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
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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 -
Elevate by Medica Bronze Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: $150 copay
Urgent care visit: No charge -
Elevate by Medica Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Elevate by Medica Bronze Standard – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 5% coinsurance after deductible
Specialist visit: 5% coinsurance after deductible
Urgent care visit: 5% coinsurance after deductible -
Elevate by Medica Bronze Standard – EPO
Network type: EPO
Coverage tier: Bronze
Primary care visit: 5% coinsurance after deductible
Specialist visit: 5% coinsurance after deductible
Urgent care visit: 5% coinsurance after deductible -
Elevate by Medica Gold Standard – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Elevate by Medica Silver Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $90 copay
Urgent care visit: No charge -
Elevate by Medica Silver Enhanced – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $80 copay
Specialist visit: $175 copay
Urgent care visit: $80 copay -
Elevate by Medica Silver Standard – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Elite Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Bronze – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Bronze + Vision + Adult Dental – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Bronze + Vision + Adult Dental – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $115 copay
Urgent care visit: $60 copay -
Elite Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay