BridgeSpan Standard Bronze Plan – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $150 copay
Urgent care visit: $100 copay
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BridgeSpan Standard Gold Plan – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $40 copay
Urgent care visit: $60 copay -
BridgeSpan Standard Silver Plan – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $70 copay -
Bronze 60 EPO – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $60 then $60 copay after deductible
Specialist visit: first 3 visit(s) $95 then $95 copay after deductible
Urgent care visit: first 3 visit(s) $60 then $60 copay after deductible -
Bronze 60 HDHP EPO – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Bronze 60 HDHP PPO – 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 -
Bronze 60 PPO – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $60 then $60 copay after deductible
Specialist visit: first 3 visit(s) $95 then $95 copay after deductible
Urgent care visit: first 3 visit(s) $60 then $60 copay after deductible -
Bronze Essential 8500 With 4 Copay No Deductible Office Visits Individual and Family Network – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay, 10% coinsurance after deductible
Specialist visit: $60 copay, 10% coinsurance after deductible
Urgent care visit: $60 copay, 10% coinsurance after deductible -
Bronze HSA 7000 Individual and Family Network – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Bronze Virtual Value 8500 Individual and Family Network – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 20% coinsurance after deductible
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
Choice 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 -
Choice 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 -
Choice 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 -
Delta Dental EPO – EPO
Network type: EPO
Coverage tier: High
Basic Dental: 30%
Major dental care: 50%
Orthodontics: Not covered
Exams: No charge -
Delta Dental PPO – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40%
Major dental care: 50%
Orthodontics: Not covered
Exams: 25% -
Dental PPO 0-20-50 1000 – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20%
Major dental care: 50%
Orthodontics: Not covered
Exams: No charge