Standard Gold SELECT Wellstar – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Showing 225–240 of 260 results
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Standard Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Standard Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Standard Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Standard Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
SummaCare Bronze 8000 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
SummaCare Bronze 8000 with Travel Assistance + Adult Vision Exam – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
SummaCare Bronze 9450 with 3 Free PCP Visits – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay
Specialist visit: No charge after deductible
Urgent care visit: $75 copay -
SummaCare Bronze 9450 with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay
Specialist visit: No charge after deductible
Urgent care visit: $75 copay -
SummaCare Gold 2000 with 3 Free PCP Visits – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
SummaCare Gold 2000 with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
SummaCare Silver 3500 with 3 Free PCP Visits – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
SummaCare Silver 6000 with 3 Free PCP Visits + Travel Assistance + Adult Vision Exam – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
SummaCare Standard Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
SummaCare Standard Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay