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Plan Name Contract Code/Alt ID State All CA CO CT GA IN KY ME MO NH NV NY OH VA WI Market Unit All ABF Individual Large Group MEWA Small Group Student Health Product Type All Dental Medical Vision

Coverage Year All 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 2024 Plan Type All CDHP Custom EPO FFS Fee For Service HMO Indemnity POS PPO Standard Traditional Language All English Spanish Plan Status All New/Renew Renewal Only

Metal Level All Bronze Catastrophic Gold NA Platinum Silver RX Rider All Yes No Network Name All HMO Select PPO Pathway Network Access Blue NE HMO Access Blue New England NEHP Advantage PPO Anthem Alliance Anthem Alliance EPO Anthem Alliance HMO Anthem Blue Connection EPO Anthem Blue Connection HMO Anthem HealthSync Anthem High Performance Anthem PPO Blue Access Blue Access (PPO) Blue Access Choice Blue Access Choice - PPO Blue Access OH I Blue Access OH II Blue Access PPO Blue Access X Blue Access with Essential Rx Formulary Blue Card PPO Blue Choice HMO Blue Choice NE POS Blue Choice NH POS Blue Choice New England POS Blue Choice POS Blue Choice PPO Blue Connection Blue Cross Blue Shield Traditional Network Blue Cross HMO Blue Cross HMO (CACare) - Large Group Blue Cross PPO (Prudent Buyer) - Large Group Blue Cross and Blue Shield Healthcare Plan of Georgia Blue Direct Blue Essential Open Access POS Blue Open Access HMO Blue Open Access HMO Blue Open Access POS Blue Open Access POS GA only Blue Open Access PPO Blue Preferred Blue Preferred - HMO Blue Preferred - POS Blue Preferred EPO Blue Preferred HMO Blue Preferred HMO -MO Blue Preferred POS Blue Preferred Plus Blue Preferred Plus Blue Preferred Plus (POS) Blue Preferred Select Blue Priority Blue Priority - WI Blue Priority EPO PPO Blue Priority HMO Blue Priority NY Blue Priority Network Blue Priority PPO Blue Priority WI Alt Net Blue Priority X WI Blue View Vision Blue View Vision (Access) Blue View Vision Insight Blue View Vision Select BlueCard PPO BlueCare BlueCare Health Plan BlueCare Prime BlueCare Select Tiered BlueCare Tiered BlueCare=PAR network BlueChoice HMO BlueChoice Healthcare HMO BlueChoice Healthcare POS BlueChoice Options BlueChoice PPO BlueValue Bluecare Tiered CDHP CO Pathway California Care HMO California Care Limited Choice HMO Century Preferred Century Preferred EPO Century Preferred Select Tiered Century Preferred Tiered Choice PPO Connection Connection X Designed Access EPO Designed Access HMO EPO EPO Blue Freedom (PPO) Empire BC PPO Empire BCBS PPO NY FFS Group Value Network HMO HMO Blue New England HMO Blue New England NEHP HMO Maine HMO Network HMO Statewide HMOSelect Health Choice (Health Choice PPO) HealthKeepers HealthKeepersVirginia residents/BlueCard PPO-Non-Virginia residents Healthy Support Open Access POS High Performance Network Individual Network KeyCare KeyCare PPO Lumenos PPO Lumenos on Pathway PPO MN Group Value Network MO Mercy EPO Maine HMO Tiered Options Matthew Thornton Blue HMO Missouri Blue Card Mountain Enhanced Mountain Enhanced X National Blue Card PPO National PPO (BlueCard PPO) POS POS (HMO) PPO PPO Network PPO/EPO Pathway Pathway EPO Pathway - EPO Pathway - HMO Pathway - HMO 01 Pathway - PPO Pathway - PPO 01 Pathway - Tiered Pathway ? EPO Pathway CT HMO Pathway CT HMO Pathway CT HMO TIERED Pathway CT PPO Pathway CT PPO TIERED Pathway CT PPO Tiered Pathway Enhanced Pathway Enhanced POS Pathway Enhanced Tiered Pathway Enhanced Tiered Pathway Essentials Pathway Group HMO Pathway Guided Access Pathway HMO Pathway HMO 01 Pathway HMO POS Pathway HMO/POS Pathway PPO Pathway Tiered Pathway Tiered Hospital Pathway Tiered PPO Pathway Transition HMO Pathway X Pathway X Pathway X EPO Pathway X - EPO Pathway X - HMO Pathway X - PPO Pathway X - Tiered Pathway X ? EPO Pathway X Enhanced Pathway X Enhanced Tiered Pathway X Enhanced Tiered Pathway X Guided Access Pathway X HMO Pathway X HMO POS Pathway X PPO Pathway X Tiered Pathway X Tiered Pathway X Tiered Hospital Pathway X Transition HMO Preferred Blue PPO Priority Select Priority Select HMO Prudent Buyer PPO Prudent Buyer PPO SELECT PPO Select HMO Select PPO Select Plus Select Plus HMO Traditional Traditional (Indemnity) Vivity WELLCHOICE C WELLCHOICE H WELLCHOICE U WellChoice -C WellChoice -H WellChoice -U Exchange Indicator All Not Applicable Off On Private Exchange Public Exchange Purchased prior to 01/01/2014

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