Oklahoma Preferred Plan (Pediatric Only) - 13711OK0060002 Health Insurance Plan

Renaissance Life & Health Insurance Company of America health insurance plan with the Plan ID 13711OK0060002. The plan is called Oklahoma Preferred Plan (Pediatric Only).

Health Insurance Plan ID 13711OK0060002
Health Insurance Plan Year 2025
State Oklahoma
Health Insurance Issuer Renaissance Life & Health Insurance Company of America
Health Insurance Plan Variant 13711OK0060002-00
Provider Network(s) ['OKN001']
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 Oklahoma 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 Off Exchange Plan - 13711OK0060002-00

Last Plan Update Date Sat, 14 Sep 2024 00:00 GMT
Last Import Date Thu, 21 Nov 2024 00:44 GMT

Benefits of Oklahoma Preferred Plan (Pediatric Only) Health Insurance Plan, 13711OK0060002-00

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

Exclusions: See Plan Brochure.

YES

40% Coinsurance after deductible

 50% Coinsurance after deductible
Dental Check-Up for Children

Limit: 2.0 Visit(s) per Benefit Period

Exclusions: See Plan Brochure. X-Rays may be subject to deductible.

YES

20.00%

 30.00%
Major Dental Care - Adult
NO
Major Dental Care - Child

Exclusions: See Plan Brochure.

YES

50% Coinsurance after deductible

 50% Coinsurance after deductible
Orthodontia - Adult
NO
Orthodontia - Child

Exclusions: Limited to medically necessary. See Plan Brochure.

YES

50.00%

 50.00%
Routine Dental Services (Adult)
NO

Oklahoma Preferred Plan (Pediatric Only) Health Insurance Plan Variant 13711OK0060002-00 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 Child-Only
Composite Rating Offered No
CSR Variation Type Standard Low Off Exchange Plan
Dental Only Plan Yes
EHB Apportionment for Pediatric Dental 1.0
First Tier Utilization 100%
HIOS Product ID 13711OK006
Import Date 2024-09-14 01:01:31
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan Existing
Issuer ID 13711
Issuer Marketplace Marketing Name Renaissance 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 $150 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 per group not applicable
Medical EHB Deductible, In Network (Tier 1), Family Per Person per person not applicable
Medical EHB Deductible, In Network (Tier 1), Individual Not Applicable
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 OKN001
Out of Country Coverage Yes
Out of Country Coverage Description Benefits paid at the Out of Network Level
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Same Benefit Level
Plan Effective Date 2025-01-01
Plan ID (Standard Component ID with Variant) 13711OK0060002-00
Plan Marketing Name Oklahoma Preferred Plan (Pediatric Only)
Plan Type PPO
Plan Variant Marketing Name Oklahoma Preferred Plan (Pediatric Only)
QHP/Non QHP Off the Exchange
Service Area ID OKS001
Source Name HIOS
Plan ID 13711OK0060002
State Code OK

Copay & Coinsurance of Oklahoma Preferred Plan (Pediatric Only) Health Insurance Plan, 13711OK0060002

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

Frequently Asked Questions(FAQ) about Oklahoma Preferred Plan (Pediatric Only), 13711OK0060002 Health Insurance Plan, 13711OK0060002

  • Does Oklahoma Preferred Plan (Pediatric Only) Health Insurance Plan, 13711OK0060002 support Mail Ordering?

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

    • Does (13711OK0060002) Health Insurance Plan, Variant (13711OK0060002-00) have Out Of Country Coverage?

    Yes. Details: Benefits paid at the Out of Network Level

    Does (13711OK0060002) Health Insurance Plan, Variant (13711OK0060002-00) have Out of Service Area Coverage?

    Yes. Details: Same Benefit Level

 

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