Smile Complete Adult + Basic Pediatric - 46641ID0020006 Health Insurance Plan
46641 health insurance plan with the Plan ID 46641ID0020006. The plan is called Smile Complete Adult + Basic Pediatric.
| Health Insurance Plan ID | 46641ID0020006 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Idaho | ||||||||||||||||||
| Health Insurance Issuer | 46641 | ||||||||||||||||||
| Health Insurance Plan Variant | 46641ID0020006-01 | ||||||||||||||||||
| Provider Network(s) | ['IDN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 07 May 2024 06:08 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 23 Jan 2023 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 07 May 2024 06:08 GMT |
Smile Complete Adult + Basic Pediatric Health Insurance Plan Variant 46641ID0020006-01 Attributes
| Plan Attribute | Value |
|---|---|
| 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 | 100% |
| First Tier Utilization | 100% |
| HIOS Product ID | 46641ID002 |
| Import Date | 1/23/2023 |
| Guaranteed Rate | Guaranteed Rate |
| IsItANewPlan | Existing |
| Issuer ID | 46641 |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | Not Applicable |
| Medical EHB Deductible, Combined In/Out of Network, Family | $75 per person | per group not applicable |
| Medical EHB Deductible, Combined In/Out of Network, Individual | $75 |
| Medical EHB Deductible, In Network (Tier 1), Family | $75 per person | per group not applicable |
| Medical EHB Deductible, In Network (Tier 1), Individual | $75 |
| Medical EHB Deductible, Out of Network, Family | $75 per person | per group not applicable |
| Medical EHB Deductible, Out of Network, Individual | $75 |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family | $375 per person | $750 per group |
| 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 | $2000 per person | per group not applicable |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual | $2,000 |
| Metal Level | Low |
| Multiple In Network Tiers | No |
| National Network | Yes |
| Network ID | IDN001 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Same benefit level as in country |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Same benefit level as in country |
| Plan Effective Date | 1/1/2023 |
| Plan ID (Standard Component ID with Variant) | 46641ID0020006-01 |
| Plan Level Exclusions | Exclusions are listed in the contract, which is included in the supporting documentation. |
| Plan Marketing Name | Smile Complete Adult + Basic Pediatric |
| Plan Type | PPO |
| Plan Variant Marketing Name | Smile Complete Adult + Basic Pediatric |
| QHP/Non QHP | Both |
| Service Area ID | IDS001 |
| Source Name | SERFF |
| Plan ID | 46641ID0020006 |
| State Code | ID |
| Version Number | 1 |
| Wellness Program Offered | No |
Copay & Coinsurance of Smile Complete Adult + Basic Pediatric Health Insurance Plan, 46641ID0020006
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Smile Complete Adult + Basic Pediatric, 46641ID0020006 Health Insurance Plan, 46641ID0020006
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Does Smile Complete Adult + Basic Pediatric Health Insurance Plan, 46641ID0020006 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (46641ID0020006) Health Insurance Plan, Variant (46641ID0020006-01) have Out Of Country Coverage?
Yes. Details: Same benefit level as in country
Does (46641ID0020006) Health Insurance Plan, Variant (46641ID0020006-01) have Out of Service Area Coverage?
Yes. Details: Same benefit level as in country
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