Select Bronze No Medical Ded/9450 MOOP – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay
Showing 81–96 of 96 results
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Select Gold 1000 Ded/6000 MOOP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $120 copay
Urgent care visit: $10 copay -
Select Gold 1500 Ded/8700 MOOP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Select Gold 2500 Ded/5000 MOOP Primary Care Preferred with Vision – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $125 copay
Urgent care visit: No charge -
Select Gold 2500 Ded/6500 MOOP – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $30 copay -
Select Gold 2800 Ded/2800 MOOP 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 -
Select Platinum 1000 Ded/4000 MOOP Primary Care Preferred with Vision – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: No charge
Specialist visit: $30 copay
Urgent care visit: No charge -
Select Platinum 500 Ded/1500 MOOP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $20 copay -
Select Platinum No Ded/2500 MOOP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $20 copay
Urgent care visit: $10 copay -
Select Platinum No Ded/3200 MOOP – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $20 copay
Urgent care visit: $15 copay -
Select Silver 4900 Ded/7900 MOOP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $80 copay
Urgent care visit: $35 copay -
Select Silver 5700 Ded/5700 MOOP 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 -
Select Silver 5900 Ded/9100 MOOP – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Select Silver 9400 Ded/9400 MOOP Primary Care Preferred with Vision – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $175 copay
Urgent care visit: No charge -
Wisconsin Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Wisconsin Wellness Essentials – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge