{ "plansYear":[ { "year":"2021", "plan":[ { "planname":"Anthem I MaineHealth Advantage Extra HMO ", "details":[ { "countyList":"Cumberland, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0164.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0175_h9065_004_000_me_hmo_pos.pdf" } ] } , { "countyList":"Androscoggin, Franklin, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, Somerset, Waldo", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0165.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0118_h9065_005_000_me_hmo.pdf" } ] } , { "countyList":"Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, Waldo, Washington, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0309.pdf" } ] } , { "countyList":"Aroostook, Hancock, Penobscot, Piscataquis, Washington", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0166.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0116_h9065_006_000_me_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Diabetes HMO CSNP ", "details":[ { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0211.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0213.pdf" } ] } ] } , { "planname":"Anthem I MaineHealth Advantage Access PPO ", "details":[ { "countyList":"Androscoggin, Cumberland, Franklin, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, Somerset, Waldo, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0393.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0066_h9219_001_000_me_lppo.pdf" } ] } , { "countyList":"Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, Waldo, Washington, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0312.pdf" } ] } , { "countyList":"Aroostook, Hancock, Penobscot, Piscataquis, Washington", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0394.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0067_h9219_002_000_me_lppo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Core PPO ", "details":[ { "countyList":"Adams, Ashland, Bayfield, Brown, Calumet, Clark, Dodge, Door, Douglas, Florence, Fond du Lac, Forest, Green, Green Lake, Iowa, Iron, Jefferson, Juneau, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Price, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123043_u_c_0296.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0070_h4036_016_000_wi_lppo_ma_only.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Clark, Clay, Clinton, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Lewis, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Mason, McCracken, McCreary, McLean, Meade, Menifee, Metcalfe, Monroe, Montgomery, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Pendleton, Perry, Powell, Pulaski, Robertson, Rockcastle, Rowan, Scott, Shelby, Spencer, Taylor, Trimble, Warren, Webster, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123043_u_c_0385.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0063_h7728_006_000_ga_lppo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Plus HMO ", "details":[ { "countyList":"Adams, Ashland, Bayfield, Clark, Douglas, Florence, Forest, Green, Iowa, Iron, Jefferson, Juneau, Kenosha, Lafayette, Langlade, Lincoln, Marathon, Marinette, Milwaukee, Oneida, Portage, Price, Racine, Rock, Taylor, Vilas, Walworth, Waukesha", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0167.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0178_h9525_004_000_wi_hmo.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Butler, Callaway, Camden, Cape Girardeau, Carter, Cedar, Chariton, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Hickory, Howard, Howell, Iron, Jasper, Jefferson, Knox, Laclede, Lawrence, Lewis, Lincoln, Macon, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Osage, Ozark, Perry, Pike, Polk, Pulaski, Randolph, Reynolds, Ripley, Scott, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Texas, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0199.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0141_h3447_019_000_mo_hmo.pdf" } ] } , { "countyList":"Brown, Butler, Carroll, Columbiana, Delaware, Greene, Hamilton, Lucas, Mahoning, Miami, Montgomery, Portage, Preble, Stark, Summit, Trumbull, Tuscarawas, Union, Wood", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0150_h3655_034_000_oh_hmo.pdf" } ] } , { "countyList":"Belknap, Carroll, Cheshire, Coos, Grafton, Merrimack, Strafford, Sullivan", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0145_h3536_002_000_nh_hmo.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Butts, Chattahoochee, Cherokee, Cobb, Coweta, Crawford, Crisp, Dodge, Douglas, Fayette, Gilmer, Greene, Heard, Henry, Houston, Jasper, Jones, Lamar, Laurens, Liberty, Macon, Marion, Meriwether, Monroe, Newton, Paulding, Peach, Pickens, Pike, Spalding, Taylor, Tift, Toombs, Troup, Twiggs, Walton, White", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0156_h5422_011_000_ga_hmo.pdf" } ] } , { "countyList":"Adams, Allen, Carroll, Cass, Clay, Clinton, Crawford, Daviess, Dekalb, Dearborn, Delaware, Dubois, Fayette, Franklin, Gibson, Grant, Greene, Howard, Huntington, Knox, Lawrence, Martin, Miami, Monroe, Noble, Ohio, Orange, Owen, Parke, Pike, Posey, Ripley, Spencer, Steuben, Sullivan, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warrick, Wayne, Wells, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0110.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Butts, Chattahoochee, Cherokee, Cobb, Coweta, Crawford, Crisp, Dodge, Douglas, Fayette, Gilmer, Greene, Heard, Henry, Houston, Jasper, Jones, Lamar, Laurens, Liberty, Macon, Marion, Meriwether, Monroe, Newton, Paulding, Peach, Pickens, Pike, Spalding, Taylor, Tift, Toombs, Troup, Twiggs, Walton, White, Bryan, Bulloch, Burke, Chatham, Clayton, Coffee, Columbia, DeKalb, Effingham, Forsyth, Fulton, Glascock, Gwinnett, Harris, Jefferson, McDuffie, Muscogee, Richmond, Rockdale, Talbot, Warren", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0134.pdf" } ] } , { "countyList":"Chesapeake City, Franklin City, Gloucester, Hampton City, Isle Of Wight, James City, King William, Mathews, Middlesex, Newport News City, Norfolk City, Northampton, Northumberland, Poquoson City, Portsmouth City, Southampton, Suffolk City, Surry, Virginia Beach City, Williamsburg City, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0107.pdf" } ] } , { "countyList":"Belknap, Carroll, Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, Strafford, Sullivan", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0118.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0217.pdf" } ] } , { "countyList":"Clark, Nye", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0236.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson, Larimer, Mesa, Pueblo, Teller, Weld", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0232.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, DeKalb, Dodge, Douglas, Effingham, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Harris, Heard, Henry, Houston, Jasper, Jefferson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pike, Richmond, Rockdale, Spalding, Talbot, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, White", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0252.pdf" } ] } , { "countyList":"Elkhart, Fulton, Jasper, Kosciusko, La Porte, Lagrange, Lake, Marshall, Newton, Porter, Pulaski, St Joseph, Starke", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0111.pdf" } ] } , { "countyList":"Hartford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0138.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0264.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Boyle, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Caldwell, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Christian, Clark, Clay, Clinton, Crittenden, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hickman, Hopkins, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Mercer, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Owsley, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Russell, Scott, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Union, Warren, Washington, Wayne, Webster, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0169.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0315.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0177_h9525_008_000_ky_hmo.pdf" } ] } , { "countyList":"Nye", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0351.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0154_h4346_024_000_nv_hmo.pdf" } ] } , { "countyList":"Belmont, Muskingum, Shelby, Brown, Butler, Carroll, Columbiana, Delaware, Greene, Hamilton, Lucas, Mahoning, Miami, Montgomery, Portage, Preble, Stark, Summit, Trumbull, Tuscarawas, Union, Wood", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0122.pdf" } ] } , { "countyList":"Elkhart, Fulton, Jasper, Kosciusko, La Porte, Lagrange, Lake, Marshall, Newton, Porter, Pulaski, St. Joseph, Starke", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0200.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0144_h3447_022_000_in_hmo.pdf" } ] } , { "countyList":"Fairfield, Litchfield, Middlesex, New Haven, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0139.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0265.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Butler, Callaway, Camden, Cape Girardeau, Carter, Cedar, Chariton, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Hickory, Howard, Howell, Iron, Jasper, Jefferson, Knox, Laclede, Lawrence, Lewis, Lincoln, Macon, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Osage, Ozark, Perry, Pike, Polk, Pulaski, Randolph, Reynolds, Ripley, Scott, Shannon, Shelby, Saint Charles, Saint Francois, Saint Louis, Saint Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Texas, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0109.pdf" } ] } , { "countyList":"El Paso, Larimer, Mesa, Pueblo, Teller, Weld", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0127.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0153_h4346_013_000_co_hmo.pdf" } ] } , { "countyList":"Washoe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0130.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0235.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0155_h4346_019_000_nv_hmo.pdf" } ] } , { "countyList":"Alexandria City, Arlington, Fairfax, Loudoun, Prince William", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0108.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0208.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Brown, Calumet, Clark, Dodge, Door, Douglas, Florence, Fond du Lac, Forest, Green, Green Lake, Iowa, Iron, Jefferson, Juneau, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Price, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0314.pdf" } ] } , { "countyList":"Belmont, Brown, Butler, Carroll, Columbiana, Delaware, Greene, Hamilton, Lucas, Mahoning, Miami, Montgomery, Muskingum, Portage, Preble, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Wood", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0222.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0126.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0151_h4346_012_000_co_hmo.pdf" } ] } , { "countyList":"Adams, Allen, Carroll, Cass, Clay, Clinton, Crawford, Daviess, De Kalb, Dearborn, Delaware, Dubois, Fayette, Franklin, Gibson, Grant, Greene, Howard, Huntington, Knox, Lawrence, Martin, Miami, Monroe, Noble, Ohio, Orange, Owen, Parke, Pike, Posey, Ripley, Spencer, Steuben, Sullivan, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warrick, Wayne, Wells, Whitley", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0202.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0137_h3447_021_000_in_hmo.pdf" } ] } , { "countyList":"Brown, Calumet, Dodge, Door, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marquette, Menominee, Oconto, Outagamie, Ozaukee, Shawano, Sheboygan, Washington, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0168.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0179_h9525_006_000_wi_hmo.pdf" } ] } , { "countyList":"Arlington, Fairfax, Loudoun, Prince William", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0140_h3447_014_000_va_hmo.pdf" } ] } , { "countyList":"Bartholomew, Benton, Blackford, Boone, Brown, Clark, Decatur, Floyd, Fountain, Hamilton, Hancock, Harrison, Hendricks, Henry, Jackson, Jay, Jefferson, Jennings, Johnson, Madison, Marion, Montgomery, Morgan, Perry, Putnam, Randolph, Rush, Scott, Shelby, Switzerland, Tippecanoe, Warren, Washington, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0112.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0201.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0142_h3447_023_000_in_hmo.pdf" } ] } , { "countyList":"Chesapeake City, Franklin City, Gloucester, Hampton City, Isle of Wight, James City, King William, Mathews, Middlesex, Newport News City, Norfolk City, Northampton, Northumberland, Poquoson City, Portsmouth City, Southampton, Suffolk City, Surry, Virginia Beach City, Williamsburg City, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0209.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0143_h3447_013_000_va_hmo.pdf" } ] } , { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0128.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0152_h4346_017_000_nv_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Connect HMO DSNP ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0343.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0238.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0322_h4346_026_000_nv_hmo_de_snp.pdf" } ] } ] } , { "planname":"Anthem MediBlue Prime Select HMO ", "details":[ { "countyList":"Belmont, Brown, Butler, Carroll, Columbiana, Delaware, Greene, Hamilton, Lucas, Mahoning, Miami, Montgomery, Muskingum, Portage, Preble, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Wood", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0225.pdf" } ] } , { "countyList":"Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, Summit", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0123.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0037_h3655_038_000_oh_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Basic PPO ", "details":[ { "countyList":"Cape Girardeau, Carter, Hickory, Maries, McDonald, Miller, Morgan, New Madrid, Pulaski, Scott", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0056_h4909_016_000_mo_lppo.pdf" } ] } , { "countyList":"Bollinger, Butler, Chariton, Christian, Cooper, Crawford, Dallas, Douglas, Franklin, Greene, Howard, Howell, Jasper, Knox, Laclede, Lawrence, Lewis, Macon, Madison, Mississippi, Moniteau, Newton, Osage, Ozark, Polk, Ripley, Shelby, Saint Charles, Saint Francois, Saint Louis, Saint Louis City, Taney, Texas, Warren, Wayne, Webster, Wright, Cape Girardeau, Carter, Hickory, Maries, McDonald, Miller, Morgan, New Madrid, Pulaski, Scott", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0309.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Catoosa, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, Dawson, DeKalb, Dodge, Douglas, Effingham, Evans, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Hancock, Haralson, Harris, Heard, Henry, Houston, Jasper, Jefferson, Johnson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, McIntosh, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pierce, Pike, Polk, Richmond, Rockdale, Spalding, Talbot, Taliaferro, Tattnall, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, Washington, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0314.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0274.pdf" } ] } , { "countyList":"Bollinger, Butler, Cape Girardeau, Carter, Chariton, Christian, Cooper, Crawford, Dallas, Douglas, Franklin, Greene, Hickory, Howard, Howell, Jasper, Knox, Laclede, Lawrence, Lewis, Macon, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Morgan, New Madrid, Newton, Osage, Ozark, Polk, Pulaski, Ripley, Scott, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Taney, Texas, Warren, Wayne, Webster, Wright", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0247.pdf" } ] } ] } , { "planname":"Anthem MediBlue Essential HMO ", "details":[ { "countyList":"Albemarle, Amelia, Amherst, Augusta, Bedford, Botetourt, Bristol City, Campbell, Culpeper, Danville City, Dinwiddie, Fauquier, Franklin, Frederick, Fredericksburg City, Harrisonburg City, Henry, Lynchburg City, Martinsville City, Montgomery, Orange, Pittsylvania, Prince Edward, Prince George, Radford City, Roanoke, Roanoke City, Rockbridge, Rockingham, Salem City, Shenandoah, Spotsylvania, Stafford, Staunton City, Tazewell, Washington, Waynesboro City, Winchester City, Wise", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0138_h3447_025_000_va_hmo.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amelia, Amherst, Augusta, Bedford, Botetourt, Bristol City, Campbell, Culpeper, Danville City, Dinwiddie, Fauquier, Franklin, Frederick, Fredericksburg City, Harrisonburg City, Henry, Lynchburg City, Martinsville City, Montgomery, Orange, Pittsylvania, Prince Edward, Prince George, Radford, Roanoke, Roanoke City, Rockbridge, Rockingham, Salem, Shenandoah, Spotsylvania, Stafford, Staunton City, Tazewell, Washington, Waynesboro City, Winchester City, Wise", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0114.pdf" } ] } , { "countyList":"Bryan, Bulloch, Burke, Chatham, Clayton, Coffee, Columbia, DeKalb, Effingham, Forsyth, Fulton, Glascock, Gwinnett, Harris, Jefferson, McDuffie, Muscogee, Richmond, Rockdale, Talbot, Warren", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0133.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0250.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amelia, Amherst, Augusta, Bedford, Botetourt, Bristol City, Campbell, Culpeper, Danville City, Dinwiddie, Fauquier, Franklin, Frederick, Fredericksburg City, Harrisonburg City, Henry, Lynchburg City, Martinsville City, Montgomery, Orange, Pittsylvania, Prince Edward, Prince George, Radford City, Roanoke, Roanoke City, Rockbridge, Rockingham, Salem City, Shenandoah, Spotsylvania, Stafford, Staunton City, Tazewell, Washington, Waynesboro City, Winchester City, Wise", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0204.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Hamilton, Hancock, Highland, Huron, Jefferson, Lake, Lawrence, Licking, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Mercer, Miami, Montgomery, Morrow, Muskingum, Ottawa, Pickaway, Portage, Preble, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Warren, Washington, Wayne, Williams, Wood", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0121.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0220.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0036_h3655_032_000_oh_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue ESRD Care HMO POS CSNP ", "details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, Tolland", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0142.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0260.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0021_h5854_012_000_ct_hmo_pos_c_snp_esrd.pdf" } ] } ] } , { "planname":"Anthem MediBlue Preferred HMO ", "details":[ { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0223.pdf" } ] } , { "countyList":"Adams, Ashtabula, Athens, Auglaize, Champaign, Clark, Clinton, Coshocton, Crawford, Darke, Defiance, Erie, Fayette, Gallia, Guernsey, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lawrence, Logan, Marion, Meigs, Mercer, Monroe, Morgan, Noble, Paulding, Perry, Pike, Putnam, Richland, Ross, Sandusky, Scioto, Van Wert, Vinton, Washington, Wayne, Williams, Wyandot, Allen, Ashland, Brown, Butler, Carroll, Clermont, Columbiana, Cuyahoga, Delaware, Fairfield, Franklin, Fulton, Geauga, Greene, Hamilton, Lake, Licking, Lorain, Lucas, Madison, Mahoning, Medina, Miami, Montgomery, Morrow, Ottawa, Pickaway, Portage, Preble, Seneca, Stark, Summit, Trumbull, Tuscarawas, Union, Warren, Wood, Belmont, Muskingum, Shelby", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0124.pdf" } ] } , { "countyList":"Adams, Ashtabula, Athens, Auglaize, Champaign, Clark, Clinton, Coshocton, Crawford, Darke, Defiance, Erie, Fayette, Gallia, Guernsey, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lawrence, Logan, Marion, Meigs, Mercer, Monroe, Morgan, Noble, Paulding, Perry, Pike, Putnam, Richland, Ross, Sandusky, Scioto, Van Wert, Vinton, Washington, Wayne, Williams, Wyandot", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0147_h3655_040_000_oh_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Care To You HMO ISNP ", "details":[ { "countyList":"Alexandria City, Arlington, Chesapeake City, Fairfax, Fairfax City, Franklin, Hampton City, James City, Loudoun, Manassas City, Newport News City, Norfolk City, Portsmouth City, Prince William, Roanoke, Roanoke City, Salem City, Suffolk City, Virginia Beach City", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0211.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0026_h3447_026_000_va_hmo_i_snp.pdf" } ] } , { "countyList":"Alexandria City, Arlington, Chesapeake City, Fairfax, Fairfax City, Franklin, Hampton City, James City, Loudoun, Manassas City, Newport News City, Norfolk City, Portsmouth City, Prince William, Roanoke, Roanoke City, Salem, Suffolk City, Virginia Beach City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0115.pdf" } ] } , { "countyList":"Hartford, Middlesex, New Haven, Tolland", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0143.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0268.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0028_h5854_014_000_ct_hmo_i_snp.pdf" } ] } ] } , { "planname":"Anthem MediBlue Preferred Plus HMO ", "details":[ { "countyList":"Allen, Ashland, Brown, Butler, Carroll, Clermont, Columbiana, Cuyahoga, Delaware, Fairfield, Franklin, Fulton, Geauga, Greene, Hamilton, Lake, Licking, Lorain, Lucas, Madison, Mahoning, Medina, Miami, Montgomery, Morrow, Ottawa, Pickaway, Portage, Preble, Seneca, Stark, Summit, Trumbull, Tuscarawas, Union, Warren, Wood", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0350.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0224.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access PPO ", "details":[ { "countyList":"Brown, Calumet, Door, Fond du Lac, Green, Green Lake, Iowa, Jefferson, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marquette, Menominee, Milwaukee, Outagamie, Ozaukee, Rock, Shawano, Sheboygan, Taylor, Walworth, Washington, Waukesha, Winnebago", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0228.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Clark, Clay, Clinton, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Lewis, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Mason, McCracken, McCreary, McLean, Meade, Menifee, Metcalfe, Monroe, Montgomery, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Pendleton, Perry, Powell, Pulaski, Robertson, Rockcastle, Rowan, Scott, Shelby, Spencer, Taylor, Trimble, Warren, Webster, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0271.pdf" } ] } , { "countyList":"Adams, Allen, Ashtabula, Auglaize, Butler, Champaign, Clark, Clinton, Crawford, Darke, Defiance, Erie, Fairfield, Fayette, Franklin, Fulton, Hamilton, Hancock, Highland, Holmes, Huron, Jefferson, Lawrence, Marion, Mercer, Morrow, Ottawa, Pickaway, Putnam, Richland, Ross, Scioto, Seneca, Tuscarawas, Union, Van Wert, Washington, Williams, Wood, Carroll, Columbiana, Cuyahoga, Lorain, Miami, Muskingum, Sandusky, Stark, Trumbull", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0304.pdf" } ] } , { "countyList":"Adams, Allen, Ashtabula, Auglaize, Butler, Champaign, Clark, Clinton, Crawford, Darke, Defiance, Erie, Fairfield, Fayette, Franklin, Fulton, Hamilton, Hancock, Highland, Holmes, Huron, Jefferson, Lawrence, Marion, Mercer, Morrow, Ottawa, Pickaway, Putnam, Richland, Ross, Scioto, Seneca, Tuscarawas, Union, Van Wert, Washington, Williams, Wood", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0045_h4036_010_001_oh_lppo.pdf" } ] } , { "countyList":"Breckinridge, Daviess, Grayson, Hancock, Hardin, Hart, Henderson, Bullitt, Henry, Jefferson, Larue, Marion, McLean, Meade, Muhlenberg, Nelson, Ohio, Oldham, Shelby, Spencer, Taylor, Trimble, Webster", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0312.pdf" } ] } , { "countyList":"Adams, Allen, Clinton, De Kalb, Fulton, Grant, Howard, Huntington, Johnson, La Porte, Madison, Marshall, Miami, Morgan, Noble, Owen, Starke, Steuben, Tippecanoe, Wabash, Wells, Whitley", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0158.pdf" } ] } , { "countyList":"Brown, Calumet, Fond du Lac, Manitowoc, Milwaukee, Outagamie, Ozaukee, Sheboygan, Washington, Waukesha, Winnebago, Door, Green, Green Lake, Iowa, Jefferson, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Marquette, Menominee, Rock, Shawano, Taylor, Walworth", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0302.pdf" } ] } , { "countyList":"Boone, Boyd, Carroll, Clay, Clinton, Cumberland, Edmonson, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Graves, Green, Greenup, Harlan, Harrison, Lee, Owen", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0060_h7728_004_001_ky_lppo.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Clark, Dodge, Douglas, Florence, Forest, Iron, Juneau, Marathon, Marinette, Oconto, Oneida, Portage, Price, Racine, Vilas, Waupaca, Waushara", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0226.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Clark, Douglas, Florence, Forest, Iron, Juneau, Marinette, Oneida, Portage, Price, Vilas, Waushara, Dodge, Marathon, Oconto, Racine, Waupaca", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0303.pdf" } ] } , { "countyList":"Albemarle, Alleghany, Amelia, Amherst, Appomattox, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, COLONIAL HEIGHTS CITY, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, DINWIDDIE, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle Of Wight, James City, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Pulaski, Radford, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0307.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Clark, Douglas, Florence, Forest, Iron, Juneau, Marinette, Oneida, Portage, Price, Vilas, Waushara", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0046_h4036_009_000_wi_lppo.pdf" } ] } , { "countyList":"Albemarle, Alleghany, Amelia, Amherst, Appomattox, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0245.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0053_h4909_014_000_va_lppo.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Butler, Callaway, Camden, Cedar, Chariton, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Howard, Howell, Iron, Jasper, Jefferson, Knox, Laclede, Lawrence, Lewis, Lincoln, Macon, Madison, Mississippi, Moniteau, Monroe, Montgomery, Newton, Osage, Ozark, Perry, Pike, Polk, Randolph, Reynolds, Ripley, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Texas, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0246.pdf" } ] } , { "countyList":"Belknap, Carroll, Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, Strafford, Sullivan", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0310.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0273.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0059_h7728_002_000_nh_lppo.pdf" } ] } , { "countyList":"Ashland, Brown, Clermont, Licking, Lucas, Madison, Mahoning, Medina, Portage, Shelby, Warren, Wayne", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0047_h4036_010_002_oh_lppo.pdf" } ] } , { "countyList":"Door, Green, Green Lake, Iowa, Jefferson, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Marquette, Menominee, Rock, Shawano, Taylor, Walworth", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0052_h4036_008_000_wi_lppo.pdf" } ] } , { "countyList":"Breckinridge, Daviess, Grayson, Hancock, Hardin, Hart, Henderson", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0061_h7728_004_002_ky_lppo.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Hamilton, Hancock, Highland, Holmes, Huron, Jefferson, Lake, Lawrence, Licking, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Mercer, Miami, Montgomery, Morrow, Muskingum, Ottawa, Pickaway, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Warren, Washington, Wayne, Williams, Wood", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0227.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Boone, Callaway, Camden, Cedar, Cole, Dade, Dent, Gasconade, Iron, Jefferson, Lincoln, Monroe, Montgomery, Perry, Pike, Randolph, Reynolds, Shannon, Sainte Genevieve, Stoddard, Stone, Washington, Bollinger, Butler, Chariton, Christian, Cooper, Crawford, Dallas, Douglas, Franklin, Greene, Howard, Howell, Jasper, Knox, Laclede, Lawrence, Lewis, Macon, Madison, Mississippi, Moniteau, Newton, Osage, Ozark, Polk, Ripley, Shelby, Saint Charles, Saint Francois, Saint Louis, Saint Louis City, Taney, Texas, Warren, Wayne, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0308.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Bourbon, Bracken, Breathitt, Butler, Calloway, Campbell, Carlisle, Carter, Casey, Clark, Jackson, Jessamine, Johnson, Kenton, Knott, Knox, Laurel, Lawrence, Leslie, Lewis, Livingston, Logan, Lyon, Madison, Magoffin, Marshall, Mason, McCracken, McCreary, Menifee, Metcalfe, Monroe, Montgomery, Nicholas, Pendleton, Perry, Powell, Pulaski, Robertson, Rockcastle, Rowan, Scott, Warren, Whitley, Wolfe, Woodford, Boone, Boyd, Carroll, Clay, Clinton, Cumberland, Edmonson, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Graves, Green, Greenup, Harlan, Harrison, Lee, Owen", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0311.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Catoosa, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, Dawson, DeKalb, Dodge, Douglas, Effingham, Evans, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Hancock, Haralson, Harris, Heard, Henry, Houston, Jasper, Jefferson, Johnson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, McIntosh, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pierce, Pike, Polk, Richmond, Rockdale, Spalding, Talbot, Taliaferro, Tattnall, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, Washington, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0313.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0272.pdf" } ] } , { "countyList":"Adams, Allen, Clinton, Dekalb, Fulton, Grant, Howard, Huntington, Johnson, La Porte, Madison, Marshall, Miami, Morgan, Noble, Owen, Starke, Steuben, Tippecanoe, Wabash, Wells, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0299.pdf" } ] } , { "countyList":"Belmont, Delaware, Geauga, Greene, Lake, Montgomery, Preble, Summit, Ashland, Brown, Clermont, Licking, Lucas, Madison, Mahoning, Medina, Portage, Shelby, Warren, Wayne", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0305.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Boone, Callaway, Camden, Cedar, Cole, Dade, Dent, Gasconade, Iron, Jefferson, Lincoln, Monroe, Montgomery, Perry, Pike, Randolph, Reynolds, Shannon, Ste. Genevieve, Stoddard, Stone, Washington", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0054_h4909_015_000_mo_lppo.pdf" } ] } , { "countyList":"Starke", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0041_h1607_014_000_in_lppo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Dual Advantage Select HMO DSNP ", "details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0035.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0262.pdf" } ] } ] } , { "planname":"Anthem MediBlue Value Plus HMO ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0214.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0244.pdf" } ] } ] } , { "planname":"Anthem MediBlue Dual Advantage HMO DSNP ", "details":[ { "countyList":"Adair, Adams, Allen, Anderson, Ashland, Ballard, Barren, Bath, Bayfield, Bell, Boone, Bourbon, Boyd, Boyle, Bracken, Breathitt, Breckinridge, Brown, Bullitt, Butler, Caldwell, Calloway, Calumet, Campbell, Carlisle, Carroll, Carter, Casey, Christian, Clark, Clay, Clinton, Crittenden, Cumberland, Daviess, Dodge, Door, Douglas, Edmonson, Elliott, Estill, Fayette, Fleming, Florence, Floyd, Fond du Lac, Forest, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Green Lake, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hickman, Hopkins, Iowa, Iron, Jackson, Jefferson, Jessamine, Johnson, Juneau, Kenosha, Kenton, Kewaunee, Knott, Knox, Lafayette, Langlade, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Manitowoc, Marathon, Marinette, Marion, Marquette, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Menominee, Mercer, Metcalfe, Milwaukee, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Oconto, Ohio, Oldham, Oneida, Outagamie, Owen, Owsley, Ozaukee, Pendleton, Perry, Pike, Portage, Powell, Price, Pulaski, Racine, Robertson, Rock, Rockcastle, Rowan, Russell, Scott, Shawano, Sheboygan, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Union, Vilas, Walworth, Warren, Washington, Waukesha, Waupaca, Waushara, Wayne, Webster, Whitley, Winnebago, Wolfe, Woodford", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0313_1.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amherst, Appomattox, Arlington, Augusta, Bedford, Bland, Bristol City, Buchanan, Campbell, Carroll, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Danville City, Dickenson, Fairfax, Fairfax City, Frederick, Galax City, Goochland, Grayson, Halifax, Hampton City, Harrisonburg City, Henrico, Henry, James City, Loudoun, Lynchburg City, Manassas Park City, Martinsville City, Montgomery, Newport News City, Norfolk City, Norton City, Page, Pittsylvania, Portsmouth City, Prince Edward, Prince William, Pulaski, Radford City, Rappahannock, Richmond City, Roanoke, Roanoke City, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Spotsylvania, Staunton City, Suffolk City, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Winchester City, Wise, Wythe", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0079_h3447_030_000_va_hmo_de_snp.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Butler, Callaway, Camden, Cape Girardeau, Carter, Cedar, Chariton, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Hickory, Howard, Howell, Iron, Jasper, Jefferson, Knox, Laclede, Lawrence, Lewis, Lincoln, Macon, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Osage, Ozark, Perry, Pike, Polk, Pulaski, Randolph, Reynolds, Ripley, Scott, Shannon, Shelby, Saint Charles, Saint Francois, Saint Louis, Saint Louis City, SAINTE GENEVIEVE, Stoddard, Stone, Taney, Texas, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0029.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Boyle, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Caldwell, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Christian, Clark, Clay, Clinton, Crittenden, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hickman, Hopkins, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Lincoln, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Mercer, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Owsley, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Russell, Scott, Shelby, Simpson, Spencer, Taylor, Todd, Trigg, Trimble, Union, Warren, Washington, Wayne, Webster, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0046.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0094_h9525_007_000_ky_hmo_de_snp.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Butler, Callaway, Camden, Cape Girardeau, Carter, Cedar, Chariton, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Hickory, Howard, Howell, Iron, Jasper, Jefferson, Knox, Laclede, Lawrence, Lewis, Lincoln, Macon, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Osage, Ozark, Perry, Pike, Polk, Pulaski, Randolph, Reynolds, Ripley, Scott, Shannon, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Texas, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0081_h3447_018_000_mo_hmo_de_snp.pdf" } ] } , { "countyList":"Alleghany, Amelia, Bath, Botetourt, Brunswick, Buckingham, Buena Vista City, Caroline, Charles City, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Dinwiddie, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Fredericksburg City, Giles, Gloucester, Greene, Greensville, Hanover, Highland, Hopewell City, Isle of Wight, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Louisa, Lunenburg, Madison, Manassas City, Mathews, Mecklenburg, Middlesex, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Patrick, Petersburg City, Poquoson City, Powhatan, Prince George, Richmond, Rockbridge, Southampton, Stafford, Surry, Sussex, Williamsburg City, York", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0080_h3447_031_000_va_hmo_de_snp.pdf" } ] } , { "countyList":"Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St. Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0078_h3447_020_000_in_hmo_de_snp.pdf" } ] } , { "countyList":"Alleghany, Amelia, Bath, Botetourt, Brunswick, Buckingham, Buena Vista City, Caroline, Charles City, COLONIAL HEIGHTS CITY, Covington City, Craig, Culpeper, Cumberland, DINWIDDIE, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Fredericksburg City, Giles, Gloucester, Greene, Greensville, Hanover, Highland, Hopewell City, Isle Of Wight, King And Queen, King George, King William, Lancaster, Lee, Lexington City City, Louisa, Lunenburg, Madison, Manassas City, Mathews, Mecklenburg, Middlesex, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Patrick, Petersburg City, Poquoson City, Powhatan, Prince George, Richmond, Rockbridge, Southampton, Stafford, Surry, Sussex, Williamsburg City, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0325.pdf" } ] } , { "countyList":"Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, Dekalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0030.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, DeKalb, Dodge, Douglas, Effingham, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Harris, Heard, Henry, Houston, Jasper, Jefferson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pike, Richmond, Rockdale, Spalding, Talbot, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0033.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0249.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0084_h5422_007_000_ga_hmo_de_snp.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Brown, Calumet, Clark, Dodge, Door, Douglas, Florence, Fond du Lac, Forest, Green, Green Lake, Iowa, Iron, Jefferson, Juneau, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Price, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0045.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0095_h9525_003_000_wi_hmo_de_snp.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson, Larimer, Mesa, Pueblo, Teller, Weld", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0032.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0231.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0102_h4346_014_000_co_hmo_de_snp.pdf" } ] } , { "countyList":"Clark, Nye, Washoe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0326.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0234.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0083_h4346_025_000_nv_hmo_de_snp.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amherst, Appomattox, Arlington, Augusta, Bedford, Bland, Bristol City, Buchanan, Campbell, Carroll, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Danville City, Dickenson, Fairfax, Fairfax City, Frederick, Galax City, Goochland, Grayson, Halifax, Hampton City, Harrisonburg City, Henrico, Henry, James City, Loudoun, Lynchburg City, Manassas Park City, Martinsville City, Montgomery, Newport News City, Norfolk City, Norton City, Page, Pittsylvania, Portsmouth City, Prince Edward, Prince William, Pulaski, Radford, Rappahannock, Richmond City, Roanoke, Roanoke City, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Spotsylvania, Staunton City, Suffolk City, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Winchester City, Wise, Wythe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0324.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0031.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0219.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0082_h3655_033_000_oh_hmo_de_snp.pdf" } ] } , { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0034.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0261.pdf" } ] } , { "countyList":"Adams, Allen, Audrain, Barry, Bartholomew, Barton, Benton, Blackford, Bollinger, Boone, Brown, Butler, Callaway, Camden, Cape Girardeau, Carroll, Carter, Cass, Cedar, Chariton, Christian, Clark, Clay, Clinton, Cole, Cooper, Crawford, Dade, Dallas, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dent, Douglas, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gasconade, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Hickory, Howard, Howell, Huntington, Iron, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Laclede, Lagrange, Lake, Lawrence, Lewis, Lincoln, Macon, Madison, Maries, Marion, Marshall, Martin, McDonald, Miami, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Noble, Ohio, Orange, Osage, Owen, Ozark, Parke, Perry, Pike, Polk, Porter, Posey, Pulaski, Putnam, Randolph, Reynolds, Ripley, Rush, Scott, Shannon, Shelby, Spencer, St. Charles, St. Francois, St. Joseph, St. Louis, St. Louis City, Starke, Ste. Genevieve, Steuben, Stoddard, Stone, Sullivan, Switzerland, Taney, Texas, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Webster, Wells, White, Whitley, Wright", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0197_1.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0203.pdf" } ] } ] } , { "planname":"Anthem MediBlue Heart Care HMO CSNP and Lung Care HMO CSNP ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0302_h4346_008_000_005_000_nv_hmo_c_snp.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Plus PPO ", "details":[ { "countyList":"Allen, Blackford, Boone, Clinton, Dekalb, Decatur, Delaware, Grant, Hendricks, Howard, Huntington, Johnson, La Porte, Lake, Madison, Morgan, Newton, Noble, Porter, Shelby, Tippecanoe, Tipton, Wabash, Warrick, Wells, Whitley, Bartholomew, Benton, Brown, Carroll, Cass, Clark, Clay, Daviess, Dearborn, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Gibson, Greene, Hamilton, Hancock, Harrison, Jackson, Jay, Jefferson, Jennings, Knox, Kosciusko, Lagrange, Marion, Martin, Monroe, Ohio, Parke, Perry, Pike, Posey, Putnam, Randolph, Scott, Spencer, St Joseph, Switzerland, Union, Vanderburgh, Vermillion, Vigo, Warren, 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"/da/inline/pdf/y0114_21_123777_u_m_0024_h4346_022_000_co_hmo_c_snp.pdf" } ] } , { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0216.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0295_h4346_006_000_nv_hmo_c_snp.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Clark, Denver, Douglas, Jefferson", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0240_1.pdf" } ] } ] } , { "planname":"Anthem MediBlue Prime HMO ", "details":[ { "countyList":"New Haven", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0144.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0266.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0160_h5854_015_000_ct_hmo.pdf" } ] } ] } , { "planname":"Anthem I MaineHealth Advantage Plus HMO ", "details":[ { "countyList":"Androscoggin, Franklin, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, 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"details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0140.pdf" } ] } , { "countyList":"Fairfield, Litchfield, Middlesex, New Haven, Windham", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0267.pdf" } ] } , { "countyList":"Hillsborough, Rockingham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0120.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0218.pdf" } ] } ] } , { "planname":"Anthem MediBlue COPD HMO CSNP and Diabetes HMO CSNP ", "details":[ { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0288_h3447_003_000_004_000_va_hmo_c_snp.pdf" } ] } ] } , { "planname":"Anthem MediBlue Coordination Plus HMO ", "details":[ { "countyList":"Cheshire, Grafton, Hillsborough, Merrimack, Rockingham, Strafford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0119.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0216.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0034_h3536_004_000_nh_hmo.pdf" } ] } , { "countyList":"Clark, Washoe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0129.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0233.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0035_h4346_018_000_nv_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Core HMO ", "details":[ { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, DeKalb, Dodge, Douglas, Effingham, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Hancock, Haralson, Harris, Heard, Henry, Houston, Jasper, Jefferson, Johnson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, McIntosh, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pike, Polk, Richmond, Rockdale, Spalding, Talbot, Taliaferro, Tattnall, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, Washington, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122821_u_c_0344.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0071_h5422_014_000_ga_hmo_ma_only.pdf" } ] } ] } , { "planname":"Anthem MediBlue Preferred HMO and Preferred Plus HMO ", "details":[ { "countyList":"Allen, Ashland, Brown, Butler, Carroll, Clermont, Columbiana, Cuyahoga, Delaware, Fairfield, Franklin, Fulton, Geauga, Greene, Hamilton, Lake, Licking, Lorain, Lucas, Madison, Mahoning, Medina, Miami, Montgomery, Morrow, Ottawa, Pickaway, Portage, Preble, Seneca, Stark, Summit, Trumbull, Tuscarawas, Union, Warren, Wood", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0148_h3655_040_000_042_000_oh_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Extra HMO ", "details":[ { "countyList":"Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, Dekalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0113.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0125.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0221.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0112_h3655_041_000_oh_hmo.pdf" } ] } , { "countyList":"Chesapeake City, Gloucester, Hampton City, Isle Of Wight, James City, King William, Mathews, Middlesex, Newport News City, Norfolk City, Northampton, Northumberland, Poquoson City, Portsmouth City, Suffolk City, Virginia Beach City, Williamsburg City, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0117.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, DeKalb, Dodge, Douglas, Effingham, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Harris, Heard, Henry, Houston, Jasper, Jefferson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pike, Richmond, Rockdale, Spalding, Talbot, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0135.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0251.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0113_h5422_013_000_ga_hmo.pdf" } ] } , { "countyList":"Amelia, Brunswick, Caroline, Chesterfield, COLONIAL HEIGHTS CITY, Danville City, Dinwiddie, Emporia City City, Fauquier, Franklin, Frederick, Fredericksburg City, Goochland, Greensville, Hanover, Henrico, Henry, Hopewell City, Lunenburg, Lynchburg City, Mecklenburg, Montgomery, Nottoway, Petersburg City, Pittsylvania, Powhatan, Prince Edward, Prince George, Richmond City, Roanoke, Roanoke City, Rockingham, Shenandoah, Spotsylvania, Stafford, Tazewell, Washington, Wise", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0116.pdf" } ] } , { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0141.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0263.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0114_h5854_011_000_ct_hmo.pdf" } ] } , { "countyList":"Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St. Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0198.