Medica with CHI Health Bronze Premier – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: $160 copay after deductible
Urgent care visit: No charge after deductible
Showing 433–448 of 583 results
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Medica with CHI Health Bronze Share Plus + Adult Eye Exam – 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 -
Medica with CHI Health Expanded Bronze Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Medica with CHI Health Gold Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Medica with CHI Health Gold Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Medica with CHI Health Silver Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Medica with CHI Health Silver Enhanced – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $80 copay
Specialist visit: $175 copay
Urgent care visit: $80 copay -
Medica with CHI Health Silver Share – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
Medica with CHI Health Silver Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
MercyCare HMO Gold Option B – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
MercyCare HMO Silver Option A – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
MercyCare HMO Silver Option B – 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 -
MercyCare HMO Silver Standard – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
New Hampshire Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
New Hampshire Preferred Plus Plan – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 25% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
NH Local Choice HMO Bronze 6500 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay, 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible