Utah Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Showing 721–726 of 726 results
-
-
Utah Preferred Plus Plan – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 25% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Value Bronze Standard POS [{LCSR)] – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $75 copay -
Value Bronze Standard POS HSA [(LCSR)] – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: 20% after deductible
Specialist visit: 20% after deductible
Urgent care visit: 20% after deductible -
Value Gold Standard POS [(LCSR)] – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $50 copay -
Value Silver Standard POS [(LCSR)] – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay