Illinois DentaTrust – PPO Family Low Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: $10
Showing 81–96 of 130 results
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Managed Care for Families and Individuals – HMO
Network type: HMO
Coverage tier: Low
Basic Dental: $28
Major dental care: $326
Orthodontics: $2,800
Exams: No charge -
MercyCare HMO Gold Option B – 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 -
MercyCare HMO Silver Option A – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay -
MercyCare HMO Silver Option B – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
MercyCare HMO Silver Standard – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
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Octave Bronze Exp Standardized – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Octave Bronze Value – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $130 copay
Urgent care visit: $130 copay -
Octave Gold Standardized – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Octave Silver AH – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $45 copay after deductible
Urgent care visit: $45 copay after deductible -
Octave Silver Standardized – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
QUARTZ PERFORMANCE BRONZE I201-01 VALUE TIER RX W/FIXED COPAY – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
QUARTZ PERFORMANCE BRONZE I203-01 HSA – IL – 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