Keystone HMO Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: 50% after deductible
Showing 49–64 of 92 results
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Keystone HMO Gold – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
Keystone HMO Gold Classic – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay -
Keystone HMO Gold Proactive – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay -
Keystone HMO Silver Basic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: 50% after deductible -
Keystone HMO Silver Classic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: 30% after deductible -
Keystone HMO Silver Proactive – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
Keystone HMO Silver Proactive Basic – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Keystone HMO Silver Proactive Essential – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Keystone HMO Silver Proactive Lite – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
MVP Premier Bronze 1 HDHP, Expanded Bronze, ST, INN, NY Individual On Exchange HMO HSA, Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
MVP Premier Bronze 1 HDHP, Expanded Bronze, ST, INN, NY Individual On Exchange HMO, HSA, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
MVP Premier Bronze 2, Expanded Bronze, ST, INN, NY Individual On Exchange HMO 3 PCP, Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $50 then $50 copay after deductible
Specialist visit: first 3 visit(s) $75 then $75 copay after deductible
Urgent care visit: first 3 visit(s) $75 then $75 copay after deductible -
MVP Premier Bronze 2, Expanded Bronze, ST, INN, NY Individual On Exchange HMO, 3 PCP, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $50 then $50 copay after deductible
Specialist visit: first 3 visit(s) $75 then $75 copay after deductible
Urgent care visit: first 3 visit(s) $75 then $75 copay after deductible -
MVP Premier Gold 1, Gold, ST, INN, NY Individual On Exchange HMO Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
MVP Premier Gold 1, Gold, ST, INN, NY Individual On Exchange HMO, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible