Platinum 90 EPO – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay
Showing 193–208 of 235 results
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Platinum 90 HMO – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay -
Platinum 90 Trio HMO – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay -
Plus Bronze Expanded – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $10 copay
Specialist visit: $80 copay
Urgent care visit: $110 copay -
Plus Bronze HDHP – PPO
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 -
Plus Bronze Standard Expanded – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Plus Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
Plus Gold Standard – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Plus Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $80 copay
Urgent care visit: $110 copay -
Select Health Med Exp Bronze 4500 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $60 copay after deductible -
Select Health Med Exp Bronze 6000 – no deductible for office visits – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay after deductible
Urgent care visit: $70 copay -
Select Health Med Exp Bronze 8000 HSA Qualified – PPO
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 -
Select Health Med Exp Bronze 8000 HSA Qualified – PPO
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 -
Select Health Med Gold 1000 – no deductible for office visits – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Select Health Med Silver 4500 – no deductible for office visits – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Select Health Med Silver Copay Plan – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $60 copay
Urgent care visit: $30 copay