Gold Elite – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay
Showing 81–96 of 144 results
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
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
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible
Network type: HMO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $40 copay
Urgent care visit: $75 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay