PROVIDER FEES

Office Visit Provider fees
PRICETYPE OF OFFICE VISIT
$0Telemedicine
$50Each primary care visit
$75Each specialist or urgent care visit
$150Emergency room or in-hospital visits
These fees are not applied to the member's PRA and are paid even if the member has met its PRA for the year. For eligible services, the Provider Fee is applied, then any remaining PRA and finally the co-share is applied up to the co-share limit.