QUARTZ PERFORMANCE SILVER I303-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay
Showing 273–288 of 352 results
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QUARTZ PERFORMANCE SILVER I303-05 VALUE TIER RX – IL – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $20 copay -
QUARTZ PERFORMANCE SILVER I308-01 FIXED RX COPAY – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
QUARTZ PERFORMANCE SILVER I308-01 FIXED RX COPAY W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
QUARTZ PERFORMANCE SILVER I309-01 STANDARD – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
QUARTZ PERFORMANCE SILVER I320-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Sanford Individual Simplicity $1,750 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $25 copay
Urgent care visit: $30 copay -
Sanford Individual Simplicity $2,800 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $20 copay
Urgent care visit: $15 copay -
Sanford Individual Simplicity $3,500 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $55 copay -
Sanford Individual Simplicity $4,750 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $55 copay -
Sanford Individual Simplicity $6,000 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: 35% coinsurance after deductible
Urgent care visit: $55 copay -
Sanford Individual Simplicity $7,000 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: 35% coinsurance after deductible
Urgent care visit: $65 copay -
Sanford Individual Simplicity $7100 HSA Qualified – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Sanford Individual Simplicity Enhanced Care Plan $1,250 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: 25% coinsurance after deductible
Specialist visit: 25% coinsurance after deductible
Urgent care visit: 25% coinsurance after deductible -
Sanford Individual Simplicity Enhanced Care Plan $3,700 HSA Qualified – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 15% coinsurance after deductible
Specialist visit: 15% coinsurance after deductible
Urgent care visit: 15% coinsurance after deductible -
Sanford Individual Simplicity Standardized $1,500 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay