Apex $1,000 w/Copay P-S Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay
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Apex $2,000 w/Copay Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $20 copay
Urgent care visit: $20 copay -
Apex $2,300 Rx Copay Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $20 copay
Urgent care visit: $20 copay -
Apex $3,000 Rx Copay Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Apex $3,000 w/Copay P-S Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Apex $3,500 Plus Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: first 3 visit(s) $0 then 20% after deductible copay, first 3 visit(s) $0 then 20% after deductible
Specialist visit: first 3 visit(s) $0 then 20% after deductible copay, first 3 visit(s) $0 then 20% after deductible
Urgent care visit: first 3 visit(s) $0 then 20% after deductible copay, first 3 visit(s) $0 then 20% after deductible -
Apex $3,800 HSA Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Apex $6,350 Plus Bronze – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $0 then 30% after deductible copay, first 3 visit(s) $0 then 30% after deductible
Specialist visit: first 3 visit(s) $0 then 30% after deductible copay, first 3 visit(s) $0 then 30% after deductible
Urgent care visit: first 3 visit(s) $0 then 30% after deductible copay, first 3 visit(s) $0 then 30% after deductible -
Apex $7,800 HSA Bronze – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BESTOne Advantage Gold – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
BESTOne Base Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
BESTOne Basic Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge -
BESTOne Gold Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Blue Advantage Bronze PPO℠ 801 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Blue Advantage Bronze PPO℠ 202 – PPO
Network type: PPO
Coverage tier: Bronze
Primary care visit: 40% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Blue Advantage Bronze PPO℠ 203 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible