Medica with CHI Health Gold Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge
Showing 145–160 of 182 results
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Medica with CHI Health Gold Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Medica with CHI Health Silver Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Medica with CHI Health Silver Enhanced – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $80 copay
Specialist visit: $175 copay
Urgent care visit: $80 copay -
Medica with CHI Health 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 with CHI Health 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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POS Bronze 7500 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
POS HDHP Bronze 6250 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 30% coinsurance after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible -
POS Silver 5900 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Premier $1,500 – 25% – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Premier $3,500 – 30% – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Premier $4,100 HDHP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
Premier $5,900 – 40% – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Premier $6,200 HDHP – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
Premier $7,500 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay