HRI Preventive Family Plan - 33086IN0060001 Health Insurance Plan

Health Resources, Inc. health insurance plan with the Plan ID 33086IN0060001. The plan is called HRI Preventive Family Plan.

Health Insurance Plan ID 33086IN0060001
Health Insurance Plan Year 2025
State Indiana
Health Insurance Issuer Health Resources, Inc.
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 33086IN0060001-01
Provider Network(s) PARTICIPATING
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 Indiana 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 - 33086IN0060001-01

Last Plan Update Date Thu, 19 Sep 2024 00:00 GMT
Last Import Date Thu, 21 Nov 2024 00:44 GMT

Benefits of HRI Preventive Family Plan Health Insurance Plan, 33086IN0060001-01

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

50.00% Coinsurance after deductible

 100.00%
Dental Check-Up for Children

Limit: 2.0 Exam(s) per Year

Limit of 2 cleanings and 2 exams per calendar year.

YES

No Charge

 100.00%
Major Dental Care - Adult
NO
Major Dental Care - Child

Crowns are limited to replacement every 5 years.

YES

50.00% Coinsurance after deductible

 100.00%
Orthodontia - Adult
NO
Orthodontia - Child

Limited to Medically Necessary Orthodontia. See detailed information in your benefits summary.

YES

50.00%

 100.00%
Routine Dental Services (Adult)

Limit: 2.0 Exam(s) per Year

Limit of 2 cleanings and 2 exams per calendar year.

YES

No Charge

 100.00%

HRI Preventive Family Plan Health Insurance Plan Variant 33086IN0060001-01 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 33086IN006
Import Date 2024-09-19 01:01:32
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan Existing
Issuer ID 33086
Issuer Marketplace Marketing Name Paramount Dental
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 $25 per person
Medical EHB Deductible, In Network (Tier 1), Individual $25
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 Yes
Network ID INN001
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Coverage allowed using any of our in-network dentists nationwide.
Plan Brochure URL
Plan Effective Date 2025-01-01
Plan Expiration Date 2025-12-31
Plan ID (Standard Component ID with Variant) 33086IN0060001-01
Plan Marketing Name HRI Preventive Family Plan
Plan Type HMO
Plan Variant Marketing Name HRI Preventive Family Plan
QHP/Non QHP On the Exchange
Service Area ID INS001
Source Name HIOS
Plan ID 33086IN0060001
State Code IN
URL for Enrollment Payment URL
URL for Summary of Benefits & Coverage URL

Copay & Coinsurance of HRI Preventive Family Plan Health Insurance Plan, 33086IN0060001

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

Frequently Asked Questions(FAQ) about HRI Preventive Family Plan, 33086IN0060001 Health Insurance Plan, 33086IN0060001

  • Does HRI Preventive Family Plan Health Insurance Plan, 33086IN0060001 support Mail Ordering?

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

    • Does (33086IN0060001) Health Insurance Plan, Variant (33086IN0060001-01) have Out Of Country Coverage?

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

    Does (33086IN0060001) Health Insurance Plan, Variant (33086IN0060001-01) have Out of Service Area Coverage?

    Yes. Details: Coverage allowed using any of our in-network dentists nationwide.

 

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