HMO Copayment 14, Platinum, NS, INN, , Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: No charge
Specialist visit: $25 copay
Urgent care visit: $50 copay
Showing 593–608 of 995 results
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HMO Copayment 20, Gold, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
HMO Copayment 20, Gold, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
HMO Copayment 30, Silver, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
HMO Copayment 30, Silver, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
HMO Hybrid 13, Platinum, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
HMO Hybrid 13, Platinum, NS, INN, , Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
HMO Triple Zero Copayment 24, Gold, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay -
HMO Triple Zero Copayment 24, Gold, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay -
Hometown East Bronze HSA 6250 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Hometown East Silver 5500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $70 copay
Urgent care visit: $20 copay -
Hometown East Silver Copay 2500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $60 copay
Urgent care visit: $20 copay -
Hometown East Silver Copay 3500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $25 copay -
Hometown Southwest Bronze 7500 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $95 copay
Urgent care visit: $40 copay -
Hometown Southwest Bronze HSA 6250 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Hometown Southwest Silver 5500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $70 copay
Urgent care visit: $20 copay