High Plains Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay
Showing 65–80 of 95 results
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High Plains Gold HDHP – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
High Plains Gold Standard – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
High Plains Silver Standard – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Medica Insure Bronze Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: $150 copay
Urgent care visit: No charge -
Medica Insure 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 -
Medica Insure 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 -
Medica Insure Bronze Standard – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 5% coinsurance after deductible
Specialist visit: 5% coinsurance after deductible
Urgent care visit: 5% coinsurance after deductible -
Medica Insure Expanded Bronze Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Medica Insure Gold Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Medica Insure Gold Share – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: 30% coinsurance after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible -
Medica Insure Silver Copay $0 PCP Office Visits – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Medica Insure Silver Enhanced – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $80 copay
Specialist visit: $175 copay
Urgent care visit: $80 copay -
Medica Insure Silver Share – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
Medica Insure Silver Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
