BESTOne Advantage Gold - 71051IA0020003 Health Insurance Plan

BEST Life and Health Insurance Company health insurance plan with the Plan ID 71051IA0020003. The plan is called BESTOne Advantage Gold.

Based on the data of Health Plan Issuer, this plan has an actuarial value of 86.60% (the percentage of total average costs for covered benefits that a plan will cover). So, on average, you would be responsible for 13.40% of the costs of all covered benefits (according to the Issuer).

Health Insurance Plan ID 71051IA0020003
Health Insurance Plan Year 2023
State Iowa
Health Insurance Issuer BEST Life and Health Insurance Company
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 71051IA0020003-00
Provider Network(s) ['IAN001']
In Network Doctors

*The data available in our database based on Health Insurance Company Open Data (update: Wed, 27 Mar 2024 12:10 GMT).

Providers Iowa 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 - 71051IA0020003-00

Standard On Exchange Plan - 71051IA0020003-01

Last Plan Update Date Wed, 17 Aug 2022 00:00 GMT
Last Import Date Wed, 27 Mar 2024 12:10 GMT

Benefits of BESTOne Advantage Gold Health Insurance Plan, 71051IA0020003-00

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

10.00% Coinsurance after deductible

30.00% Coinsurance after deductible
Basic Dental Care - Child
YES

30.00% Coinsurance after deductible

40.00% Coinsurance after deductible
Dental Check-Up for Children
YES

No Charge

10.00% Coinsurance after deductible
Major Dental Care - Adult
YES

50.00% Coinsurance after deductible

70.00% Coinsurance after deductible
Major Dental Care - Child
YES

50.00% Coinsurance after deductible

60.00% Coinsurance after deductible
Orthodontia - Adult
NO
Orthodontia - Child
YES

50.00%

50.00%
Routine Dental Services (Adult)
YES

No Charge

20.00%

BESTOne Advantage Gold Health Insurance Plan Variant 71051IA0020003-00 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 2023
Child-Only Offering Allows Adult and Child-Only
Composite Rating Offered No
CSR Variation Type Standard High Off Exchange Plan
Dental Only Plan Yes
EHB Apportionment for Pediatric Dental 1
First Tier Utilization 100%
HIOS Product ID 71051IA002
Import Date 8/17/2022 20:01
Inpatient Copayment Maximum Days 0
Guaranteed Rate Estimated Rate
New/Existing Plan Existing
Issuer Actuarial Value 86.60%
Issuer ID 71051
Issuer Marketplace Marketing Name BEST Life
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 $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 $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 $1400 per group
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Person $700 per person
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Individual $700
Metal Level High
Multiple In Network Tiers No
National Network Yes
Network ID IAN001
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Full
Plan Brochure URL
Plan Effective Date 1/1/2023
Plan Expiration Date 12/31/2023
Plan ID (Standard Component ID with Variant) 71051IA0020003-00
Plan Marketing Name BESTOne Advantage Gold
Plan Type PPO
Plan Variant Marketing Name BESTOne Advantage Gold
QHP/Non QHP Both
Service Area ID IAS001
Source Name SERFF
Plan ID 71051IA0020003
State Code IA
URL for Enrollment Payment URL

Copay & Coinsurance of BESTOne Advantage Gold Health Insurance Plan, 71051IA0020003

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

Frequently Asked Questions(FAQ) about BESTOne Advantage Gold, 71051IA0020003 Health Insurance Plan, 71051IA0020003

  • Does BESTOne Advantage Gold Health Insurance Plan, 71051IA0020003 support Mail Ordering?

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

  • Does (71051IA0020003) Health Insurance Plan, Variant (71051IA0020003-00) have Out Of Country Coverage?

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

    Does (71051IA0020003) Health Insurance Plan, Variant (71051IA0020003-00) have Out of Service Area Coverage?

    Yes. Details: Full

 

Disclaimer: This is based on the import(Date: Wed, 27 Mar 2024 12:10 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