Secure - 23552TN0020011 Health Insurance Plan

Oscar Insurance Company health insurance plan with the Plan ID 23552TN0020011. The plan is called Secure.

Health Insurance Plan ID 23552TN0020011
Health Insurance Plan Year 2022
State Tennessee
Health Insurance Issuer Oscar Insurance Company
Plan Formulary Description URL Formulary URL
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 23552TN0020011-00
Provider Network(s) ['TNN001']
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 Tennessee 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 - 23552TN0020011-00

Standard On Exchange Plan - 23552TN0020011-01

Last Plan Update Date Wed, 02 Mar 2022 00:00 GMT
Last Import Date Wed, 27 Mar 2024 12:10 GMT

Secure Health Insurance Plan Variant 23552TN0020011-00 Attributes

Plan Attribute Value
Begin Primary Care Cost-Sharing After Number Of Visits 3
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 Catastrophic Off Exchange Plan
Dental Only Plan No
Disease Management Programs Offered Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs
EHB Percent of Total Premium 1
First Tier Utilization 100%
Formulary ID TNF001
Formulary URL URL
HIOS Product ID 23552TN002
Import Date 3/2/2022 1:01
Limited Cost Sharing Plan Variation - Estimated Advanced Payment $0.00
Inpatient Copayment Maximum Days 0
HSA Eligible No
New/Existing Plan Existing
Notice Required for Pregnancy No
Is a Referral Required for Specialist? No
Issuer ID 23552
Issuer Marketplace Marketing Name Oscar Insurance Company
Market Coverage Individual
Medical Drug Deductibles Integrated Yes
Medical Drug Maximum Out of Pocket Integrated Yes
Metal Level Catastrophic
Multiple In Network Tiers No
National Network No
Network ID TNN001
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Services only.
Out of Service Area Coverage Yes
Out of Service Area Coverage Description Emergency and Urgent Services only.
Plan Brochure URL
Plan Effective Date 1/1/2022
Plan Expiration Date 12/31/2022
Plan ID (Standard Component ID with Variant) 23552TN0020011-00
Plan Marketing Name Secure
Plan Type EPO
Plan Variant Marketing Name Secure
QHP/Non QHP Both
SBC Scenario, Having a Baby, Coinsurance $0
SBC Scenario, Having a Baby, Copayment $0
SBC Scenario, Having a Baby, Deductible $8,700
SBC Scenario, Having a Baby, Limit $50
SBC Scenario, Having Diabetes, Coinsurance $0
SBC Scenario, Having Diabetes, Copayment $0
SBC Scenario, Having Diabetes, Deductible $5,400
SBC Scenario, Having Diabetes, Limit $20
SBC Scenario, Treatment of a Simple Fracture, Coinsurance $0
SBC Scenario, Treatment of a Simple Fracture, Copayment $0
SBC Scenario, Treatment of a Simple Fracture, Deductible $2,800
SBC Scenario, Treatment of a Simple Fracture, Limit $0
Service Area ID TNS001
Source Name HIOS
Plan ID 23552TN0020011
State Code TN
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Combined In/Out Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Combined In/Out of Network, Individual Not Applicable
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Default Coinsurance 0.00%
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Group $17400 per group
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Family Per Person $8700 per person
Combined Medical and Drug EHB Deductible, In Network (Tier 1), Individual $8,700
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Group per group not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Family Per Person per person not applicable
Combined Medical and Drug EHB Deductible, Out of Network, Individual Not Applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Group $17400 per group
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Family Per Person $8700 per person
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), In Network (Tier 1), Individual $8,700
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Group per group not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Family Per Person per person not applicable
Maximum Out of Pocket for Medical and Drug EHB Benefits (Total), Out of Network, Individual Not Applicable
Unique Plan Design No
URL for Enrollment Payment URL
URL for Summary of Benefits & Coverage URL
Wellness Program Offered No

Copay & Coinsurance of Secure Health Insurance Plan, 23552TN0020011

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

Frequently Asked Questions(FAQ) about Secure, 23552TN0020011 Health Insurance Plan, 23552TN0020011

  • Does Secure Health Insurance Plan, 23552TN0020011 support Mail Ordering?

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

  • Does (23552TN0020011) Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs

    Does (23552TN0020011) Health Insurance Plan, Variant (23552TN0020011-00) have Out Of Country Coverage?

    Yes. Details: Emergency Services only.

    Does (23552TN0020011) Health Insurance Plan, Variant (23552TN0020011-00) have Out of Service Area Coverage?

    Yes. Details: Emergency and Urgent Services only.

    Does (23552TN0020011) Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs?

    Yes, and here is the list of available programs: Asthma, Heart Disease, Depression, Diabetes, High Blood Pressure & High Cholesterol, Low Back Pain, Pain Management, Pregnancy, Weight Loss Programs

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Asthma?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Asthma.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Heart disease?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Heart disease.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Depression?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Depression.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Diabetes?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Diabetes.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for High blood pressure & high cholesterol?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for High blood pressure & high cholesterol.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Low back pain?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Low back pain.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Pregnancy?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Pregnancy.

    Does Secure Health Insurance Plan, Variant (23552TN0020011-00) offer Disease Management Programs for Weight loss programs?

    Yes, the Secure Health Insurance Plan Variant 23552TN0020011-00 offers Disease Management Program for Weight loss programs.

 

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