Network Provider
Deductible: N/A
Primary Care Visit: $25
Specialist Visit: $35
Preventative: No Copayment
Diagnostic Test: $25
Network Provider Deductible: N/A Primary Care Visit: $25
Specialist Visit: $35 Preventative: No Copayment Diagnostic Test: $30
Network Provider Deductible: N/A Primary Care Visit: $35
Specialist Visit: $45 Preventative: No Copayment Diagnostic Test: $40
Network Provider Deductible: N/A Primary Care Visit: $0 for 1st 3 visits see more for after 3
Specialist Visit: $40
Preventative: No Copayment Diagnostic Test: $0 for 1st visits see more
Full Senior Plan Booklet
Senior Plan With RX- Download
Senior Plan Without RX- Download
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Network Provider Deductible: $3,000 Individual , $7,500 Family
Primary Care Visit: $40
Specialist Visit: $50 for 1st visit Preventative: No Copayment Diagnostic Test: $50 for 1st visit