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Insurance
Plan

UHC Gold Standard (No Referrals)

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Standard (Rx Copay, No Referrals)

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

Type

EPO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Value+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals)

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

Type

EPO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Value ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals)

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

Type

EPO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Gold Value ($0 Virtual Urgent Care, $5 Tier 2 Rx, No Referrals)

Type

EPO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Kelsey-Seybold Bronze Copay Focus

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Kelsey-Seybold Gold Copay Focus ($5 Tier 2 Rx)

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Kelsey-Seybold Silver Copay Focus

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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

UHC Silver Advantage

Type

HMO

Coverage

Individual

Insurer

UnitedHealthcare

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