Is there a co-payment for Primary Care Provider (PCP) and/or Specialty visits?
If you seek services from a Tier 1 PCP, you are covered at 100% with NO co-payment. Physician specialties considered primary care include Family Practice, Internal Medicine, Gynecology, Obstetrics, and Pediatrics. All other physician specialties are reimbursed at 100% after a flat $35 co-payment per visit. You do not require a referral to see a specialist.