Blue Cross® Premier PPO Silver Saver HSA – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $30 copay after deductible
Specialist visit: $50 copay after deductible
Urgent care visit: $75 copay after deductible
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Blue Dental EPO 80/50/50 – EPO
Network type: EPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Blue Dental PPO 100/50/50 – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Blue Dental PPO 80/50/50 – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Blue Dental PPO Extra 100/70/50 – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30%
Major dental care: 50%
Orthodontics: Not covered
Exams: No charge -
Blue Dental PPO Plus 80/60/50 – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
Choice PPO Basic – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 85% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Choice PPO Plus – 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 -
Choice PPO Premium – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Delta Dental Individual PPO Bronze Plan, EHB Certified – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Delta Dental Individual PPO Gold Plan, EHB Certified – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20%
Major dental care: 50%
Orthodontics: Not covered
Exams: No charge -
Delta Dental Individual PPO Silver Plan, EHB Certified – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 40% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
EMI Health Advantage Co-Pay – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: $84 after deductible
Major dental care: $214 after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
EMI Health Advantage PPO – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 75% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
EMI Health Premier PPO (High) – 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 -
EMI Health Premier PPO (Low) – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge after deductible