Blue Advantage Plus Gold℠ 803 – POS
Network type: POS
Coverage tier: Gold
Primary care visit: No charge
Specialist visit: $20 copay
Urgent care visit: $20 copay
Showing 17–32 of 80 results
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Blue Advantage Plus Silver℠ 202 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $25 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $40 copay -
Blue Advantage Plus Silver℠ 705 – POS
Network type: POS
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Blue Advantage Silver HMO℠ 205 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $15 copay
Specialist visit: 50% coinsurance after deductible
Urgent care visit: $25 copay -
Blue Advantage Silver HMO℠ 705 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $40 copay
Specialist visit: $80 copay
Urgent care visit: $60 copay -
Blue Advantage Silver HMO℠ 801 – HMO
Network type: HMO
Coverage tier: Silver
Primary care visit: $50 copay
Specialist visit: $95 copay
Urgent care visit: $60 copay -
BlueCare Dental℠ 1A – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge -
BlueCare Dental℠ 1B – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 30% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 10% -
BlueCare Dental℠ 1C – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: 20% -
BlueCare Dental℠ 2A – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: No charge after deductible
Major dental care: No charge after deductible
Orthodontics: Not covered
Exams: No charge -
Bronze Classic – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $80 copay
Specialist visit: $80 copay
Urgent care visit: $100 copay -
Bronze Classic 4700 – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $125 copay
Urgent care visit: $125 copay -
Bronze Classic Standard – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
Bronze Elite + PCP Saver Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $40 copay
Specialist visit: $125 copay
Urgent care visit: $75 copay -
Bronze Elite + Specialist Saver Plus – EPO
Network type: EPO
Coverage tier: Expanded Bronze
Primary care visit: $70 copay
Specialist visit: $70 copay
Urgent care visit: $75 copay -
Delta Dental Individual and Family DPO Basic Plan for Families – 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