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: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $20 copay
Urgent care visit: $20 copay
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $20 copay
Urgent care visit: $20 copay
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible
Network type: PPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay
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
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible