High Plains Bronze HDHP – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Showing 353–368 of 546 results
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High Plains Bronze Standard Expanded – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
High Plains Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
High Plains Gold HDHP – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
High Plains Gold Standard – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
High Plains Silver Standard – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
HMO Copayment 10, Platinum, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
HMO Copayment 10, Platinum, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
HMO Copayment 14, Platinum, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: No charge
Specialist visit: $25 copay
Urgent care visit: $50 copay -
HMO Copayment 14, Platinum, NS, INN, , Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: No charge
Specialist visit: $25 copay
Urgent care visit: $50 copay -
HMO Copayment 20, Gold, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
HMO Copayment 20, Gold, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
HMO Copayment 30, Silver, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
HMO Copayment 30, Silver, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
HMO Hybrid 13, Platinum, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
HMO Hybrid 13, Platinum, NS, INN, , Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay