Choice PPO Premium – PPO
Network type: PPO
Coverage tier: High
Basic Dental: 20% after deductible
Major dental care: 50% after deductible
Orthodontics: Not covered
Exams: No charge
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Choice PPO Preventive – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: Not covered
Major dental care: Not covered
Orthodontics: Not covered
Exams: No charge after deductible -
Delta Dental Individual and Family Low Plan – 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 -
Delta Dental Individual and Family Low Plan Major – 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 -
EMI Health Advantage Co-Pay – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: $85 after deductible
Major dental care: $234 after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
EMI Health Advantage PPO – PPO
Network type: PPO
Coverage tier: Low
Basic Dental: 50% after deductible
Major dental care: 75% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
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: 40% after deductible
Major dental care: 60% after deductible
Orthodontics: Not covered
Exams: No charge after deductible -
Gold 1 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $45 copay -
Gold 1 with Adult Vision Services – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $20 copay
Specialist visit: $50 copay
Urgent care visit: $45 copay -
HMO Bronze $0 Medical Deductible – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $35 copay
Specialist visit: $200 copay
Urgent care visit: $200 copay -
HMO Bronze 7500 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: $50 copay
Specialist visit: $100 copay
Urgent care visit: $75 copay -
HMO Bronze 9450 – HMO
Network type: HMO
Coverage tier: Bronze
Primary care visit: No charge after deductible
Specialist visit: No charge after deductible
Urgent care visit: No charge after deductible -
HMO Gold 1500 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
HMO Gold 2400 – HMO
Network type: HMO
Coverage tier: Gold
Primary care visit: $30 copay
Specialist visit: $60 copay
Urgent care visit: $45 copay -
HMO HDHP Bronze 6250 – HMO
Network type: HMO
Coverage tier: Expanded Bronze
Primary care visit: 30% coinsurance after deductible
Specialist visit: 30% coinsurance after deductible
Urgent care visit: 30% coinsurance after deductible