Blue Secure Dental Gold 1 - 26065SC0680001 Health Insurance Plan
Blue Cross and Blue Shield of South Carolina health insurance plan with the Plan ID 26065SC0680001. The plan is called Blue Secure Dental Gold 1.
| Health Insurance Plan ID | 26065SC0680001 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2025 | ||||||||||||||||||
| State | South Carolina | ||||||||||||||||||
| Health Insurance Issuer | Blue Cross and Blue Shield of South Carolina | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Health Insurance Plan Variant | 26065SC0680001-01 | ||||||||||||||||||
| Provider Network(s) | PREFERRED | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Thu, 21 Nov 2024 00:44 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Fri, 25 Oct 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Thu, 21 Nov 2024 00:44 GMT |
Benefits of Blue Secure Dental Gold 1 Health Insurance Plan, 26065SC0680001-01
| Benefit | Covered | In Network | Out Of Network |
|---|---|---|---|
| Accidental Dental
|
NO | ||
| Basic Dental Care - Adult
Exclusions: 6 month waiting period |
YES | 30.00% |
50.00% |
| Basic Dental Care - Child
|
YES | 30.00% |
50.00% |
| Dental Check-Up for Children
Limit: 1.0 Visit(s) per 6 Months |
YES | 0.00% |
20.00% |
| Major Dental Care - Adult
Exclusions: 12 month waiting period |
YES | 50.00% |
70.00% |
| Major Dental Care - Child
|
YES | 50.00% |
60.00% |
| Orthodontia - Adult
|
NO | ||
| Orthodontia - Child
For orthodontic treatment to be covered, it often must be considered medically necessary. |
YES | 50.00% |
50.00% |
| Routine Dental Services (Adult)
Limit: 1.0 Visit(s) per 6 Months |
YES | 0.00% |
20.00% |
Blue Secure Dental Gold 1 Health Insurance Plan Variant 26065SC0680001-01 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 High On Exchange Plan |
| Dental Only Plan | Yes |
| EHB Apportionment for Pediatric Dental | 1.0 |
| First Tier Utilization | 100% |
| HIOS Product ID | 26065SC068 |
| Import Date | 2024-10-25 01:01:42 |
| Inpatient Copayment Maximum Days | 0 |
| Guaranteed Rate | Guaranteed Rate |
| New/Existing Plan | Existing |
| Issuer ID | 26065 |
| Issuer Marketplace Marketing Name | BlueCross BlueShield of South Carolina |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group | $1700 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person | $850 per person |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | $850 |
| Medical EHB Deductible, Combined In/Out of Network, Family Per Group | $100 per group |
| Medical EHB Deductible, Combined In/Out of Network, Family Per Person | $50 per person |
| Medical EHB Deductible, Combined In/Out of Network, Individual | $50 |
| Medical EHB Deductible, In Network (Tier 1), Family Per Group | $100 per group |
| Medical EHB Deductible, In Network (Tier 1), Family Per Person | $50 per person |
| Medical EHB Deductible, In Network (Tier 1), Individual | $50 |
| Medical EHB Deductible, Out of Network, Family Per Group | $100 per group |
| Medical EHB Deductible, Out of Network, Family Per Person | $50 per person |
| Medical EHB Deductible, Out of Network, Individual | $50 |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group | $850 per group |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person | $425 per person |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual | $425 |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Group | $1700 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person | $850 per person |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual | $850 |
| Metal Level | High |
| Multiple In Network Tiers | No |
| National Network | No |
| Network ID | SCN007 |
| Out of Country Coverage | No |
| Out of Service Area Coverage | No |
| Plan Brochure | URL |
| Plan Effective Date | 2025-01-01 |
| Plan Expiration Date | 2025-12-31 |
| Plan ID (Standard Component ID with Variant) | 26065SC0680001-01 |
| Plan Marketing Name | Blue Secure Dental Gold 1 |
| Plan Type | PPO |
| Plan Variant Marketing Name | Blue Secure Dental Gold 1 |
| QHP/Non QHP | On the Exchange |
| Service Area ID | SCS007 |
| Source Name | HIOS |
| Plan ID | 26065SC0680001 |
| State Code | SC |
| URL for Enrollment Payment | URL |
Copay & Coinsurance of Blue Secure Dental Gold 1 Health Insurance Plan, 26065SC0680001
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Blue Secure Dental Gold 1, 26065SC0680001 Health Insurance Plan, 26065SC0680001
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Does Blue Secure Dental Gold 1 Health Insurance Plan, 26065SC0680001 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (26065SC0680001) Health Insurance Plan, Variant (26065SC0680001-01) have Out Of Country Coverage?
Does (26065SC0680001) Health Insurance Plan, Variant (26065SC0680001-01) have Out of Service Area Coverage?
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