Humana Dental Smart Choice - High - 23468OK0200002 Health Insurance Plan

Humana Insurance Company health insurance plan with the Plan ID 23468OK0200002. The plan is called Humana Dental Smart Choice - High.

Health Insurance Plan ID 23468OK0200002
Health Insurance Plan Year 2025
State Oklahoma
Health Insurance Issuer Humana Insurance Company
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 23468OK0200002-00
Provider Network(s) PREFERRED
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 13 May 2025 06:05 GMT).

Providers Oklahoma All US States
All 2 109
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists 1 71
Available Variants of the Health Plan

Standard Off Exchange Plan - 23468OK0200002-00

Standard On Exchange Plan - 23468OK0200002-01

Last Plan Update Date Thu, 08 Aug 2024 00:00 GMT
Last Import Date Tue, 13 May 2025 06:05 GMT

Humana Dental Smart Choice - High Health Insurance Plan Variant 23468OK0200002-00 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 2025
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard High Off Exchange Plan
Dental Only Plan Yes
EHB Apportionment for Pediatric Dental 0.9874575940264431
First Tier Utilization 100%
HIOS Product ID 23468OK020
Import Date 2024-08-08 01:02:06
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan Existing
Issuer ID 23468
Issuer Marketplace Marketing Name Humana
Market Coverage Individual
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 per person not applicable
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 $50
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 Not Applicable
Metal Level High
Multiple In Network Tiers No
National Network Yes
Network ID OKN001
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Any covered expense incurred for services received from an out of network provider will be covered at a lower coinsurance, based on the maximum allowable fee and providers can balance bill which will result in higher out of pocket costs, except for covered expense incurred for services received outside of the service area as required by law for emergency care services.
Plan Brochure URL
Plan Effective Date 2025-01-01
Plan ID (Standard Component ID with Variant) 23468OK0200002-00
Plan Marketing Name Humana Dental Smart Choice - High
Plan Type PPO
Plan Variant Marketing Name Humana Dental Smart Choice - High
QHP/Non QHP Both
Service Area ID OKS001
Source Name HIOS
Plan ID 23468OK0200002
State Code OK
URL for Enrollment Payment URL

Copay & Coinsurance of Humana Dental Smart Choice - High Health Insurance Plan, 23468OK0200002

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

Frequently Asked Questions(FAQ) about Humana Dental Smart Choice - High, 23468OK0200002 Health Insurance Plan, 23468OK0200002

  • Does Humana Dental Smart Choice - High Health Insurance Plan, 23468OK0200002 support Mail Ordering?

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

    • Does (23468OK0200002) Health Insurance Plan, Variant (23468OK0200002-00) have Out Of Country Coverage?

    No, unfortunately there is no Out Of Country Coverage for this Health Insurance Plan (variant of plan).

    Does (23468OK0200002) Health Insurance Plan, Variant (23468OK0200002-00) have Out of Service Area Coverage?

    Yes. Details: Any covered expense incurred for services received from an out of network provider will be covered at a lower coinsurance, based on the maximum allowable fee and providers can balance bill which will result in higher out of pocket costs, except for covered expense incurred for services received outside of the service area as required by law for emergency care services.

 

Disclaimer: This is based on the import(Date: Tue, 13 May 2025 06:05 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