BESTOne Advantage Gold – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
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BESTOne Basic Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge -
BESTOne Gold Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Blue KC Choice Silver BlueSelect Plus EPO with Spira Care – EPO
Network type: EPO
Coverage tier: Silver -
BlueCare EPO Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay, 20% coinsurance after deductible
Specialist visit: $50 copay
Urgent care visit: $25 copay, 20% coinsurance after deductible -
BlueCare EPO Silver Plus – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $35 copay -
BlueCare EPO Simple Bronze HDHP – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BlueCare EPO Simple Silver HDHP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BlueCare EPO Standardized Expanded Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
BlueCare EPO Standardized Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Bronze Standard HSAQ Child Only, Bronze, ST, OON, POS, Pediatric Dental – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Bronze Standard HSAQ, Bronze, ST, OON, POS, Dep25, Pediatric Dental – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Bronze Standard HSAQ, Bronze, ST, OON, POS, Dep29, Pediatric Dental – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
EmblemHealth Select Care, Bronze, ST, INN, Select Care Network, Dep25, Pediatric Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $50 then $50 copay after deductible
Specialist visit: first 3 visit(s) $75 then $75 copay after deductible
Urgent care visit: first 3 visit(s) $75 then $75 copay after deductible -
EmblemHealth Select Care, Bronze, ST, INN, Select Care Network, Dep29, Pediatric Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $50 then $50 copay after deductible
Specialist visit: first 3 visit(s) $75 then $75 copay after deductible
Urgent care visit: first 3 visit(s) $75 then $75 copay after deductible -
EmblemHealth Select Care, Gold, ST, INN, Select Care Network, Dep25, Pediatric Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible