Principal Plan Dental 70 - 90453TX0050001 Health Insurance Plan

Principal Life Insurance Company health insurance plan with the Plan ID 90453TX0050001. The plan is called Principal Plan Dental 70.

Health Insurance Plan ID

90453TX0050001

Health Insurance Plan Year

2023

State

Texas

Health Insurance Issuer

Principal Life Insurance Company

Health Insurance Plan Variant

90453TX0050001-00

Provider Network(s)

['TXN001']

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	Texas	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 - 90453TX0050001-00

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, 90453TX0050001-00

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 Limit: 1.0 Procedure(s) per 2 Years This is the most common benefit limit in this cateory. Other benefit limits also apply	YES	20% Coinsurance after deductible	20% Coinsurance after deductible
Basic Dental Care - Child	YES	30% Coinsurance after deductible	30% Coinsurance after deductible
Dental Check-Up for Children Limit: 1.0 Visit(s) per 6 Months This is the most common benefit limit in this cateory. Other benefit limits also apply.	YES	10%	10%
Major Dental Care - Adult 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. Other procedure limits also apply.	YES	50% Coinsurance after deductible	50% Coinsurance after deductible
Major Dental Care - Child Limit: 60.0 Months per Procedure	YES	60% Coinsurance after deductible	60% Coinsurance after deductible
Orthodontia - Adult	NO
Orthodontia - Child	YES	50%	50%
Routine Dental Services (Adult) Limit: 1.0 Visit(s) per 6 Months This is the most common benefit limit in this cateory. Other benefit limits also apply	YES	0%	0%

Principal Plan Dental 70 Health Insurance Plan Variant 90453TX0050001-00 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 Adult and 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	90453TX005
Import Date	8/12/2022 1:01
Inpatient Copayment Maximum Days	0
Guaranteed Rate	Estimated Rate
New/Existing Plan	Existing
Issuer ID	90453
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	TXN001
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 ID (Standard Component ID with Variant)	90453TX0050001-00
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	TXS001
Source Name	HIOS
Plan ID	90453TX0050001
State Code	TX

Copay & Coinsurance of Principal Plan Dental 70 Health Insurance Plan, 90453TX0050001

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

Frequently Asked Questions(FAQ) about Principal Plan Dental 70, 90453TX0050001 Health Insurance Plan, 90453TX0050001

Does Principal Plan Dental 70 Health Insurance Plan, 90453TX0050001 support Mail Ordering?

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

Does (90453TX0050001) Health Insurance Plan, Variant (90453TX0050001-00) have Out Of Country Coverage?

Yes. Details: Same as any other

Does (90453TX0050001) Health Insurance Plan, Variant (90453TX0050001-00) have Out of Service Area Coverage?