Elite Gold – EPO
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
Showing 97–112 of 183 results
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $5 copay
Specialist visit: $60 copay
Urgent care visit: $35 copay
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
Network type: PPO
Coverage tier: Low
Basic Dental: $79 after deductible
Major dental care: $210 after deductible
Orthodontics: Not covered
Exams: No charge after deductible
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
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
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
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
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
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
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $90 copay
Urgent care visit: $50 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $35 copay
Specialist visit: $55 copay
Urgent care visit: $35 copay