Blue Cross and Blue Shield of Illinois offers this marketplace health insurance plan (Plan ID 36096IL0830002) so you can compare premiums, coverage levels, and provider access against other health plan insurance options. Use the modules below to decide whether this is the best health insurance plan for your household or if another insurance health plan fits better.
Marketplace enrollment for 2025 coverage typically runs Nov 1 – Jan 15 (dates may vary slightly in Illinois). Submit changes before the deadline to avoid a coverage gap.
Enroll by Dec 15 for Jan 1 starts.
Finalize plan switches before the window closes.
Special Enrollment Periods
You can change plans mid-year if you experience a qualifying life event (move, childbirth, marriage, loss of other coverage).
Report the event within 60 days.
Keep documentation handy for Healthcare.gov or your state exchange.
CSR & subsidy reminders
Premium tax credits and cost-sharing reductions (CSR) update annually when you re-submit your marketplace application.
Enter accurate income to maximize Advanced Premium Tax Credits.
Standard Low Off Exchange Plan plans like this one keep deductibles and copays lower if you qualify.
Thinking about switching?
Before you leave your current plan, compare networks, drug coverage, and total cost using the cards on this page.
Match provider networks so ongoing care isn’t disrupted.
Confirm prescriptions stay on-formulary or budget for tier changes.
Track the official identifiers, documents, and filing dates tied to this plan. Open the marketing or formulary links whenever you need the latest PDF from the issuer.
Review the network branding plus the number of in-network clinicians we track from issuer filings. Counts update with each CMS import (Tue, 02 Dec 2025 06:13 GMT).
Tier 1 in-network40.00% Coinsurance after deductible
Out-of-network50.00% Coinsurance after deductible
nan
Exclusions: nan
Dental Check-Up for Children
20.00%
Tier 1 in-network20.00%
Out-of-network40.00%
Limit: 1.0 Visit(s) per 6 Months
One every 6 months and one every 12 months in a school setting
Exclusions: nan
Major Dental Care - Adult
50.00% Coinsurance after deductible
Tier 1 in-network50.00% Coinsurance after deductible
Out-of-network70.00% Coinsurance after deductible
nan
Exclusions: nan
Orthodontia - Adult
Coverage details pending
nan
Exclusions: nan
Orthodontia - Child
50.00%
Tier 1 in-network50.00%
Out-of-network70.00%
nan
Exclusions: nan
Routine Dental Services (Adult)
0.00%
Tier 1 in-network0.00%
Out-of-network30.00%
Limit: 1.0 Visit(s) per 6 Months
nan
Exclusions: nan
Variant attributes
BlueCare Dental℠ 1B · Variant 36096IL0830002-00
Plan identifiers & tier
Issuer-provided metadata for this variant.
Business Year
2025
CSR Variation Type
Standard Low Off Exchange Plan
HIOS Product ID
36096IL083
Metal Level
Low
Plan ID (Standard Component ID with Variant)
36096IL0830002-00
Plan Marketing Name
BlueCare Dental℠ 1B
Plan Variant Marketing Name
BlueCare Dental℠ 1B
Issuer & service area
Issuer-provided metadata for this variant.
Issuer ID
36096
Issuer Marketplace Marketing Name
Blue Cross and Blue Shield of Illinois
Market Coverage
Individual
Multiple In Network Tiers
No
National Network
Yes
Network ID
ILN001
Out of Country Coverage
Yes
Out of Country Coverage Description
Services out of the country will be treated as Out-of-Network and member will have to pay the provider and file for reimbursement as an Out-of-Network claim.
Out of Service Area Coverage
Yes
Out of Service Area Coverage Description
When accessing care outside our service area, you will obtain care from healthcare Providers that have a contractual agreement (i.e., are Participating Providers) with the Dental Network partners within our BlueCare Dental Network. In some instances, you may obtain care from Non-Participating Providers.
Service Area ID
ILS001
State Code
IL
Cost sharing & actuarial values
Issuer-provided metadata for this variant.
Begin Primary Care Deductible Coinsurance After Number Of Copays
0
Inpatient Copayment Maximum Days
0
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group
per group not applicable
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person
per person not applicable
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out
Not Applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group
$850 per group
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person
$425 per person
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual
$425
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
Begin Primary Care Cost-Sharing After Number Of Visits
0
Child-Only Offering
Allows Adult and Child-Only
Composite Rating Offered
No
Dental Only Plan
Yes
EHB Apportionment for Pediatric Dental
1.0
First Tier Utilization
100%
Import Date
2024-10-28 20:01:45
Guaranteed Rate
Guaranteed Rate
New/Existing Plan
Existing
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
per person not applicable
Medical EHB Deductible, Combined In/Out of Network, Individual
Not Applicable
Medical EHB Deductible, In Network (Tier 1), Family Per Group
$150 per group
Medical EHB Deductible, In Network (Tier 1), Family Per Person
$50 per person
Medical EHB Deductible, In Network (Tier 1), Individual
$50
Medical EHB Deductible, Out of Network, Family Per Group
$150 per group
Medical EHB Deductible, Out of Network, Family Per Person
$50 per person
Medical EHB Deductible, Out of Network, Individual
$50
Plan Effective Date
2025-01-01
Plan Type
PPO
QHP/Non QHP
Both
Source Name
SERFF
Plan ID
36096IL0830002
Copay & coinsurance
Pharmacy cost sharing by tier
Drug tier
Pharmacy type
Copay amount
Copay option
Coinsurance rate
Coinsurance option
Mail order
Questions & answers
Frequently asked questions
How do I choose the right ACA plan in Illinois?
BlueCare Dental℠ 1B (36096IL0830002) is a Low PPO from Blue Cross and Blue Shield of Illinois in Illinois for the 2025 coverage year.
Compare it against other options with the HealthPorta plan finder to confirm premiums, deductibles, and network access fit your household.
Does BlueCare Dental℠ 1B support telehealth or virtual urgent care?
The issuer has not published telehealth details yet. Review the Summary of Benefits and Coverage to confirm if virtual visits are included.
Is BlueCare Dental℠ 1B HSA-eligible and does it include dental or vision coverage?
HSA eligibility is not published; check the Summary of Benefits or ask the issuer.
Dental add-ons: Adult, Child.
Vision coverage is not listed for this plan.
Does BlueCare Dental℠ 1B support mail-order prescriptions?
Mail order coverage is not listed for this plan, so confirm with the issuer before relying on home delivery.
Is there out-of-country coverage for BlueCare Dental℠ 1B?
Yes, limited out-of-country coverage is available. Review the Summary of Benefits for reimbursement steps. Details: Services out of the country will be treated as Out-of-Network and member will have to pay the provider and file for reimbursement as an Out-of-Network claim.
Does BlueCare Dental℠ 1B cover care outside the service area?
Yes, you have limited out-of-area coverage. See the plan documents for referral and prior authorization rules. Details: When accessing care outside our service area, you will obtain care from healthcare Providers that have a contractual agreement (i.e., are Participating Providers) with the Dental Network partners within our BlueCare Dental Network. In some instances, you may obtain care from Non-Participating Providers.
How do I enroll in or manage payments for BlueCare Dental℠ 1B?
Disclaimer: Based on the Tue, 02 Dec 2025 06:13 GMT HealthPorta import from CMS issuer filings. Data is best-effort and should be validated with the issuer directly. Sources: CMS.gov and the HealthPorta Healthcare MRF API.
