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 -
BESTOne Gold Plus – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Blue Advantage Bronze PPO℠ 801 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Blue Advantage Bronze PPO℠ 202 – PPO
Network type: PPO
Coverage tier: Bronze
Primary care visit: 40% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Blue Advantage Bronze PPO℠ 203 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: 40% coinsurance after deductible
Specialist visit: 40% coinsurance after deductible
Urgent care visit: 40% coinsurance after deductible -
Blue Advantage Gold PPO℠ 309 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $25 copay
Specialist visit: 25% coinsurance after deductible
Urgent care visit: $40 copay -
Blue Advantage Gold PPO℠ 604 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible -
Blue Advantage Gold PPO℠ 803 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Blue Advantage Silver PPO℠ 204 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: 40% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Blue Advantage Silver PPO℠ 605 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $100 copay
Specialist visit: $145 copay
Urgent care visit: $60 copay -
Blue Advantage Silver PPO℠ 802 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Blue Preferred Bronze PPO℠ 206 – PPO
Network type: PPO
Coverage tier: Bronze
Primary care visit: 40% coinsurance after deductible
Specialist visit: 50% coinsurance after deductible
Urgent care visit: 50% coinsurance after deductible -
Blue Preferred Bronze PPO℠ 707 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Blue Preferred Gold PPO℠ 205 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $60 copay
Specialist visit: 40% coinsurance after deductible
Urgent care visit: $90 copay