SELECT SILVER I308-01 VALUE TIER RX W/FIXED COPAY – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay
Showing 14561–14576 of 18293 results
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SELECT SILVER I308-04 VALUE TIER RX W/DENTAL W/FIXED COPAY – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
SELECT SILVER I308-04 VALUE TIER RX W/FIXED COPAY – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
SELECT SILVER I308-05 VALUE TIER RX W/DENTAL W/FIXED COPAY – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
SELECT SILVER I308-05 VALUE TIER RX W/FIXED COPAY – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
SELECT SILVER I308-06 VALUE TIER RX W/DENTAL W/FIXED COPAY – 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: $10 copay -
SELECT SILVER I308-06 VALUE TIER RX W/FIXED COPAY – 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: $10 copay -
SELECT SILVER I309-01 STANDARD – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
SELECT SILVER I309-04 STANDARD – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
SELECT SILVER I309-05 STANDARD – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $30 copay -
SELECT SILVER I309-06 STANDARD – 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: $5 copay -
SELECT SILVER I320-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
SELECT SILVER I320-01 VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
SELECT SILVER I320-04 VALUE TIER RX – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
SELECT SILVER I320-04 VALUE TIER RX W/DENTAL – HMO
73% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
SELECT SILVER I320-05 VALUE TIER RX – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $45 copay
Urgent care visit: $45 copay