SmartSmile – EC – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: $40
Major dental care: $675
Orthodontics: Not covered
Exams: $7
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SmartSmile Plus – EC – EPO
Network type: EPO
Coverage tier: High
Basic Dental: $25
Major dental care: $675
Orthodontics: Not covered
Exams: No charge -
Super SmarSmile – EC – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: $40
Major dental care: $675
Orthodontics: Not covered
Exams: No charge -
UPMC Advantage + Premium Network + Bronze $6,700 + PPO – PPO
Network type: PPO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
UPMC Advantage + Premium Network + Gold $1,000 + PPO – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay -
UPMC Advantage + Premium Network + Gold $2,500 + PPO + HSA Eligible – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: 10% after deductible
Specialist visit: 10% after deductible
Urgent care visit: 10% after deductible -
UPMC Advantage + Premium Network + Silver $2,600 + PPO – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay -
UPMC Advantage + Premium Network + Silver $3,900 + PPO – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay -
UPMC First Care + Premium Network + Gold $0 + PPO – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay