Platinum 90 HMO – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $15 copay
Showing 369–384 of 514 results
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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 -
Platinum Standard, Platinum, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Standard, Platinum, ST, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Premier Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay after deductible
Specialist visit: $100 copay after deductible
Urgent care visit: $60 copay after deductible -
Premier Bronze HSA + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay after deductible
Specialist visit: $100 copay after deductible
Urgent care visit: $60 copay after deductible -
QUARTZ ONE SILVER I304-01 HSA – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
QUARTZ ONE SILVER I304-06 – IL – HMO
94% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Select Plan Basic – HMO
Network type: HMO
Coverage tier: Low
Basic Dental: 30%
Major dental care: 43%
Orthodontics: 54%
Exams: $10 -
Select Plan Premium – HMO
Network type: HMO
Coverage tier: High
Basic Dental: 27%
Major dental care: 41%
Orthodontics: 54%
Exams: $10 -
Silver 1 250 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Silver 1 250 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Silver 1 250 with Adult Vision Services – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Silver 1 250 with Rx Copay and Adult Vision Services – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Silver 12 250 with first 4 free PCP or MH visits – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Silver 12 250 with First 4 Primary Care Visits Free – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay