Standard Platinum: Community Care Connector Platinum – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay
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Standard Platinum: Complete HMO 20/40 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Standard Platinum: Tufts Health Direct Platinum – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Standard Platinum: UHC Navigate Platinum 0 – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Standard Platinum: WellSense Clarity Platinum 0 Deductible – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $40 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 II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Community Care Connector High Silver II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Complete HMO 2000 25/60 II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: HMO Blue Basic II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Tufts Health Direct Silver 2000 II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: UHC Navigate Silver 2000 II – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
TruAssure Basic Adult or Child Dental Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
TruAssure Preferred Adult or Child Dental Plan – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge