Showing all 12 results
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $60 then $60 copay after deductible
Specialist visit: first 3 visit(s) $95 then $95 copay after deductible
Urgent care visit: first 3 visit(s) $60 then $60 copay after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $60 then $60 copay after deductible
Specialist visit: first 3 visit(s) $95 then $95 copay after deductible
Urgent care visit: first 3 visit(s) $60 then $60 copay after deductible
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $35 copay
Network type: PPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $35 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $35 copay
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: 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