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
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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 -
Guardian Basics for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 40% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Choice for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Guardian Essentials for Families and Individuals – 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 -
Guardian Preventive Plus for Families and Individuals – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Humana Dental Smart Choice – High – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge -
Humana Dental Smart Choice – Lite – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 100%
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge after deductible -
Humana Dental Smart Choice – Low – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 100%
Orthodontics: Not covered
Exams: No charge -
Sanford Individual Simplicity $1,750 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: $15 copay
Specialist visit: $25 copay
Urgent care visit: $30 copay -
Sanford Individual Simplicity $2,800 – PPO
Network type: PPO
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $20 copay
Urgent care visit: $15 copay -
Sanford Individual Simplicity $3,500 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $55 copay -
Sanford Individual Simplicity $4,750 – PPO
Network type: PPO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $60 copay
Urgent care visit: $55 copay -
Sanford Individual Simplicity $6,000 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: 35% coinsurance after deductible
Urgent care visit: $55 copay -
Sanford Individual Simplicity $7,000 – PPO
Network type: PPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: 35% coinsurance after deductible
Urgent care visit: $65 copay