Connect Gold 2500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $50 copay
Urgent care visit: $30 copay
Showing 17–32 of 32 results
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Connect Gold 3500 Indiv Med Deductible Enhanced Diabetes Care – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $35 copay
Urgent care visit: $30 copay -
Connect Gold 500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $30 copay -
Connect Gold CMS Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Connect Silver 3250/3100 Indiv Medical/Rx Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: $30 copay -
Connect Silver 7000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $85 copay
Urgent care visit: $30 copay -
Connect Silver CMS Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
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