Cigna Dental Family + Pediatric - 49375CO0030002 Health Insurance Plan
Cigna Health and Life Insurance Company health insurance plan with the Plan ID 49375CO0030002. The plan is called Cigna Dental Family + Pediatric.
| Health Insurance Plan ID | 49375CO0030002 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Colorado | ||||||||||||||||||
| Health Insurance Issuer | Cigna Health and Life Insurance Company | ||||||||||||||||||
| Health Insurance Plan Variant | 49375CO0030002-01 | ||||||||||||||||||
| Provider Network(s) | ['CON002'] | ||||||||||||||||||
| 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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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 23 Jan 2023 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 07 May 2024 06:08 GMT |
Cigna Dental Family + Pediatric Health Insurance Plan Variant 49375CO0030002-01 Attributes
| Plan Attribute | Value |
|---|---|
| Business Year | 2023 |
| Child-Only Offering | Allows Adult and Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard Low On Exchange Plan |
| Dental Only Plan | Yes |
| EHB Apportionment for Pediatric Dental | 100% |
| First Tier Utilization | 100% |
| HIOS Product ID | 49375CO003 |
| Import Date | 1/23/2023 |
| Guaranteed Rate | Estimated Rate |
| IsItANewPlan | Existing |
| Issuer ID | 49375 |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family | $375 per person | $750 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | $375 |
| Medical EHB Deductible, Combined In/Out of Network, Family | $150 per person | $300 per group |
| Medical EHB Deductible, Combined In/Out of Network, Individual | $150 |
| Medical EHB Deductible, In Network (Tier 1), Family | $150 per person | $300 per group |
| Medical EHB Deductible, In Network (Tier 1), Individual | $150 |
| Medical EHB Deductible, Out of Network, Family | per person not applicable | per group not applicable |
| Medical EHB Deductible, Out of Network, Individual | Not Applicable |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family | $375 per person | $750 per group |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual | $375 |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual | Not Applicable |
| Metal Level | Low |
| Multiple In Network Tiers | No |
| National Network | Yes |
| Network ID | CON002 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Emergency Only |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | All Services |
| Plan Effective Date | 1/1/2023 |
| Plan Expiration Date | 12/31/2023 |
| Plan ID (Standard Component ID with Variant) | 49375CO0030002-01 |
| Plan Marketing Name | Cigna Dental Family + Pediatric |
| Plan Type | PPO |
| Plan Variant Marketing Name | Cigna Dental Family + Pediatric |
| QHP/Non QHP | On the Exchange |
| Service Area ID | COS002 |
| Source Name | SERFF |
| Plan ID | 49375CO0030002 |
| State Code | CO |
| Version Number | 1 |
| Wellness Program Offered | No |
Copay & Coinsurance of Cigna Dental Family + Pediatric Health Insurance Plan, 49375CO0030002
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Cigna Dental Family + Pediatric, 49375CO0030002 Health Insurance Plan, 49375CO0030002
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Does Cigna Dental Family + Pediatric Health Insurance Plan, 49375CO0030002 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (49375CO0030002) Health Insurance Plan, Variant (49375CO0030002-01) have Out Of Country Coverage?
Yes. Details: Emergency Only
Does (49375CO0030002) Health Insurance Plan, Variant (49375CO0030002-01) have Out of Service Area Coverage?
Yes. Details: All Services
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