BEST Life and Health Insurance Company health insurance plan with the Plan ID 75329ND0020007. The plan is called BEST Life Preferred Dental Plan.
Health Insurance Plan ID | 75329ND0020007 | ||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Health Insurance Plan Year | 2025 | ||||||||||||||||||
State | North Dakota | ||||||||||||||||||
Health Insurance Issuer | BEST Life and Health Insurance Company | ||||||||||||||||||
Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
Health Insurance Plan Variant | 75329ND0020007-00 | ||||||||||||||||||
Provider Network(s) | IN-NETWORK | ||||||||||||||||||
In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 24 Dec 2024 06:21 GMT). |
|
||||||||||||||||||
Available Variants of the Health Plan | |||||||||||||||||||
Last Plan Update Date | Thu, 14 Nov 2024 00:00 GMT | ||||||||||||||||||
Last Import Date | Tue, 24 Dec 2024 06:21 GMT |
Benefit | Covered | In Network | Out Of Network |
---|---|---|---|
Accidental Dental
Superior Accident Dental Maximum- $500 Preferred Accident Dental Maximum - $$300 |
YES | ||
Basic Dental Care - Adult
|
YES | 30.00% Coinsurance after deductible |
30.00% Coinsurance after deductible |
Basic Dental Care - Child
|
YES | 30.00% Coinsurance after deductible |
30.00% Coinsurance after deductible |
Dental Check-Up for Children
Limit: 2.0 Exam(s) per Benefit Period |
YES | No Charge |
No Charge |
Major Dental Care - Adult
|
YES | 60.00% Coinsurance after deductible |
60.00% Coinsurance after deductible |
Major Dental Care - Child
|
YES | 50.00% Coinsurance after deductible |
50.00% Coinsurance after deductible |
Orthodontia - Adult
|
NO | ||
Orthodontia - Child
Limit: 1.0 Treatment(s) per Lifetime Only for the treatment of improper alignment of biting or chewing surfaces of upper and lower teeth through the installation of orthodontic appliances. |
YES | 50.00% |
50.00% |
Routine Dental Services (Adult)
|
YES | No Charge |
No Charge |
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 High Off Exchange Plan |
Dental Only Plan | Yes |
EHB Apportionment for Pediatric Dental | 1.0 |
First Tier Utilization | 100% |
HIOS Product ID | 75329ND002 |
Import Date | 2024-11-14 00:02:01 |
Inpatient Copayment Maximum Days | 0 |
Guaranteed Rate | Guaranteed Rate |
New/Existing Plan | Existing |
Issuer ID | 75329 |
Issuer Marketplace Marketing Name | BEST Life |
Market Coverage | Individual |
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group | $700 per group |
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person | $350 per person |
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | $350 |
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 | $75 per person |
Medical EHB Deductible, Combined In/Out of Network, Individual | $75 |
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 | per group not applicable |
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person | per person not applicable |
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual | Not Applicable |
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 | High |
Multiple In Network Tiers | No |
National Network | No |
Network ID | NDN001 |
Out of Country Coverage | No |
Out of Service Area Coverage | Yes |
Out of Service Area Coverage Description | Network or UCR |
Plan Brochure | URL |
Plan Effective Date | 2025-01-01 |
Plan Expiration Date | 2025-12-31 |
Plan ID (Standard Component ID with Variant) | 75329ND0020007-00 |
Plan Marketing Name | BEST Life Preferred Dental Plan |
Plan Type | PPO |
Plan Variant Marketing Name | BEST Life Preferred Dental Plan |
QHP/Non QHP | Both |
Service Area ID | NDS001 |
Source Name | HIOS |
Plan ID | 75329ND0020007 |
State Code | ND |
URL for Enrollment Payment | URL |
Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
---|
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Disclaimer: This is based on the import(Date: Tue, 24 Dec 2024 06:21 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