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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Network type: PPO
Coverage tier: High
Basic Dental: 10% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 50% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: PPO
Coverage tier: High
Basic Dental: 30% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $60 copay
Specialist visit: $120 copay
Urgent care visit: $120 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $100 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $10 copay
Specialist visit: $40 copay
Urgent care visit: $40 copay
Network type: EPO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $100 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $55 copay
Specialist visit: $110 copay
Urgent care visit: $110 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay
Network type: EPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $100 copay
Specialist visit: $150 copay
Urgent care visit: $150 copay
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay