Silver Simple Diabetes - 69803NC0010045 Health Insurance Plan

Oscar Health Plan of North Carolina, Inc health insurance plan with the Plan ID 69803NC0010045. The plan is called Silver Simple Diabetes.

Based on the data of Health Plan Issuer, this plan has an actuarial value of 70.81% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 29.19% of the costs of all covered benefits (according to the Issuer).

Based on the AV Calculator by CMS.gov, the plan has an actuarial value of 70.58% (we converted the output of AV Calculator to percentage to compare with data provided by Issuer, it shows the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 29.42% of the costs of all covered benefits (according to the AV Calculator by CMS.gov). More information about AV Calculator methodology.

Health Insurance Plan ID 69803NC0010045
Health Insurance Plan Year 2025
State North Carolina
Health Insurance Issuer Oscar Health Plan of North Carolina, Inc
Plan Formulary Description URL Formulary URL
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 69803NC0010045-00
Provider Network(s) PREFERRED
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 10 Dec 2024 06:32 GMT).

Providers North Carolina All US States
All 19414 79856
PCP 2273 2906
Allergy 3 6
OB/GYN 105 125
Dentists 4 6
Available Variants of the Health Plan

Standard Off Exchange Plan - 69803NC0010045-00

Standard On Exchange Plan - 69803NC0010045-01

Open to Indians below 300% FPL - 69803NC0010045-02

Open to Indians above 300% FPL - 69803NC0010045-03

73% AV Silver Plan - 69803NC0010045-04

87% AV Silver Plan - 69803NC0010045-05

94% AV Silver Plan - 69803NC0010045-06

Last Plan Update Date Fri, 11 Oct 2024 00:00 GMT
Last Import Date Tue, 10 Dec 2024 06:32 GMT

Benefits of Silver Simple Diabetes Health Insurance Plan, 69803NC0010045-00

Benefit Covered In Network Out Of Network
Abortion for Which Public Funding is Prohibited
NO
Accidental Dental

Exclusions: Excludes injury related to chewing or biting.

YES

50.00% Coinsurance after deductible

100.00%
Acupuncture
NO
Allergy Testing
YES

$40.00

100.00%
Bariatric Surgery
YES

50.00% Coinsurance after deductible

100.00%
Basic Dental Care - Adult
NO
Basic Dental Care - Child
NO
Chemotherapy
YES

50.00% Coinsurance after deductible

100.00%
Chiropractic Care

Limit: 30.0 Visit(s) per Benefit Period

30 visit limits for PT and OT combined (including chiropractic).

YES

$40.00

100.00%
Cosmetic Surgery
NO
Delivery and All Inpatient Services for Maternity Care

See plan documents for separate professional services cost shares.

YES

50.00% Coinsurance after deductible

100.00%
Dental Check-Up for Children
NO
Diabetes Education
YES

$0.00

100.00%
Dialysis
YES

50.00% Coinsurance after deductible

100.00%
Durable Medical Equipment

Exclusions: Appliances and accessories that serve no medical purpose or that are primarily for comfort or convenience; repair or replacement of equipment due to abuse or desire for new equipment

Orthotic devices for correction of POSITIONAL PLAGIOCEPHALY are limited to 1 device per lifetime.

YES

50.00% Coinsurance after deductible

100.00%
Emergency Room Services
YES

50.00% Coinsurance after deductible

50.00% Coinsurance after deductible
Emergency Transportation/Ambulance

Exclusions: Excludes services provided primarily for the convenience of travel, transportation to or from a doctor's office or dialysis center, transportation for the purpose of receiving services that are not considered Covered Services

YES

50.00% Coinsurance after deductible

50.00% Coinsurance after deductible
Eye Glasses for Children

Limit: 1.0 Item(s) per Benefit Period

YES

50.00%

100.00%
Gender Affirming Care
NO
Generic Drugs

Exclusions: Excludes injections by a health care professional of injectable which can be self-administered, unless medical supervision is required; drugs associated with conception by artificial means; experimental drugs as outlined in document

Preferred generic drugs are covered in full.

YES

Tier 1: $0.00

Tier 2: $25.00

100.00%
Habilitation Services

Limit: 30.0 Visit(s) per Benefit Period

Exclusions: Cognitive Therapy. Group classes for pulmonary rehabilitation.

Combined 30 visit limit for occupational and physical therapies and chiropractic services.

YES

50.00% Coinsurance after deductible

100.00%
Hearing Aids

Limit: 1.0 Item(s) per 3 Years

One hearing aid per hearing impaired ear, and replacement hearing aids, once every 36 months.

YES

50.00% Coinsurance after deductible

100.00%
Home Health Care Services

Exclusions: Excludes homemaker services, such as cooking and housekeeping; Dietitian services or meals; Services that are provided by a close relative or a member of the household.

YES

$40.00

100.00%
Hospice Services

Exclusions: Excludes homemaker services, such as cooking, housekeeping, and food or meal preparation.

Benefits for Hospice services for care of a terminally ill Member with a life expectancy of six months or less.

YES

50.00% Coinsurance after deductible

100.00%
Imaging (CT/PET Scans, MRIs)

Exclusions: Lab tests that are not ordered by Doctor of Other Provider.

YES

50.00% Coinsurance after deductible

100.00%
Infertility Treatment

Limit: 3.0 Treatment(s) per Lifetime

YES

50.00% Coinsurance after deductible

100.00%
Infusion Therapy
YES

50.00% Coinsurance after deductible

100.00%
Inpatient Hospital Services (e.g., Hospital Stay)

Exclusions: Admissions primarily for the purpose of receiving diagnostic services or a physical examination; admissions primarily for the purpose of receiving therapy services, except when the admission is a continuation of treatment following care at an inpatient facility for an illness or accident requiring therap

YES

50.00% Coinsurance after deductible

100.00%
Inpatient Physician and Surgical Services
YES

50.00% Coinsurance after deductible

100.00%
Laboratory Outpatient and Professional Services

Exclusions: Lab tests that are not ordered by a Doctor or Other Provider.

Labs for HbA1c screening, urinalysis, metabolic panel, and lipid panel to manage diabetes are covered in full.

YES

$65.00

100.00%
Long-Term/Custodial Nursing Home Care
NO
Major Dental Care - Adult
NO
Major Dental Care - Child
NO
Mental/Behavioral Health Inpatient Services

Exclusions: Excludes, "Inpatient confinements that are primarily intended as a change of environment"; Counseling with relatives of a patient

YES

50.00% Coinsurance after deductible

100.00%
Mental/Behavioral Health Outpatient Services

Exclusions: Excludes counseling with relatives about a patient

The cost sharing that displays applies to outpatient office visits only. All other outpatient services, such as Partial Hospitalization and Intensive Outpatient Program, may be subject to additional cost sharing. Please refer to the plan policy documents for detailed information.

YES

$0.00

100.00%
Non-Preferred Brand Drugs

Exclusions: Excludes injections by a health care professional of injectable which can be self-administered, unless medical supervision is required; drugs associated with conception by artificial means; experimental drugs as outlined in document

YES

50.00% Coinsurance after deductible

100.00%
Nutritional Counseling

Nutritional counseling visits are separate from the obesity-related office visits

YES

$0.00

100.00%
Orthodontia - Adult
NO
Orthodontia - Child
NO
Other Practitioner Office Visit (Nurse, Physician Assistant)
YES

$0.00

100.00%
Outpatient Facility Fee (e.g., Ambulatory Surgery Center)
YES

50.00% Coinsurance after deductible

100.00%
Outpatient Rehabilitation Services

Limit: 30.0 Visit(s) per Benefit Period

Exclusions: Applied Behavior Analysis (ABA) therapy; Cognitive therapy; Speech therapy for stammering or stuttering; Group classes for pulmonary rehabilitation; music therapy, remedial reading, recreational or activity therapy, all forms or special education and supplies or equipment used similarly; maintenance therapy; massage therapy.

Combined 30 visit limit for occupational and physical therapies and chiropractic services.

YES

50.00% Coinsurance after deductible

100.00%
Outpatient Surgery Physician/Surgical Services
YES

50.00% Coinsurance after deductible

100.00%
Preferred Brand Drugs

Exclusions: Excludes injections by a health care professional of injectable which can be self-administered, unless medical supervision is required; drugs associated with conception by artificial means; experimental drugs as outlined in document

YES

$75.00 Copay after deductible

100.00%
Prenatal and Postnatal Care
YES

0.00%

100.00%
Preventive Care/Screening/Immunization
YES

0.00%

100.00%
Primary Care Visit to Treat an Injury or Illness

Cost share applies to both in-person and telemedicine services.

YES

$0.00

100.00%
Private-Duty Nursing

Exclusions: Excludes services provided by a close relative or a member of the household

YES

$40.00

100.00%
Prosthetic Devices

Exclusions: Dental appliances except when medically necessary for the treatment of temporomandibular joint disease or obstructive sleep apnea; cosmetic improvements, such as implants of hair follicles and skin tone enhancements; lenses for keratoconus or any other eye procedure except as specifically covered under the health plan.

Prosthetic appliance must replace all or part of a body part or its function. Therapeutic contact lenses may be covered when used as a corneal bandage for a medical condition; benefits include a one-time replacement of eyeglass or contact lenses due to a prescription change following cataract surgery.

YES

50.00% Coinsurance after deductible

100.00%
Radiation
YES

50.00% Coinsurance after deductible

100.00%
Reconstructive Surgery

Benefits include coverage for congenital defects of newborn, adopted, and foster children; reconstruction following a mastectomy.

YES

50.00% Coinsurance after deductible

100.00%
Rehabilitative Occupational and Rehabilitative Physical Therapy

Limit: 30.0 Visit(s) per Benefit Period

Combined 30 visit limit for occupational and physical therapies and chiropractic services

YES

50.00% Coinsurance after deductible

100.00%
Rehabilitative Speech Therapy

Limit: 30.0 Visit(s) per Benefit Period

YES

50.00% Coinsurance after deductible

100.00%
Routine Dental Services (Adult)
NO
Routine Eye Exam (Adult)
NO
Routine Eye Exam for Children

Limit: 1.0 Exam(s) per Benefit Period

YES

$0.00

100.00%
Routine Foot Care
NO
Skilled Nursing Facility

Limit: 60.0 Days per Benefit Period

YES

50.00% Coinsurance after deductible

100.00%
Specialist Visit

Diabetic eye exams and diabetic foot exams are covered in full. Cost share applies to both in-person and telemedicine services.

YES

$40.00

100.00%
Specialty Drugs

Exclusions: Excludes injections by a health care professional of injectable which can be self-administered, unless medical supervision is required; drugs associated with conception by artificial means; experimental drugs as outlined in document

YES

50.00% Coinsurance after deductible

100.00%
Substance Abuse Disorder Inpatient Services

Exclusions: Excludes, "Inpatient confinements that are primarily intended as a change of environment"; Counseling with relatives of a patient

YES

50.00% Coinsurance after deductible

100.00%
Substance Abuse Disorder Outpatient Services

Exclusions: Excludes counseling with relatives about a patient

The cost sharing that displays applies to outpatient office visits only. All other outpatient services, such as Partial Hospitalization and Intensive Outpatient Program, may be subject to additional cost sharing. Please refer to the plan policy documents for detailed information.

YES

$0.00

100.00%
Transplant

Exclusions: The purchase price of organs or tissue if any organ or tissue is sold rather than donated to the recipient member; the procurement of organs, tissue, bone marrow, or peripheral blood stem cells or any other donor services if a recipient is not a member; transplants, including high dose chemotherapy, considered experimental or investigational; services for or related to the transplantation of animal or artificial organ or tissues.

Benefits are provided for reasonable and necessary services related to the search for a donor up to a maximum of $10,000 per transplant; Both the recipient and the donor are entitled to benefits of this coverage when the recipient is a MEMBER. Benefits provided to the donor will be charged against the recipient's coverage

YES

50.00% Coinsurance after deductible

100.00%
Treatment for Temporomandibular Joint Disorders

Exclusions: Excludes Treatment for periodontal disease; Dental implants or root canals; Crowns and bridges; Orthodontic brace; Occlusal (bite) adjustments; Extractions.

Therapeutic benefits for TMJ disease include splinting and use of intra-oral PROSTHETIC APPLIANCES to reposition the bones. Surgical benefits for TMJ disease are limited to SURGERY performed on the temporomandibular joint. If TMJ is caused by malocclusion, benefits are provided for surgical correction of malocclusion when surgical management of the TMJ is MEDICALLY NECESSARY.

YES

50.00% Coinsurance after deductible

100.00%
Urgent Care Centers or Facilities

Virtual urgent care services provided by Oscar-designated virtual care providers are covered in full.

YES

$75.00

100.00%
Weight Loss Programs
NO
Well Baby Visits and Care
YES

0.00%

100.00%
X-rays and Diagnostic Imaging

Exclusions: Lab tests that are not ordered by a Doctor or Other Provider.

YES

50.00% Coinsurance after deductible

100.00%

Silver Simple Diabetes Health Insurance Plan Variant 69803NC0010045-00 Attributes

Plan Attribute Value
AV Calculator Output Number 0.705768705417207
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 Silver Off Exchange Plan
Dental Only Plan No
Design Type Not Applicable
Disease Management Programs Offered Asthma, Heart Disease, Depression, Diabetes, Pregnancy
EHB Percent of Total Premium 1.0
First Tier Utilization 44%
Formulary ID NCF001
Formulary URL URL
HIOS Product ID 69803NC001
Import Date 2024-10-11 01:02:00
Limited Cost Sharing Plan Variation - Estimated Advanced Payment $0.00
Inpatient Copayment Maximum Days 0
HSA Eligible No
New/Existing Plan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer Actuarial Value 70.81%
Issuer ID 69803
Issuer Marketplace Marketing Name Oscar Health Plan of North Carolina, Inc
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Silver
Multiple In Network Tiers Yes
National Network No
Network ID NCN001
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Services Only
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Emergency and Urgent Services Only
Plan Brochure URL
Plan Effective Date 2025-01-01
Plan Expiration Date 2025-12-31
Plan ID (Standard Component ID with Variant) 69803NC0010045-00
Plan Marketing Name Silver Simple Diabetes
Plan Type HMO
Plan Variant Marketing Name Silver Simple Diabetes
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $1,900
SBC Scenario, Having a Baby, Copayment $200
SBC Scenario, Having a Baby, Deductible $6,450
SBC Scenario, Having a Baby, Limit $0
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $200
SBC Scenario, Having Diabetes, Deductible $4,200
SBC Scenario, Having Diabetes, Limit $0
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $80
SBC Scenario, Treatment of a Simple Fracture, Deductible $2,600
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Second Tier Utilization 56%
Service Area ID NCS001
Source Name HIOS
Plan ID 69803NC0010045
State Code NC
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 50.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group $12900 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person $6450 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $6,450
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Default Coinsurance 50.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Group $12900 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Family Per Person $6450 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 2), Individual $6,450
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group $17100 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person $8550 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $8,550
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Group $17100 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Family Per Person $8550 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 2), Individual $8,550
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design Yes
URL for Enrollment Payment URL
URL for Summary of Benefits & Coverage URL
Wellness Program Offered No

Copay & Coinsurance of Silver Simple Diabetes Health Insurance Plan, 69803NC0010045

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

Frequently Asked Questions(FAQ) about Silver Simple Diabetes, 69803NC0010045 Health Insurance Plan, 69803NC0010045

  • Does Silver Simple Diabetes Health Insurance Plan, 69803NC0010045 support Mail Ordering?

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

  • Does (69803NC0010045) Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, Pregnancy

    Does (69803NC0010045) Health Insurance Plan, Variant (69803NC0010045-00) have Out Of Country Coverage?

    Yes. Details: Emergency Services Only

    Does (69803NC0010045) Health Insurance Plan, Variant (69803NC0010045-00) have Out of Service Area Coverage?

    Yes. Details: Emergency and Urgent Services Only

    Does (69803NC0010045) Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, Pregnancy

    Does Silver Simple Diabetes Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs for Asthma?

    Yes, the Silver Simple Diabetes Health Insurance Plan Variant 69803NC0010045-00 offers Disease Management Program for Asthma.

    Does Silver Simple Diabetes Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs for Heart disease?

    Yes, the Silver Simple Diabetes Health Insurance Plan Variant 69803NC0010045-00 offers Disease Management Program for Heart disease.

    Does Silver Simple Diabetes Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs for Depression?

    Yes, the Silver Simple Diabetes Health Insurance Plan Variant 69803NC0010045-00 offers Disease Management Program for Depression.

    Does Silver Simple Diabetes Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs for Diabetes?

    Yes, the Silver Simple Diabetes Health Insurance Plan Variant 69803NC0010045-00 offers Disease Management Program for Diabetes.

    Does Silver Simple Diabetes Health Insurance Plan, Variant (69803NC0010045-00) offer Disease Management Programs for Pregnancy?

    Yes, the Silver Simple Diabetes Health Insurance Plan Variant 69803NC0010045-00 offers Disease Management Program for Pregnancy.

 

Disclaimer: This is based on the import(Date: Tue, 10 Dec 2024 06:32 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