Delta Dental Individual and Family DPO Preferred Plan for Families – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
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Delta Dental Individual and Family DPO Preventive Plan for Families – PPO
Network type: PPO
Coverage tier: High
Basic Dental: Not covered
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
DentaQuest PPO Family 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 -
DentaQuest PPO Family Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
EMI Health Advantage – 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 Advantage Co-Pay – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: $86 after deductible
Major dental care: $227 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: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Essentia Choice Care with Medica Bronze Copay – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $45 copay
Specialist visit: $160 copay
Urgent care visit: $45 copay -
Essentia Choice Care with Medica Bronze Copay (First 3) – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Specialist visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible
Urgent care visit: first 3 visit(s) $15 then 50% after deductible copay, first 3 visit(s) $15 then 50% after deductible -
Essentia Choice Care with Medica Bronze HSA – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 5% after deductible
Specialist visit: 5% after deductible
Urgent care visit: 5% after deductible -
Essentia Choice Care with Medica Bronze Share Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: 50% after deductible
Specialist visit: 50% after deductible
Urgent care visit: 50% after deductible -
Essentia Choice Care with Medica Gold Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $70 copay
Urgent care visit: No charge -
Essentia Choice Care with Medica Silver Copay (First 3) – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 3 visit(s) $15 then 30% after deductible copay, first 3 visit(s) $15 then 30% after deductible
Specialist visit: first 3 visit(s) $15 then 30% after deductible copay, first 3 visit(s) $15 then 30% after deductible
Urgent care visit: first 3 visit(s) $15 then 30% after deductible copay, first 3 visit(s) $15 then 30% after deductible -
Essentia Choice Care with Medica Silver Copay $0 PCP + Rx Copays – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: No charge
Specialist visit: $80 copay
Urgent care visit: No charge -
Essentia Choice Care with Medica Silver HSA – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: 25% after deductible
Specialist visit: 25% after deductible
Urgent care visit: 25% after deductible