my Blue Access PPO Premier Silver 2900 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $75 copay
Specialist visit: $75 copay
Urgent care visit: $100 copay
Showing 161–176 of 198 results
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my Blue Access PPO Silver 7000 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $55 copay
Urgent care visit: $100 copay -
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Platinum IND POS Plus, Platinum, NS, OON, POS, Dep25, Family Vision, Family Dental, WP – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay -
Platinum IND POS Plus, Platinum, NS, OON, POS, Dep29, Family Vision, Family Dental, WP – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay -
Platinum Standard, Platinum, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Premier Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Premier Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Silver Classic Standard | MercyOne – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Silver Elite Saver Plus | MercyOne – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Silver Simple PCP Saver | MercyOne – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $80 copay
Urgent care visit: $75 copay -
Silver Simple PCP Saver | MercyOne – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $80 copay
Urgent care visit: $75 copay -
Silver Standard, Child only, Silver, ST, OON, POS, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
Silver Standard, Silver, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible