Dental Blue Plus - 46944AL0500001 Health Insurance Plan
Blue Cross and Blue Shield of Alabama health insurance plan with the Plan ID 46944AL0500001. The plan is called Dental Blue Plus.
| Health Insurance Plan ID | 46944AL0500001 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2025 | ||||||||||||||||||
| State | Alabama | ||||||||||||||||||
| Health Insurance Issuer | Blue Cross and Blue Shield of Alabama | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Health Insurance Plan Variant | 46944AL0500001-01 | ||||||||||||||||||
| Provider Network(s) | TIER-ONE | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 03 Dec 2024 06:24 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Wed, 18 Sep 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 03 Dec 2024 06:24 GMT |
Benefits of Dental Blue Plus Health Insurance Plan, 46944AL0500001-01
| Benefit | Covered | In Network | Out Of Network |
|---|---|---|---|
| Accidental Dental
Coverage level is specific to the service rendered; limitations may apply to prosthodontic services. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Basic Dental Care - Adult
Exclusions: Limited to members age 19 and over. 180-day waiting period applies; limitations may apply to endodontic and prosthodontic services. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Basic Dental Care - Child
Exclusions: Benefits are available up to the end of the month in which the member turns 19. Limitations may apply to endodontic, periodontal and prosthodontic services. |
YES | 20.00% Coinsurance after deductible |
100.00% |
| Dental Check-Up for Children
Limit: 2.0 Visit(s) per Year Exclusions: Benefits are available up to the end of the month in which the member turns 19. Limitations may apply to certain types of x-rays. |
YES | No Charge after deductible, No Charge after deductible |
100.00% |
| Major Dental Care - Adult
Exclusions: Excludes full or partial dentures, fixed or removable bridges, inlays, onlays, or crowns to restore diseased or accidentally broken teeth. Limited to members age 19 and over. 365-day waiting period applies; limitations may apply to endodontic and periodontal services. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Major Dental Care - Child
Exclusions: Benefits are available up to the end of the month in which the member turns 19. Limitations may apply to endodontic, periodontal and prosthodontic services. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Orthodontia - Adult
|
NO | ||
| Orthodontia - Child
Exclusions: Benefits are available up to the end of the month in which the member turns 19. $150 calendar year deductible per member applies. |
YES | 50.00% Coinsurance after deductible |
100.00% |
| Routine Dental Services (Adult)
Limit: 2.0 Visit(s) per Year Exclusions: Limited to members age 19 and over. Limitations may apply to certain types of x-rays. |
YES | No Charge after deductible, No Charge after deductible |
100.00% |
Dental Blue Plus Health Insurance Plan Variant 46944AL0500001-01 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 Low On Exchange Plan |
| Dental Only Plan | Yes |
| EHB Apportionment for Pediatric Dental | 1.0 |
| First Tier Utilization | 100% |
| HIOS Product ID | 46944AL050 |
| Import Date | 2024-09-18 01:01:22 |
| Inpatient Copayment Maximum Days | 0 |
| Guaranteed Rate | Guaranteed Rate |
| New/Existing Plan | Existing |
| Issuer ID | 46944 |
| Issuer Marketplace Marketing Name | Blue Cross and Blue Shield of Alabama |
| 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 | per person not applicable |
| Medical EHB Deductible, Combined In/Out of Network, Individual | Not Applicable |
| Medical EHB Deductible, In Network (Tier 1), Family Per Group | per group not applicable |
| Medical EHB Deductible, In Network (Tier 1), Family Per Person | $40 per person |
| Medical EHB Deductible, In Network (Tier 1), Individual | $40 |
| 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 | $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 | 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 | No |
| Network ID | ALN002 |
| Out of Country Coverage | No |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Benefits are paid toward the lesser of the allowed amount or the dentist's actual charge for the service. |
| Plan Brochure | URL |
| Plan Effective Date | 2025-01-01 |
| Plan ID (Standard Component ID with Variant) | 46944AL0500001-01 |
| Plan Marketing Name | Dental Blue Plus |
| Plan Type | PPO |
| Plan Variant Marketing Name | Dental Blue Plus |
| QHP/Non QHP | On the Exchange |
| Service Area ID | ALS002 |
| Source Name | HIOS |
| Plan ID | 46944AL0500001 |
| State Code | AL |
| URL for Enrollment Payment | URL |
Copay & Coinsurance of Dental Blue Plus Health Insurance Plan, 46944AL0500001
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about Dental Blue Plus, 46944AL0500001 Health Insurance Plan, 46944AL0500001
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Does Dental Blue Plus Health Insurance Plan, 46944AL0500001 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (46944AL0500001) Health Insurance Plan, Variant (46944AL0500001-01) have Out Of Country Coverage?
Does (46944AL0500001) Health Insurance Plan, Variant (46944AL0500001-01) have Out of Service Area Coverage?
Disclaimer: This is based on the import(Date: Tue, 03 Dec 2024 06:24 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