Premera Blue Cross Preferred Gold EPO 1500 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: first 2 visit(s) $0 then $15 copay
Specialist visit: $45 copay
Urgent care visit: $45 copay
Showing 145–160 of 179 results
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Premera Blue Cross Preferred Silver EPO 4500 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 2 visit(s) $0 then $25 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
QUARTZ PERFORMANCE BRONZE I201-01 VALUE TIER RX W/FIXED COPAY – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
QUARTZ PERFORMANCE BRONZE I203-01 HSA – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
QUARTZ PERFORMANCE BRONZE I204-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $85 copay
Specialist visit: $250 copay
Urgent care visit: $250 copay -
QUARTZ PERFORMANCE BRONZE I204-01 VALUE TIER RX W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $85 copay
Specialist visit: $250 copay
Urgent care visit: $250 copay -
QUARTZ PERFORMANCE BRONZE I205-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
QUARTZ PERFORMANCE BRONZE I205-01 VALUE TIER RX W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
QUARTZ PERFORMANCE BRONZE I205-01 VALUE TIER RX W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
QUARTZ PERFORMANCE GOLD I401-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
QUARTZ PERFORMANCE GOLD I402-01 MAINTENANCE VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
QUARTZ PERFORMANCE GOLD I402-01 MAINTENANCE VALUE TIER RX W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
QUARTZ PERFORMANCE GOLD I410-01 STANDARD W/FIXED RX COPAY – IL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
QUARTZ PERFORMANCE GOLD I420-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
QUARTZ PERFORMANCE SILVER I303-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
QUARTZ PERFORMANCE SILVER I303-05 VALUE TIER RX – IL – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $20 copay