Gold PPO Pathway with Added Dental and Vision Benefits – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $100 copay
Showing 33–47 of 47 results
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Neighborhood ECONOMY – 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 -
Neighborhood ESSENTIAL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
Neighborhood INNOVATION – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $25 copay
Specialist visit: 30% after deductible
Urgent care visit: 30% after deductible -
Neighborhood PLUS – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Neighborhood VALUE – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Neighborhood VALUE Modified – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Silver PPO Standard Pathway – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
Value Bronze Standard POS [{LCSR)] – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $75 copay -
Value Bronze Standard POS HSA [(LCSR)] – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Value Gold Standard POS [(LCSR)] – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $50 copay -
Value Silver Standard POS [(LCSR)] – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
VantageBlue Direct 1500/3000 WAPD – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: first 1 visit(s) $0 then $30 copay
Specialist visit: $40 copay
Urgent care visit: $75 copay -
VantageBlue Direct 6000/12000 WPD – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $0 then $60 copay
Specialist visit: $65 copay
Urgent care visit: $75 copay -
VantageBlue Direct 750/1500 Modified WPD – PPO
Network type: PPO
Coverage tier: Platinum
Primary care visit: first 1 visit(s) $0 then $20 copay
Specialist visit: $30 copay
Urgent care visit: $50 copay