Elite Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
Showing 33–48 of 92 results
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Everyday Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Focused Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Focused Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Franklin Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Franklin Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Gold Classic – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $30 copay
Urgent care visit: $50 copay -
Gold Classic Standard – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Gold Elite – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Gold Elite Saver Plus – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $25 copay
Urgent care visit: $50 copay -
Jefferson Health Plans + $0 Deductible + Bronze + HMO + On Exchange – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $55 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Jefferson Health Plans + $0 Deductible + Gold + HMO + On Exchange – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
Jefferson Health Plans + $0 Deductible + Silver + HMO + On Exchange – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $95 copay
Urgent care visit: $95 copay -
Jefferson Health Plans + Balanced + Silver + HMO + On Exchange – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $95 copay
Urgent care visit: $95 copay