BESTOne Advantage Gold – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
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BESTOne Base Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
BESTOne Basic Silver – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge -
Bronze Classic | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $125 copay after deductible
Urgent care visit: $75 copay -
Bronze Classic 4700 | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $80 copay -
Bronze Classic PCP Saver Plus | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $75 copay -
Bronze Classic Standard | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Elite + PCP Saver Plus | MercyOne – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay -
Delta Dental PPO Plus Premier® Individual Choice – Preventive Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: 20% after deductible -
Delta Dental PPO Plus Premier® Individual Choice -Preferred Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Delta Dental PPO Plus Premier® Individual Choice -Preferred Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
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 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 -
Gold Classic Standard | MercyOne – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Gold Elite | MercyOne – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $50 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