BESTOne Dental Plus-Silver - 84033IL0020001 Health Insurance Plan
BEST Life and Health Insurance Company health insurance plan with the Plan ID 84033IL0020001. The plan is called BESTOne Dental Plus-Silver.
| Health Insurance Plan ID | 84033IL0020001 | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Health Insurance Plan Year | 2023 | ||||||||||||||||||
| State | Illinois | ||||||||||||||||||
| Health Insurance Issuer | BEST Life and Health Insurance Company | ||||||||||||||||||
| Plan Marketing Materials URL | Marketing URL | ||||||||||||||||||
| Health Insurance Plan Variant | 84033IL0020001-00 | ||||||||||||||||||
| Provider Network(s) | ['ILN001'] | ||||||||||||||||||
| In Network Doctors
*The data available in our database based on Health Insurance Company Open Data (update: Tue, 16 Apr 2024 06:19 GMT). |
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| Available Variants of the Health Plan | |||||||||||||||||||
| Last Plan Update Date | Mon, 15 Aug 2022 00:00 GMT | ||||||||||||||||||
| Last Import Date | Tue, 16 Apr 2024 06:19 GMT |
Benefits of BESTOne Dental Plus-Silver Health Insurance Plan, 84033IL0020001-00
| 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 | 40.00% Coinsurance after deductible |
70.00% Coinsurance after deductible |
| Dental Check-Up for Children
|
YES | No Charge |
20.00% Coinsurance after deductible |
| Major Dental Care - Adult
|
YES | 60.00% Coinsurance after deductible |
80.00% Coinsurance after deductible |
| Major Dental Care - Child
Limitations vary based on procedures. |
YES | 50.00% Coinsurance after deductible |
70.00% Coinsurance after deductible |
| Orthodontia - Adult
|
NO | ||
| Orthodontia - Child
Limitations vary based on procedures. |
YES | 50.00% |
70.00% |
| Routine Dental Services (Adult)
|
YES | No Charge |
20.00% |
BESTOne Dental Plus-Silver Health Insurance Plan Variant 84033IL0020001-00 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 Low Off Exchange Plan |
| Dental Only Plan | Yes |
| EHB Apportionment for Pediatric Dental | 1 |
| First Tier Utilization | 100% |
| HIOS Product ID | 84033IL002 |
| Import Date | 8/15/2022 20:01 |
| Inpatient Copayment Maximum Days | 0 |
| Guaranteed Rate | Estimated Rate |
| New/Existing Plan | Existing |
| Issuer ID | 84033 |
| 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 | 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 | $75 per person |
| Medical EHB Deductible, In Network (Tier 1), Individual | $75 |
| Medical EHB Deductible, Out of Network, Family Per Group | per group not applicable |
| Medical EHB Deductible, Out of Network, Family Per Person | $100 per person |
| Medical EHB Deductible, Out of Network, Individual | $100 |
| 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 | Low |
| Multiple In Network Tiers | No |
| National Network | Yes |
| Network ID | ILN001 |
| 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) | 84033IL0020001-00 |
| Plan Marketing Name | BESTOne Dental Plus-Silver |
| Plan Type | PPO |
| Plan Variant Marketing Name | BESTOne Dental Plus-Silver |
| QHP/Non QHP | Both |
| Service Area ID | ILS001 |
| Source Name | SERFF |
| Plan ID | 84033IL0020001 |
| State Code | IL |
| URL for Enrollment Payment | URL |
Copay & Coinsurance of BESTOne Dental Plus-Silver Health Insurance Plan, 84033IL0020001
| Drug Tier | Pharmacy Type | Copay amount | Copay option | Coinsurance rate | Coinsurance option | Mail Order |
|---|
Frequently Asked Questions(FAQ) about BESTOne Dental Plus-Silver, 84033IL0020001 Health Insurance Plan, 84033IL0020001
-
Does BESTOne Dental Plus-Silver Health Insurance Plan, 84033IL0020001 support Mail Ordering?
Unfortunately, this health insurance plan does not support mail ordering or the plan data in not available.
Does (84033IL0020001) Health Insurance Plan, Variant (84033IL0020001-00) have Out Of Country Coverage?
No, unfortunately there
is no Out Of Country Coverage for this Health Insurance Plan
(variant of plan).
Does (84033IL0020001) Health Insurance Plan, Variant (84033IL0020001-00) have Out of Service Area Coverage?
Yes. Details: FULL
Disclaimer: This is based on the import(Date: Tue, 16 Apr 2024 06:19 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