Keystone HMO Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: 50% after deductible
Showing 385–400 of 541 results
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Keystone HMO Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
Keystone HMO Gold Classic – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay -
Keystone HMO Gold Proactive – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Keystone HMO Silver Basic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: 50% after deductible -
Keystone HMO Silver Classic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: 30% after deductible -
Keystone HMO Silver Proactive – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
Keystone HMO Silver Proactive Basic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Keystone HMO Silver Proactive Essential – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Keystone HMO Silver Proactive Lite – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
Low PPO Dental Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Missouri Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Missouri Preferred Plus Plan – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 25% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Missouri Wellness Essentials Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
my Blue Access PPO Bronze 3800 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $65 copay
Urgent care visit: $100 copay -
my Blue Access PPO Bronze 3800 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $65 copay
Urgent care visit: $100 copay