Plan details: PH4202 4 PPO+ HDHP 3000_XOF (169)

Plan details for PH4202 4 PPO+ HDHP 3000_XOF (ID: 360877400)
Appears in: 2026-012025-122025-11
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2026-01-01ALLOWED_AMOUNT2026-01-13_Blue-Cross-and-Blue-Shield...11279 Bytes
2026-01-01IN_NETWORK2026-01-18_Blue-Cross-and-Blue-Shield...11889.04 MB
2026-01-01IN_NETWORK2026-02_020_02I0_in-network-rates22277.01 MB
2026-01-01IN_NETWORK2026-02_030_03J0_in-network-rates111 GB
2026-01-01IN_NETWORK2026-02_040_05C0_in-network-rates5545.04 GB
2026-01-01IN_NETWORK2026-02_042_04B0_in-network-rates118.62 GB
2026-01-01IN_NETWORK2026-02_051_06B0_in-network-rates558.67 GB
2026-01-01IN_NETWORK2026-02_062_07B0_in-network-rates2215.91 GB
2026-01-01IN_NETWORK2026-02_070_09B0_in-network-rates222.51 MB
2026-01-01IN_NETWORK2026-02_102_11B0_in-network-rates6643.77 GB
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