Ambetter Balanced Care 4 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay
Showing 1–16 of 125 results
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 2 visit(s) $0 then $50 copay
Specialist visit: first 2 visit(s) $0 then $100 copay after deductible
Urgent care visit: first 2 visit(s) $0 then $100 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $35 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: first 2 visit(s) $0 then $30 copay
Specialist visit: first 2 visit(s) $0 then $65 copay
Urgent care visit: first 2 visit(s) $0 then $65 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay
Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay, 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $75 copay