IND POS 200, Gold, NS, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $50 copay after deductible
Showing 49–64 of 107 results

Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $50 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible

Network type: POS
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible

Network type: POS
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay

Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 2 visit(s) $1 then $50 copay
Specialist visit: $100 copay after deductible
Urgent care visit: $100 copay

Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $35 copay

Network type: HMO
Coverage tier: Silver
Primary care visit: first 2 visit(s) $1 then $30 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay

Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 2 visit(s) $1 then $50 copay
Specialist visit: $100 copay after deductible
Urgent care visit: $100 copay

Network type: EPO
Coverage tier: Silver
Primary care visit: first 2 visit(s) $1 then $30 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay

Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $110 copay after deductible
Urgent care visit: 35% after deductible

Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 40% after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible

Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $65 copay
Urgent care visit: $55 copay

Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay