IND Destination 65, Gold, NS, INN, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay
Showing 33–48 of 52 results
Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay
Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $40 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: $40 copay after deductible
Urgent care visit: $60 copay after deductible
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible
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
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
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
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
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Network type: HMO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
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
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
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Network type: POS
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay
Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible