Gold Gym Access 1742 (Emergency Room & Inpatient Hospitalization Copay, $0 Outpatient Labs, $0 MRI, Open Access) – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay
Showing 113–128 of 172 results
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $30 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
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: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Specialist visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Urgent care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible