Altru Prime by Medica Bronze Copay – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay
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Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay
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
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $70 copay
Urgent care visit: No charge
Network type: EPO
Coverage tier: Silver
Primary care visit: first 3 visit(s) $15 then 30% after deductible copay, first 3 visit(s) $15 then 30% after deductible
Specialist visit: first 3 visit(s) $15 then 30% after deductible copay, first 3 visit(s) $15 then 30% after deductible
Urgent care visit: first 3 visit(s) $15 then 30% after deductible copay, first 3 visit(s) $15 then 30% after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: No charge
Network type: EPO
Coverage tier: Silver
Primary care visit: 25% after deductible
Specialist visit: 25% after deductible
Urgent care visit: 25% after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $50 copay after deductible, 30% coinsurance after deductible
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay, 35% coinsurance after deductible
Specialist visit: 35% coinsurance after deductible
Urgent care visit: 35% coinsurance after deductible
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: HMO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: HMO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible