QUARTZ ONE WITH ADVOCATE HEALTH CARE GOLD I402-01 MAINTENANCE VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay
Showing 97–112 of 123 results
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QUARTZ ONE WITH ADVOCATE HEALTH CARE GOLD I402-01 MAINTENANCE VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE GOLD I403-01 HSA – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
QUARTZ ONE WITH ADVOCATE HEALTH CARE GOLD I410-01 STANDARD – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE GOLD I410-01 STANDARD W/DENTAL – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE GOLD I420-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $90 copay
Urgent care visit: $90 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE SILVER I303-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE SILVER I304-01 HSA – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
QUARTZ ONE WITH ADVOCATE HEALTH CARE SILVER I308-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE SILVER I308-01 VALUE TIER RX W/DENTAL – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE SILVER I309-01 STANDARD – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
QUARTZ ONE WITH ADVOCATE HEALTH CARE SILVER I320-01 VALUE TIER RX – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
Robin Oak $1,000 w/Copay P-S Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Robin Oak $1,500 w/Copay P-S Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Robin Select $3,600 Plus Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $25 copay after deductible, 20% coinsurance after deductible
Specialist visit: $25 copay after deductible, 20% coinsurance after deductible
Urgent care visit: $25 copay after deductible, 20% coinsurance after deductible -
Robin Select $3,800 HSA Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible