Blue Preferred Gold PPO℠ 204 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $15 copay
Showing 33–48 of 122 results
Network type: PPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $15 copay
Network type: PPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible
Network type: PPO
Coverage tier: Silver
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: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 10%
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 10%
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20%
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20%
Network type: PPO
Coverage tier: Low
Basic Dental: No charge after deductible
Major dental care: No charge after deductible
Orthodontics: Not covered
Exams: No charge
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $60 copay
Urgent care visit: $60 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $85 copay
Urgent care visit: $85 copay