Platinum Classic, Platinum, ST, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Showing 33–48 of 51 results
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Silver 1003 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
Silver 1007 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay
Urgent care visit: $55 copay -
Silver 1010 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $75 copay
Urgent care visit: $55 copay -
Silver 1020 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay
Urgent care visit: $55 copay -
Silver Classic – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Silver Classic Saver Plus – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Silver Classic, Silver, ST, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $30 then $30 copay after deductible
Specialist visit: first 1 visit(s) $65 then $65 copay after deductible
Urgent care visit: first 1 visit(s) $70 then $70 copay after deductible -
Silver Classic, Silver, ST, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $30 then $30 copay after deductible
Specialist visit: first 1 visit(s) $65 then $65 copay after deductible
Urgent care visit: first 1 visit(s) $70 then $70 copay after deductible -
Silver Simple – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
Silver Simple PCP Saver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Silver Simple PCP Saver, Silver, NS, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
Silver Simple PCP Saver, Silver, NS, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
UHC Bronze Essential ($0 Virtual Urgent Care, No Referrals) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
UHC Bronze Value HSA (No Referrals) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $75 copay after deductible -
UHC Gold Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay