| Network |
See Provider |
See Provider |
| Application |
First Dollar PPO 35 with Dental Application |
First Dollar PPO 35 with Dental Application |
| Brochure |
First Dollar PPO 35 with Dental Brochure |
First Dollar PPO 35 with Dental Brochure |
| Copay |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Office Visit |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Deductible |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Coinsurance |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Coinsurance Limit |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Out-of-Pocket Maximum |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Lifetime Maximum |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Prescription Drugs |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Emergency Room |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Adult Preventative Care |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Child Preventative Care |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Lab / X-Ray |
First Dollar PPO 35 with Dental |
50% after deductible |
| Maternity |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Physical Therapy |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Skilled Nursing |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Home Health Care |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Mental Health |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Hospital Care |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |
| Optional Benefits |
First Dollar PPO 35 with Dental |
First Dollar PPO 35 with Dental |