Blue Choice Preferred Gold PPO℠ 204 – Rx Copays – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $25 copay
Showing 17–32 of 107 results
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $25 copay
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
94% cost sharing reduction [Popular Plan]
Network type: PPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: 30% coinsurance
Urgent care visit: $10 copay
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $105 copay
Urgent care visit: $105 copay
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $150 copay
Specialist visit: $160 copay
Urgent care visit: $160 copay
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $100 copay
Specialist visit: $130 copay
Urgent care visit: $130 copay
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $15 copay
Urgent care visit: $15 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20%