UHC Gold Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $70 copay
Urgent care visit: $75 copay
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UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, $0 Insulin, No Referrals) – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay -
UHC Silver Value (No Referrals) – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: $75 copay