HMO Copayment 10, Platinum, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Showing 113–128 of 175 results
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HMO Copayment 14, Platinum, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: No charge
Specialist visit: $25 copay
Urgent care visit: $50 copay -
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 -
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 -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Lite – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge