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BESTOne Advantage Gold - 93895MT0020003 Health Insurance Plan

BEST Life and Health Insurance Company health insurance plan with the Plan ID 93895MT0020003. The plan is called BESTOne Advantage Gold .

Field Data
Health Insurance Plan ID93895MT0020003
Health Insurance Plan Year2023
StateMontana
Health Insurance IssuerBEST Life and Health Insurance Company
Plan Marketing Materials URLMarketing URL
Last Plan Update DateFri, 09 Sep 2022 00:00 GMT
Last Import DateSun, 24 Sep 2023 09:34 GMT
Health Insurance Plan Variant93895MT0020003-00
 
Available Variants of the Health Plan

93895MT0020003-00

93895MT0020003-01

BESTOne Advantage Gold Health Insurance Plan Variant 93895MT0020003-00 Attributes

Plan Attribute Value
Begin Primary Care Cost-Sharing After Number Of Visits0
Begin Primary Care Deductible Coinsurance After Number Of Copays0
Business Year2023
Child-Only OfferingAllows Adult and Child-Only
Composite Rating OfferedNo
CSR Variation TypeStandard High Off Exchange Plan
Dental Only PlanYes
EHB Apportionment for Pediatric Dental1
First Tier Utilization100%
HIOS Product ID93895MT002
Import Date9/9/2022 20:01
Inpatient Copayment Maximum Days0
Guaranteed RateEstimated Rate
New/Existing PlanExisting
Issuer ID93895
Issuer Marketplace Marketing NameBEST Life
Market CoverageIndividual
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Group$700 per group
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out Network, Family Per Person$350 per person
Maximum Out of Pocket for Medical EHB Benefits, Combined In/Out $350
Medical EHB Deductible, Combined In/Out of Network, Family Per Groupper 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 Groupper group not applicable
Medical EHB Deductible, In Network (Tier 1), Family Per Personper person not applicable
Medical EHB Deductible, In Network (Tier 1), IndividualNot Applicable
Medical EHB Deductible, Out of Network, Family Per Groupper group not applicable
Medical EHB Deductible, Out of Network, Family Per Personper person not applicable
Medical EHB Deductible, Out of Network, IndividualNot Applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Groupper group not applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Personper person not applicable
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), IndividualNot Applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Groupper group not applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, Family Per Personper person not applicable
Maximum Out of Pocket for Medical EHB Benefits, Out of Network, IndividualNot Applicable
Metal LevelHigh
Multiple In Network TiersNo
National NetworkYes
Network IDMTN001
Out of Country CoverageNo
Out of Service Area CoverageYes
Out of Service Area Coverage DescriptionNetwork or Network
Plan BrochureURL
Plan Effective Date1/1/2023
Plan Expiration Date12/31/2023
Plan ID (Standard Component ID with Variant) 93895MT0020003-00
Plan Marketing NameBESTOne Advantage Gold
Plan TypeIndemnity
Plan Variant Marketing NameBESTOne Advantage Gold
QHP/Non QHPBoth
Service Area IDMTS001
Source NameSERFF
Plan ID93895MT0020003
State CodeMT
URL for Enrollment PaymentURL

Copay & Coinsurance of BESTOne Advantage Gold Health Insurance Plan, 93895MT0020003

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

Frequently Asked Questions(FAQ) about BESTOne Advantage Gold , 93895MT0020003 Health Insurance Plan, 93895MT0020003

Does BESTOne Advantage Gold Health Insurance Plan, 93895MT0020003 support Mail Ordering?

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

Does (93895MT0020003) Health Insurance Plan, Variant (93895MT0020003-00) have Out Of Country Coverage?

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

Does (93895MT0020003) Health Insurance Plan, Variant (93895MT0020003-00) have Out of Service Area Coverage?

Yes. Details: Network or Network

 

Disclaimer: This is based on the import(Date: Sun, 24 Sep 2023 09:34 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