Standard Silver + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Showing 257–272 of 273 results
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Standard Silver II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Community Care Connector High Silver II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Complete HMO 2000 25/60 II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: HMO Blue Basic II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Select HMO 2000 25/60 II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: Tufts Health Direct Silver 2000 II – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Standard Silver: UHC Navigate Silver 2000 II – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
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 -
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
UHC Bronze Value HSA (No Referrals) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $75 copay after deductible -
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $70 copay
Urgent care visit: $75 copay -
UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay -
UHC Silver Value (No Referrals) – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: $75 copay -
Wisconsin Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge