Basic Restorative Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Basic Restorative
Major Restorative Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Major Restorative
Major Restorative Services - Other Members Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Major Restorative Services - Other Members
PPO providers except Designated Facilities (Tier 1) Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about PPO providers except Designated Facilities (Tier 1)
Other PPO providers - Tier 3 Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Other PPO providers - Tier 3
Other PPO providers (Tier 3) - physician and other professional services Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Other PPO providers (Tier 3) - physician and other professional services
Other PPO providers (Tier 3) - facility services Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Other PPO providers (Tier 3) - facility services
MIT Medical retail pharmacy (90-day supply) Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about MIT Medical retail pharmacy (90-day supply)
Other retail pharmacies (30-day supply) Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Other retail pharmacies (30-day supply)
Partners Preferred Network - hospital and other day surgical facility services Member for 5 years 4 months Submitted by ssimhadhri on Thu, 07/15/2021 - 00:54 Read more about Partners Preferred Network - hospital and other day surgical facility services
