Smile Complete Adult + Preferred Pediatric - 46641ID0020005 Health Insurance Plan
46641 health insurance plan with the Plan ID 46641ID0020005. The plan is called Smile Complete Adult + Preferred Pediatric.
| Health Insurance Plan ID | 46641ID0020005 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2024 | ||||||||||||||||||
| State | Idaho | ||||||||||||||||||
| Health Insurance Issuer | 46641 | ||||||||||||||||||
| Health Insurance Plan Variant | 46641ID0020005-01 | ||||||||||||||||||
| Provider Network(s) | ['IDN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Thu, 21 Nov 2024 00:44 GMT). |
|
||||||||||||||||||
| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 12 Feb 2024 00:00 GMT | ||||||||||||||||||
| Last Import Date | Thu, 21 Nov 2024 00:44 GMT |
Smile Complete Adult + Preferred Pediatric Health Insurance Plan Variant 46641ID0020005-01 Attributes
| Plan Attribute | Value |
|---|---|
| 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 | 100.00% |
| First Tier Utilization | 100% |
| HIOS Product ID | 46641ID002 |
| Import Date | 2/12/2024 |
| Guaranteed Rate | Guaranteed Rate |
| IsItANewPlan | Existing |
| Issuer ID | 46641 |
| Market Coverage | Individual |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family | per person not applicable | per group not applicable |
| Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out | Not Applicable |
| Medical EHB Deductible, Combined In/Out of Network, Family | $25 per person | per group not applicable |
| Medical EHB Deductible, Combined In/Out of Network, Individual | $25 |
| Medical EHB Deductible, In Network (Tier 1), Family | $25 per person | per group not applicable |
| Medical EHB Deductible, In Network (Tier 1), Individual | $25 |
| Medical EHB Deductible, Out of Network, Family | $25 per person | per group not applicable |
| Medical EHB Deductible, Out of Network, Individual | $25 |
| Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family | $400 per person | $800 per group |
| 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 | $2000 per person | per group not applicable |
| Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual | $2,000 |
| Metal Level | High |
| Multiple In Network Tiers | No |
| National Network | Yes |
| Network ID | IDN001 |
| Out of Country Coverage | Yes |
| Out of Country Coverage Description | Same benefit level as in country |
| Out of Service Area Coverage | Yes |
| Out of Service Area Coverage Description | Same benefit level as in country |
| Plan Effective Date | 1/1/2024 |
| Plan ID (Standard Component ID with Variant) | 46641ID0020005-01 |
| Plan Level Exclusions | Exclusions are listed in the contract, which is included in the supporting documentation. |
| Plan Marketing Name | Smile Complete Adult + Preferred Pediatric |
| Plan Type | PPO |
| Plan Variant Marketing Name | Smile Complete Adult + Preferred Pediatric |
| QHP/Non QHP | Both |
| Service Area ID | IDS001 |
| Source Name | SERFF |
| Plan ID | 46641ID0020005 |
| State Code | ID |
| Version Number | 1 |
| Wellness Program Offered | No |
Copay & Coinsurance of Smile Complete Adult + Preferred Pediatric Health Insurance Plan, 46641ID0020005
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|
Frequently Asked Questions(FAQ) about Smile Complete Adult + Preferred Pediatric, 46641ID0020005 Health Insurance Plan, 46641ID0020005
-
Does Smile Complete Adult + Preferred Pediatric Health Insurance Plan, 46641ID0020005 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (46641ID0020005) Health Insurance Plan, Variant (46641ID0020005-01) have Out Of Country Coverage?
Does (46641ID0020005) Health Insurance Plan, Variant (46641ID0020005-01) have Out of Service Area Coverage?
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