Guardian Preventive Plus for Families and Individuals – 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
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Guardian Select for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Select for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Lite – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
Illinois DentaTrust – PPO Family Basic Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: $10 -
Illinois DentaTrust – PPO Family High Option – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
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 -
Medica Applause Bronze Copay – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay -
Medica Applause Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible -
Medica Applause Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Medica Applause Gold Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $70 copay
Urgent care visit: No charge -
Medica Applause Silver Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: No charge