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0109_h3447_024_000_in_hmo.pdf" } ] } , { "countyList":"Chesapeake City, Gloucester, Hampton City, Isle of Wight, James City, King William, Mathews, Middlesex, Newport News City, Norfolk City, Northampton, Northumberland, Poquoson City, Portsmouth City, Suffolk City, Virginia Beach City, Williamsburg City, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0205.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0111_h3447_028_000_va_hmo.pdf" } ] } , { "countyList":"Amelia, Brunswick, Caroline, Chesterfield, Colonial Heights City, Danville City, Dinwiddie, Emporia City, Fauquier, Franklin, Frederick, Fredericksburg City, Goochland, Greensville, Hanover, Henrico, Henry, Hopewell City, Lunenburg, Lynchburg City, Mecklenburg, Montgomery, Nottoway, Petersburg City, Pittsylvania, Powhatan, Prince Edward, Prince George, Richmond City, Roanoke, Roanoke City, Rockingham, Shenandoah, Spotsylvania, Stafford, Tazewell, Washington, Wise", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0206.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0110_h3447_027_000_va_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Lung Care HMO CSNP ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0215.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0242.pdf" } ] } ] } , { "planname":"Anthem MediBlue Plus HMO and Anthem MediBlue Preferred HMO ", "details":[ { "countyList":"Belmont, Muskingum, Shelby", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123775_u_m_0149_h3655_040_000_034_000_oh_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access PPO and Anthem MediBlue Access Basic PPO ", "details":[ { "countyList":"Bollinger, Butler, Chariton, Christian, Cooper, Crawford, Dallas, Douglas, Franklin, Greene, Howard, Howell, Jasper, Knox, Laclede, Lawrence, Lewis, Macon, Madison, Mississippi, Moniteau, Newton, Osage, Ozark, Polk, Ripley, Shelby, St. Charles, St. Francois, St. Louis, St. Louis City, Taney, Texas, Warren, Wayne, Webster, Wright", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0055_h4909_016_000_015_000_mo_lppo.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Bulloch, Burke, Butts, Catoosa, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Coffee, Columbia, Coweta, Crawford, Crisp, Dawson, DeKalb, Dodge, Douglas, Effingham, Evans, Fayette, Forsyth, Fulton, Gilmer, Glascock, Greene, Gwinnett, Hancock, Haralson, Harris, Heard, Henry, Houston, Jasper, Jefferson, Johnson, Jones, Lamar, Laurens, Liberty, Macon, Marion, McDuffie, McIntosh, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pickens, Pierce, Pike, Polk, Richmond, Rockdale, Spalding, Talbot, Taliaferro, Tattnall, Taylor, Tift, Toombs, Troup, Twiggs, Walton, Warren, Washington, White", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0058_h7728_006_000_005_000_ga_lppo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Core Regional PPO ", "details":[ { "countyList":"Ohio", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123043_u_c_0297.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0069_r5941_013_000_oh_rppo_ma_only.pdf" } ] } ] } , { "planname":"Anthem I MaineHealth Advantage Choice HMO POS ", "details":[ { "countyList":"Cumberland, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0044.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0305.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0092_h9065_001_000_me_hmo_de_snp.pdf" } ] } , { "countyList":"Androscoggin, Franklin, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, Somerset, Waldo", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0162.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0307.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0176_h9065_002_000_me_hmo_pos.pdf" } ] } , { "countyList":"Aroostook, Hancock, Penobscot, Piscataquis, Washington", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122829_u_c_0163.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0306.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0174_h9065_003_000_me_hmo_pos.pdf" } ] } ] } , { "planname":"Anthem MediBlue Dual Access PPO DSNP ", "details":[ { "countyList":"Albemarle, Alleghany, Amelia, Amherst, Appomattox, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0248.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0106.pdf" } ] } , { "countyList":"Albemarle, Alleghany, Amelia, Amherst, Appomattox, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, COLONIAL HEIGHTS City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, DINWIDDIE, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle Of Wight, James City, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Pulaski, Radford, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0327.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Preferred PPO ", "details":[ { "countyList":"Adams, Allen, Clinton, Dekalb, Fulton, Grant, Howard, Huntington, Johnson, La Porte, Madison, Marshall, Miami, Morgan, Noble, Owen, Steuben, Tippecanoe, Wabash, Wells, Whitley, Bartholomew, Benton, Brown, Carroll, Cass, Clark, Clay, Daviess, Dearborn, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Gibson, Greene, Hamilton, Hancock, Harrison, Jackson, Jay, Jefferson, Jennings, Knox, Kosciusko, Lagrange, Marion, Martin, Monroe, Ohio, Parke, Perry, Pike, Posey, Putnam, Randolph, Scott, Spencer, St Joseph, Switzerland, Union, Vanderburgh, Vermillion, Vigo, Warren, Washington, Wayne, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0386.pdf" } ] } , { "countyList":"Adams, Allen, Bartholomew, Benton, Brown, Carroll, Cass, Clark, Clay, Clinton, Daviess, De Kalb, Dearborn, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Howard, Huntington, Jackson, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Madison, Marion, Marshall, Martin, Miami, Monroe, Morgan, Noble, Ohio, Owen, Parke, Perry, Pike, Posey, Putnam, Randolph, Scott, Spencer, St. Joseph, Steuben, Switzerland, Tippecanoe, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0160.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Select PPO ", "details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_123039_u_c_0387.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0191.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123777_u_m_0042_h2836_005_000_ct_lppo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Full Dual Advantage HMO DSNP ", "details":[ { "countyList":"Albemarle, Alexandria City, Alleghany, Amelia, Amherst, Appomattox, Arlington, Augusta, Bath, Bedford, Bland, Botetourt, Bristol City, Brunswick, Buchanan, Buckingham, Buena Vista City, Campbell, Caroline, Carroll, Charles City, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Danville City, Dickenson, Dinwiddie, Emporia City, Essex, Fairfax, Fairfax City, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Frederick, Fredericksburg City, Galax City, Giles, Gloucester, Goochland, Grayson, Greene, Greensville, Halifax, Hampton City, Hanover, Harrisonburg City, Henrico, Henry, Highland, Hopewell City, Isle of Wight, James City, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Loudoun, Louisa, Lunenburg, Lynchburg City, Madison, Manassas City, Manassas Park City, Martinsville City, Mathews, Mecklenburg, Middlesex, Montgomery, Nelson, New Kent, Newport News City, Norfolk City, Northampton, Northumberland, Norton City, Nottoway, Orange, Page, Patrick, Petersburg City, Pittsylvania, Poquoson City, Portsmouth City, Powhatan, Prince Edward, Prince George, Prince William, Pulaski, Radford City, Rappahannock, Richmond, Richmond City, Roanoke, Roanoke City, Rockbridge, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Southampton, Spotsylvania, Stafford, Staunton City, Suffolk City, Surry, Sussex, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Williamsburg City, Winchester City, Wise, Wythe, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_21_123977_i_c_0207.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amherst, Appomattox, Arlington, Augusta, Bedford, Bland, Bristol City, Buchanan, Campbell, Carroll, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Danville City, Dickenson, Fairfax, Fairfax City, Frederick, Galax City, Goochland, Grayson, Halifax, Hampton City, Harrisonburg City, Henrico, Henry, James City, Loudoun, Lynchburg City, Manassas Park City, Martinsville City, Montgomery, Newport News City, Norfolk City, Norton City, Page, Pittsylvania, Portsmouth City, Prince Edward, Prince William, Pulaski, Radford City, Rappahannock, Richmond City, Roanoke, Roanoke City, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Spotsylvania, Staunton City, Suffolk City, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Winchester City, Wise, Wythe", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0104_h3447_011_000_va_hmo_de_snp.pdf" } ] } , { "countyList":"Alleghany, Amelia, Bath, Botetourt, Brunswick, Buckingham, Buena Vista City, Caroline, Charles City, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Dinwiddie, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Fredericksburg City, Giles, Gloucester, Greene, Greensville, Hanover, Highland, Hopewell City, Isle of Wight, King and Queen, King George, King William, Lancaster, Lee, Lexington City, Louisa, Lunenburg, Madison, Manassas City, Mathews, Mecklenburg, Middlesex, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Patrick, Petersburg City, Poquoson City, Powhatan, Prince George, Richmond, Rockbridge, Southampton, Stafford, Surry, Sussex, Williamsburg City, York", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_21_123781_u_m_0105_h3447_012_000_va_hmo_de_snp.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amherst, Appomattox, Arlington, Augusta, Bedford, Bland, Bristol City, Buchanan, Campbell, Carroll, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Danville City, Dickenson, Fairfax, Fairfax City, Frederick, Galax City, Goochland, Grayson, Halifax, Hampton City, Harrisonburg City, Henrico, Henry, James City, Loudoun, Lynchburg City, Manassas Park City, Martinsville City, Montgomery, Newport News City, Norfolk City, Norton City, Page, Pittsylvania, Portsmouth City, Prince Edward, Prince William, Pulaski, Radford, Rappahannock, Richmond City, Roanoke, Roanoke City, Rockingham, Russell, Salem, Scott, Shenandoah, Smyth, Spotsylvania, Staunton City, Suffolk City, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Winchester City, Wise, Wythe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0027.pdf" } ] } , { "countyList":"Alleghany, Amelia, Bath, Botetourt, Brunswick, Buckingham, Buena Vista City, Caroline, Charles City, COLONIAL HEIGHTS CITY, Covington City, Craig, Culpeper, Cumberland, Dinwiddie, Emporia City City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Fredericksburg City, Giles, Gloucester, Greene, Greensville, Hanover, Highland, Hopewell City, Isle of Wight, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Louisa, Lunenburg, Madison, Manassas City, Mathews, Mecklenburg, Middlesex, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Patrick, Petersburg City, Poquoson City, Powhatan, Prince George, Richmond, Rockbridge, Southampton, Stafford, Surry, Sussex, Williamsburg City, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_21_122809_u_c_0028.pdf" } ] } ] } ]} , { "year":"2020", "plan":[ { "planname":"Anthem MediBlue COPD (HMO C-SNP) ", "details":[ { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0175.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0282.pdf" } ] } ] } , { "planname":"Anthem MediBlue Dual Advantage Select (HMO DSNP) ", "details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0267.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0182.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0106_h5854_013-000_008-000_ct_02.pdf" } ] } ] } , { "planname":"Anthem MediBlue Choice (HMO-POS) ", "details":[ { "countyList":"Androscoggin, Cumberland, Kennebec, Knox, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0121.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0190.pdf" } ] } , { "countyList":"Penobscot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0122.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0191.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0216_h8432_006.pdf" } ] } ] } , { "planname":"Anthem MediBlue StartSmart Plus (HMO) ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0183.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0275.pdf" } ] } ] } , { "planname":"Anthem MediBlue Prime Select (HMO) ", "details":[ { "countyList":"Cuyahoga, Geauga, Lake, Lorain, Medina, Portage, Summit", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0106.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0160.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access PPO ", "details":[ { "countyList":"Brown, Calumet, Door, Fond Du Lac, Green, Green Lake, Iowa, Jefferson, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marquette, Menominee, Milwaukee, Outagamie, Ozaukee, Rock, Shawano, Sheboygan, Taylor, Walworth, Washington, Waukesha, Winnebago", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0246.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0163.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0072_h4036_008-000_wi_lppo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Heart (HMO C-SNP) ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0182.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0274.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0247_h4346_008-000_005-000_nv_hmo_c-snp.pdf" } ] } ] } , { "planname":"Anthem MediBlue Plus (HMO) ", "details":[ { "countyList":"Hartford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0116.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0177.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0176_h5854_010-000_007-000_ct.pdf" } ] } , { "countyList":"Alexandria City, Arlington, Fairfax, Loudoun, Prince William", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0095.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0205.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0141_h3447_va.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0109.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0167.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0137_h4346_012.pdf" } ] } , { "countyList":"Bartholomew, Benton, Blackford, Boone, Brown, Clark, Decatur, Floyd, Fountain, Hamilton, Hancock, Harrison, Hendricks, Henry, Jackson, Jay, Jefferson, Jennings, Johnson, Madison, Marion, Montgomery, Morgan, Perry, Putnam, Randolph, Rush, Scott, Shelby, Switzerland, Tippecanoe, Warren, Washington, White", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0099.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0152.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Burke, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Columbia, Coweta, Crawford, DeKalb, Douglas, Effingham, Fayette, Forsyth, Fulton, Glascock, Gwinnett, Harris, Heard, Henry, Houston, Jasper, Jefferson, Jones, Lamar, Laurens, Liberty, Marion, McDuffie, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pike, Richmond, Rockdale, Spalding, Talbot, Toombs, Troup, Twiggs, Walton, Warren", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0114_4110.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0175_5710.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0151_h5422_011.pdf" } ] } , { "countyList":"Androscoggin, Aroostook, Cumberland, Hancock, Kennebec, Knox, Lincoln, Oxford, Sagadahoc, Waldo, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0136.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0192.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0144_h8432_hmo.pdf" } ] } , { "countyList":"Penobscot, Somerset", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0137.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0192_02.pdf" } ] } , { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0111.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0116.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0164_h4346.pdf" } ] } , { "countyList":"Belmont, Brown, Butler, Carroll, Columbiana, Delaware, Greene, Hamilton, Lucas, Mahoning, Miami, Montgomery, Muskingum, Portage, Preble, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Wood", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0105.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0159.pdf" } ] } , { "countyList":"Elkhart, Fulton, Jasper, Kosciusko, La Porte, Lagrange, Lake, Marshall, Newton, Porter, Pulaski, St. Joseph, Starke", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0098.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0151.pdf" } ] } , { "countyList":"El Paso, Larimer, Mesa, Pueblo, Weld", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0110.pdf.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0167_02.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0169_h4346_013.pdf" } ] } , { "countyList":"Washoe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0281.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0169nv.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0207_h4346_019-000_nv.pdf" } ] } , { "countyList":"Bryan, Burke, Chatham, Clayton, Columbia, Dekalb, Effingham, Forsyth, Fulton, Glascock, Gwinnett, Harris, Jefferson, McDuffie, Muscogee, Richmond, Rockdale, Talbot, Warren", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0114.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0161_h5422_008-2.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Callaway, Camden, Cape Girardeau, Carter, Cedar, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Hickory, Howard, Howell, Iron, Jasper, Jefferson, Laclede, Lawrence, Lincoln, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Osage, Ozark, Perry, Pike, Polk, Pulaski, Randolph, Reynolds, Scott, Shannon, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0096.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0148.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0148_h3447_019-.pdf" } ] } , { "countyList":"Amelia, Danville City, Dinwiddie, Fauquier, Franklin, Frederick, Fredericksburg City, Henry, Lynchburg City, Montgomery, Pittsylvania, Prince Edward, Prince George, Roanoke, Roanoke City, Rockingham, Shenandoah, Spotsylvania, Stafford, Tazewell, Washington, Wise", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0277.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0205_02.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0142_h3447_025-000_va_.pdf" } ] } , { "countyList":"Chesapeake City, Gloucester, Hampton City, Isle Of Wight, James City, King William, Mathews, Middlesex, Newport News City, Norfolk City, Northampton, Northumberland, Poquoson City, Portsmouth City, Suffolk City, Virginia Beach City, Williamsburg City, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0094.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0204.pdf" } ] } , { "countyList":"Adams, Allen, Carroll, Cass, Clay, Clinton, Crawford, Daviess, De Kalb, Dearborn, Delaware, Dubois, Fayette, Franklin, Gibson, Grant, Greene, Howard, Huntington, Knox, Lawrence, Martin, Miami, Monroe, Noble, Ohio, Orange, Owen, Parke, Pike, Posey, Ripley, Spencer, Steuben, Sullivan, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warrick, Wayne, Wells, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0097.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0136_h3447.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Clark, Douglas, Florence, Forest, Green, Iowa, Iron, Jefferson, Juneau, Kenosha, Lafayette, Langlade, Lincoln, Marathon, Marinette, Milwaukee, Oneida, Portage, Price, Racine, Rock, Taylor, Vilas, Walworth, Waukesha", "Damdoc":[ { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0138_h9525_004-000_wi.pdf" } ] } , { "countyList":"Cheshire, Hillsborough, Merrimack, Rockingham, Strafford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0101.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0154.pdf" } ] } , { "countyList":"Fairfield, Litchfield, Middlesex, New Haven, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0117.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0179.pdf" } ] } , { "countyList":"Brown, Calumet, Dodge, Door, Fond du Lac, Green Lake, Kewaunee, Manitowoc, Marquette, Menominee, Oconto, Outagamie, Ozaukee, Shawano, Sheboygan, Washington, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0195.pdf" } ] } , { "countyList":"Hillsborough and Rockingham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0101_nh.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0154_nh.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0178_h3536_005-000_002-000_nh.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Clark, Clay, Clinton, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hickman, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Owsley, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Scott, Shelby, Simpson, Spencer, Taylor, Trimble, Union, Warren, Webster, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0142.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0197.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0133_h9525_ky_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Core (Regional PPO) ", "details":[ { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_106833_u_c_0241.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0220_r5941.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Plus (PPO) ", "details":[ { "countyList":"Carroll, Columbiana, Cuyahoga, Lorain, Miami, Muskingum, Sandusky, Stark, Trumbull", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0250.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0166.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0076_h4036_0_02.pdf" } ] } , { "countyList":"Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Howard, Huntington, Jackson, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Madison, Marion, Martin, Monroe, Morgan, Newton, Noble, Ohio, Parke, Perry, Pike, Porter, Posey, Putnam, Randolph, Scott, Shelby, Spencer, St. Joseph, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0242_2420.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0145_5410.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0067_h1607_012.pdf" } ] } , { "countyList":"Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Howard, Huntington, Jackson, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Madison, Marion, Martin, Monroe, Morgan, Newton, Noble, Ohio, Parke, Perry, Pike, Porter, Posey, Putnam, Randolph, Scott, Shelby, Spencer, St. Joseph, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0242.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0145.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0062_h1607_014.pdf" } ] } ] } , { "planname":"Anthem I MaineHealth Advantage Choice (HMO-POS) ", "details":[ { "countyList":"Androscoggin, Frankin, Kennebec, Knox, Lincoln, Oxford, Sagadhoc, Somerset, Waldo", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0287.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0211.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0211_h9065_003.pdf" } ] } , { "countyList":"Cumberland, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0286.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0210.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0213_h9065_002.pdf" } ] } ] } , { "planname":"Anthem MediBlue Connect Plus (HMO) ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0185.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0277.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0236.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Basic (Regional PPO) ", "details":[ { "countyList":"States of Indiana and Kentucky", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0262.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0198.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0018_r4487.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Knox, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0263.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0199.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0019_r5941_014.pdf" } ] } ] } , { "planname":"Anthem MediBlue Local (HMO) ", "details":[ { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0174.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0281.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0253_h3447_001-_va_hmo.pdf" } ] } ] } , { "planname":"Anthem MediBlue Coordination Plus (HMO) ", "details":[ { "countyList":"Cheshire, Grafton, Hillsborough, Merrimack, Rockingham, Strafford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0102.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0155.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0051_h3536_004-000_nh.pdf" } ] } , { "countyList":"Clark, Washoe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0112.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0117.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0052_h4346.pdf" } ] } ] } , { "planname":"Anthem MediBlue Essential (HMO) ", "details":[ { "countyList":"Bryan, Burke, Chatham, Clayton, Columbia, Dekalb, Effingham, Forsyth, Fulton, Glascock, Gwinnett, Harris, Jefferson, McDuffie, Muscogee, Richmond, Rockdale, Talbot, Warren", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0174.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Geauga, Greene, Hamilton, Hancock, Highland, Huron, Jefferson, Lake, Lawrence, Licking, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Mercer, Miami, Montgomery, Morrow, Muskingum, Ottawa, Pickaway, Portage, Preble, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Warren, Washington, Wayne, Williams, Wood", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0104.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0157.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0135_h3655_032-000_oh.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Basic (PPO) ", "details":[ { "countyList":"Bartow, Bryan, Burke, Butts, Chatham, Chattahoochee, Clayton, Cobb, Columbia, Coweta, Dawson, DeKalb, Douglas, Effingham, Evans, Fayette, Fulton, Gordon, Hancock, Haralson, Harris, Heard, Henry, Jasper, Johnson, Lamar, Laurens, Macon, Marion, McDuffie, McIntosh, Meriwether, Muscogee, Pike, Polk, Richmond, Spalding, Talbot, Taliaferro, Tattnall, Troup, Washington", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0188.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0068_h7728_006.pdf" } ] } , { "countyList":"Cape Girardeau, Carter, Christian, Dallas, Douglas, Franklin, Greene, Hickory, Howell, Jasper, Laclede, Maries, McDonald, Miller, Morgan, New Madrid, Newton, Ozark, Polk, Pulaski, Scott, St. Louis, St. Louis City, Taney, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0253_3520.pdf" } ] } ] } , { "planname":"Anthem MediBlue Extra (HMO) ", "details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0119.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0181.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0043_h5854_011-000_ct.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Butts, Chattahoochee, Cherokee, Cobb, Coweta, Crawford, Douglas, Fayette, Heard, Henry, Houston, Jasper, Jones, Lamar, Laurens, Liberty, Marion, Meriwether, Monroe, Newton, Paulding, Peach, Pike, Spalding, Toombs, Troup, Twiggs, Walton", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0282.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0038_h5422_013.pdf" } ] } , { "countyList":"Chesapeake City, Gloucester, Hampton City, Isle Of Wight, James City, King William, Mathews, Middlesex, Newport News City, Norfolk City, Northampton, Northumberland, Poquoson City, Portsmouth City, Suffolk City, Virginia Beach City, Williamsburg City, York", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0207.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0041_h3447_028-000_va.pdf" } ] } , { "countyList":"Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St. Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0100.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0153.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0032_h3447_024.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0108.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0162.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0031_h3655_041-000_oh.pdf" } ] } , { "countyList":"Amelia, Chesterfield, Colonial Heights City, Danville City, Dinwiddie, Fauquier, Franklin, Frederick, Fredericksburg City, Goochland, Hanover, Henrico, Henry, Hopewell City, Lynchburg City, Montgomery, Petersburg City, Pittsylvania, Powhatan, Prince Edward, Prince George, Richmond City, Roanoke, Roanoke City, Rockingham, Shenandoah, Spotsylvania, Stafford, Tazewell, Washington, Wise", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0278.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0033_h3447_va.pdf" } ] } ] } , { "planname":"Anthem MediBlue Preferred (HMO) ", "details":[ { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0107.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0161.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0134_h3655_040_oh.pdf" } ] } ] } , { "planname":"Anthem MediBlue Value Plus (HMO) ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0179.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0271.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0254_h4346_001.pdf" } ] } ] } , { "planname":"Anthem MediBlue Select (HMO) ", "details":[ { "countyList":"Fairfield, Litchfield, Middlesex, New Haven, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0118_8110.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0180_0810.pdf" } ] } , { "countyList":"Hillsborough and Rockingham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0103.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0156.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0178_h3536_005_02.pdf" } ] } , { "countyList":"Hartford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0118.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0180.pdf" } ] } ] } , { "planname":"Anthem MediBlue ESRD (HMO-POS C-SNP) ", "details":[ { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, Tolland", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0120.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0227.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0022_h5854_012-000_ct.pdf" } ] } ] } , { "planname":"Anthem MediBlue Breathe (HMO SNP) ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0180.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0272.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0247_h4346_008-000_005-000_nv_hmo_c-snp_02.pdf" } ] } ] } , { "planname":"Anthem I MaineHealth Advantage Dual Plus (HMO D-SNP) ", "details":[ { "countyList":"Androscoggin, Aroostook, Cumberland, Franklin, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Piscataquis, Sagadahoc, Somerset, Waldo, Washington, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0270.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0209.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0091_h9065_001.pdf" } ] } ] } , { "planname":"Anthem MediBlue Diabetes (HMO C-SNP) ", "details":[ { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0181.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0273.pdf" } ] } , { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0176.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0283.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, Jefferson", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0298_02.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0278.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0261_h4346_022.pdf" } ] } ] } , { "planname":"Anthem MediBlue Smart Fit (HMO) ", "details":[ { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0177.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0284.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0253__02.pdf" } ] } ] } , { "planname":"Anthem MediBlue Dual Advantage (HMO D-SNP) ", "details":[ { "countyList":"Androscoggin, Aroostook, Cumberland, Hancock, Kennebec, Knox, Lincoln, Oxford, Penobscot, Sagadahoc, Somerset, Waldo, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0032.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0189.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0092_h8432_02.pdf" } ] } , { "countyList":"Adams, Arapahoe, Boulder, Broomfield, Denver, Douglas, El Paso, Jefferson, Larimer, Mesa, Pueblo, Weld", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0029.pdf.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0168.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0085_h4346_014.pdf" } ] } , { "countyList":"Alleghany, Amelia, Bath, Botetourt, Brunswick, Buckingham, Buena Vista City, Caroline, Charles City, Colonial Heights City, Covington City, Craig, Culpeper, Cumberland, Dinwiddie, Emporia City, Essex, Falls Church City, Fauquier, Floyd, Fluvanna, Franklin, Franklin City, Fredericksburg City, Giles, Gloucester, Greene, Greensville, Hanover, Highland, Hopewell City, Isle of Wight, King And Queen, King George, King William, Lancaster, Lee, Lexington City, Louisa, Lunenburg, Madison, Manassas City, Mathews, Mecklenburg, Middlesex, Nelson, New Kent, Northampton, Northumberland, Nottoway, Orange, Patrick, Petersburg City, Poquoson City, Powhatan, Prince George, Richmond, Rockbridge, Southampton, Stafford, Surry, Sussex, Williamsburg City, York", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0025.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0203_02.pdf" } ] } , { "countyList":"Barrow, Bartow, Bibb, Bryan, Burke, Butts, Chatham, Chattahoochee, Cherokee, Clayton, Cobb, Columbia, Coweta, Crawford, DeKalb, Douglas, Effingham, Fayette, Forsyth, Fulton, Glascock, Gwinnett, Harris, Heard, Henry, Houston, Jasper, Jefferson, Jones, Lamar, Laurens, Liberty, Marion, McDuffie, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Pike, Richmond, Rockdale, Spalding, Talbot, Toombs, Troup, Twiggs, Walton, Warren", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0030.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Callaway, Camden, Cape Girardeau, Carter, Cedar, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Hickory, Howard, Howell, Iron, Jasper, Jefferson, Laclede, Lawrence, Lincoln, Madison, Maries, McDonald, Miller, Mississippi, Moniteau, Monroe, Montgomery, Morgan, New Madrid, Newton, Osage, Ozark, Perry, Pike, Polk, Pulaski, Randolph, Reynolds, Scott, Shannon, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0026.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0147.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0096_h3447_018-000.pdf" } ] } , { "countyList":"Adams, Allen, Ashland, Ashtabula, Athens, Auglaize, Belmont, Brown, Butler, Carroll, Champaign, Clark, Clermont, Clinton, Columbiana, Coshocton, Crawford, Cuyahoga, Darke, Defiance, Delaware, Erie, Fairfield, Fayette, Franklin, Fulton, Gallia, Geauga, Greene, Guernsey, Hamilton, Hancock, Hardin, Harrison, Henry, Highland, Hocking, Holmes, Huron, Jackson, Jefferson, Lake, Lawrence, Licking, Logan, Lorain, Lucas, Madison, Mahoning, Marion, Medina, Meigs, Mercer, Miami, Monroe, Montgomery, Morgan, Morrow, Muskingum, Noble, Ottawa, Paulding, Perry, Pickaway, Pike, Portage, Preble, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Shelby, Stark, Summit, Trumbull, Tuscarawas, Union, Van Wert, Vinton, Warren, Washington, Wayne, Williams, Wood, Wyandot", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0028.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0158.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0083_h3655_033-000_oh_hmo.pdf" } ] } , { "countyList":"Adams, Allen, Bartholomew, Benton, Blackford, Boone, Brown, Carroll, Cass, Clark, Clay, Clinton, Crawford, Daviess, De Kalb, Dearborn, Decatur, Delaware, Dubois, Elkhart, Fayette, Floyd, Fountain, Franklin, Fulton, Gibson, Grant, Greene, Hamilton, Hancock, Harrison, Hendricks, Henry, Howard, Huntington, Jackson, Jasper, Jay, Jefferson, Jennings, Johnson, Knox, Kosciusko, La Porte, Lagrange, Lake, Lawrence, Madison, Marion, Marshall, Martin, Miami, Monroe, Montgomery, Morgan, Newton, Noble, Ohio, Orange, Owen, Parke, Perry, Pike, Porter, Posey, Pulaski, Putnam, Randolph, Ripley, Rush, Scott, Shelby, Spencer, St. Joseph, Starke, Steuben, Sullivan, Switzerland, Tippecanoe, Tipton, Union, Vanderburgh, Vermillion, Vigo, Wabash, Warren, Warrick, Washington, Wayne, Wells, White, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0027.