TruAssure Preferred Adult or Child Dental Plan - 12513OK0020001 Health Insurance Plan

TRUASSURE INSURANCE COMPANY health insurance plan with the Plan ID 12513OK0020001. The plan is called TruAssure Preferred Adult or Child Dental Plan.

Health Insurance Plan ID

12513OK0020001

Health Insurance Plan Year

2023

State

Oklahoma

Health Insurance Issuer

TRUASSURE INSURANCE COMPANY

Plan Marketing Materials URL

Marketing URL

Health Insurance Plan Variant

12513OK0020001-01

Provider Network(s)

['OKN001']

In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Tue, 22 Oct 2024 06:47 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 - 12513OK0020001-00

Standard On Exchange Plan - 12513OK0020001-01

Last Plan Update Date

Wed, 17 Aug 2022 00:00 GMT

Last Import Date

Tue, 22 Oct 2024 06:47 GMT

Benefits of TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan, 12513OK0020001-01

Benefit	Covered	In Network	Out Of Network
Accidental Dental	NO
Basic Dental Care - Adult	YES	30.00% Coinsurance after deductible	50.00% Coinsurance after deductible
Basic Dental Care - Child	YES	30.00% Coinsurance after deductible	50.00% Coinsurance after deductible
Dental Check-Up for Children Limit: 1.0 Visit(s) per 6 Months	YES	0.00%	0.00%
Major Dental Care - Adult 6 Month Waiting Period	YES	50.00% Coinsurance after deductible	50.00% Coinsurance after deductible
Major Dental Care - Child	YES	50.00% Coinsurance after deductible	50.00% Coinsurance after deductible
Orthodontia - Adult	NO
Orthodontia - Child Medically Necessary Only	YES	50.00%	50.00%
Routine Dental Services (Adult) Limit: 1.0 Visit(s) per 6 Months	YES	0.00%	0.00%

TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan Variant 12513OK0020001-01 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	2023
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	1
First Tier Utilization	100%
HIOS Product ID	12513OK002
Import Date	8/17/2022 1:01
Inpatient Copayment Maximum Days	0
Guaranteed Rate	Guaranteed Rate
New/Existing Plan	Existing
Issuer ID	12513
Issuer Marketplace Marketing Name	TRUASSURE INSURANCE COMPANY
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	$75 per person
Medical EHB Deductible, Out of Network, Individual	$75
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group	$700 per group
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person	$350 per person
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual	$350
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	High
Multiple In Network Tiers	No
National Network	Yes
Network ID	OKN001
Out of Country Coverage	Yes
Out of Country Coverage Description	Emergency Only
Out of Service Area Coverage	Yes
Out of Service Area Coverage Description	All Covered Benefits
Plan Brochure	URL
Plan Effective Date	1/1/2023
Plan Expiration Date	12/31/2023
Plan ID (Standard Component ID with Variant)	12513OK0020001-01
Plan Marketing Name	TruAssure Preferred Adult or Child Dental Plan
Plan Type	PPO
Plan Variant Marketing Name	TruAssure Preferred Adult or Child Dental Plan
QHP/Non QHP	Both
Service Area ID	OKS001
Source Name	HIOS
Plan ID	12513OK0020001
State Code	OK
URL for Enrollment Payment	URL

Copay & Coinsurance of TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan, 12513OK0020001

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

Frequently Asked Questions(FAQ) about TruAssure Preferred Adult or Child Dental Plan, 12513OK0020001 Health Insurance Plan, 12513OK0020001

Does TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan, 12513OK0020001 support Mail Ordering?

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

Does (12513OK0020001) Health Insurance Plan, Variant (12513OK0020001-01) have Out Of Country Coverage?

Yes. Details: Emergency Only

Does (12513OK0020001) Health Insurance Plan, Variant (12513OK0020001-01) have Out of Service Area Coverage?

Yes. Details: All Covered Benefits

Disclaimer: This is based on the import(Date: Tue, 22 Oct 2024 06:47 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