Complete Gold + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $35 copay
Showing 17–32 of 107 results
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Delta Dental PPO Basic Plan for Families – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
Elite Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Bronze + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite PPO Basic – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 85% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Elite PPO Plus – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Elite PPO Premium – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Everyday Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Bronze + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Everyday Gold + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Everyday Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $55 copay -
Everyday Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $55 copay -
Focused Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Focused Silver + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Gold 1: Aetna Whole Health network + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay