Gold Standard, Gold, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible
Showing 17–32 of 47 results

Network type: POS
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible

Network type: POS
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible

Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $30 copay
Urgent care visit: $60 copay

Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $30 copay
Urgent care visit: $60 copay

Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay after deductible

Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $50 copay after deductible

Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $50 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible

Network type: POS
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible

Network type: POS
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay

Network type: POS
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $60 copay after deductible
Urgent care visit: $75 copay

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay