HMO Copayment 20, Gold, ST, INN 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
Showing 17–32 of 33 results
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HMO Copayment 30, Silver, ST, INN DP FP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
HMO Copayment 30, Silver, ST, INN DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $65 copay after deductible
Urgent care visit: $70 copay after deductible -
HMO Hybrid 13, Platinum, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
HMO Hybrid 13, Platinum, NS, INN, , Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
HMO Triple Zero Copayment 24, Gold, NS, INN Adult Vision, Lasik, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 copay -
HMO Triple Zero Copayment 24, Gold, NS, INN, Adult Vision, Lasik, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $50 copay
Specialist visit: $50 copay
Urgent care visit: $100 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 -
MVP Premier Platinum 1, Platinum, ST, INN, NY Individual On Exchange HMO Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
MVP Premier Platinum 1, Platinum, ST, INN, NY Individual On Exchange HMO, Telemedicine, Wellness DP FP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
MVP Premier Silver 1, Silver, ST, INN, NY Individual On Exchange HMO Telemedicine, Wellness DP FP Dep 29 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $30 then $30 copay after deductible
Specialist visit: first 1 visit(s) $65 then $65 copay after deductible
Urgent care visit: first 1 visit(s) $70 then $70 copay after deductible