Platinum Classic, Platinum, Child-Only, ST, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Showing 13489–13504 of 18293 results
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Platinum Classic, Platinum, ST, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Classic, Platinum, ST, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum IND POS Plus, Platinum, NS, OON, POS, Dep25, Family Vision, Family Dental, WP – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay -
Platinum IND POS Plus, Platinum, NS, OON, POS, Dep29, Family Vision, Family Dental, WP – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay -
Platinum Standard Child only, Platinum, ST, OON, POS, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Standard Child only, Platinum, ST, OON, POS, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Standard, Platinum, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Standard, Platinum, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Standard, Platinum, ST, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Standard, Platinum, ST, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Plus Bronze CMS Standard – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Plus Bronze CMS Standard – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Plus Bronze Expanded – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $10 copay
Specialist visit: $80 copay
Urgent care visit: $110 copay -
Plus Bronze HDHP – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Plus Bronze Standard Expanded – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay