Principal Plan Dental 70 - 47007MI0040001 Health Insurance Plan

Principal Life Insurance Company health insurance plan with the Plan ID 47007MI0040001. The plan is called Principal Plan Dental 70.

Health Insurance Plan ID 47007MI0040001
Health Insurance Plan Year 2023
State Michigan
Health Insurance Issuer Principal Life Insurance Company
Health Insurance Plan Variant 47007MI0040001-00
Provider Network(s) ['MIN001']
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 Michigan 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 Off Exchange Plan - 47007MI0040001-00

Last Plan Update Date Fri, 12 Aug 2022 00:00 GMT
Last Import Date Tue, 07 May 2024 06:08 GMT

Benefits of Principal Plan Dental 70 Health Insurance Plan, 47007MI0040001-00

Benefit Covered In Network Out Of Network
Accidental Dental

Accidental dental is covered within the other benefit categories, not as a separate benefit.

NO
Basic Dental Care - Adult
NO
Basic Dental Care - Child

Limit: 1.0 Procedure(s) per 2 Years

This is the most common benefit limit in this cateory. Other benefit limits also apply

YES

30.00% Coinsurance after deductible

30.00% Coinsurance after deductible
Dental Check-Up for Children

Limit: 2.0 Visit(s) per Year

This is the most common benefit limit in this cateory. Other benefit limits also apply

YES

10.00%

10.00%
Major Dental Care - Adult
NO
Major Dental Care - Child

Limit: 1.0 Procedure(s) per Benefit Period

The actual standard benefit limit is one procedure per 60 months. However, this was not an option to choose

YES

60.00% Coinsurance after deductible

60.00% Coinsurance after deductible
Orthodontia - Adult
NO
Orthodontia - Child
NO
Routine Dental Services (Adult)
NO

Principal Plan Dental 70 Health Insurance Plan Variant 47007MI0040001-00 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 Low Off Exchange Plan
Dental Only Plan Yes
First Tier Utilization 100%
HIOS Product ID 47007MI004
Import Date 8/12/2022 20:01
Inpatient Copayment Maximum Days 0
Guaranteed Rate Estimated Rate
New/Existing Plan Existing
Issuer ID 47007
Issuer Marketplace Marketing Name Principal Life Insurance Company
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 per person not applicable
Medical EHB Deductible, In Network (Tier 1), Individual Not Applicable
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 $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 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 Low
Multiple In Network Tiers No
National Network Yes
Network ID MIN001
Out of Country Coverage Yes
Out of Country Coverage Description Same as any other
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Same as any other
Plan Effective Date 1/1/2023
Plan Expiration Date 12/31/2023
Plan ID (Standard Component ID with Variant) 47007MI0040001-00
Plan Level Exclusions Only services listed in the contract are covered.
Plan Marketing Name Principal Plan Dental 70
Plan Type PPO
Plan Variant Marketing Name Principal Plan Dental 70
QHP/Non QHP Off the Exchange
Service Area ID MIS001
Source Name SERFF
Plan ID 47007MI0040001
State Code MI

Copay & Coinsurance of Principal Plan Dental 70 Health Insurance Plan, 47007MI0040001

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

Frequently Asked Questions(FAQ) about Principal Plan Dental 70, 47007MI0040001 Health Insurance Plan, 47007MI0040001

  • Does Principal Plan Dental 70 Health Insurance Plan, 47007MI0040001 support Mail Ordering?

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

  • Does (47007MI0040001) Health Insurance Plan, Variant (47007MI0040001-00) have Out Of Country Coverage?

    Yes. Details: Same as any other

    Does (47007MI0040001) Health Insurance Plan, Variant (47007MI0040001-00) have Out of Service Area Coverage?

    Yes. Details: Same as any other

 

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