![Doctor Doctor](/uploads/1/3/7/4/137425351/250767044.jpg)
Basic Option | |
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Preventive Care | Nothing for covered preventive screenings, immunizations and services |
Physician Care | $30 for primary care1 $40 for specialists1 |
Virtual doctor visits by Teladoc® | |
Urgent Care Center | $35 copay |
Prescription Drugs | Preferred Retail Pharmacy: Tier 1 (Generics): $10 copay Tier 2 (Preferred brand): $55 copay2 Tier 3 (Non-preferred brand): 60% of our allowance ($75 minimum)2 Tier 4 (Preferred specialty): $65 copay2 Tier 5 (Non-preferred specialty): $90 copay2 Mail Service Pharmacy: Available to members with Medicare Part B primary only. Visit the Medicare page for more information. Tier 1 (Generics): $20 Tier 2 (Preferred brand): $100 copay Tier 3 (Non-preferred brand): $125 copay Specialty Pharmacy: Tier 4 (Preferred specialty): $85 copay2 Tier 5 (Non-preferred specialty): $110 copay2 |
Maternity Care | $175 inpatient $0 outpatient |
Hospital Care | Inpatient (Precertification is required): $175 per day; up to $875 per admission Outpatient: $100 per day per facility1 |
Surgery | $150 in an office setting1 $200 in a non-office setting1 |
ER (accidental injury) | $175 per day per facility |
ER (medical emergency) | $175 per day per facility |
Lab work (such as blood tests) | $0 copay1 |
Diagnostic services (such as sleep studies, CT scans) | Webex teams sign in. Up to $100 in an office1 Up to $150 in a hospital1 |
Chiropractic Care | $30 per treatment; up to 20 visits per year |
Dental Care | $30 copay per evaluation; up to 2 per year |
Rewards Program | Earn $50 for completing the Blue Health Assessment3 Earn up to $120 for completing three eligible Online Health Coach goals3 |
Copay Assistance Programs For Doctor Visits
![Copay Copay](/uploads/1/3/7/4/137425351/372799735.jpg)
Help With Insurance Copays
Your doctor’s office may have samples of medications from pharmaceutical companies. They may not think to ask if you need samples, but if you ask, they’re more than happy to check to see what you have. If you have prescription drug insurance coverage, get a copy of your company’s formulary and take it with you to your doctor’s visit. What is a copay? A copay (or copayment) is a flat fee that you pay on the spot each time you go to your doctor or fill a prescription. For example, if you hurt your back and go see your doctor, or you need a refill of your child's asthma medicine, the amount you pay for that visit or medicine is your copay. Copay amount for each visit or test; Type of outpatient care: Primary care services (like a visit to your primary care doctor) Copay amount for each visit or test: $15: Type of outpatient care: Specialty care services (like a visit to a hearing specialist, eye doctor, surgeon, or cardiologist) Copay amount for each visit. Medicare Part B pays for outpatient medical care, such as doctor visits, some home health services, some laboratory tests, some medications, and some medical equipment.(Hospital and skilled.