BESTOne Gold Plus - 17859ID0020007 Health Insurance Plan

17859 health insurance plan with the Plan ID 17859ID0020007. The plan is called BESTOne Gold Plus.

Health Insurance Plan ID 17859ID0020007
Health Insurance Plan Year 2024
State Idaho
Health Insurance Issuer 17859
Health Insurance Plan Variant 17859ID0020007-01
Provider Network(s) IN-NETWORK
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Thu, 21 Nov 2024 00:44 GMT).

Providers Idaho 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 On Exchange Plan - 17859ID0020007-01

Last Plan Update Date Mon, 12 Feb 2024 00:00 GMT
Last Import Date Thu, 21 Nov 2024 00:44 GMT

BESTOne Gold Plus Health Insurance Plan Variant 17859ID0020007-01 Attributes

Plan Attribute Value
Business Year 2024
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard High On Exchange Plan
Dental Only Plan Yes
EHB Apportionment for Pediatric Dental 100.00%
First Tier Utilization 100%
HIOS Product ID 17859ID002
Import Date 2/12/2024
Guaranteed Rate Guaranteed Rate
IsItANewPlan Existing
Issuer ID 17859
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 $50 per person | per group not applicable
Medical EHB Deductible, Combined In/Out of Network, Individual $50
Medical EHB Deductible, In Network (Tier 1), Family per person not applicable | per group not applicable
Medical EHB Deductible, In Network (Tier 1), Individual Not Applicable
Medical EHB Deductible, Out of Network, Family per person not applicable | per group not applicable
Medical EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family $350 per person | $700 per group
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 $700 per person | $1400 per group
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual $700
Metal Level High
Multiple In Network Tiers No
National Network Yes
Network ID IDN001
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Full
Plan Effective Date 1/1/2024
Plan Expiration Date 12/31/2024
Plan ID (Standard Component ID with Variant) 17859ID0020007-01
Plan Marketing Name BESTOne Gold Plus
Plan Type PPO
Plan Variant Marketing Name BESTOne Gold Plus
QHP/Non QHP Both
Service Area ID IDS001
Source Name SERFF
Plan ID 17859ID0020007
State Code ID
Version Number 1
Wellness Program Offered No

Copay & Coinsurance of BESTOne Gold Plus Health Insurance Plan, 17859ID0020007

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

Frequently Asked Questions(FAQ) about BESTOne Gold Plus, 17859ID0020007 Health Insurance Plan, 17859ID0020007

  • Does BESTOne Gold Plus Health Insurance Plan, 17859ID0020007 support Mail Ordering?

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

  • Does (17859ID0020007) Health Insurance Plan, Variant (17859ID0020007-01) have Out Of Country Coverage?

    No, unfortunately there is no Out Of Country Coverage for this Health Insurance Plan (variant of plan).

    Does (17859ID0020007) Health Insurance Plan, Variant (17859ID0020007-01) have Out of Service Area Coverage?

    Yes. Details: Full

 

Disclaimer: This is based on the import(Date: Thu, 21 Nov 2024 00:44 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