Blue Value Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Statewide Doctors – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $110 copay
Urgent care visit: $110 copay
Showing 81–96 of 514 results
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Blue Value Silver Secure | $15 PCP | $15 Tier 1 Rx | Statewide Doctors – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay -
Blue Value Silver Standard | Statewide Doctors – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
BlueCare Dental℠ 1A – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
BlueCare Dental℠ 1C – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Bronze 60 Ambetter PPO – PPO
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 -
Bronze 60 HDHP Ambetter PPO – 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 -
Bronze 60 HDHP HMO – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Bronze 60 HDHP PPO – 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 -
Bronze 60 HMO – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay after deductible
Specialist visit: $95 copay after deductible
Urgent care visit: $60 copay after deductible -
Bronze 60 HMO – HMO
Network type: HMO
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 -
Bronze 60 HMO – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: First 3 visits at $65 copay before deductible
Specialist visit: $95 copay after deductible
Urgent care visit: $65 copay after deductible -
Bronze 60 PPO – PPO
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 -
Bronze Classic (Choice) – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: $100 copay
Urgent care visit: $150 copay -
Bronze Classic PCP Saver Plus Rx Copay (Choice) – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $100 copay -
Bronze Classic Standard (Choice) – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay