Bronze HMO Pathway Enhanced with Added Dental and Vision Benefits – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $90 copay after deductible
Urgent care visit: $100 copay after deductible
Showing 1–16 of 18 results
-
-
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 -
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 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 -
Choice Silver Standard POS – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
Gold HMO Pathway Enhanced with Added Dental and Vision Benefits – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $100 copay -
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 -
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