Gold Simple, Gold, NS, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible
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Gold Simple, Gold, NS, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Horizon Advantage EPO Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Horizon Advantage EPO Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $70 copay
Urgent care visit: $75 copay -
IHC Bronze EPO HSA AmeriHealth Hospital Advantage $50/$75 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: 50% after deductible -
IHC Bronze EPO HSA Local Value 50%/50% – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
IHC Bronze EPO Local Value $50/$75 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: 50% after deductible -
IHC Silver EPO AmeriHealth Hospital Advantage $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $75 copay
Urgent care visit: $85 copay -
IHC Silver EPO HSA AmeriHealth Hospital Advantage $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $85 copay after deductible -
IHC Silver EPO HSA Local Value $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $85 copay after deductible -
IHC Silver EPO HSA Regional Preferred $50/$75 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $85 copay after deductible -
OMNIA Bronze – 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 -
OMNIA Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $25 copay
Urgent care visit: $50 copay -
OMNIA Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
OMNIA Silver HSA – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay after deductible
Specialist visit: $35 copay after deductible
Urgent care visit: $70 copay after deductible -
OMNIA Silver Value – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible