Bronze Elite + PCP Saver Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $75 copay
Showing 33–48 of 144 results
-
-
Bronze Elite + Specialist Saver Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $70 copay
Urgent care visit: $75 copay -
Clear Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Clear Gold + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Clear Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Clear Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Complete Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Gold + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Connect Bronze 5500 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $90 copay
Urgent care visit: $75 copay -
Connect Bronze 8500 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Connect Bronze 9450 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Connect Bronze CMS Standard – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $50 copay
Urgent care visit: $30 copay -
Connect Gold 3500 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay