Choice Bronze HSA (QualChoice) – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Showing 17–32 of 115 results
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Complete Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Gold + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Complete Silver + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Connect Bronze 0/4900 Indiv Medical/Rx Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $110 copay
Urgent care visit: $50 copay -
Connect Bronze 3400 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $60 copay -
Connect Bronze 6500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Connect Bronze 8500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Connect Bronze CMS Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Gold 2500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $50 copay
Urgent care visit: $30 copay -
Connect Gold 3500 Indiv Med Deductible Enhanced Diabetes Care – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $35 copay
Urgent care visit: $30 copay -
Connect Gold 500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $30 copay -
Connect Gold CMS Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Connect Silver 3250/3100 Indiv Medical/Rx Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: $30 copay -
Connect Silver 5000 Indiv Med Deductible + Acupuncture – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $30 copay