Moda Select Gold 1000 Separate Rx + Vision Exam – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $30 copay
Urgent care visit: $30 copay
Showing 97–112 of 139 results
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Moda Select Gold 2200 + Vision Exam – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $30 copay -
Moda Select Silver 3000 Separate Rx + Vision Exam – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
Moda Select Silver 6400 + Vision Exam – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
MVN East Silver Connect 5500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $70 copay
Urgent care visit: $20 copay -
MVN East Silver Connect 5500 CSR 73 – POS
73% cost sharing reduction [Popular Plan]
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $55 copay
Urgent care visit: $20 copay -
MVN East Silver Copay Connect 3500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $70 copay
Urgent care visit: $25 copay -
MVN East Silver Copay Connect 2500 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $60 copay
Urgent care visit: $20 copay -
Navigator Bronze 9400 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Navigator Gold 2500 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $25 copay -
Navigator Silver 3600 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $35 copay -
Navigator Silver 3600 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $35 copay -
Navigator Silver HSA 3500 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 25% after deductible
Specialist visit: 25% after deductible
Urgent care visit: 25% after deductible -
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PQA Southeast Bronze Connect 7500 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $95 copay
Urgent care visit: $40 copay -
PQA Southeast Bronze HSA Connect 6250 – 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