Silver 4500 Legacy – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $20 copay
Specialist visit: $85 copay
Urgent care visit: $85 copay
Showing 65–70 of 70 results
-
-
Silver 6500 Individual and Family Network – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
Silver 6500 Legacy – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $10 copay
Specialist visit: $70 copay
Urgent care visit: $70 copay -
SmartSmile – EC – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: $40
Major dental care: $675
Orthodontics: Not covered
Exams: $7 -
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