Illinois DentaTrust – PPO Family Low Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: $10
Showing 49–64 of 80 results
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KP HI Bronze 6000/65 Plus CAM – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $65 copay
Specialist visit: $120 copay
Urgent care visit: $65 copay -
KP HI Bronze 6500/30% – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: 30% coinsurance after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible -
KP HI Gold 0/40 Plus CAM – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $40 copay
Specialist visit: $70 copay
Urgent care visit: $40 copay -
KP HI Gold 1000 Ded/250 Rx Ded – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $70 copay
Urgent care visit: $30 copay -
KP HI Silver 3000 Ded/600 Rx Ded Plus CAM – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $65 copay
Urgent care visit: $45 copay -
KP HI Silver 4000 Ded/600 Rx Ded – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $75 copay
Urgent care visit: $45 copay -
KP HI Standard Gold 1500/30 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
KP HI Standard Platinum 0/10 – HMO
Network type: HMO
Coverage tier: Platinum
Primary care visit: $10 copay
Specialist visit: $20 copay
Urgent care visit: $15 copay -
KP HI Standard Silver 5900/40 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
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QUARTZ ONE BRONZE I201-01 VALUE TIER RX W/FIXED COPAY – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
QUARTZ ONE BRONZE I203-01 HSA – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
QUARTZ ONE BRONZE I204-01 VALUE TIER RX – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $85 copay
Specialist visit: $250 copay
Urgent care visit: $250 copay -
QUARTZ ONE BRONZE I204-01 VALUE TIER RX W/DENTAL – IL – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $85 copay
Specialist visit: $250 copay
Urgent care visit: $250 copay