BlueEssentials Gold 4 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $55 copay
Urgent care visit: $55 copay
Showing 17–32 of 128 results
-
-
BlueEssentials Gold 5 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
BlueEssentials HD Bronze 3 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 30% coinsurance after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible -
BlueEssentials HD Bronze 5 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BlueEssentials HD Gold 3 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BlueEssentials Silver 14 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
BlueEssentials Silver 38 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
BlueEssentials Silver 39 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
BlueEssentials Silver 7 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $55 copay
Urgent care visit: $55 copay -
BlueEssentials Standard Expanded Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
BlueEssentials Standard Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
BlueEssentials Standard Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Clear Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Clear Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Complete Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay