Secure - 25922VA0010011 Health Insurance Plan

Oscar Insurance Company health insurance plan with the Plan ID 25922VA0010011. The plan is called Secure.

Health Insurance Plan ID 25922VA0010011
Health Insurance Plan Year 2024
State Virginia
Health Insurance Issuer Oscar Insurance Company
Health Insurance Plan Variant 25922VA0010011-01
Provider Network(s) PREFERRED
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 03 Dec 2024 06:24 GMT).

Providers Virginia All US States
All 18203 83824
PCP 1644 2771
Allergy 3 11
OB/GYN 86 125
Dentists N/A 3
Available Variants of the Health Plan

Standard On Exchange Plan - 25922VA0010011-01

Last Plan Update Date Mon, 12 Feb 2024 00:00 GMT
Last Import Date Tue, 03 Dec 2024 06:24 GMT

Secure Health Insurance Plan Variant 25922VA0010011-01 Attributes

Plan Attribute Value
Begin Primary Care Cost-Sharing After Number Of Visits 3
Business Year 2024
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard Catastrophic On Exchange Plan
Dental Only Plan No
Design Type Not Applicable
Disease Management Programs Offered Pregnancy, Depression, Diabetes, Heart Disease, Asthma
EHB Percent of Total Premium 100%
First Tier Utilization 100%
Formulary ID VAF001
HIOS Product ID 25922VA001
Import Date 2/12/2024
HSA Eligible No
IsItANewPlan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer ID 25922
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Catastrophic
Multiple In Network Tiers No
National Network No
Network ID VAN001
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Services only
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Emergency and Urgent Services only
Plan Effective Date 1/1/2024
Plan Expiration Date 12/31/2024
Plan ID (Standard Component ID with Variant) 25922VA0010011-01
Plan Marketing Name Secure
Plan Type EPO
Plan Variant Marketing Name Secure
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $0
SBC Scenario, Having a Baby, Copayment $0
SBC Scenario, Having a Baby, Deductible $9,450
SBC Scenario, Having a Baby, Limit $0
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $0
SBC Scenario, Having Diabetes, Deductible $5,400
SBC Scenario, Having Diabetes, Limit $0
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $0
SBC Scenario, Treatment of a Simple Fracture, Deductible $2,800
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Service Area ID VAS001
Source Name SERFF
Plan ID 25922VA0010011
State Code VA
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 0.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family $9450 per person | $18900 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $9,450
TEHBDedOutofNetFamily per person not applicable | per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family $9450 per person | $18900 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $9,450
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family per person not applicable | per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design No
Version Number 1
Wellness Program Offered No

Copay & Coinsurance of Secure Health Insurance Plan, 25922VA0010011

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

Frequently Asked Questions(FAQ) about Secure, 25922VA0010011 Health Insurance Plan, 25922VA0010011

  • Does Secure Health Insurance Plan, 25922VA0010011 support Mail Ordering?

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

  • Does (25922VA0010011) Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs?

    Yes, and here is the list of available programs: Pregnancy, Depression, Diabetes, Heart Disease, Asthma

    Does (25922VA0010011) Health Insurance Plan, Variant (25922VA0010011-01) have Out Of Country Coverage?

    Yes. Details: Emergency Services only

    Does (25922VA0010011) Health Insurance Plan, Variant (25922VA0010011-01) have Out of Service Area Coverage?

    Yes. Details: Emergency and Urgent Services only

    Does (25922VA0010011) Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs?

    Yes, and here is the list of available programs: Pregnancy, Depression, Diabetes, Heart Disease, Asthma

    Does Secure Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs for Asthma?

    Yes, the Secure Health Insurance Plan Variant 25922VA0010011-01 offers Disease Management Program for Asthma.

    Does Secure Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs for Heart disease?

    Yes, the Secure Health Insurance Plan Variant 25922VA0010011-01 offers Disease Management Program for Heart disease.

    Does Secure Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs for Depression?

    Yes, the Secure Health Insurance Plan Variant 25922VA0010011-01 offers Disease Management Program for Depression.

    Does Secure Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs for Diabetes?

    Yes, the Secure Health Insurance Plan Variant 25922VA0010011-01 offers Disease Management Program for Diabetes.

    Does Secure Health Insurance Plan, Variant (25922VA0010011-01) offer Disease Management Programs for Pregnancy?

    Yes, the Secure Health Insurance Plan Variant 25922VA0010011-01 offers Disease Management Program for Pregnancy.

 

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