NH Local HMO Silver 5900 Standard – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Showing 225–240 of 311 results
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Non-Standard Bronze: HMO 3500 Flex – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $65 copay after deductible -
Non-Standard Bronze: HNE Thrive Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $50 copay after deductible -
Non-Standard Low Gold: Community Care Connector Low Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Non-Standard Low Gold: Complete HMO 1000 35% – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $45 copay
Urgent care visit: $45 copay -
Non-Standard Low Gold: HMO 2000 Low – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Non-Standard Low Gold: HMO Blue Deductible with Copayment – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $55 copay
Urgent care visit: $55 copay -
Non-Standard Low Gold: HNE Thrive Gold 2000 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $30 copay -
Non-Standard Low Gold: Tufts Health Direct Gold 1600 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $55 copay -
Non-Standard Low Gold: UHC Navigate Gold 2000 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $55 copay -
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QUARTZ ONE BRONZE I201-01 VALUE TIER RX W/FIXED COPAY – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
QUARTZ ONE BRONZE I203-01 HSA – IL – 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 -
QUARTZ ONE BRONZE I204-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $85 copay
Specialist visit: $250 copay
Urgent care visit: $250 copay -
QUARTZ ONE BRONZE I204-01 VALUE TIER RX W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $85 copay
Specialist visit: $250 copay
Urgent care visit: $250 copay