Keystone HMO Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: 50% after deductible
Showing 65–80 of 119 results
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Keystone HMO Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
Keystone HMO Gold Classic – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay -
Keystone HMO Gold Proactive – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Keystone HMO Silver Basic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: 50% after deductible -
Keystone HMO Silver Classic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: 30% after deductible -
Keystone HMO Silver Proactive – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
Keystone HMO Silver Proactive Basic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Keystone HMO Silver Proactive Essential – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Keystone HMO Silver Proactive Lite – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
Medica Applause Bronze Copay – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay -
Medica Applause Bronze Copay (First 3) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Specialist visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Urgent care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible -
Medica Applause Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible -
Medica Applause Bronze Share Plus Metro – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Medica Applause Gold Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $70 copay
Urgent care visit: No charge -
Medica Applause Silver Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: No charge