TruAssure Basic Adult or Child Dental Plan - 82612NC0010001 Health Insurance Plan

TRUASSURE INSURANCE COMPANY health insurance plan with the Plan ID 82612NC0010001. The plan is called TruAssure Basic Adult or Child Dental Plan.

Health Insurance Plan ID 82612NC0010001
Health Insurance Plan Year 2025
State North Carolina
Health Insurance Issuer TRUASSURE INSURANCE COMPANY
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 82612NC0010001-00
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 1880 2277
PCP N/A N/A
Allergy N/A N/A
OB/GYN N/A N/A
Dentists 1297 1537
Available Variants of the Health Plan

Standard Off Exchange Plan - 82612NC0010001-00

Standard On Exchange Plan - 82612NC0010001-01

Last Plan Update Date Wed, 18 Sep 2024 00:00 GMT
Last Import Date Tue, 10 Dec 2024 06:32 GMT

Benefits of TruAssure Basic Adult or Child Dental Plan Health Insurance Plan, 82612NC0010001-00

Benefit Covered In Network Out Of Network
Accidental Dental
NO
Basic Dental Care - Adult
YES

50.00% Coinsurance after deductible

60.00% Coinsurance after deductible
Basic Dental Care - Child
YES

50.00% Coinsurance after deductible

60.00% Coinsurance after deductible
Dental Check-Up for Children

Limit: 1.0 Visit(s) per 6 Months

YES

0.00%

0.00%
Major Dental Care - Adult
NO
Major Dental Care - Child
YES

50.00% Coinsurance after deductible

60.00% Coinsurance after deductible
Orthodontia - Adult
NO
Orthodontia - Child

Medically Necessary Only

YES

50.00%

50.00%
Routine Dental Services (Adult)

Limit: 1.0 Visit(s) per 6 Months

YES

0.00%

10.00%

TruAssure Basic Adult or Child Dental Plan Health Insurance Plan Variant 82612NC0010001-00 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 Low Off Exchange Plan
Dental Only Plan Yes
EHB Apportionment for Pediatric Dental 1.0
First Tier Utilization 100%
HIOS Product ID 82612NC001
Import Date 2024-09-18 01:01:22
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan Existing
Issuer ID 82612
Issuer Marketplace Marketing Name TRUASSURE INSURANCE COMPANY
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 $155 per person
Medical EHB Deductible, Combined In/Out of Network, Individual $155
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 $700 per group
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person $350 per person
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual $350
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 NCN001
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Only
Out of Service Area Coverage Yes
Out of Service Area Coverage Description All Covered Benefits
Plan Brochure URL
Plan Effective Date 2025-01-01
Plan Expiration Date 2025-12-31
Plan ID (Standard Component ID with Variant) 82612NC0010001-00
Plan Marketing Name TruAssure Basic Adult or Child Dental Plan
Plan Type PPO
Plan Variant Marketing Name TruAssure Basic Adult or Child Dental Plan
QHP/Non QHP Both
Service Area ID NCS001
Source Name HIOS
Plan ID 82612NC0010001
State Code NC
URL for Enrollment Payment URL

Copay & Coinsurance of TruAssure Basic Adult or Child Dental Plan Health Insurance Plan, 82612NC0010001

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

Frequently Asked Questions(FAQ) about TruAssure Basic Adult or Child Dental Plan, 82612NC0010001 Health Insurance Plan, 82612NC0010001

  • Does TruAssure Basic Adult or Child Dental Plan Health Insurance Plan, 82612NC0010001 support Mail Ordering?

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

  • Does (82612NC0010001) Health Insurance Plan, Variant (82612NC0010001-00) have Out Of Country Coverage?

    Yes. Details: Emergency Only

    Does (82612NC0010001) Health Insurance Plan, Variant (82612NC0010001-00) have Out of Service Area Coverage?

    Yes. Details: All Covered Benefits

 

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