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
Showing 225–240 of 314 results
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Illinois DentaTrust – PPO Family High Option – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Illinois 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 -
LifeWise Cascade Select Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 2 visit(s) $1 then $50 copay
Specialist visit: $100 copay after deductible
Urgent care visit: $100 copay -
LifeWise Cascade Select Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $40 copay
Urgent care visit: $35 copay -
LifeWise Cascade Select Silver – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 2 visit(s) $1 then $30 copay
Specialist visit: $65 copay
Urgent care visit: $65 copay -
LifeWise Essential Bronze – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $110 copay after deductible
Urgent care visit: 35% after deductible -
LifeWise Essential Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 40% after deductible
Specialist visit: 40% after deductible
Urgent care visit: 40% after deductible -
LifeWise Essential Silver Low Deductible – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $60 copay -
Maine’s Choice Plus HMO HSA Bronze 5400 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 30% after deductible
Specialist visit: 30% after deductible
Urgent care visit: 30% after deductible -
Market HMO 2500 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $60 copay -
Market HMO 3850 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay, 30% coinsurance after deductible
Specialist visit: $90 copay, 30% coinsurance after deductible
Urgent care visit: $90 copay, 30% coinsurance after deductible -
Market HMO 4000 HSA – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: 30% coinsurance after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible -
Market HMO 6900 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $45 copay
Specialist visit: $110 copay
Urgent care visit: $110 copay -
Market HMO 7300 HSA – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
Market HMO 8300 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $80 copay