Ohio DentaTrust Family Basic Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: $10
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Ohio DentaTrust PPO – Family High Option – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Ohio DentaTrust PPO – Family Low Option – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: $10 -
Paramount Dental Essential Plus Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
Paramount Dental Preventive Family Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: Not covered
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge -
Paramount Dental Total Care Plan – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
Platinum Classic, Platinum, ST, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Platinum Classic, Platinum, ST, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Platinum
Primary care visit: $15 copay
Specialist visit: $35 copay
Urgent care visit: $55 copay -
Silver 1 250 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Silver 1 250 with Adult Vision Services – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
Silver 12 250 with First 4 Primary Care Visits Free – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $75 copay
Urgent care visit: $60 copay -
Silver 8 250 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Silver Classic, Silver, ST, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $30 then $30 copay after deductible
Specialist visit: first 1 visit(s) $65 then $65 copay after deductible
Urgent care visit: first 1 visit(s) $70 then $70 copay after deductible -
Silver Classic, Silver, ST, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: first 1 visit(s) $30 then $30 copay after deductible
Specialist visit: first 1 visit(s) $65 then $65 copay after deductible
Urgent care visit: first 1 visit(s) $70 then $70 copay after deductible -
Silver Simple PCP Saver, Silver, NS, INN, Circle Wellness Rewards DP FP Dep 29 – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay -
Silver Simple PCP Saver, Silver, NS, INN, Circle, Wellness Rewards DP FP – EPO
Network type: EPO
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: $50 copay
Urgent care visit: $75 copay