my Blue Access PPO Gold 1700 HSA – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $20 copay after deductible
Urgent care visit: $40 copay after deductible
Showing 97–112 of 158 results
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my Blue Access PPO Premier Gold 0 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $15 copay
Urgent care visit: $30 copay -
my Blue Access PPO Premier Gold 0 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $15 copay
Urgent care visit: $30 copay -
my Blue Access PPO Premier Silver 2900 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $75 copay
Specialist visit: $75 copay
Urgent care visit: $100 copay -
my Blue Access PPO Premier Silver 2900 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $75 copay
Specialist visit: $75 copay
Urgent care visit: $100 copay -
my Blue Access PPO Silver 7000 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $55 copay
Urgent care visit: $100 copay -
OMNIA Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
OMNIA Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $25 copay
Urgent care visit: $50 copay -
OMNIA Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
OMNIA Silver HSA – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay after deductible
Specialist visit: $35 copay after deductible
Urgent care visit: $70 copay after deductible -
OMNIA Silver Value – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
Premier Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Premier 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 -
Select by Medica Bronze Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: $150 copay
Urgent care visit: No charge -
Select by Medica Bronze Premier – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: $160 copay after deductible
Urgent care visit: No charge after deductible -
Select by Medica Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible