HMO Triple Zero Copayment 24, Gold, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay
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HMO Triple Zero Copayment 24, Gold, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay -
Horizon Advantage EPO Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Horizon Advantage EPO Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $70 copay
Urgent care visit: $75 copay -
IHC Bronze EPO HSA AmeriHealth Advantage $25/$50 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: 30% after deductible -
IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: 50% after deductible -
IHC Bronze EPO HSA Local Value 50%/50% – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
IHC Bronze EPO Local Value $50/$75 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: 50% after deductible -
IHC Silver EPO AmeriHealth Advantage $25/$60 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: 20% after deductible -
IHC Silver EPO AmeriHealth Advantage $45/40% – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
IHC Silver EPO AmeriHealth Hospital Advantage $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $75 copay
Urgent care visit: $85 copay -
IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $85 copay after deductible -
IHC Silver EPO HSA Local Value $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $85 copay after deductible -
IHC Silver EPO HSA Regional Preferred $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $85 copay after deductible -
Maine’s Choice Plus HMO HSA Bronze 5400 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 30% after deductible
Specialist visit: 30% after deductible
Urgent care visit: 30% after deductible -
Medica Insure Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible