Silver 6500 Legacy – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay
Showing 209–224 of 228 results
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Silver Classic – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $95 copay
Urgent care visit: $80 copay -
Silver Classic Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Silver Elite Saver Plus – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Silver Simple Diabetes – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $40 copay
Urgent care visit: $75 copay -
SmartSmile – EC – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: $40
Major dental care: $675
Orthodontics: Not covered
Exams: $7 -
SmartSmile Plus – EC – EPO
Network type: EPO
Coverage tier: High
Basic Dental: $25
Major dental care: $675
Orthodontics: Not covered
Exams: No charge -
Standard Expanded Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Expanded Bronze + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Standard Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Super SmarSmile – EC – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: $40
Major dental care: $675
Orthodontics: Not covered
Exams: No charge -
TruAssure Basic Adult or Child Dental Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
Wellmark Bronze HDHP HMO | Farm Bureau – 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 -
Wellmark Bronze Traditional HMO – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: $90 copay -
Wellmark Gold Traditional HMO | Farm Bureau – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $50 copay
Urgent care visit: $30 copay