Blue PPO PremierHealth Silver (2 Free In-Network PCP Visits) – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay
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Blue PPO StandardHealth Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Blue PPO StandardHealth Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Blue StandardHealth Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Blue StandardHealth Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Blue StandardHealth Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
BlueCare Gold 70 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $25 copay
Urgent care visit: $25 copay -
BlueCare Silver 60 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $65 copay
Urgent care visit: $45 copay -
BlueDirect Bronze 100 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BlueDirect Gold 90 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: 10% coinsurance after deductible
Specialist visit: 10% coinsurance after deductible
Urgent care visit: 10% coinsurance after deductible -
BlueDirect Silver 80 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
BluePrime Gold 70 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $25 copay
Urgent care visit: $25 copay -
BlueValue Bronze 50 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
BlueValue Gold 75 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
BlueValue Silver 60 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Delta Dental Essential Plan – Family or Child Only – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible