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
Showing 49–64 of 97 results
-
-
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 -
HMO Triple Zero Copayment 24, Gold, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay -
HMO Triple Zero Copayment 24, Gold, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay -
IND Destination 65, Gold, NS, INN, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay -
IND Destination 65, Gold, NS, INN, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay -
IND Destination 65, Silver, NS, INN, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
IND Destination 65, Silver, NS, INN, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
Medica Insure Bronze Copay – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $160 copay
Urgent care visit: $40 copay -
Medica Insure Bronze Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: $150 copay
Urgent care visit: No charge -
Medica Insure Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Medica Insure Bronze Standard – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 5% coinsurance after deductible
Specialist visit: 5% coinsurance after deductible
Urgent care visit: 5% coinsurance after deductible -
Medica Insure Expanded Bronze Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Medica Insure Gold Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Medica Insure Silver Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge