my Blue Access PPO Bronze 3800 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $65 copay
Urgent care visit: $100 copay
Showing 1–16 of 25 results
-
-
my Blue Access PPO Bronze 7100 HSA – Custom Drug Benefit – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
my Blue Access PPO Bronze 8900 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
my Blue Access PPO Gold 0 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
my Blue Access PPO Gold 0 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $20 copay
Urgent care visit: $40 copay -
my Blue Access PPO Gold 1500 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $35 copay
Urgent care visit: $70 copay -
my Blue Access PPO Gold 1700 HSA – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $20 copay after deductible
Urgent care visit: $40 copay after deductible -
my Blue Access PPO Premier Gold 0 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $15 copay
Urgent care visit: $30 copay -
my Blue Access PPO Premier Gold 0 + Adult Dental and Vision – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $15 copay
Urgent care visit: $30 copay -
my Blue Access PPO Premier Silver 2900 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $75 copay
Specialist visit: $75 copay
Urgent care visit: $100 copay -
my Blue Access PPO Silver 7000 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $55 copay
Urgent care visit: $100 copay -
UPMC Advantage + Partner Network + Bronze $6,700 + EPO – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
UPMC Advantage + Partner Network + Gold $1,000 + EPO – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
UPMC Advantage + Partner Network + Gold $2,500 + EPO + HSA Eligible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible -
UPMC Advantage + Partner Network + Silver $2,600 + EPO – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay -
UPMC Advantage + Partner Network + Silver $3,900 + EPO – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay