Complete Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay
Showing 49–64 of 114 results
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Complete Gold + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Complete Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $55 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Bronze 5500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Connect Bronze 6500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Connect Bronze 8500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $25 copay
Specialist visit: $100 copay
Urgent care visit: $55 copay -
Connect Bronze CMS Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Gold 500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $65 copay
Urgent care visit: $50 copay -
Connect Gold CMS Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Connect Silver 0 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Connect Silver 3000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $85 copay
Urgent care visit: $40 copay -
Connect Silver 4000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $70 copay
Urgent care visit: $45 copay -
Connect Silver 5000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $75 copay
Urgent care visit: $35 copay -
Connect Silver CMS Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay