Essentials Family Plan - 74313OH0330002 Health Insurance Plan
Paramount Insurance Company health insurance plan with the Plan ID 74313OH0330002. The plan is called Essentials Family Plan.
| Health Insurance Plan ID | 74313OH0330002 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Ohio | ||||||||||||||||||
| Health Insurance Issuer | Paramount Insurance Company | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Health Insurance Plan Variant | 74313OH0330002-01 | ||||||||||||||||||
| Provider Network(s) | ['OHN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 23 Apr 2024 07:07 GMT). |
|
||||||||||||||||||
| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Thu, 15 Sep 2022 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 23 Apr 2024 07:07 GMT |
Benefits of Essentials Family Plan Health Insurance Plan, 74313OH0330002-01
| Benefit | Covered | In Network | Out Of Network |
|---|---|---|---|
| Accidental Dental
|
NO | ||
| Basic Dental Care - Adult
Filings are limited to replacement 1 time every 2 years. |
YES | 50.00% Coinsurance after deductible |
75.00% Coinsurance after deductible |
| Basic Dental Care - Child
Coverage includes benefits specified in the FEDVIP MetLife Federal Dental - High Option Plan. |
YES | 50.00% Coinsurance after deductible |
75.00% Coinsurance after deductible |
| Dental Check-Up for Children
Limit: 2.0 Exam(s) per Year Coverage includes benefits specified in the FEDVIP MetLife Federal Dental - High Option Plan. Limited to 2 cleanings and 2 exams per year. |
YES | No Charge |
50.00% |
| Major Dental Care - Adult
|
NO | ||
| Major Dental Care - Child
Coverage includes benefits specified in the FEDVIP MetLife Federal Dental - High Option Plan. |
YES | 50.00% Coinsurance after deductible |
75.00% Coinsurance after deductible |
| Orthodontia - Adult
|
NO | ||
| Orthodontia - Child
Coverage includes benefits specified in the FEDVIP MetLife Federal Dental - High Option Plan. Limited to Medically Necessary Orthodontia. See detailed information in your benefits summary. |
YES | 50.00% |
75.00% |
| Routine Dental Services (Adult)
Limit: 2.0 Exam(s) per Year Limit of 2 exams and 2 cleanings per year. |
YES | No Charge |
50.00% |
Essentials Family Plan Health Insurance Plan Variant 74313OH0330002-01 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 | 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 | 1 |
| First Tier Utilization | 100% |
| HIOS Product ID | 74313OH033 |
| Import Date | 9/15/2022 20:01 |
| Inpatient Copayment Maximum Days | 0 |
| Guaranteed Rate | Guaranteed Rate |
| New/Existing Plan | New |
| Issuer ID | 74313 |
| Issuer Marketplace Marketing Name | Paramount |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group | $750 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person | $375 per person |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | $375 |
| 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 | $25 |
| 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 | $25 |
| 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 | $25 |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group | $750 per group |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person | $375 per person |
| 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 Group | $750 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person | $375 per person |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual | $375 |
| Metal Level | Low |
| Multiple In Network Tiers | No |
| National Network | Yes |
| Network ID | OHN001 |
| Out of Country Coverage | No |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Any licensed dentist in United States. |
| Plan Brochure | URL |
| Plan Effective Date | 1/1/2023 |
| Plan Expiration Date | 12/31/2023 |
| Plan ID (Standard Component ID with Variant) | 74313OH0330002-01 |
| Plan Marketing Name | Essentials Family Plan |
| Plan Type | PPO |
| Plan Variant Marketing Name | Essentials Family Plan |
| QHP/Non QHP | On the Exchange |
| Service Area ID | OHS001 |
| Source Name | SERFF |
| Plan ID | 74313OH0330002 |
| State Code | OH |
| URL for Enrollment Payment | URL |
Copay & Coinsurance of Essentials Family Plan Health Insurance Plan, 74313OH0330002
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|
Frequently Asked Questions(FAQ) about Essentials Family Plan, 74313OH0330002 Health Insurance Plan, 74313OH0330002
-
Does Essentials Family Plan Health Insurance Plan, 74313OH0330002 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (74313OH0330002) Health Insurance Plan, Variant (74313OH0330002-01) have Out Of Country Coverage?
Does (74313OH0330002) Health Insurance Plan, Variant (74313OH0330002-01) have Out of Service Area Coverage?
Disclaimer: This is based on the import(Date: Tue, 23 Apr 2024 07:07 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