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Insurance
Plan

SummaCare Bronze 8000

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Bronze 8000 with Adult Vision Exam

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Bronze 9200 with 3 Free PCP Visits

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Bronze 9200 with 3 Free PCP Visits + Adult Vision

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Gold 2000 with 3 Free PCP Visits

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Gold 2000 with 3 Free PCP Visits + Adult Vision

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Silver 3500 with 3 Free PCP Visits + Adult Vision

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Silver 5000 1000 Rx with 3 Free PCP Visits

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Silver 6000 with 3 Free PCP Visits + Adult Vision Exam

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Silver 7000 with 3 Free PCP Visits

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Standard Bronze

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A
Insurance
Plan

SummaCare Standard Bronze with Adult Vision

Type

HMO

Coverage

Individual

Insurer

SummaCare

Icon Dental Plan
Icon National Network
ValidityFrom Jan 01 2025 : To N/A