UPMC Advantage + Premium Network + Silver $3,900 + PPO – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay
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Utah Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Utah Preferred Plus Plan – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 25% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge