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 113–128 of 137 results
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Medica Applause Bronze Copay – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay -
Medica Applause Bronze Copay (First 3) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Specialist visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Urgent care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible -
Medica Applause Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible -
Medica Applause Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Medica Applause Gold Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $70 copay
Urgent care visit: No charge -
Medica Applause Silver Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: No charge -
Medica Applause Silver HSA – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 25% after deductible
Specialist visit: 25% after deductible
Urgent care visit: 25% after deductible -
Medica Applause Silver Share – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 40% after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
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Oklahoma Preferred Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Oklahoma Wellness Essentials (On Exchange) – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
Standard Expanded Bronze – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Expanded Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Expanded Bronze + Vision + Adult Dental – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Standard Gold – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay