Anthem Dental Family – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 70% after deductible
Orthodontics: Not covered
Exams: No charge after deductible
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Anthem Dental Family Enhanced – 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 -
Anthem Dental Family Value – 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 -
Anthem Gold Blue Preferred/Broad 1000 ($0 Virtual PCP + $0 Select Drugs + Incentives) – POS
Network type: POS
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: 30% coinsurance after deductible
Urgent care visit: $75 copay -
Anthem Silver Blue Preferred/Broad 4000 (3 Free PCP Visits + $0 Select Drugs + Incentives) – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Anthem Silver Blue Preferred/Broad 4100 ($0 Virtual PCP + $0 Select Drugs + Incentives) – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $35 copay
Specialist visit: 25% coinsurance after deductible
Urgent care visit: $75 copay -
Anthem Silver Blue Preferred/Broad 5300 (3 Free PCP Visits + $0 Select Drugs + Incentives) – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $75 copay
Urgent care visit: $75 copay -
Anthem Silver Blue Preferred/Broad 5900/40% Standard – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Balance 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 -
Balance by Medica Bronze Premier – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: $160 copay after deductible
Urgent care visit: No charge after deductible -
Balance 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 -
Balance 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 -
Balance by Medica Expanded Bronze Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Balance by Medica Gold Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $85 copay
Urgent care visit: No charge -
Balance 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 -
Balance by Medica Silver Copay $0 PCP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $95 copay
Urgent care visit: No charge