BESTOne Basic Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: No charge
Orthodontics: Not covered
Exams: No charge
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BESTOne Gold Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
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: 100%
Orthodontics: Not covered
Exams: No charge after deductible -
Choice PPO Preventive – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: Not covered
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Complete Silver + Vision + Adult Dental – HMO
87% cost sharing reduction [Popular Plan]
Network type: HMO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $45 copay
Urgent care visit: $10 copay -
Connect Bronze 0 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay
Specialist visit: $125 copay
Urgent care visit: $75 copay -
Connect Bronze 4500 Indiv Med Deductible Enhanced Diabetes Care – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $105 copay
Urgent care visit: $75 copay -
Connect Bronze 6500 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: $100 copay
Urgent care visit: 50% coinsurance after deductible -
Connect Bronze 8500 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Connect Bronze CMS Standard – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Connect Gold 500 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $65 copay
Urgent care visit: $40 copay -
Connect Gold CMS Standard – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Connect Silver 2700 Indiv Med Deductible Enhanced Diabetes Care – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $90 copay
Urgent care visit: $35 copay -
Connect Silver 3700 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $80 copay
Urgent care visit: $50 copay -
Connect Silver 5000 Indiv Med Deductible – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $70 copay
Urgent care visit: $50 copay