UPMC VirtualCare + Select Network + Bronze $4,400 + EPO – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: $100 copay after deductible
Urgent care visit: $100 copay after deductible
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UPMC VirtualCare + Select Network + Silver $4,400 + EPO – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Wisconsin 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 -
Wisconsin Wellness Essentials – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge