Bronze PPO Pathway – 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 17–32 of 104 results
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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 -
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 HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Choice Bronze HSA + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
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 -
Complete Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Gold + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Complete Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Delta Dental Family Low Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: $30 after deductible, 40% after deductible
Major dental care: $30 after deductible, 50% after deductible
Orthodontics: Not covered
Exams: $30