Bronze Classic 4700 | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $80 copay
Showing 49–64 of 296 results
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Bronze Classic PCP Saver Plus | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Bronze Classic Standard | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Elite + PCP Saver Plus | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay -
Bronze Exp Standardized – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Value – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $130 copay
Urgent care visit: $130 copay -
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 -
Clear Choice HMO Bronze 7500 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $80 copay
Urgent care visit: $45 copay -
Clear Choice HMO Bronze 9450 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $50 copay -
Clear Choice HMO Gold 1500 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $25 copay -
Clear Choice HMO Gold 2500 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $20 copay -
Clear Choice HMO HSA Bronze 5900 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Clear Choice HMO HSA Bronze 7200 – 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 -
Clear Choice HMO Silver 3500 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $40 copay -
Clear Choice HMO Silver 3500 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $40 copay -
Clear Choice HMO Silver 5500 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $70 copay
Urgent care visit: $40 copay