Everyday Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Showing 49–64 of 167 results
-
-
Everyday Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Focused Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Focused Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Franklin Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Franklin Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Gold Classic – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $30 copay
Urgent care visit: $50 copay -
Gold Classic Standard – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Gold Elite – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Gold Elite Saver Plus – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $25 copay
Urgent care visit: $50 copay -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 33, Silver, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible -
HDHMO HSA Qualified 33, Silver, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible -
HDHMO HSA Qualified 35 Silver, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 35 Silver, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible