BasicBlue Direct 2500/5000 WAPD – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $30 copay
Urgent care visit: $75 copay after deductible
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BasicBlue Direct 5500/11000 WPD – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $45 copay
Urgent care visit: $75 copay after deductible -
BlueCHiP Direct 2300/4600 WAPD – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $45 copay
Urgent care visit: $75 copay -
BlueCHiP Direct 5000/10000 WPD – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
BlueCHiP Direct Advance 2300/4600 WPD – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $45 copay
Urgent care visit: $75 copay -
BlueCHiP Direct Advance 4950/9900 WPD – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
BlueSolutions for HSA Direct 1700/3400 WAPD – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $35 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $75 copay after deductible -
BlueSolutions for HSA Direct 4100/8200 WPD – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
BlueSolutions for HSA Direct 6300/12600 Modified WPD – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible -
BlueSolutions for HSA Direct 6300/12600 WPDAB – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO 60, Bronze, ST, 3PCP, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: $50 copay after deductible
Specialist visit: $75 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 33, Silver, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible -
HDHMO HSA Qualified 33, Silver, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 15% after deductible
Specialist visit: 15% after deductible
Urgent care visit: 15% after deductible -
HDHMO HSA Qualified 35 Silver, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible -
HDHMO HSA Qualified 35 Silver, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible