BESTOne Advantage Gold - 40254OK0020003 Health Insurance Plan

BEST Life and Health Insurance Company health insurance plan with the Plan ID 40254OK0020003. The plan is called BESTOne Advantage Gold.

Health Insurance Plan ID 40254OK0020003
Health Insurance Plan Year 2022
State Oklahoma
Health Insurance Issuer BEST Life and Health Insurance Company
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 40254OK0020003-01
Provider Network(s) ['OKN001']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 22 Oct 2024 06:47 GMT).

Providers Oklahoma All US States
All N/A N/A
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists N/A N/A
Available Variants of the Health Plan

Standard Off Exchange Plan - 40254OK0020003-00

Standard On Exchange Plan - 40254OK0020003-01

Last Plan Update Date Mon, 14 Jun 2021 00:00 GMT
Last Import Date Tue, 22 Oct 2024 06:47 GMT

BESTOne Advantage Gold Health Insurance Plan Variant 40254OK0020003-01 Attributes

Plan Attribute Value
Begin Primary Care Cost-Sharing After Number Of Visits 0
Begin Primary Care Deductible Coinsurance After Number Of Copays 0
Business Year 2022
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard High On Exchange Plan
Dental Only Plan Yes
EHB Apportionment for Pediatric Dental 1
First Tier Utilization 100%
HIOS Product ID 40254OK002
Import Date 6/14/2021 23:22
Inpatient Copayment Maximum Days 0
Guaranteed Rate Estimated Rate
New/Existing Plan Existing
Issuer ID 40254
Issuer Marketplace Marketing Name BEST Life
Market Coverage Individual
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group $700 per group
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person $350 per person
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out $350
Medical EHB Deductible, Combined In/Out of Network, Family Per Group per group not applicable
Medical EHB Deductible, Combined In/Out of Network, Family Per Person $50 per person
Medical EHB Deductible, Combined In/Out of Network, Individual $50
Medical EHB Deductible, In Network (Tier 1), Family Per Group per group not applicable
Medical EHB Deductible, In Network (Tier 1), Family Per Person per person not applicable
Medical EHB Deductible, In Network (Tier 1), Individual Not Applicable
Medical EHB Deductible, Out of Network, Family Per Group per group not applicable
Medical EHB Deductible, Out of Network, Family Per Person per person not applicable
Medical EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group per group not applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person per person not applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual Not Applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual Not Applicable
Metal Level High
Multiple In Network Tiers No
National Network Yes
Network ID OKN001
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Network or UCR
Plan Brochure URL
Plan Effective Date 1/1/2022
Plan Expiration Date 12/31/2022
Plan ID (Standard Component ID with Variant) 40254OK0020003-01
Plan Marketing Name BESTOne Advantage Gold
Plan Type PPO
Plan Variant Marketing Name BESTOne Advantage Gold
QHP/Non QHP Both
Service Area ID OKS001
Source Name HIOS
Plan ID 40254OK0020003
State Code OK
URL for Enrollment Payment URL

Copay & Coinsurance of BESTOne Advantage Gold Health Insurance Plan, 40254OK0020003

Drug Tier Pharmacy Type Copay amount Copay option Coinsurance rate Coinsurance option Mail Order

Frequently Asked Questions(FAQ) about BESTOne Advantage Gold, 40254OK0020003 Health Insurance Plan, 40254OK0020003

  • Does BESTOne Advantage Gold Health Insurance Plan, 40254OK0020003 support Mail Ordering?

    Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.

  • Does (40254OK0020003) Health Insurance Plan, Variant (40254OK0020003-01) have Out Of Country Coverage?

    No, unfortunately there is no Out Of Country Coverage for this Health Insurance Plan (variant of plan).

    Does (40254OK0020003) Health Insurance Plan, Variant (40254OK0020003-01) have Out of Service Area Coverage?

    Yes. Details: Network or UCR

 

Disclaimer: This is based on the import(Date: Tue, 22 Oct 2024 06:47 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