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0149.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0084_h3447_020.pdf" } ] } , { "countyList":"Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, Windham", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0031.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0178.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0106_h5854_013-000_008-000_ct.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Brown, Calumet, Clark, Dodge, Door, Douglas, Florence, Fond du Lac, Forest, Green, Green Lake, Iowa, Iron, Jefferson, Juneau, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Price, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0037.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0193.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0086_h9525_003-000_wi.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Bracken, Breathitt, Breckinridge, Bullitt, Butler, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Clark, Clay, Clinton, Cumberland, Daviess, Edmonson, Elliott, Estill, Fayette, Fleming, Floyd, Franklin, Fulton, Gallatin, Garrard, Grant, Graves, Grayson, Green, Greenup, Hancock, Hardin, Harlan, Harrison, Hart, Henderson, Henry, Hickman, Jackson, Jefferson, Jessamine, Johnson, Kenton, Knott, Knox, Larue, Laurel, Lawrence, Lee, Leslie, Letcher, Lewis, Livingston, Logan, Lyon, Madison, Magoffin, Marion, Marshall, Martin, Mason, McCracken, McCreary, McLean, Meade, Menifee, Metcalfe, Monroe, Montgomery, Morgan, Muhlenberg, Nelson, Nicholas, Ohio, Oldham, Owen, Owsley, Pendleton, Perry, Pike, Powell, Pulaski, Robertson, Rockcastle, Rowan, Scott, Shelby, Simpson, Spencer, Taylor, Trimble, Union, Warren, Webster, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0038.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0196.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0082_h9525_007-ky.pdf" } ] } , { "countyList":"Albemarle, Alexandria City, Amherst, Appomattox, Arlington, Augusta, Bedford, Bland, Bristol City, Buchanan, Campbell, Carroll, Charlotte, Charlottesville City, Chesapeake City, Chesterfield, Clarke, Danville City, Dickenson, Fairfax, Fairfax City, Frederick, Galax City, Goochland, Grayson, Halifax, Hampton City, Harrisonburg City, Henrico, Henry, James City, Loudoun, Lynchburg City, Manassas Park City, Martinsville City, Montgomery, Newport News City, Norfolk City, Norton City, Page, Pittsylvania, Portsmouth City, Prince Edward, Prince William, Pulaski, Radford City, Rappahannock, Richmond City, Roanoke, Roanoke City, Rockingham, Russell, Salem City, Scott, Shenandoah, Smyth, Spotsylvania, Staunton City, Suffolk City, Tazewell, Virginia Beach City, Warren, Washington, Waynesboro City, Westmoreland, Winchester City, Wise, Wythe", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109325_u_c_0024.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0203.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109857_u_m_0088_h3447_0va.pdf" } ] } ] } , { "planname":"Anthem MediBlue Care On Site (HMO I-SNP) ", "details":[ { "countyList":"Hartford, Middlesex, New Haven, Tolland", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_lp_0300.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0280.pdf" } ] } , { "countyList":"Chesterfield, Colonial Heights City, Goochland, Hanover, Henrico, Hopewell City, Petersburg City, Powhatan, Richmond City", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0178.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0285.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0240_h3447_010-000_va.pdf" } ] } , { "countyList":"Clark", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109405_u_c_0184.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0276.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access (PPO) ", "details":[ { "countyList":"Belmont, Delaware, Geauga, Greene, Lake, Montgomery, Preble, Summit", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0249_02.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0165_03.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0064_h4036_02.pdf" } ] } , { "countyList":"Belknap, Carroll, Cheshire, Coos, Grafton, Hillsborough, Merrimack, Rockingham, Strafford, Sullivan", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0255.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0185.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0069_h7728_002-nh.pdf" } ] } , { "countyList":"Matthews", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0251.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0170.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0080_h4909_014-000_va.pdf" } ] } , { "countyList":"Cape Girardeau, Carter, Christian, Dallas, Douglas, Franklin, Greene, Hickory, Howell, Jasper, Laclede, Maries, McDonald, Miller, Morgan, New Madrid, Newton, Ozark, Polk, Pulaski, Scott, St. Louis, St. Louis City, Taney, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0252_2520.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0171_1710.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0077_h4909_016-000.pdf" } ] } , { "countyList":"Adams, Ashland, Bayfield, Clark, Dodge, Douglas, Florence, Forest, Iron, Juneau, Marathon, Marinette, Oconto, Oneida, Portage, Price, Racine, Vilas, Waupaca, Waushara", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0247.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0164.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0059_h4036_009-000_wi_lppo.pdf" } ] } , { "countyList":"Carroll, Columbiana, Cuyahoga, Lorain, Miami, Muskingum, Sandusky, Stark, Trumbull", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0250_02.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0165.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0076_h4036_010-001_017-000_oh_lppo.pdf" } ] } , { "countyList":"Ashland, Belmont, Brown, Clermont, Delaware, Geauga, Greene, Lake, Licking, Lucas, Madison, Mahoning, Medina, Montgomery, Portage, Preble, Shelby, Summit, Warren, Wayne", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0249.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_016_025.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0064_h4036_010-002_oh.pdf" } ] } , { "countyList":"Breckinridge, Bullitt, Daviess, Grayson, Hancock, Hardin, Hart, Henderson, Henry, Jefferson, Larue, Marion, Mclean, Meade, Muhlenberg, Nelson, Ohio, Oldham, Shelby, Spencer, Taylor, Trimble, Webster", "Damdoc":[ { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0186_02.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0071_h7728_004.pdf" } ] } , { "countyList":"Barrow, Bibb, Bryan, Burke, Chatham, Cherokee, Clayton, Cobb, Columbia, Coweta, Crawford, DeKalb, Douglas, Effingham, Fayette, Forsyth, Fulton, Glascock, Gwinnett, Harris, Henry, Houston, Jefferson, Jones, Liberty, McDuffie, Meriwether, Monroe, Muscogee, Newton, Paulding, Peach, Richmond, Rockdale, Spalding, Talbot, Toombs, Troup, Twiggs, Walton, Warren", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0258.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0187.pdf" } ] } , { "countyList":"Audrain, Barry, Barton, Bollinger, Boone, Callaway, Camden, Cedar, Christian, Cole, Cooper, Crawford, Dade, Dallas, Dent, Douglas, Franklin, Gasconade, Greene, Howard, Howell, Iron, Jasper, Jefferson, Laclede, Lawrence, Lincoln, Madison, Mississippi, Moniteau, Monroe, Montgomery, Newton, Osage, Ozark, Perry, Pike, Polk, Randolph, Reynolds, Shannon, St. Charles, St. Francois, St. Louis, St. Louis City, Ste. Genevieve, Stoddard, Stone, Taney, Warren, Washington, Wayne, Webster, Wright", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0252.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0148_h3447_02.pdf" } ] } , { "countyList":"State of Maine", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0254.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0184.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0063_h6786_002.pdf" } ] } , { "countyList":"Adair, Allen, Anderson, Ballard, Barren, Bath, Bell, Boone, Bourbon, Boyd, Bracken, Breathitt, Butler, Calloway, Campbell, Carlisle, Carroll, Carter, Casey, Clark, Clay, Clinton, Cumberland, Edmonson, Elliott, Estill, Fayette, Fleming, Franklin, Gallatin, Garrard, Grant, Graves, Green, Greenup, Harlan, Harrison, Jackson, Jessamine, Johnson, Kenton, Knott, Knox, Laurel, Lawrence, Lee, Leslie, Lewis, Livingston, Logan, Lyon, Madison, Magoffin, Marshall, Mason, Mccracken, McCreary, Menifee, Metcalfe, Monroe, Montgomery, Nicholas, Owen, Pendleton, Perry, Powell, Pulaski, Robertson, Rockcastle, Rowan, Scott, Warren, Whitley, Wolfe, Woodford", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0256.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0186.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0057_h7728.pdf" } ] } , { "countyList":"Adams, Allen, Clinton, De Kalb, Fulton, Grant, Howard, Huntington, Johnson, La Porte, Madison, Marshall, Miami, Morgan, Noble, Owen, Starke, Steuben, Tippecanoe, Wabash, Wells, Whitley", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0243_3420.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0146_6410.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0062__02.pdf" } ] } , { "countyList":"Adams, Allen, Ashtabula, Auglaize, Butler, Carroll, Champaign, Clark, Clinton, Columbiana, Crawford, Cuyahoga, Darke, Defiance, Erie, Fairfield, Fayette, Franklin, Fulton, Hamilton, Hancock, Highland, Holmes, Huron, Jefferson, Lawrence, Lorain, Marion, Mercer, Miami, Morrow, Muskingum, Ottawa, Pickaway, Putnam, Richland, Ross, Sandusky, Scioto, Seneca, Stark, Trumbull, Tuscarawas, Union, Van Wert, Washington, Williams, Wood", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0248.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0165_5610.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0058_h4036_010-001_oh.pdf" } ] } , { "countyList":"Bartow, Bryan, Burke, Butts, Chatham, Chattahoochee, Clayton, Cobb, Columbia, Coweta, Dawson, DeKalb, Douglas, Effingham, Evans, Fayette, Fulton, Gordon, Hancock, Haralson, Harris, Heard, Henry, Jasper, Johnson, Lamar, Laurens, Macon, Marion, McDuffie, McIntosh, Meriwether, Muscogee, Pike, Polk, Richmond, Spalding, Talbot, Taliaferro, Tattnall, Troup, Washington", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109317_u_c_0259_9520.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0188_8810.pdf" } ] } ] } , { "planname":"Anthem MediBlue Prime (HMO) ", "details":[ { "countyList":"Roanoke", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0280.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0208.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0196_h3447_029-000_va.pdf" } ] } , { "countyList":"New Haven", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_109285_u_c_0284.pdf" } , { "name": "Formulary", "link": "/da/inline/pdf/y0114_20_107273_i_c_0183.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109861_u_m_0186_h5854_015-000_ct.pdf" } ] } ] } , { "planname":"Anthem MediBlue Access Core (PPO) ", "details":[ { "countyList":"Adams, Ashland, Bayfield, Brown, Calumet, Clark, Dodge, Door, Douglas, Florence, Fond du Lac, Forest, Green, Green Lake, Iowa, Iron, Jefferson, Juneau, Kenosha, Kewaunee, Lafayette, Langlade, Lincoln, Manitowoc, Marathon, Marinette, Marquette, Menominee, Milwaukee, Oconto, Oneida, Outagamie, Ozaukee, Portage, Price, Racine, Rock, Shawano, Sheboygan, Taylor, Vilas, Walworth, Washington, Waukesha, Waupaca, Waushara, Winnebago", "Damdoc":[ { "name": "EOC", "link": "/da/inline/pdf/y0114_20_106833_u_c_0240.pdf" } , { "name": "SOB", "link": "/da/inline/pdf/y0114_20_109853_u_m_0221_h4036_016-000_wi_lppo%20ma-only.pdf" } ] } ] } ]} ] }