Choice PPO Basic - 15676MI0020001 Health Insurance Plan
Dominion Dental Services, Inc. health insurance plan with the Plan ID 15676MI0020001. The plan is called Choice PPO Basic.
| Health Insurance Plan ID | 15676MI0020001 | ||||||||||||||||||
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| Health Insurance Plan Year | 2025 | ||||||||||||||||||
| State | Michigan | ||||||||||||||||||
| Health Insurance Issuer | Dominion Dental Services, Inc. | ||||||||||||||||||
| Plan Formulary Description URL | Formulary URL | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Provider Network(s) | CHOICE | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 07 May 2024 06:08 GMT). |
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| Last Plan Update Date | Fri, 03 May 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 07 May 2024 06:08 GMT |
Copay & Coinsurance of Choice PPO Basic Health Insurance Plan, 15676MI0020001
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Choice PPO Basic, 15676MI0020001 Health Insurance Plan, 15676MI0020001
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Does Choice PPO Basic Health Insurance Plan, 15676MI0020001 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Disclaimer: This is based on the import(Date: Tue, 07 May 2024 06:08 GMT) of the data from Healthcare Issuers listed by CMS. While we make every effort to ensure that data is accurate, you should assume all results are unvalidated. Source: CMS.gov, HealthPorta HEALTHCARE MRF API