Benefits
Well Baby Care
Primary Care: 0-12 monthsPPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
Specialists: 0-12 months
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible
PPO: $10 per visit co-payment
Non-PPO: 50% UCR after deductible
Specialists: 0-12 months
PPO: $15 per visit co-payment
Non-PPO: 50% UCR after deductible