Silver Elite Saver Plus Rx Copay (Select) – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay
Showing 15985–16000 of 18293 results
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Silver Elite Saver Plus Rx Copay CSR 150 (Choice) – HMO
94% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $10 copay
Urgent care visit: $15 copay -
Silver Elite Saver Plus Rx Copay CSR 150 (Select) – HMO
94% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $10 copay
Urgent care visit: $15 copay -
Silver Elite Saver Plus Rx Copay CSR 200 (Choice) – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay -
Silver Elite Saver Plus Rx Copay CSR 200 (Select) – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay -
Silver Elite Saver Plus Rx Copay CSR 250 (Choice) – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Silver Elite Saver Plus Rx Copay CSR 250 (Select) – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Silver Gym Access 1664 (Primary Care & Specialist Copays, Open Access, Fitness Center Included) – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: No charge after deductible -
Silver Gym Access 1688 (Open Access, Fitness Center Included) – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
Silver Gym Access AV73 1665 (Primary Care & Specialist Copays, Open Access, Fitness Center Included) – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: No charge after deductible -
Silver Gym Access AV73 1689 ($2,500 Medical Deductible, Open Access, Fitness Center Included) – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
Silver Gym Access AV87 1666 ($5 Primary Care Copay, Open Access, Fitness Center Included) – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $5 copay
Specialist visit: $40 copay
Urgent care visit: No charge after deductible -
Silver Gym Access AV87 1690 ($450 Medical Deductible, Open Access, Fitness Center Included) – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
Silver Gym Access AV94 1667 ($50 Medical Deductible, $5 Primary Care Copay, Open Access, Fitness Center Included) – HMO
94% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $5 copay
Specialist visit: $40 copay
Urgent care visit: No charge after deductible -
Silver HSA – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -