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
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CGHC Bronze $6000 – Envision Network – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: $35 copay after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
CGHC Bronze $6000 – Envision Network (Vision Exam) – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: $35 copay after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
CGHC Bronze $9450 ($35 PCP Copay) – Envision Network – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
CGHC Bronze $9450 ($35 PCP Copay) – Envision Network (Vision Exam) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
CGHC Bronze Standard $7500 – Envision Network – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
CGHC Copay Bronze $0 Ded / $2250 Rx Ded – Envision Network – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $100 copay
Urgent care visit: $200 copay -
CGHC Copay Bronze $0 Ded / $2250 Rx Ded – Envision Network (Vision Exam) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $100 copay
Urgent care visit: $200 copay -
CGHC Copay Gold $0 Ded – Envision Network – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
CGHC Copay Gold $0 Ded – Envision Network (Vision Exam) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
CGHC Gold $1800 – Envision Network – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
CGHC Gold $1800 – Envision Network (Vision Exam) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
CGHC Gold $3000 – Envision Network – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
CGHC Gold $3000 – Envision Network (Vision Exam) – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
CGHC Gold Standard $1500 – Envision Network – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
CGHC HSA Bronze $7500 – Envision Network – 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