Piedmont HMO Bronze 5100 Deductible HSA – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 35% after deductible
Specialist visit: 35% after deductible
Urgent care visit: 35% after deductible
Showing 449–464 of 546 results
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Piedmont HMO Bronze 7500 Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Piedmont HMO Bronze 9400 Deductible – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Piedmont HMO Gold 1500 Deductible – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Piedmont HMO Silver 5900 Deductible – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
QUARTZ ONE BRONZE I201-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
QUARTZ ONE BRONZE I203-01 HSA – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
QUARTZ ONE BRONZE I204-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay -
QUARTZ ONE BRONZE I204-01 VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay -
QUARTZ ONE BRONZE I205-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
QUARTZ ONE BRONZE I205-01 VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
QUARTZ ONE BRONZE I206-01 STANDARD – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
QUARTZ ONE GOLD I401-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
QUARTZ ONE GOLD I402-01 MAINTENANCE VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
QUARTZ ONE GOLD I402-01 MAINTENANCE VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
QUARTZ ONE GOLD I403-01 HSA – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible