Gold Classic Standard | MercyOne – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Showing 65–80 of 157 results
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Gold Elite | MercyOne – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 33, Silver, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible -
HDHMO HSA Qualified 33, Silver, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible -
HDHMO HSA Qualified 35 Silver, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 35 Silver, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 40, Bronze, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
HDHMO HSA Qualified 40, Bronze, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
HDHMO HSA Qualified 44, Bronze, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: 30% after deductible
Specialist visit: 30% after deductible
Urgent care visit: 30% after deductible -
HDHMO HSA Qualified 45, Bronze, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – 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 -
HDHMO HSA Qualified 45, Bronze, NS, INN, Adult Vision, Lasik, Wellness DP FP – 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 -
Health Options Bronze $8000 Healthy Maine HMO NE – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 1 visit(s) $0 then $40 copay
Specialist visit: $80 copay after deductible
Urgent care visit: $60 copay -
Health Options Bronze $8000 Healthy Maine PPO NE – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: first 1 visit(s) $0 then $40 copay
Specialist visit: $80 copay after deductible
Urgent care visit: $60 copay -
Health Options Clear Choice Bronze $5900 PPO NE – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible