Bronze PPO Pathway with Added Dental and Vision Benefits – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $90 copay after deductible
Urgent care visit: $100 copay after deductible
Showing 33–48 of 150 results
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Bronze PPO Standard Pathway – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $75 copay -
Bronze PPO Standard Pathway for HSA – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Choice Bronze Alternative POS with Dental – POS
Network type: POS
Coverage tier: Bronze
Primary care visit: $50 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $100 copay -
Choice Bronze Standard POS – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $75 copay -
Choice Bronze Standard POS HSA – POS
Network type: POS
Coverage tier: Bronze
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Choice Gold Alternative POS – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $50 copay
Urgent care visit: 30% coinsurance -
Choice Gold Standard POS – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $50 copay -
Connect Bronze 0/4900 Indiv Medical/Rx Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $110 copay
Urgent care visit: $50 copay -
Connect Bronze 3400 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $60 copay -
Connect Bronze 6500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Connect Bronze 8500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Connect Bronze CMS Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Gold 2500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $50 copay
Urgent care visit: $30 copay -
Connect Gold 3500 Indiv Med Deductible Enhanced Diabetes Care – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $35 copay
Urgent care visit: $30 copay -
Connect Gold 500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $30 copay