Moda Select Gold 1000 Separate Rx + Vision Exam – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $30 copay
Showing 145–160 of 235 results
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Moda Select Gold 2200 + Vision Exam – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $30 copay -
Moda Select Silver 3000 Separate Rx + Vision Exam – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
Moda Select Silver 6400 + Vision Exam – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
MVN East Silver Connect 5500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $70 copay
Urgent care visit: $20 copay -
MVN East Silver Connect 5500 CSR 73 – POS
73% cost sharing reduction [Popular Plan]
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $55 copay
Urgent care visit: $20 copay -
MVN East Silver Copay Connect 3500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $25 copay -
MVN East Silver Copay Connect 2500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $60 copay
Urgent care visit: $20 copay -
MVP Premier Bronze 1 HDHP, Expanded Bronze, ST, INN, NY Individual On Exchange HMO HSA, Telemedicine, Wellness DP FP Dep 29 – 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 -
MVP Premier Bronze 1 HDHP, Expanded Bronze, ST, INN, NY Individual On Exchange HMO, HSA, Telemedicine, Wellness DP FP – 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 -
MVP Premier Bronze 2, Expanded Bronze, ST, INN, NY Individual On Exchange HMO 3 PCP, Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $50 then $50 copay after deductible
Specialist visit: first 3 visit(s) $75 then $75 copay after deductible
Urgent care visit: first 3 visit(s) $75 then $75 copay after deductible -
MVP Premier Bronze 2, Expanded Bronze, ST, INN, NY Individual On Exchange HMO, 3 PCP, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $50 then $50 copay after deductible
Specialist visit: first 3 visit(s) $75 then $75 copay after deductible
Urgent care visit: first 3 visit(s) $75 then $75 copay after deductible -
MVP Premier Gold 1, Gold, ST, INN, NY Individual On Exchange HMO Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
MVP Premier Gold 1, Gold, ST, INN, NY Individual On Exchange HMO, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
MVP Premier Platinum 1, Platinum, ST, INN, NY Individual On Exchange HMO, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
MVP Premier Silver 1, Silver, ST, INN, NY Individual On Exchange HMO Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $30 then $30 copay after deductible
Specialist visit: first 1 visit(s) $65 then $65 copay after deductible
Urgent care visit: first 1 visit(s) $70 then $70 copay after deductible