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
Showing 81–91 of 91 results
-
-
Sentara Direct M Bronze 6000 Ded HSA – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 30% after deductible
Specialist visit: 30% after deductible
Urgent care visit: 30% after deductible -
Sentara Direct M Bronze 7200 Ded – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Sentara Direct M Gold 1000 Ded – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $50 copay -
Sentara Direct M Gold 2200 Ded – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Sentara Direct M Silver 3800 Ded – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $50 copay -
Sentara Direct M Silver 6600 Ded – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $75 copay
Urgent care visit: $50 copay -
Sentara Standard M Bronze 7500 Ded – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Sentara Standard M Gold 1500 Ded – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Sentara Standard M Silver 5900 Ded – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
WellFirst by Medica Gold Standard 1500X (Free Virtual Visits) – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay