Sentara Select RICH M Gold 1100 Ded – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $50 copay
Showing 193–208 of 238 results
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Sentara Standard M Bronze 7500 Ded – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Sentara Standard M Gold 1500 Ded – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Sentara Standard M Silver 5900 Ded – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 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: $80 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay -
Silver Simple PCP Saver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $80 copay
Urgent care visit: $75 copay -
Standard Expanded Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Expanded Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Standard Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Standard Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Standard Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
UHC Bronze ($0 PCP, $5 Tier 2 Rx, No Referrals) – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: $140 copay
Urgent care visit: $90 copay -
UHC Bronze Copay Focus – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay
Specialist visit: $150 copay
Urgent care visit: $100 copay -
UHC Bronze Copay Focus $0 Med Ded – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $150 copay
Urgent care visit: $100 copay