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 Base Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
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 AdvanceHealth Bronze (4 Free Visits with PCP) – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Blue AdvanceHealth Gold (4 Free Visits with PCP) – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Blue Community Gold HMO℠ 705 – On Exchange – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
Blue Community Silver HMO℠ 203 – On Exchange – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 30% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
Blue Community Silver HMO℠ 308 – On Exchange – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $70 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Blue EverydayHealth Bronze (2 Free Visits PCP) – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $95 copay
Specialist visit: $150 copay
Urgent care visit: $115 copay -
Blue EverydayHealth Gold (2 Free Visits with PCP) – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $50 copay
Urgent care visit: $60 copay -
Blue EverydayHealth Silver (2 Free Visits with PCP) – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Blue Portfolio HSA Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Blue PPO PremierHealth Gold (2 Free In-Network PCP Visits) – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $25 copay
Urgent care visit: $50 copay -
Blue PPO PremierHealth Silver (2 Free In-Network PCP Visits) – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Blue PPO StandardHealth Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay