Delta Dental Individual Kids Preferred Plan - 60600IL0030002 Health Insurance Plan
Delta Dental of Illinois health insurance plan with the Plan ID 60600IL0030002. The plan is called Delta Dental Individual Kids Preferred Plan.
| Health Insurance Plan ID | 60600IL0030002 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Illinois | ||||||||||||||||||
| Health Insurance Issuer | Delta Dental of Illinois | ||||||||||||||||||
| Health Insurance Plan Variant | 60600IL0030002-00 | ||||||||||||||||||
| Provider Network(s) | ['ILN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 30 Apr 2024 06:06 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Wed, 17 Aug 2022 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 30 Apr 2024 06:06 GMT |
Benefits of Delta Dental Individual Kids Preferred Plan Health Insurance Plan, 60600IL0030002-00
| Benefit | Covered | In Network | Out Of Network |
|---|---|---|---|
| Accidental Dental
|
NO | ||
| Basic Dental Care - Adult
|
NO | ||
| Basic Dental Care - Child
|
YES | 20.00% Coinsurance after deductible |
100.00% |
| Dental Check-Up for Children
One every 6 months and one every 12 months in a school setting |
YES | 0.00% |
100.00% |
| Major Dental Care - Adult
|
NO | ||
| Major Dental Care - Child
|
YES | 50.00% Coinsurance after deductible |
100.00% |
| Orthodontia - Adult
|
NO | ||
| Orthodontia - Child
Medically Necessary Only |
YES | 50.00% |
100.00% |
| Routine Dental Services (Adult)
|
NO |
Delta Dental Individual Kids Preferred Plan Health Insurance Plan Variant 60600IL0030002-00 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 | 2023 |
| Child-Only Offering | Allows Child-Only |
| Composite Rating Offered | No |
| CSR Variation Type | Standard High Off Exchange Plan |
| Dental Only Plan | Yes |
| First Tier Utilization | 100% |
| HIOS Product ID | 60600IL003 |
| Import Date | 8/17/2022 20:01 |
| Inpatient Copayment Maximum Days | 0 |
| Guaranteed Rate | Estimated Rate |
| New/Existing Plan | Existing |
| Issuer ID | 60600 |
| Issuer Marketplace Marketing Name | Delta Dental of Illinois |
| Market Coverage | SHOP (Small Group) |
| 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 |
| 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 | per group not applicable |
| 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 | 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 | $700 per group |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person | $350 per person |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual | $350 |
| 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 | ILN001 |
| 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 Benefits; Must see a Delta Dental PPO Provider |
| Plan Effective Date | 1/1/2023 |
| Plan Expiration Date | 12/31/2023 |
| Plan ID (Standard Component ID with Variant) | 60600IL0030002-00 |
| Plan Marketing Name | Delta Dental Individual Kids Preferred Plan |
| Plan Type | EPO |
| Plan Variant Marketing Name | Delta Dental Individual Kids Preferred Plan |
| QHP/Non QHP | Off the Exchange |
| Service Area ID | ILS001 |
| Source Name | SERFF |
| Plan ID | 60600IL0030002 |
| State Code | IL |
| URL for Enrollment Payment | URL |
Copay & Coinsurance of Delta Dental Individual Kids Preferred Plan Health Insurance Plan, 60600IL0030002
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Delta Dental Individual Kids Preferred Plan, 60600IL0030002 Health Insurance Plan, 60600IL0030002
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Does Delta Dental Individual Kids Preferred Plan Health Insurance Plan, 60600IL0030002 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (60600IL0030002) Health Insurance Plan, Variant (60600IL0030002-00) have Out Of Country Coverage?
Yes. Details: Emergency Only
Does (60600IL0030002) Health Insurance Plan, Variant (60600IL0030002-00) have Out of Service Area Coverage?
Yes. Details: All Benefits; Must see a Delta Dental PPO Provider
Disclaimer: This is based on the import(Date: Tue, 30 Apr 2024 06:06 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