BESTOne Advantage Gold – Indemnity
Network type: Indemnity
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 – Indemnity
Network type: Indemnity
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge -
BESTOne Gold Plus – Indemnity
Network type: Indemnity
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Bronze Exp Standardized – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Value – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $130 copay
Urgent care visit: $130 copay -
Choice Bronze HSA (QualChoice) – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Complete Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Gold + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay -
Complete Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Complete Silver + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Connected Silver – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Connected Silver (QualChoice) – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Connected Silver (QualChoiceLife) – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Connected Silver + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Delta Dental Family Gold Plan – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Delta Dental Family Silver Plus Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible