TruAssure Preferred Adult or Child Dental Plan - 25268KS0020001 Health Insurance Plan

TRUASSURE INSURANCE COMPANY health insurance plan with the Plan ID 25268KS0020001. The plan is called TruAssure Preferred Adult or Child Dental Plan.

Health Insurance Plan ID 25268KS0020001
Health Insurance Plan Year 2023
State Kansas
Health Insurance Issuer TRUASSURE INSURANCE COMPANY
Plan Marketing Materials URL Marketing URL
Health Insurance Plan Variant 25268KS0020001-00
Provider Network(s) ['KSN001']
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 Kansas 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 - 25268KS0020001-00

Standard On Exchange Plan - 25268KS0020001-01

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

Benefits of TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan, 25268KS0020001-00

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

30.00% Coinsurance after deductible

50.00% Coinsurance after deductible
Dental Check-Up for Children

Limit: 1.0 Visit(s) per 6 Months

YES

0.00%

0.00%
Major Dental Care - Adult

6 Month Waiting Period

YES

50.00% Coinsurance after deductible

50.00% Coinsurance after deductible
Major Dental Care - Child
YES

50.00% Coinsurance after deductible

50.00% Coinsurance after deductible
Orthodontia - Adult
NO
Orthodontia - Child

Medically Necessary Only

YES

50.00%

100.00%
Routine Dental Services (Adult)

Limit: 1.0 Visit(s) per 6 Months

YES

0.00%

0.00%

TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan Variant 25268KS0020001-00 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 25268KS002
Import Date 8/17/2022 20:01
Inpatient Copayment Maximum Days 0
Guaranteed Rate Guaranteed Rate
New/Existing Plan Existing
Issuer ID 25268
Issuer Marketplace Marketing Name TRUASSURE INSURANCE COMPANY
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 $35 per person
Medical EHB Deductible, In Network (Tier 1), Individual $35
Medical EHB Deductible, Out of Network, Family Per Group per group not applicable
Medical EHB Deductible, Out of Network, Family Per Person $75 per person
Medical EHB Deductible, Out of Network, Individual $75
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 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 High
Multiple In Network Tiers No
National Network Yes
Network ID KSN001
Out of Country Coverage Yes
Out of Country Coverage Description Emergency Only
Out of Service Area Coverage Yes
Out of Service Area Coverage Description All Covered Benefits
Plan Brochure URL
Plan Effective Date 1/1/2023
Plan Expiration Date 12/31/2023
Plan ID (Standard Component ID with Variant) 25268KS0020001-00
Plan Marketing Name TruAssure Preferred Adult or Child Dental Plan
Plan Type PPO
Plan Variant Marketing Name TruAssure Preferred Adult or Child Dental Plan
QHP/Non QHP Both
Service Area ID KSS001
Source Name SERFF
Plan ID 25268KS0020001
State Code KS
URL for Enrollment Payment URL

Copay & Coinsurance of TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan, 25268KS0020001

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

Frequently Asked Questions(FAQ) about TruAssure Preferred Adult or Child Dental Plan, 25268KS0020001 Health Insurance Plan, 25268KS0020001

  • Does TruAssure Preferred Adult or Child Dental Plan Health Insurance Plan, 25268KS0020001 support Mail Ordering?

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

  • Does (25268KS0020001) Health Insurance Plan, Variant (25268KS0020001-00) have Out Of Country Coverage?

    Yes. Details: Emergency Only

    Does (25268KS0020001) Health Insurance Plan, Variant (25268KS0020001-00) have Out of Service Area Coverage?

    Yes. Details: All Covered Benefits

 

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