EMI Health Premier PPO (Low) - 48872ID0010002 Health Insurance Plan
48872 health insurance plan with the Plan ID 48872ID0010002. The plan is called EMI Health Premier PPO (Low).
| Health Insurance Plan ID | 48872ID0010002 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2024 | ||||||||||||||||||
| State | Idaho | ||||||||||||||||||
| Health Insurance Issuer | 48872 | ||||||||||||||||||
| Health Insurance Plan Variant | 48872ID0010002-01 | ||||||||||||||||||
| Provider Network(s) | PREFERRED | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 10 Sep 2024 06:34 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 12 Feb 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 10 Sep 2024 06:34 GMT |
EMI Health Premier PPO (Low) Health Insurance Plan Variant 48872ID0010002-01 Attributes
| Plan Attribute | Value |
|---|---|
| Business Year | 2024 |
| 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 | 100.00% |
| First Tier Utilization | 100% |
| HIOS Product ID | 48872ID001 |
| Import Date | 2/12/2024 |
| Guaranteed Rate | Guaranteed Rate |
| IsItANewPlan | Existing |
| Issuer ID | 48872 |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family | $375 per person | $750 per group |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | $375 |
| Medical EHB Deductible, Combined In/Out of Network, Family | $100 per person | $300 per group |
| Medical EHB Deductible, Combined In/Out of Network, Individual | $100 |
| 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 | per person not applicable | per group 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 person not applicable | per group 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 | Yes |
| Network ID | IDN001 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Dental expenses for care, supplies, or services which are rendered by a Provider whose principal place of business or address for payment is located outside the United States are payable under the Plan, subject to all Plan exclusions, limitations, maximums and other provisions, under the conditions outlined in the policy. |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | PPO network or out-of-network coverage at PPO fee |
| Plan Effective Date | 1/1/2024 |
| Plan Expiration Date | 12/31/2024 |
| Plan ID (Standard Component ID with Variant) | 48872ID0010002-01 |
| Plan Marketing Name | EMI Health Premier PPO (Low) |
| Plan Type | PPO |
| Plan Variant Marketing Name | EMI Health Premier PPO (Low) |
| QHP/Non QHP | Both |
| Service Area ID | IDS001 |
| Source Name | SERFF |
| Plan ID | 48872ID0010002 |
| State Code | ID |
| Version Number | 1 |
| Wellness Program Offered | No |
Copay & Coinsurance of EMI Health Premier PPO (Low) Health Insurance Plan, 48872ID0010002
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
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Frequently Asked Questions(FAQ) about EMI Health Premier PPO (Low), 48872ID0010002 Health Insurance Plan, 48872ID0010002
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Does EMI Health Premier PPO (Low) Health Insurance Plan, 48872ID0010002 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (48872ID0010002) Health Insurance Plan, Variant (48872ID0010002-01) have Out Of Country Coverage?
Yes. Details: Dental expenses for care, supplies, or services which are rendered by a Provider whose principal place of business or address for payment is located outside the United States are payable under the Plan, subject to all Plan exclusions, limitations, maximums and other provisions, under the conditions outlined in the policy.
Does (48872ID0010002) Health Insurance Plan, Variant (48872ID0010002-01) have Out of Service Area Coverage?
Yes. Details: PPO network or out-of-network coverage at PPO fee
Disclaimer: This is based on the import(Date: Tue, 10 Sep 2024 06:34 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