Blue Choice Preferred Gold PPO℠ 204 – Rx Copays – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $25 copay
Showing 17–32 of 98 results
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Blue Choice Preferred Silver PPO℠ 203 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $5 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $15 copay -
Blue Choice Preferred Silver PPO℠ 706 – PPO
94% cost sharing reduction [Popular Plan]
Network type: PPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $10 copay
Urgent care visit: $5 copay -
Blue Choice Preferred Silver PPO℠ 706 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Blue Choice Preferred Silver PPO℠ 801 – Rx Copay – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
BlueCare Dental℠ 1A – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
BlueCare Dental℠ 1C – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Bronze 1: Aetna network of doctors + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 + Rx Copay – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $55 copay
Specialist visit: $125 copay
Urgent care visit: $60 copay -
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 | MercyOne – 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 | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $80 copay -
Bronze Classic PCP Saver Plus | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Bronze Classic Standard | MercyOne – 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 | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay -
Choice PPO Basic – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 85% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Choice PPO Plus – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible