BCBSVT Bronze CDHP Plan – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible
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Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible
Network type: EPO
Coverage tier: Bronze
Primary care visit: $35 copay
Specialist visit: $90 copay
Urgent care visit: $100 copay after deductible
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $55 copay
Urgent care visit: $65 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 35% after deductible
Urgent care visit: 35% after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $100 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 4 visit(s) $0 then $0 copay after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: EPO
Coverage tier: Gold
Primary care visit: first 4 visit(s) $0 then $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $40 copay after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible