Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
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Illinois DentaTrust – PPO Family Basic Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: $10 -
Illinois DentaTrust – PPO Family High Option – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
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 -
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 Silver 5900/40 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
