HA Bronze Suitcase – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: No charge after deductible
Showing 33–48 of 58 results
-
-
HA Gold Standardized – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
HA Silver AH – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $45 copay after deductible
Urgent care visit: $45 copay after deductible -
HA Silver Standardized – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Octave Bronze Exp Standardized – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Octave Bronze Value – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $130 copay
Urgent care visit: $130 copay -
Octave Gold Standardized – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Octave Silver AH – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $45 copay after deductible
Urgent care visit: $45 copay after deductible -
Octave Silver Standardized – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Silver AH – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $45 copay after deductible
Urgent care visit: $45 copay after deductible -
Silver Classic Suitcase – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: $80 copay -
Silver Premier Suitcase – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $95 copay
Urgent care visit: $95 copay -
Silver Standardized – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Silver Value – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $70 copay
Specialist visit: $95 copay
Urgent care visit: $70 copay -
Standard Expanded Bronze (QualChoice) – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Expanded Bronze + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay