IND Destination 65, Gold, NS, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $30 copay
Urgent care visit: $60 copay
Showing 81–96 of 153 results

Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $30 copay
Urgent care visit: $60 copay

Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: $35 copay after deductible
Urgent care visit: $60 copay after deductible

Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $50 copay after deductible

Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $50 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible

Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible

Network type: POS
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible

Network type: POS
Coverage tier: Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay

Network type: POS
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $30 copay
Urgent care visit: $40 copay

Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge

Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge

Network type: POS
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $60 copay after deductible
Urgent care visit: $75 copay

Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $75 copay
Specialist visit: $150 copay
Urgent care visit: $75 copay

Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay