BlueSolutions for HSA Direct 1700/3400 WAPD – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $35 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $75 copay after deductible
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BlueSolutions for HSA Direct 4100/8200 WPD – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
BlueSolutions for HSA Direct 6300/12600 Modified WPD – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible -
BlueSolutions for HSA Direct 6300/12600 WPDAB – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible -
Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $15 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Bronze Classic – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $125 copay after deductible
Urgent care visit: $75 copay -
Bronze Classic 4700 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $80 copay -
Bronze Classic Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Elite + PCP Saver Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay -
Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
CareSource Marketplace Bronze First – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
CareSource Marketplace Bronze First – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
CareSource Marketplace Bronze First Dental, Vision, & Fitness – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
CareSource Marketplace Bronze First Dental, Vision, & Fitness – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
CareSource Marketplace Core Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $60 copay
Urgent care visit: $40 copay