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Insurance
Plan

Balance by Medica Bronze $0 Copay PCP Visits

Type

EPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Bronze Premier

Type

PPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Bronze Premier

Type

EPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Catastrophic

Type

PPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Catastrophic

Type

EPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Expanded Bronze Standard

Type

PPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Expanded Bronze Standard

Type

EPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Gold $0 Copay PCP Visits

Type

PPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Gold $0 Copay PCP Visits

Type

EPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Gold Share

Type

PPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Gold Share

Type

EPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
Insurance
Plan

Balance by Medica Gold Standard

Type

PPO

Coverage

Individual

Insurer

Medica

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To Dec 31 2025
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