Guardian Basics for Families and Individuals - 63940GA0210004 Health Insurance Plan

Guardian health insurance plan with the Plan ID 63940GA0210004. The plan is called Guardian Basics for Families and Individuals .

Health Insurance Plan ID 63940GA0210004
Health Insurance Plan Year 2022
State Georgia
Health Insurance Issuer Guardian
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 63940GA0210004-00
Provider Network(s) ['GAN002']
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 Georgia 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 - 63940GA0210004-00

Standard On Exchange Plan - 63940GA0210004-01

Last Plan Update Date Sat, 12 Jun 2021 00:00 GMT
Last Import Date Wed, 27 Mar 2024 12:10 GMT

Guardian Basics for Families and Individuals Health Insurance Plan Variant 63940GA0210004-00 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 2022
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 63940GA021
Import Date 6/12/2021 1:01
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan New
Issuer ID 63940
Issuer Marketplace Marketing Name Guardian
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 $60 per person
Medical EHB Deductible, In Network (Tier 1), Individual $60
Medical EHB Deductible, Out of Network, Family Per Group per group not applicable
Medical EHB Deductible, Out of Network, Family Per Person $60 per person
Medical EHB Deductible, Out of Network, Individual $60
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Group $750 per group
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Family Per Person $375 per person
Maximum Out of Pocket for Medical EHB Benefits, In Network (Tier 1), Individual $375
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 Low
Multiple In Network Tiers No
National Network Yes
Network ID GAN002
Out of Country Coverage No
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Coverage is provided outside of the Service Area
Plan Brochure URL
Plan Effective Date 1/1/2022
Plan Expiration Date 12/31/2022
Plan ID (Standard Component ID with Variant) 63940GA0210004-00
Plan Marketing Name Guardian Basics for Families and Individuals
Plan Type PPO
Plan Variant Marketing Name Guardian Basics for Families and Individuals
QHP/Non QHP Both
Service Area ID GAS001
Source Name HIOS
Plan ID 63940GA0210004
State Code GA
URL for Enrollment Payment URL
URL for Summary of Benefits & Coverage URL

Copay & Coinsurance of Guardian Basics for Families and Individuals Health Insurance Plan, 63940GA0210004

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

Frequently Asked Questions(FAQ) about Guardian Basics for Families and Individuals , 63940GA0210004 Health Insurance Plan, 63940GA0210004

  • Does Guardian Basics for Families and Individuals Health Insurance Plan, 63940GA0210004 support Mail Ordering?

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

  • Does (63940GA0210004) Health Insurance Plan, Variant (63940GA0210004-00) have Out Of Country Coverage?

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

    Does (63940GA0210004) Health Insurance Plan, Variant (63940GA0210004-00) have Out of Service Area Coverage?

    Yes. Details: Coverage is provided outside of the Service Area

 

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