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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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 -
BESTOne High 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 -
BlueCare Gold 70 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $25 copay
Urgent care visit: $25 copay -
BlueCare Silver 60 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $65 copay
Urgent care visit: $45 copay -
BlueDirect Bronze 100 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
BlueDirect Gold 90 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: 10% coinsurance after deductible
Specialist visit: 10% coinsurance after deductible
Urgent care visit: 10% coinsurance after deductible -
BlueDirect Silver 80 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
BluePrime Gold 70 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $25 copay
Urgent care visit: $25 copay -
BlueValue Bronze 50 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
BlueValue Gold 75 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
BlueValue Silver 60 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
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