BESTOne Advantage Gold – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
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Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: EPO
Coverage tier: Silver
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay, 20% coinsurance after deductible
Specialist visit: $50 copay
Urgent care visit: $25 copay, 20% coinsurance after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: $70 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $70 copay after deductible
Urgent care visit: $60 copay after deductible
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay after deductible
Urgent care visit: $70 copay
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay
Network type: PPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $60 copay after deductible
Urgent care visit: $60 copay after deductible
Network type: PPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $50 copay
Urgent care visit: $50 copay