Gold Elite | MercyOne – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 copay
Showing 129–144 of 225 results
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Gold Select w/ GYM – Limited Service Area – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $20 copay -
Guardian Basics for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Basics for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Choice for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Essentials for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Preventive Plus for Families and Individuals – 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 -
Guardian Preventive Plus for Families and Individuals – 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 -
Guardian Select for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
HSA Bronze $6,150 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $30 copay after deductible
Specialist visit: $40 copay after deductible
Urgent care visit: $60 copay after deductible -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Lite – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
Illinois DentaTrust – PPO Family Basic Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: $10