Dentegra Dental PPO Family Preferred Plan - 61284IA0010012 Health Insurance Plan

Dentegra Insurance Company health insurance plan with the Plan ID 61284IA0010012. The plan is called Dentegra Dental PPO Family Preferred Plan.

Health Insurance Plan ID 61284IA0010012
Health Insurance Plan Year 2024
State Iowa
Health Insurance Issuer Dentegra Insurance Company
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 61284IA0010012-01
Provider Network(s) PPO
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 Iowa 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 - 61284IA0010012-01

Last Plan Update Date Wed, 16 Aug 2023 00:00 GMT
Last Import Date Tue, 10 Dec 2024 06:32 GMT

Benefits of Dentegra Dental PPO Family Preferred Plan Health Insurance Plan, 61284IA0010012-01

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

20.00% Coinsurance after deductible

 30.00% Coinsurance after deductible
Basic Dental Care - Child
YES

20.00% Coinsurance after deductible

 20.00% Coinsurance after deductible
Dental Check-Up for Children
YES

0.00%

 0.00%
Major Dental Care - Adult
YES

50.00% 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
YES

50.00% Coinsurance after deductible

 50.00% Coinsurance after deductible
Routine Dental Services (Adult)
YES

0.00%

 10.00%

Dentegra Dental PPO Family Preferred Plan Health Insurance Plan Variant 61284IA0010012-01 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 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 1.0
First Tier Utilization 100%
HIOS Product ID 61284IA001
Import Date 2023-08-16 20:01:48
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan Existing
Issuer ID 61284
Issuer Marketplace Marketing Name Dentegra 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 $40 per person
Medical EHB Deductible, Combined In/Out of Network, Individual $40
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 $40 per person
Medical EHB Deductible, Out of Network, Individual $40
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group $800 per group
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person $400 per person
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual $400
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 Yes
Network ID IAN001
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Nationwide Network
Plan Brochure URL
Plan Effective Date 2024-01-01
Plan Expiration Date 2024-12-31
Plan ID (Standard Component ID with Variant) 61284IA0010012-01
Plan Marketing Name Dentegra Dental PPO Family Preferred Plan
Plan Type PPO
Plan Variant Marketing Name Dentegra Dental PPO Family Preferred Plan
QHP/Non QHP On the Exchange
Service Area ID IAS001
Source Name SERFF
Plan ID 61284IA0010012
State Code IA
URL for Enrollment Payment URL

Copay & Coinsurance of Dentegra Dental PPO Family Preferred Plan Health Insurance Plan, 61284IA0010012

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

Frequently Asked Questions(FAQ) about Dentegra Dental PPO Family Preferred Plan, 61284IA0010012 Health Insurance Plan, 61284IA0010012

  • Does Dentegra Dental PPO Family Preferred Plan Health Insurance Plan, 61284IA0010012 support Mail Ordering?

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

    • Does (61284IA0010012) Health Insurance Plan, Variant (61284IA0010012-01) have Out Of Country Coverage?

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

    Does (61284IA0010012) Health Insurance Plan, Variant (61284IA0010012-01) have Out of Service Area Coverage?

    Yes. Details: Nationwide Network

 

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