Elite Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay
Showing 33–48 of 130 results
-
-
Elite Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay -
Elite Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay -
Everyday Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Everyday Gold + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Flex Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $40 then 20% after deductible copay, first 3 visit(s) $40 then 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Flex Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: first 5 visit(s) $20 then $20 copay after deductible
Specialist visit: first 5 visit(s) $45 then $45 copay after deductible
Urgent care visit: first 5 visit(s) $45 then $45 copay after deductible -
Flex Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: first 3 visit(s) $40 then $40 copay after deductible
Specialist visit: first 3 visit(s) $85 then $85 copay after deductible
Urgent care visit: first 3 visit(s) $85 then $85 copay after deductible -
Focused Silver – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Focused Silver + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Gold Elite – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible