EMI Health Advantage Co-Pay - 99298NV0010003 Health Insurance Plan

99298 health insurance plan with the Plan ID 99298NV0010003. The plan is called EMI Health Advantage Co-Pay.

Health Insurance Plan ID 99298NV0010003
Health Insurance Plan Year 2023
State Nevada
Health Insurance Issuer 99298
Health Insurance Plan Variant 99298NV0010003-01
Provider Network(s) ['NVN002']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 07 May 2024 06:08 GMT).

Providers Nevada 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 On Exchange Plan - 99298NV0010003-01

Last Plan Update Date Mon, 17 Apr 2023 00:00 GMT
Last Import Date Tue, 07 May 2024 06:08 GMT

EMI Health Advantage Co-Pay Health Insurance Plan Variant 99298NV0010003-01 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 99298NV001
Import Date 4/17/2023
Guaranteed Rate Guaranteed Rate
IsItANewPlan Existing
Issuer ID 99298
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 $100 per person | $300 per group
Medical EHB Deductible, Combined In/Out of Network, Individual $100
Medical EHB Deductible, In Network (Tier 1), Family per person not applicable | per group not applicable
Medical EHB Deductible, In Network (Tier 1), Individual Not Applicable
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 per person not applicable | per group 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 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 NVN002
Out of Country Coverage Yes
Out of Country Coverage Description Dental expenses for care, supplies, or services which are rendered by a Provider whose principal place of business or address for payment is located outside the United States (a “Non U.S. Provider”) are payable under the Plan, subject to all Plan exclusions, limitations, maximums and other provisions, under the following conditions: - Benefits may not be assigned to a Non U.S. Provider; - The Participant is responsible for making all payments to Non U.S. Providers, and submitting receipts to the Plan for reimbursement; - Benefit payments will be determined by the Plan based upon the exchange rate in effect on the incurred date; - The Non U.S. Provider shall be subject to, and in compliance with, all U.S. and other applicable licensing requirements; and - Claims for benefits must be submitted to the Plan in English and include a complete description of the services rendered.
Out of Service Area Coverage Yes
Out of Service Area Coverage Description PPO network or out-of-network coverage at PPO fee
Plan Effective Date 1/1/2023
Plan Expiration Date 12/31/2023
Plan ID (Standard Component ID with Variant) 99298NV0010003-01
Plan Marketing Name EMI Health Advantage Co-Pay
Plan Type PPO
Plan Variant Marketing Name EMI Health Advantage Co-Pay
QHP/Non QHP On the Exchange
Service Area ID NVS001
Source Name SERFF
Plan ID 99298NV0010003
State Code NV
Version Number 1
Wellness Program Offered No

Copay & Coinsurance of EMI Health Advantage Co-Pay Health Insurance Plan, 99298NV0010003

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

Frequently Asked Questions(FAQ) about EMI Health Advantage Co-Pay, 99298NV0010003 Health Insurance Plan, 99298NV0010003

  • Does EMI Health Advantage Co-Pay Health Insurance Plan, 99298NV0010003 support Mail Ordering?

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

    • Does (99298NV0010003) Health Insurance Plan, Variant (99298NV0010003-01) have Out Of Country Coverage?

    Yes. Details: Dental expenses for care, supplies, or services which are rendered by a Provider whose principal place of business or address for payment is located outside the United States (a “Non U.S. Provider”) are payable under the Plan, subject to all Plan exclusions, limitations, maximums and other provisions, under the following conditions: - Benefits may not be assigned to a Non U.S. Provider; - The Participant is responsible for making all payments to Non U.S. Providers, and submitting receipts to the Plan for reimbursement; - Benefit payments will be determined by the Plan based upon the exchange rate in effect on the incurred date; - The Non U.S. Provider shall be subject to, and in compliance with, all U.S. and other applicable licensing requirements; and - Claims for benefits must be submitted to the Plan in English and include a complete description of the services rendered.

    Does (99298NV0010003) Health Insurance Plan, Variant (99298NV0010003-01) have Out of Service Area Coverage?

    Yes. Details: PPO network or out-of-network coverage at PPO fee

 

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