- HMO Deductible Rx (HMO) | H3907-037
- HMO No Rx (HMO) | H3907-002
- HMO Premier Rx (HMO) | H3907-059-001
- HMO Premier Rx (HMO) | H3907-059-002
- HMO Premier Rx (HMO) (Erie County) | H3907-059-002
- HMO Premier Rx (HMO) | H3907-059-003
- HMO Rx (HMO) | H3907-058-001
- HMO Rx (HMO) | H3907-058-002
- HMO Rx Choice (HMO) | H3907-057-001
- HMO Rx Choice (HMO) | H3907-057-002
- HMO Rx Choice (HMO) (Westmoreland County) | H3907-057-002
- HMO Rx Choice (HMO) | H3907-057-003
- HMO Rx Choice (HMO) (Erie County) | H3907-057-003
- HMO Rx Choice (HMO) | H3907-057-004
- HMO Rx Choice (HMO) | H3907-057-005
- HMO Rx Enhanced (HMO) | H3907-006
- PPO Essential Care (PPO) | H5533-017-001
- PPO Essential Care (PPO) | H5533-017-002
- PPO High Deductible Rx (PPO) | H5533-003
- PPO Premier Rx (PPO) | H5533-011
- PPO Premier Rx (PPO) | H5533-013
- PPO Rx Choice (PPO) | H5533-015-001
- PPO Rx Choice (PPO) | H5533-015-002
- PPO Rx Choice (PPO) (Westmoreland County) | H5533-015-002
- PPO Rx Choice (PPO) | H5533-015-003
- PPO Rx Choice (PPO) | H5533-015-004
- PPO Rx Enhanced (PPO) | H5533 005
- PPO Rx Enhanced (PPO) | H5533 008
- PPO Salute (PPO) | H5533-016-001
- PPO Salute (PPO) | H5533-016-002

