State,County,Organization Name,Plan Name,Type of Medicare Health Plan,Monthly Consolidated Premium (Includes Part C + D),Annual Drug Deductible,Drug Benefit Type,Drug Benefit Type Detail,Additional Coverage Offered in the Gap,Contract ID,Plan ID,Segment ID,In-network MOOP Amount **,2024 Overall Star Rating
Florida,Alachua,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Alachua,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Baker,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Baker,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Bay,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Bradford,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Bradford,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Brevard,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Brevard,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Broward,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Broward,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Calhoun,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Charlotte,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Charlotte,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Citrus,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Citrus,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Clay,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Clay,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Collier,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Collier,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Columbia,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Columbia,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,DeSoto,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,DeSoto,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Dixie,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Dixie,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Duval,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Duval,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Escambia,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Flagler,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Flagler,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Gadsden,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Gilchrist,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Gilchrist,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Glades,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Gulf,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Hamilton,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Hamilton,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Hardee,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Hardee,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Hendry,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Hernando,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Hernando,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Highlands,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Hillsborough,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Hillsborough,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Holmes,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Indian River,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Indian River,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Jefferson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Jefferson,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Lafayette,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Lafayette,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Lake,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Lake,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Lee,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Lee,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Leon,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Leon,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Levy,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Levy,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Liberty,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Madison,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Madison,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Manatee,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Manatee,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Marion,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Marion,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Martin,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Martin,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Nassau,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Nassau,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Okaloosa,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Okeechobee,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Orange,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Orange,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Osceola,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Osceola,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Palm Beach,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Palm Beach,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Pasco,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Pasco,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Pinellas,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Pinellas,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Polk,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Polk,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Putnam,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Putnam,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Santa Rosa,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Sarasota,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Sarasota,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Seminole,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Seminole,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,St. Johns,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,St. Johns,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,St. Lucie,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,St. Lucie,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$100.00 ,Enhanced,EA,Yes,H5199,012,0,"$3,400.00 ",3.0
Florida,Sumter,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Sumter,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Suwannee,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Taylor,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Taylor,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Union,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Union,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Volusia,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Volusia,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Wakulla,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$450.00 ,Enhanced,EA,Yes,H5199,008,0,"$5,500.00 ",3.0
Florida,Wakulla,Wellcare,Wellcare Premium Enhanced Open (PPO),Local PPO,$93.00 ,$0.00 ,Enhanced,EA,Yes,H5199,010,0,"$3,500.00 ",3.0
Florida,Walton,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
Florida,Washington,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$175.00 ,Enhanced,EA,Yes,H5199,014,0,"$5,500.00 ",3.0
North Carolina,Alamance,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Alamance,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Alamance,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Alamance,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Alexander,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Alexander,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Alexander,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Alexander,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Alleghany,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Alleghany,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Alleghany,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Alleghany,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Anson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Anson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Anson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Anson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Ashe,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Ashe,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Ashe,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Ashe,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Avery,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Avery,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Avery,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Avery,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Bladen,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Bladen,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Bladen,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Bladen,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Buncombe,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Buncombe,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Buncombe,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Buncombe,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Burke,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Burke,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Burke,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Burke,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Cabarrus,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Cabarrus,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Cabarrus,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Cabarrus,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Caldwell,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Caldwell,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Caldwell,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Caldwell,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Caswell,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Caswell,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Caswell,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Caswell,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Catawba,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Catawba,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Catawba,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Catawba,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Chatham,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Chatham,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Chatham,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Chatham,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Clay,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Clay,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Clay,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Clay,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Cleveland,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Cleveland,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Cleveland,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Cleveland,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Columbus,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Columbus,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Columbus,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Columbus,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Cumberland,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Cumberland,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Cumberland,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Cumberland,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Davidson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Davidson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Davidson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Davidson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Davie,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Davie,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Davie,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Davie,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Duplin,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Duplin,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Duplin,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Duplin,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Durham,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Durham,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Durham,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Durham,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Forsyth,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Forsyth,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Forsyth,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Forsyth,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Franklin,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Franklin,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Franklin,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Franklin,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Gaston,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Gaston,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Gaston,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Gaston,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Graham,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Graham,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Graham,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Graham,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Granville,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Granville,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Granville,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Granville,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Greene,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Greene,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Greene,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Greene,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Guilford,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Guilford,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Guilford,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Guilford,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Harnett,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Harnett,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Harnett,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Harnett,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Haywood,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Haywood,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Haywood,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Haywood,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Henderson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Henderson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Henderson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Henderson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Hoke,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Hoke,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Hoke,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Hoke,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Iredell,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Iredell,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Iredell,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Iredell,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Jackson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Jackson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Jackson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Jackson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Johnston,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Johnston,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Johnston,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Johnston,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Lee,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Lee,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Lee,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Lee,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Lincoln,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Lincoln,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Lincoln,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Lincoln,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Macon,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Macon,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Macon,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Macon,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Madison,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Madison,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Madison,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Madison,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,McDowell,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,McDowell,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,McDowell,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,McDowell,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Mecklenburg,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Mecklenburg,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Mecklenburg,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Mecklenburg,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Mitchell,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Mitchell,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Mitchell,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Mitchell,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Montgomery,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Montgomery,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Montgomery,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Montgomery,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Moore,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Moore,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Moore,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Moore,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Nash,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Nash,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Nash,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Nash,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Orange,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Orange,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Orange,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Orange,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Person,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Person,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Person,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Person,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Polk,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Polk,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Polk,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Polk,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Randolph,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Randolph,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Randolph,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Randolph,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Richmond,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Richmond,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Richmond,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Richmond,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Robeson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Robeson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Robeson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Robeson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Rockingham,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Rockingham,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Rockingham,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Rockingham,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Rowan,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Rowan,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Rowan,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Rowan,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Rutherford,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Rutherford,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Rutherford,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Rutherford,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Sampson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Sampson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Sampson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Sampson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Scotland,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Scotland,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Scotland,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Scotland,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Stanly,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Stanly,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Stanly,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Stanly,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Stokes,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Stokes,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Stokes,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Stokes,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Surry,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Surry,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Surry,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Surry,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Swain,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Swain,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Swain,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Swain,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Transylvania,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Transylvania,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Transylvania,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Transylvania,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Union,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Union,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Union,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Union,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Vance,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Vance,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Vance,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Vance,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Wake,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Wake,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Wake,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Wake,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Warren,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Warren,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Warren,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Warren,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Watauga,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Watauga,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Watauga,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Watauga,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Wilkes,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Wilkes,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Wilkes,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Wilkes,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Wilson,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Wilson,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Wilson,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Wilson,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Yadkin,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Yadkin,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Yadkin,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Yadkin,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0
North Carolina,Yancey,Wellcare,Wellcare No Premium Open (PPO),Local PPO,$0.00 ,$250.00 ,Enhanced,EA,No,H7175,001,0,"$3,900.00 ",3.0
North Carolina,Yancey,Wellcare,Wellcare Assist Open (PPO),Local PPO,$36.40 ,$430.00 ,Basic,BA,No,H7175,003,0,"$6,000.00 ",3.0
North Carolina,Yancey,Wellcare,Wellcare Giveback Open (PPO),Local PPO,$0.00 ,$545.00 ,Enhanced,EA,Yes,H7175,004,0,"$8,300.00 ",3.0
North Carolina,Yancey,Wellcare,Wellcare Patriot Giveback Open (PPO),Local PPO *,$0.00 ,,,,,H7175,005,0,"$8,850.00 ",3.0