Medica Applause Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible
Showing 113–128 of 157 results
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $70 copay
Urgent care visit: No charge
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: No charge
Network type: EPO
Coverage tier: Silver
Primary care visit: 25% after deductible
Specialist visit: 25% after deductible
Urgent care visit: 25% after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: PPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 75% after deductible
Orthodontics: Not covered
Exams: No charge after deductible