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Perry	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Potter	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Snyder	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Union	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Warren	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Wayne	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Choice (HMO) (2023)	York	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Adams	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Allegheny	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Armstrong	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Beaver	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Bedford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Berks	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Blair	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Bradford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Butler	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Cambria	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Cameron	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Carbon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Centre	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Clarion	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Clearfield	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Clinton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Crawford	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Cumberland	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Dauphin	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Elk	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Erie	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Fayette	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Forest	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Fulton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Greene	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Huntingdon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Indiana	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Jefferson	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Juniata	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Lancaster	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Lawrence	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Lebanon	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Lehigh	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Lycoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	McKean	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Mercer	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Mifflin	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Montour	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Northampton	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Perry	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Potter	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Snyder	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Somerset	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Sullivan	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Susquehanna	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Tioga	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Union	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Venango	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Warren	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Washington	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Wayne	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Westmoreland	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	Wyoming	Local HMO	$7,550	$0	4
UPMC for Life HMO Rx Enhanced (HMO) (2023)	York	Local HMO	$7,550	$0	4
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Allegheny	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Armstrong	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Beaver	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Bedford	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Blair	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Butler	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Cambria	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Cameron	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Carbon	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Centre	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Clarion	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Clearfield	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Clinton	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Crawford	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Elk	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Erie	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Fayette	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Forest	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Greene	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Huntingdon	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Indiana	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Jefferson	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Lawrence	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Lycoming	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	McKean	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Mercer	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Montour	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Potter	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Snyder	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Somerset	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Sullivan	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Tioga	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Union	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Venango	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Warren	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Washington	Local PPO	$7,550	$0	3
UPMC for Life PPO High Deductible with Rx (PPO) (2023)	Westmoreland	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Adams	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Allegheny	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Armstrong	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Beaver	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Bedford	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Berks	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Blair	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Bradford	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Butler	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Cambria	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Cameron	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Carbon	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Centre	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Clarion	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Clearfield	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Clinton	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Crawford	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Cumberland	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Dauphin	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Elk	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Erie	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Fayette	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Forest	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Fulton	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Greene	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Huntingdon	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Indiana	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Jefferson	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Juniata	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Lancaster	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Lawrence	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Lebanon	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Lehigh	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Lycoming	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	McKean	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Mercer	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Mifflin	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Montour	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Northampton	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Perry	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Potter	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Snyder	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Somerset	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Sullivan	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Susquehanna	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Tioga	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Union	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Venango	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Warren	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Washington	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Wayne	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Westmoreland	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	Wyoming	Local PPO	$7,550	$0	3
UPMC for Life PPO Rx Enhanced (PPO) (2023)	York	Local PPO	$7,550	$0	3
Vibra Essential Advocate (PPO) (2023)	Adams	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Bedford	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Berks	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Carbon	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Centre	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Clinton	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Columbia	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Cumberland	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Dauphin	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Franklin	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Fulton	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Huntingdon	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Juniata	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Lackawanna	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Lancaster	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Lebanon	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Lehigh	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Luzerne	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Lycoming	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Mifflin	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Monroe	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Montour	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Northampton	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Northumberland	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Perry	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Schuylkill	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Snyder	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Sullivan	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Susquehanna	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Union	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Wayne	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	Wyoming	Local PPO	$6,700	$0	3
Vibra Essential Advocate (PPO) (2023)	York	Local PPO	$6,700	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Adams	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Bedford	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Berks	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Carbon	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Centre	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Clinton	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Columbia	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Cumberland	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Dauphin	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Franklin	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Fulton	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Huntingdon	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Juniata	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Lackawanna	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Lancaster	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Lebanon	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Lehigh	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Luzerne	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Lycoming	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Mifflin	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Monroe	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Montour	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Northampton	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Northumberland	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Perry	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Schuylkill	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Snyder	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Sullivan	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Susquehanna	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Union	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Wayne	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	Wyoming	Local PPO	$5,800	$0	3
Vibra Health Plan Enhanced Complete (PPO) (2023)	York	Local PPO	$5,800	$0	3

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