Dentegra Dental PPO Family Basic Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible
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EMI Health Advantage Co-Pay – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: $86 after deductible
Major dental care: $213 after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
EMI Health Advantage PPO – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 75% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
EMI Health Premier PPO (High) – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
EMI Health Premier PPO (Low) – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Essential Bronze 6500 – POS
Network type: POS
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Essential Gold 1500 – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: 20% coinsurance after deductible
Urgent care visit: 20% coinsurance after deductible -
Everyday Bronze with Walgreens – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Bronze with Walgreens + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay -
Everyday Gold with Walgreens – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Everyday Gold with Walgreens + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay -
Focused Silver with Walgreens – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Focused Silver with Walgreens + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $100 copay
Urgent care visit: $60 copay -
Freedom Silver 4000 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Gold 1 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $20 copay -
Gold 1 with Adult Vision Services – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $20 copay