Elite Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
Showing 33–48 of 70 results
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
Network type: PPO
Coverage tier: Low
Basic Dental: $82 after deductible
Major dental care: $214 after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $55 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $55 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible