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
Showing 113–128 of 144 results

Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $15 copay
Urgent care visit: $30 copay

Network type: PPO
Coverage tier: Silver
Primary care visit: $75 copay
Specialist visit: $75 copay
Urgent care visit: $100 copay

Network type: PPO
Coverage tier: Silver
Primary care visit: $75 copay
Specialist visit: $75 copay
Urgent care visit: $100 copay

Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $55 copay
Urgent care visit: $100 copay


Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $95 copay
Urgent care visit: $80 copay

Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay

Network type: EPO
Coverage tier: Silver
Primary care visit: $60 copay
Specialist visit: $100 copay
Urgent care visit: $50 copay

Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $40 copay
Urgent care visit: $75 copay

Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $80 copay
Urgent care visit: $75 copay

Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay

Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay

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: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay

Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay

Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay