Connect Gold 500 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $80 copay
Urgent care visit: $30 copay
Showing 97–112 of 212 results
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Connect Gold CMS Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Connect Silver 3000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $95 copay
Urgent care visit: $50 copay -
Connect Silver 4000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $75 copay -
Connect Silver 5000 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $80 copay
Urgent care visit: $75 copay -
Connect Silver 9100 Indiv Med Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $65 copay
Urgent care visit: $75 copay -
Connect Silver CMS Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Delta Dental PPO Basic Plan for Families – 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 -
Delta Dental PPO Preventive Plan for Families – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: Not covered
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
DeltaCare USA Basic Plan for Families – HMO
Network type: HMO
Coverage tier: Low
Basic Dental: $50
Major dental care: $390
Orthodontics: $3,250
Exams: No charge -
DeltaCare USA Preferred Plan for Families – HMO
Network type: HMO
Coverage tier: High
Basic Dental: $30
Major dental care: $240
Orthodontics: $3,250
Exams: No charge -
DentaQuest EPO Family High – EPO
Network type: EPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
DentaQuest EPO Family Low – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Elite Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Bronze + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay