Plan details: SimplyBlue Copay Deductible Plan (911)

Name: SimplyBlue Copay Deductible Plan — Excellus negotiated rates
Creator: Excellus
License: https://www.ecfr.gov/current/title-45/part-147/section-147.212#p-147.212(b)(2)

Plan details for SimplyBlue Copay Deductible Plan (ID: 150532239)

Appears in: 2026-04

Date	Schema	Filename	# of Parts	# of Parts Available	Total source size
2026-04-01	IN_NETWORK	innetwork-G-H1CMC0002558-file-1_EXC_LG_N	1	1	585.74 KB
2026-04-01	IN_NETWORK	innetwork-G-H1CMC0002558-file-1_EXC_S...	1	1	147.2 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000027-file-1_EXC_LG_N	1	1	575.13 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000027-file-1_EXC_S...	1	1	144.9 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000028-file-1_EXC_LG_N	1	1	576.37 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000028-file-1_EXC_S...	1	1	144.77 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000032-file-1_EXC_LG_N	1	1	583.29 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000032-file-1_EXC_S...	1	1	146.59 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000034-file-1_EXC_LG_N	1	1	574.65 KB
2026-04-01	IN_NETWORK	innetwork-G-H2CMC0000034-file-1_EXC_S...	1	1	145.15 KB

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