Connect Bronze 4400 Indiv Med Deductible Enhanced Diabetes Care – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $55 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay
Showing 33–48 of 118 results
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Connect Bronze 6500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay
Specialist visit: $80 copay
Urgent care visit: $75 copay -
Connect Bronze 7800 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $5 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Bronze 9450 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Connect Bronze Expanded – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $110 copay -
Connect Bronze Expanded Standard – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Bronze HDHP – 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 -
Connect Bronze HSA 6400 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Connect Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
Connect Gold 1000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $50 copay
Urgent care visit: $35 copay -
Connect Gold 2500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $50 copay
Urgent care visit: $35 copay -
Connect Gold Standard – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Connect Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $110 copay -
Connect Silver 5000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $75 copay
Urgent care visit: $35 copay -
Connect Silver 6000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $80 copay
Urgent care visit: $35 copay -
Connect Silver Option 2 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $110 copay