Platinum Standard, Platinum, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Showing 33–38 of 38 results
-
-
Platinum Standard, Platinum, ST, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Silver Standard, Child only, Silver, ST, OON, POS, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
Silver Standard, Silver, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
Silver Standard, Silver, ST, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
Standard Silver ST OON IHC Network Marketplace DP FP – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible