Value Benchmark Platinum – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: No charge
Specialist visit: No charge
Urgent care visit: $25 copay
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Value Benchmark Platinum Standardized Plan – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $20 copay
Urgent care visit: $15 copay -
Value Benchmark Silver 5900 Medical Deductible – no deductible for office visits – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $40 copay
Urgent care visit: $50 copay -
Value Benchmark Silver Standardized Plan – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Value Expanded Bronze 6900 Medical Deductible – no deductible for office visits – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $95 copay
Urgent care visit: $95 copay -
Value Gold 1500 Medical Deductible – no deductible for office visits – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $45 copay
Urgent care visit: $45 copay -
Value Silver 3000 Medical Deductible – no deductible for office visits – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay