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
Showing 33–48 of 64 results
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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 -
Medica Insure Silver Enhanced – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $80 copay
Specialist visit: $175 copay
Urgent care visit: $80 copay -
Medica Insure Silver Share – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
Medica Insure Silver Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
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SELECT BRONZE I203-01 HSA – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
SELECT BRONZE I204-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay -
SELECT BRONZE I204-01 VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay -
SELECT BRONZE I205-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
SELECT BRONZE I205-01 VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $155 copay
Urgent care visit: $155 copay -
SELECT BRONZE I206-01 STANDARD – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
SELECT GOLD I401-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
SELECT GOLD I402-01 MAINTENANCE VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
SELECT GOLD I402-01 MAINTENANCE VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay