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Insurance
Plan

Blue Connect Copay 70/50 $2900 (L)

Type

POS

Coverage

Individual

Insurer

HMO Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Blue Connect Copay 70/50 $2900 (S)

Type

POS

Coverage

Individual

Insurer

HMO Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Blue Connect Copay 80/60 $1000 (L)

Type

POS

Coverage

Individual

Insurer

HMO Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Blue Connect Copay 80/60 $1000 (N)

Type

POS

Coverage

Individual

Insurer

HMO Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Blue Connect Copay 80/60 $1000 (S)

Type

POS

Coverage

Individual

Insurer

HMO Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Blue Max 100/100 $9450

Type

PPO

Coverage

Individual

Insurer

Blue Cross and Blue Shield of Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

Blue POS Copay 60/40 $4300

Type

POS

Coverage

Individual

Insurer

HMO Louisiana

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

CGHC EPO Bronze $5500 Deductible/30% - Envision Network

Type

EPO

Coverage

SHOP (Small Group)

Insurer

Common Ground Healthcare Cooperative

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

CGHC EPO Bronze $5500 Deductible/30% - Rise Network

Type

EPO

Coverage

SHOP (Small Group)

Insurer

Common Ground Healthcare Cooperative

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

CGHC EPO Bronze $8550 Deductible/0% - Envision Network

Type

EPO

Coverage

SHOP (Small Group)

Insurer

Common Ground Healthcare Cooperative

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

CGHC EPO Bronze $8550 Deductible/0% - Rise Network

Type

EPO

Coverage

SHOP (Small Group)

Insurer

Common Ground Healthcare Cooperative

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
Insurance
Plan

CGHC EPO Gold $0 Deductible/20% - Envision Network

Type

EPO

Coverage

SHOP (Small Group)

Insurer

Common Ground Healthcare Cooperative

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2024 : To Dec 31 2024
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